Abstract
More than 100 million Americans are now covered by HMOs and other forms of managed care such as IPAs, PPOs, EAPs, student health ser-vices, and armed forces psychiatric services (Austad & Berman, 1991; Bennett, 1988; Boaz, 1988; Feldman & Fitzpatrick, 1992; Goldman, 1988; Zimet, 1989).1 Although there are important differences within and between these different approaches to regulating the costs, utilization, and/or site of services, psychotherapy provision arrangements in man-aged health care settings all have as their ideal the principle of optimal use of time and resources. Brief therapy is the backbone of these approaches, the way to provide some services to many rather than many services to a privileged few. Therapists working within HMOs and other managed care settings know the challenge of our Sullivanian epigram through dally experience.
I think the development of psychiatric skill consists in very considerable measure of doing a lot with very little-making a rather precise move which has a high probability of achieving what you’re attempting to achieve, with a minimum of time and words. Harry Stack Sullivan (1954, p. 224)
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Hoyt, M.F. (1993). Two Cases of Brief Therapy in an HMO. In: Wells, R.A., Giannetti, V.J. (eds) Casebook of the Brief Psychotherapies. Applied Clinical Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2880-7_15
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DOI: https://doi.org/10.1007/978-1-4615-2880-7_15
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