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Journal of Pediatric Psychology, Vol. 26, No. 4, 2001, pp. 193-202
© 2001 Society of Pediatric Psychology

Managed Mental Health Care: Attitudes and Ethical Beliefs of Child and Pediatric Psychologists

Lisa M. Buckloh, PhD and Michael C. Roberts, PhD

University of Kansas

All correspondence should be sent to Lisa M. Buckloh, Nemours Children's Clinic, Division of Psychology and Psychiatry, 807 Nira Street, Jacksonville, Florida 32207. E-mail: lbuckloh{at}nemours.org .

Objective: To examine child and pediatric psychologists' ethical beliefs and attitudes toward managed mental health care.

Methods: In a survey mailed in spring 1997, 252 child and pediatric psychologists responded to three vignettes depicting ethical dilemmas related to working with managed mental health care (confidentiality, restriction of services, misdiagnosis). Data were collected about psychologists' ethical choices and reasons given for choices, attitudes toward managed care, the extent to which managed care affected ethical decision making, and level of managed care involvement.

Results: Differences were found in choices made for the ethical dilemmas in regard to what participants thought they should do, would do, and actually did do. Overall, participants endorsed negative attitudes toward managed care. Participants reported that managed care somewhat affected their ethical decision making for the vignettes. Level of managed care involvement was not related to ethical decision making or attitudes toward managed care.

Conclusions: The findings suggest areas for examination as new ethical standards are created for work in managed care environments.

Key words: managed care; ethical decision making; professional issues; attitudes about managed care; children.


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