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1995 Symposium Conference

Changing the Environment of the Delivery of Mental Health Services
March 24, 1995

Health Law Symposia

Over 130 lawyers, health care professionals and law students attended the Center for Health Law Studies/Saint Louis University Law Journal conference on "Changing the Environment of the Delivery of Mental Health Services" at the School of Law on March 24, 1995. The Department of Psychiatry and Human Behavior of the University's School of Medicine co-sponsored.

Dr. Howard Goldman, Professor of Psychiatry and Director of Mental Health Policies at the University of Maryland, set the foundation for the conference in the opening address. Dr. Goldman related current developments in the theories, methods and delivery of mental health services to the history of mental health care policy in the U.S.
Conference attendees noted: "A wonderful program"... "Quality of speakers was excellent"... "Very timely"... "My gratitude and appreciation to the Center for all its work."

Many conference speakers (listed below) identified managed care as a current major force that is having far-reaching effects on the delivery of mental health services. Speakers and conference attendees, many of whom were mental health professionals who direct managed care programs or who provide services under managed care contracts, discussed the nature of professional responsibilities toward patients; issues in evaluating the effectiveness of mental health therapies and the quality of mental health services; the basics of managed care contracting; and the influence of disability discrimination laws, among other timely topics.

Workshops focusing on the changing environment included Mental Health in Long Term Care (George Grossberg and Cathy Goldstein, Department of Psychiatry and Human Behavior, St. Louis University); Managed Care (Abby Wasserman, United Behavioral Systems, and Greg Kuhn, William Mercer, Inc.); Substance Abuse (David Ohlms, SSM Recovery Centers); and State Mental Health Systems (Joseph Parks, M.D., Missouri Department of Mental Health). Roundtable sessions on specific issues included Confidentiality and Records (Susan Spiegel, Personal Performance Consultants); Contracting with Managed Care Entities (Brian Andrew, Greensfelder, Hemker & Gale, and Jill Hummel, BJC Health System); Licensure and Scope of Practice (Daniel P. Card, II, Paule, Camazine & Blumenthal); and Research Agenda (Richard Wiener, Department of Psychology, St. Louis University, and Maria Hall, School of Public, St. Louis University). We appreciate the contribution that each of these speakers made to the quality of the program.

The 1995-1996 Health Law Symposium of the Saint Louis University Law Journal will publish articles based on the major papers presented at the conference. Diane Turpin has been named as editor of the Symposium issue.

Principal Papers Delivered

The Delivery of Mental Health Services: Moving Toward the 21st Century
Howard Goldman, M.D., Professor of Psychiatry and Director of Mental Health Policy Studies, The University of Maryland
 
Litigating Access to Mental Health Services
Leonard S. Rubenstein, Judge David L. Bazelon Center for Mental Health, Washington, DC
 
What Price Mental Health? The Ethics of Managed Mental Health Care
Philip Boyle, The Hastings Center, Briarcliff Manor, New York
 
Liability, Discipline and Other Quality Control Issues for Mental Health Professionals
John Petrila, Department of Mental Health Law and Policy, University of South Florida
 
Fraud and Abuse in the Delivery of Mental Health Services
Dorothy McMurtry, Assistant U.S. Attorney, Eastern District of Missouri, and John Munich, J.D., Assistant Attorney General, State of Missouri

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