MANAGED CARE AND ACADEMIC PSYCHIATRY

Managed care, with its emphasis on cost effectiveness, case review, an d treatment guidelines, has become a major influence on the delivery o f mental health care and on the field of psychiatry. Given the importa nce of academic psychiatry in producing future psychiatrists and shapi ng their attitudes toward managed care, two separate surveys of chairs of 125 medical school departments of psychiatry were conducted. The s urveys, completed in 1989-90 and 1991-92, indicate a trend toward acce pting the usefulness and importance of managed care.