Challenges of Managed Mental Health Care in the South East Mediterranean Region

  • Ahmed Okasha


The first phase of managed care, which we have been through in the last decade, has been primarily focused on cost. Costs have been the focus because medical care generally was becoming rapidly unaffordable in the United States. The escalation of medical care costs led to proposals by the government, notably the Clinton Health Reform Proposal in ‘93 and ‘94, for some kind of global intervention. When that failed, there was a turning to the employer-based, market-driven system, and managed care came into being with a ferocity that has affected all parts of medicine, but especially psychiatry.1


Mental Health Mental Health Service Persistent Mental Illness Manage Care System Forensic Mental Health 
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Copyright information

© Springer Science+Business Media New York 1999

Authors and Affiliations

  • Ahmed Okasha
    • 1
  1. 1.WHO Collaborating Center for Research and Training Cairo, Institute of PsychiatryAin Shams UniversityCairoEgypt

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