The third element of the definition of managed care is that it constitutes a series of conceptual shifts in the provision of behavioral health care. This chapter and the next one will discuss ll concepts that, together, form a conceptual framework for understanding managed care and operating well within it. They emerge out of the history and the rationale for managed care. And because both the rationale and the scope of business are constantly building, these concepts are growing apace. The ll concepts are as follows:

I. Treatment to functioning restoration. 2. Substance abuse sensitivity. 3. Actuarial-based financing. 4. Continuous quality improvement. 5. Utilization management. 6. Medical necessity. 7. Symptom-based treatment. 8. Appropriate level of care. 9. Brief therapy.