New Jersey psychologists' report on managed mental health care

New Jersey psychologists reported rankings of concerns encountered in their work with 10 of the state's managed care companies, and the authors propose a treatment concern cluster. Findings revealed that managed care negatively affects income and practice patterns, including pressure to change quality of care and compromise ethics. Degree of involvement in managed care differentially affected psychologists' responses. Not all managed care companies appeared equally problematic. Implications for clinical practice and public policy are presented.