Foreword Contributors Introduction: Managed Health and Behavioral Health Care Services Delivery: A Complex, Interrelated System of Policies, Programs, and Research Part One: The Context of Human Service Practice in Managed Care Environments 1: Judith Shindul-Rothschild: The Macroeconomic Impact of Managed Care 2: Elizabeth Pearson Philp and Barbara Berkman: Biotechnology and Managed Care: Effects on Health Care Cost, Clinical Practice, and Education of Health Care Professionals 3: King Davis: The Intersection of Free-for-Service, Managed Health Care, and Cultural Competence: Implications for National Health Care Policy and Services to People of Color 4: Frederic G. Reamer: Ethics and Managed Care Policy 5: Susan Saunders: System Care Management: Purpose, Structure, and Function Part Two: Managed Care: Services Delivery Domains for Special Needs and At-Risk Populations 6: Vivian H. Jackson, Charlotte McCullough, and Jan McCarthy: Managed Care and Child Welfare Practitioner Training Needs 7: Scott Miyake Geron: Managed Care and Care Management for Older Adults 8: Roberta R. Greene and W. Patrick Sullivan: Managed Care and the Ecological Perspective: Meeting the Needs of Older Adults in the Twenty-First Century 9: Susan B. Stern: Outcomes Research for Children and Adolescents: Implications for Children's Mental Health and Managed Care 10: Susan M. Chandler: Facilitating the Enrollment of Elderly and Disabled Persons into Medicaid Managed Care 11: Wes Shera: Managed Care and the Severely Mentally Ill: Current Issues and Future Challenges 12: Wilma Peebles-Wilkins and Nancy W. Veeder: Research Needs in the Managed Care of Substance-Abusing Patients Conclusion: Managing the Change in Health and Behavioral Health Care Managed Care Glossary Index