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"ABSTRAKThis article reviews the forces leading to the current emphases on managed mental health systems. Rapidly escalating costs, especially for inpatient care, and associated concerns for quality and patient outcomes, have led third-party payers and employers to demand more effective cost and quality controls. The article describes and illustrates methodologies for managing mental health costs, and reviews issues related to evaluating the impact of managed care on costs and quality of patient care."

"Vygotsky Philosophy and Education reassesses the works of Russian psychologist Lev Vygotsky work by arguing that his central ideas about the nature of rationality and knowledge were informed by the philosophic tradition of Spinoza and Hegel. Presents a reassessment of the works of Lev Vygotsky in&​#xA0;light of the tradition of Spinoza and Hegel informing his work Reveals Vygotsky's connection with the work of contemporary philosophers such as Brandom and McDowell Draws on discussions in contemporary philosophy to revise prominent readings of Vygotskian psychology and revisits educational debates where Vygotsky's ideas were central Reveals the limitations of appropriations of Vygotsky which fail to recognize the Hegelian provenance of his work Shows the relevance of Brandom's inferentialism for contemporary educational theory and practice. "