The catastrophic case. A special problem for general hospital psychiatry in the era of managed care

Steven S. Sharfstein

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

In the quest for cost containment, case-managed care can harm some patients who are catastrophically ill and treatment resistant. One such case is presented and the "catch-22" situation described where the case manager determined that the chronicity and severity of the case deemed the patient "custodial" and discharge planning was ordered despite the fact that the patient had excellent continued inpatient benefits. The consequences of premature discharge or transfer to a state facility should be studied carefully as we move to more case-managed care. The process of managed care, which has become increasingly costly and time consuming, should also be scrutinized.

Original languageEnglish (US)
Pages (from-to)268-270
Number of pages3
JournalGeneral Hospital Psychiatry
Volume11
Issue number4
DOIs
StatePublished - Jul 1989
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health

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