Exam 15: Employee Assistance Programs, Private Practice, Coaching and Managed Care

__________________ is a nonprofit organization whose goal is to improve the quality of healthcare services.

__________________ occurs when a practitioner assigns a more serious diagnosis than is warranted to obtain more authorized sessions.

Let's assume that you're a counselor in private practice and you receive third-party reimbursements through an MCO. You have been seeing a client who is working on existential issues resulting from the unexpected death of her child. The client exhibits symptoms of sadness, grief, and loss, but does not meet the criteria for an Axis I diagnosis. You have met with the client six times (the allotted amount of sessions that the MCO will reimburse), but you believe she could benefit from additional sessions. You could justify additional counseling sessions and continue to receive reimbursement from the MCO if you diagnosed the client with an Axis I diagnosis. Using Haas and Malouf's model of ethnical decision making, describe how you might handle this situation.

The process by which a managed care organization monitors the therapeutic process is called

A counselor whose client exhibits symptoms of borderline personality knows that she might struggle to receive reimbursement for this diagnosis due to its severity and persistence so she gives a mood disorder diagnosis instead. The behavior by the counselor would be considered

Which of the following EAP services consists in EAPs responding to traumatic events that affect the workplace?

__________________ designated federal funding for the development of managed care programs and required employer to offer managed care options to employees.

__________________ is a coordinated set of professional activities focused on treatment planning and assurance of treatment delivery that addresses the client's needs while maintaining quality, cost-effective outcomes.

_________________ is designed for people who are in executive management and involves a one-on-one helping relationship between the coach and the client.

Which of the following is a service provided to an organization by an EAP that includes skill building for supervisors, managers, and executive on topics such as conflict management, communication skills, and performance management?

______________, a relatively new discipline, is designed to help clients who are not in psychological distress and are able to use their strengths and resources to pursue goals, actions, and outcomes that enhance their lives, either personally or professionally.

Miller (1996) referred to time-limited treatments imposed by MCOs that result in early termination as

All of the following, according to Shallcross (2011) are tips for building a successful private practice except

Which of the following is described as "a way of providing care, a philosophy of care, a way to finance care, and a way to control costs" (Talbott, 2001, p. 279)?

How have managed care systems impacted the counseling process?

Which of the following is the name of the coaching credential offered by the Center for Credentialing in Education (CCE)?

Which of the following is a form of payment in which the provider is paid on a per-member basis?

In which of the following court cases was a service provider held liable for the HMO's decision to limit hospitalization, even though the provider had recommended additional treatment?

___________________ are reimbursements to EAP counselors provided by companies themselves.

As a clinical mental health counselor, how might you go about securing a placement on a provider panel?