The Challenges Posed by Managed Behavioral Health Care

Abstract
Someone reportedly once teased H.L. Mencken, a proudly self-proclaimed atheist, by asking him if he believed in infant baptism. “Believe in it?” Mencken replied. “Hell, I've seen it with my own eyes.” Were Mencken alive today and asked to comment on the state of mental health care, he might say something similar about managed behavioral health care (a label recently applied to managed care in the areas of both mental illness and substance abuse). Like infant baptism it is a fact of life, whether one believes in it or not. Although highly controversial in the provider community and of great . . .

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