title: At the crossroads: managed mental health care, the ethics code, and ethnic minorities.
abstract: Mental health clinicians are facing an increasing number of ethical problems related to the delivery of managed mental health care services to ethnic minorities. The authors argue that (a) economic pressures have led to the development of the managed health care movement; (b) the combination of such economic pressures and the development of that managed care movement have influenced the promulgated ethical standards of the American Psychological Association; and (c) those influences may have a negative impact on the mental health services available to ethnic minority individuals and communities. The authors review some of the specific potential threats to mental health services for minorities in the face of such health management policy and psychologists' professional standards.
authors.affiliation: Department of Psychiatry, Harvard Medical School, Martha Eliot Health Center/Children's Hospital, Faculty at the Massachusetts School of Professional Psychology, Cambridge, Massachusetts, USA. LaRoche_M@hub.tch.harvard.edu
authors.forename: Martin J
authors.initials: MJ
authors.lastname: La Roche
authors.forename: Castellano
authors.initials: C
authors.lastname: Turner
mesh_terms: D003469:Culture; D004995:Ethics, Professional; D005006:Ethnicity; D006801:Humans; D008605:Mental Health Services / Q000592:standards*