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doi: 10.1037/0003-066X.41.4.453pmid: N/A
This article provides a history of primary prevention program development at the National Institute of Mental Health, achievements to date, and the unmet needs and future directions that must be addressed in order to advance the field of prevention. Specific proposals for action are identified as a blueprint for further program development at the national, state, and local levels. The article discusses unique perspectives of public service within a federal agency, as well as the opportunities to participate in shaping public policy.
doi: 10.1037/0003-066X.41.4.426pmid: N/A
The growing revolution in health care delivery as a response to needed cost-containment reform is threatening psychology’s hard-fought gains. As more and more elements of the health care delivery system are coming under the ownership of giant health corporations, psychology’s focus continues to be one of gaining recognition in an outmoded health system. If psychology is to survive, it must develop strategies responsive to the current cost-containment climate. In such an effort psychology has the advantage of having the only natural approach to cost containment: that of identifying the patients who, without being physically ill, account for 60% of all physician visits and moving them out of the medical system into a psychological system that addresses the causes of this somaticization. Traditional psychological practice is both inefficient and ineffective in meeting this need. Psychologists must learn to establish innovative models of mental health care delivery and then, further, learn to market these models. The alternative is for psychologists to become poorly paid and little respected employees of the giant health corporations that will soon own and control most health care in the United States.
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