Foreward; Introduction - Managed Health and Behavioral Health Care Services Delivery: A Complex, Interrelated System of Policies, Programs, and Research; SECTION I - THE CONTEXT OF HUMAN SERVICE PRACTICE IN MANAGED CARE ENVIRONMENTS; Overview; 1. The Macroeconomic Impact of Managed Care; 2. Biotechnology and Managed Care: Effects on Health Care Cost, Clinical Practice and Education of Health Care Professionals; 3. The Intersection of Fee for Service, Managed Health Care and Cultural Competence, Implications for National Health Care Policy and Services to People of Color; 4. Ethics and Managed Care Policy; 5. System Care Management: Purpose, Structure, and Function; SECTION II - MANAGED CARE: SERVICES DELIVERY DOMAINS FOR SPECIAL NEEDS AND AT-RISK POPULATIONS; Overview; 6. Managed Care and Child Welfare Practitioner Training Needs; 7. Managed Care and Case Management for Older Adults; 8. The Ecological Perspective, Older Adults, and Managed Care; 9. Outcomes Research For Children and Adolescents: Implications for Children's Mental Health and Managed Care; 10. Facilitating the Enrollment of Elderly and Disabled Persons into Medicaid Managed Care; 11. Managed Care and the Severly Mentally Ill: Current Issues and Future Challenges; 12. Research Needs in the Managed Care of Substance Abusing Patients; Conclusion - Managing the Change in Health and Behavioral Health Care; Managed Care Glossary