The role of managed mental health care in counseling gifted children and families

This study examined the role of managed mental health care in the counseling of gifted children and families. When gifted children and their families experience difficulties resulting from giftedness, they have the option of choosing a private provider, although cost is often prohibitive. Moreover, when insurance is used to offset the cost, most mental health insurance policies have a managed care component. One requirement of managed care is that services be medically necessary to alleviate a recognized mental illness diagnosis. Problems resulting from giftedness may not be recognized as a mental illness. As a result, insurance may not pay for these counseling costs. However, this does not have to be the case because of the flexibility managed care case managers have to make judgments. 40 managed care case managers were surveyed to address this issue. 14 of the case managers consented to individual interviews. The results indicate that some case managers would approve reimbursement and others would not. The study describes criteria and conditions that need to be met for reimbursement.