Author: Lisa S. Meredith
Publisher: Rand Corporation
ISBN: 9780833037657
Category : Medical
Languages : en
Pages : 140
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Book Description
TRICARE, the program through which military health system beneficiaries access health care services, provides coverage for most medically necessary mental health care delivered by qualified providers. Federal legislation in 2001 required the Department of Defense to conduct a demonstration project involving expanded access under TRICARE to a particular type of mental health service provider--the licensed or certified mental health counselor (LMHC). Under the demonstration, LMHCs could provide services to covered beneficiaries without physician referral or adherence to physician supervision requirements, both of which are otherwise required. This report describes and presents findings from RAND Corporation's evaluation of the demonstration. The authors present detailed findings, based on surveys and interviews with various stakeholders, on the demonstration's impact on health care utilization, cost, and outcomes of health care services. The authors examine and compare pre-demonstration and post-demonstration data, and compare results from military catchment areas that participated in the demonstration and catchment areas that did not participate but were studied for comparison purposes.
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages : 0
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Book Description
The military health system serves roughly 9 million eligible beneficiaries, including active duty military personnel and their family members, retired military personnel and their family members, and surviving family members of deceased military personnel. Eligible beneficiaries access health care services through the TRICARE program. Mental health care, as well as other forms of health care under TRICARE, is delivered through the direct care system, which consists of military-owned treatment facilities (clinics and hospitals), and the purchased-care system, which consists of coverage for care rendered in the civilian sector. TRICARE provides coverage for most medically necessary mental health care services, including those delivered in inpatient, outpatient, and partial hospitalization settings by qualified providers. In response to the National Defense Authorization Act (NDAA) for Fiscal Year 2001, the Department of Defense implemented a 1-year demonstration project designed to expand access to mental health services by easing TRICARE restrictions on services provided by licensed or certified mental health counselors (LMHCs). Currently, LMHCs must meet several eligibility and administrative requirements to serve as authorized TRICARE providers, including documentation of referral and supervision from a physician. Under the demonstration project, LMHCs who met the TRICARE eligibility requirements were allowed to provide services to covered beneficiaries without referral by physicians or adherence to supervisory requirements. In the NDAA, Congress requested an evaluation of the demonstration's impact on utilization, costs, and patient outcomes. This report describes the evaluation efforts by the RAND Corporation and presents findings based on several sources of data. The report is organized according to specific responses to the evaluation's objectives outlined in the FY01 NDAA and is intended to be included in the sponsor's final report to Congress.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309157196
Category : Medical
Languages : en
Pages : 351
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Book Description
In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.
Author: United States. Congress. Senate. Committee on Armed Services. Subcommittee on Personnel
Publisher:
ISBN:
Category : History
Languages : en
Pages : 64
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Author: Committee on the Department of Homeland Security Workforce Resilience
Publisher: National Academies Press
ISBN: 0309289475
Category : Technology & Engineering
Languages : en
Pages : 169
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Book Description
The responsibilities of the Department of Homeland Security (DHS) range from preventing foreign and domestic terrorist attacks; securing the nation's borders; safeguarding transportation systems; responding to natural disasters; nuclear detection; and more. Created in 2002 from a merger that rapidly incorporated parts of eight cabinet departments and 22 government agencies, DHS has struggled to integrate its numerous components and their unique cultures. While DHS is very accomplished at performing its many missions, the nature of the DHS work environment is inherently stressful, and employees suffer from low morale. A Ready and Resilient Workforce for the Department of Homeland Security: Protecting America's Front Line reviews current workforce resilience efforts, identifies gaps, and provides recommendations for a 5-year strategy to improve DHSTogether, the current DHS workforce resilience program. This report stresses the importance of strong leadership, communication, measurement, and evaluation in the organization and recommends content for a 5-year plan that will promote centralized strategic direction and resource investment to improve readiness and resilience at the department. While all DHS component agencies share a common mission, each have distinct roles with different stressors attached, making implementation of an organization-wide resilience or wellness program difficult. The recommendations of A Ready and Resilient Workforce for the Department of Homeland Security outline how DHS can focus its efforts on creating a common culture of workforce readiness and resilience, while recognizing the distinct, proud, celebrated cultures of its component agencies.
Author: United States. Congress. Senate
Publisher:
ISBN:
Category : Legislation
Languages : en
Pages : 1676
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Author: United States. Congress. House
Publisher:
ISBN:
Category : CD-ROMs
Languages : en
Pages : 1490
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Book Description
Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House".
Author:
Publisher:
ISBN:
Category : Administrative agencies
Languages : en
Pages : 252
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Author: United States. Congress. House. Committee on Armed Services
Publisher:
ISBN:
Category : History
Languages : en
Pages : 148
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Author:
Publisher:
ISBN:
Category : Administrative law
Languages : en
Pages : 162
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