chapter  1
Pages 10

It is predicted that the great majority of future health and mental health services will be delivered through managed care, with costs contained through the use of prospective reimbursement (capitated payment), by the turn of the century (Cummings, 1995; Frank & Vandenbos, 1994; Weiner, 1994). This virtually guarantees that mental health services, including outpatient psychotherapy, will be brief for the majority of current and future clients. Under these circumstances, it is easy to lose sight of the fact that there are nonfiscal reasons to recommend the use of brief therapy. Before the current wave of cost containment, that is, between the late 1960s and mid-1980s, several authors (including myself) advocated in­ creased use of brief therapy based on client preference, treatment outcome, and treatment attrition pattern research (for example, Baldwin, 1977; Beliak & Small, 1978; Bloom, 1979, 1984; Budman & Gurman, 1983; Miller & Hester, 1986; Pekarik, 1985; Stone & Crowthers, 1972; Straker, 1968). It is that basically humanitarian and client-oriented view that prompted the development of the treatment abbreviation procedures described in this book.