Skip to main content
Log in

Cost Effective Assessment Models in Providing Patient-Matched Psychotherapy

  • Published:
Journal of Contemporary Psychotherapy Aims and scope Submit manuscript

Abstract

Examined are various models of assessing cost-effectiveness in the use of psychological measures employed for screening patient pathology through psychological testing as a precursor to providing psychotherapy. Actual and simulated quality assurance studies are provided. The authors caution that cost-containment limited to financial incentives may have negative consequences for patient care. Systems analysis and program restructuring designed to better balance the service system through levels of care may be more clinically sound, and less costly. Clinical algorithms and critical pathways are discussed, as are recommendations that incorporate psychological testing services as an ingredient in providing contemporary psychotherapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edition, revised). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Eisen, S.V., Grob, M.C., Kline, D.D. (1996). Outcome measurement: Tapping the patient's perspective, In Recent Advances in Outcome Research. Edited by Mirin, S.M., Gossett, J., Grob, M.C. Washington, DC, American Psychiatric Press, Inc.

    Google Scholar 

  • Kasniak, A. W. & Bortz, J. J. (1993). Issues in Evaluating the Cost Effectiveness of Neuropsychological Assessment in Rehabilitation Settings, In: Sebright, L., Bond, G., & McDonel (Eds.) Improving Assessment in Rehabilitation and Health. Newberry Park, CA: Sage Publication Incorporated.

    Google Scholar 

  • Kraus, R. and Miller, T.W. (1993). Psychiatry in Appalachia. American Psychiatric Association, 146th Annual Convention, San Francisco, California, May 22–27, 1993.

  • Levin, H.M. (1983). Cost-effectiveness. Beverly Hills, California: Sage Publications, Inc.

    Google Scholar 

  • Levin, H.M. (1981). Cost analysis. In N.L. Smith (Ed.), New techniques for evaluation. Beverly Hills, CA: Sage Publications, Inc.

    Google Scholar 

  • Meehl, P.E., & Rosen, A. (1955). Antecedent probability and the efficiency of psychometric signs, patterns, or cutting scores. Psychological Bulletin, 52:194–216.

    Google Scholar 

  • Moreland, K.L. (1984). A cost-effectiveness means of improving the statistical validity of an MMPI short form. Journal of Clinical Psychology, 40(1): 135–136.

    Google Scholar 

  • Miller, D.J. and Miller, T.W. (August 17, 1991). MMPI PTSD subscale as a predictor of post-traumatic stress disorder in former prisoners of war. Annual Meeting of the American Psychological Association Convention, San Francisco, California.

  • Miller, T.W. (March 26–28, 1991). Quality Assurance in the VAHealthCareSystem. Invited Program, VAMedical Center, Poplar Bluff, Missouri.

    Google Scholar 

  • Miller, T.W., Spicer, K., Thibodeau, K., and Riley, A. (August 22–24, 1993). The MMPI-2 as an Overall Cost-Effective Way of Managing Health Care Costs. Symposium presentation at the American Psychological Association Annual Convention, Toronto, Ontario, Canada.

  • Miller, T.W. (April 20, 1997). Healthcare Issues in Rural America: Agenda for the 90s. Presented at the Center for Rural Health, Department of Psychiatry, College of Medicine, University of Kentucky. Hazard, Kentucky.

  • Wendler C.L. and Roid, G.H. (1984) A Cost Analysis Approach to Optimizing Test Selection. Journal of Learning Disabilities 17(7) 400–405.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Miller, T.W., Spicer, K., Kraus, R.F. et al. Cost Effective Assessment Models in Providing Patient-Matched Psychotherapy. Journal of Contemporary Psychotherapy 29, 143–154 (1999). https://doi.org/10.1023/A:1021908832226

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1021908832226

Navigation