1. Copyright © 2002 by W. B. Saunders Company. All rights reserved. Chapter 5 Mental Health Nursing in Acute Care Settings Menu F

2. Copyright © 2002 by W. B. Saunders Company. All rights reserved. Goals of Managed Care l Coordinated and efficient care to control costs l Appropriate utilization of care resources l Increased access to preventive care l Maintenance and improvement of quality care l Coordinated and efficient care to control costs l Appropriate utilization of care resources l Increased access to preventive care l Maintenance and improvement of quality care Menu FB

3. Copyright © 2002 by W. B. Saunders Company. All rights reserved. l Clear risk of client danger to self and others l Dangerous decompensation of long term treatment client l Failure of community-based treatment/need for structure l Medical need of psychiatric or non-psychiatric nature l Clear risk of client danger to self and others l Dangerous decompensation of long term treatment client l Failure of community-based treatment/need for structure l Medical need of psychiatric or non-psychiatric nature Justification for Hospital Admission Menu FB

4. Copyright © 2002 by W. B. Saunders Company. All rights reserved. l Prevention of self-harm l Prevention of harm to others l Crisis stabilization and return to community l Initiation/modification of psychotropic medications l Brief, specific problem solving to promote compensation l Rapid planning for outpatient therapy l Prevention of self-harm l Prevention of harm to others l Crisis stabilization and return to community l Initiation/modification of psychotropic medications l Brief, specific problem solving to promote compensation l Rapid planning for outpatient therapy Goals for Acute Hospitalization Menu FB

5. Copyright © 2002 by W. B. Saunders Company. All rights reserved. l Advocate l Establish and maintain ongoing relationship l Rapid assessment l Plan rapid stabilization l Discharge planning l Coordinate services l Monitor service delivery l Evaluate outcomes l Advocate l Establish and maintain ongoing relationship l Rapid assessment l Plan rapid stabilization l Discharge planning l Coordinate services l Monitor service delivery l Evaluate outcomes Case Management Menu B