Presentation Details

The Fourth International Conference on Knowledge, Culture and Change in Organisations

Do Managed Care Organizations Change the Culture of Psychotherapists--or Just their Remuneration?

Sandra J. Tanenbaum.

"Evidence-based practice" (EBP) is an ascendant knowledge regime in US medical and social services organizations; it demands more "scientific" criteria for treatment in, say, mental health. Many psychotherapists, however, inhabit a culture with other values, among them, a broader definition of valuable knowledge.
Managed care organizations (mcos) provide much of the mental health care in the US system. The kinds of treatment about which "evidence" is most easily procured happen to be short-term, reductionistic, standardizable, and EBP has legitimated at least some of what mcos would do anyway.
Still, mcos need service providers, and many of these do not come from the EBP movement. How have mcos dealth with this cultural difference--sophisticated persuasion, workforce redesign, or solely economic power?
I will use archival and interview data to explore a largely unacknowledged activity of mcos.


Sandra J. Tanenbaum  (United States)
Associate Professor
Division of Health Services Management and Policy School of Public Health
Ohio State University

Prof. Tanenbaum is a political scientist, teaching health policy and politics in a school of Public Health. Her research interests include the politics of science and the framing of public problems.

  • Managed care organizations
  • Mental health care
  • Psychotherapists
  • Professional cultures

(Virtual Presentation, English)