Key Words: Psychotherapy Psychopharmacology Fellowships TO THE EDITOR: Amid the rapid changes in health care, some trends are nonetheless discernible. There is movement toward primary, holistic care in which one doctor addresses all the patient's needs rather than several specialists providing care in a fragmented fashion. There is also a greater attempt toward integration of psychosocial factors in the practice of medicine. In contrast, the only mental health practice capable of providing comprehensive, holistic psychiatric care, that is, that offered by a broadly trained psychiatrist, is being dismantled and replaced by fragmented care (therapist-psychopharmacologist split) because it is putatively less expensive (1). However, by using managed care and Medicare rates to compare the cost of integrated care provided by a psychiatrist (medication and psychotherapy) vs. split treatment (psychopharmacologist plus non-MD psychotherapist), one study found that 10 combined sessions with a psychiatrist cost $1,007, whereas split treatment (10 psychotherapy sessions/5 medication) cost $1,177 with a psychologist and $1,004 with a social worker. Similarly, 5 combined sessions cost $513 vs. split treatment (5 psychotherapy/3 medication) costs of $656 with a psychologist and $568 with a social worker (2). One managed care company has since confirmed that combined care
The Combined Short-Term PsychotherapyPsychopharmacology Fellowship
Abstract
Key Words: Psychotherapy Psychopharmacology Fellowships TO THE EDITOR: Amid the rapid changes in health care, some trends are nonetheless discernible. There is movement toward primary, holistic care in which one doctor addresses all the patient's needs rather than several specialists providing care in a fragmented fashion. There is also a greater attempt toward integration of psychosocial factors in the practice of medicine. In contrast, the only mental health practice capable of providing comprehensive, holistic psychiatric care, that is, that offered by a broadly trained psychiatrist, is being dismantled and replaced by fragmented care (therapist-psychopharmacologist split) because it is putatively less expensive (1). However, by using managed care and Medicare rates to compare the cost of integrated care provided by a psychiatrist (medication and psychotherapy) vs. split treatment (psychopharmacologist plus non-MD psychotherapist), one study found that 10 combined sessions with a psychiatrist cost $1,007, whereas split treatment (10 psychotherapy sessions/5 medication) cost $1,177 with a psychologist and $1,004 with a social worker. Similarly, 5 combined sessions cost $513 vs. split treatment (5 psychotherapy/3 medication) costs of $656 with a psychologist and $568 with a social worker (2). One managed care company has since confirmed that combined carePreview Only. This article cannot be rented because we do not currently have permission from the publisher.
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The Combined Short-Term PsychotherapyPsychopharmacology Fellowship
Dewan, Mantosh; Yohai, Norma
Follow Academic Psychiatry
, Volume 23 (2): 103
American Psychiatric Publishing, Inc (Journal) – Jun 1, 1999
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