Special Section Raul H. Vispo, M.D. Integration of Behavioral Health Services with Primary Care Ser- vices is not a new ‘‘fad’’ in the health care world. In some sense it can be seen as the logical evolution of the old psychosomatic con- cept and the liaison services of the ‘forties to the seventies’. The changes in the health delivery system with the increasing concern in appropriateness of care, quality and cost make the need of an early and continuous interaction logical between the two services. The many cases where a panic attack is misdiagnosed as heart attack or a depression is not considered as a possible diag- nosis when confronted by a case of loss of appetite, lack of energy and general malaise are examples where a close interaction be- tween the two ﬁelds would deﬁnitively have a positive effect on the type and quality of treatment. But as with many other things that are logical and worthwhile in theory, they can be difﬁcult to translate into practice. The group of papers brought together in this issue of Psychi- atric Quarterly describe programs that try to overcome the difﬁ- culties of integration between these two disciplines. These programs have
Psychiatric Quarterly – Springer Journals
Published: Oct 9, 2004
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