A Market Analysis Comparing the Practices of Psychiatrists and Psychologists

Knesper, David J.; Belcher, Bruce E.; Cross, John G.

doi:10.1001/archpsyc.1989.01810040011003

Cited by 12 publications

(3 citation statements)

References 37 publications

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“…Psychiatric treatment of Medicaid clients may also explain the presence of a significant correlation between Medicaid clients in the length of time of session variable. As other studies have found, psychiatrists are likely to see patients for less time (Knesper, Belcher, & Cross, 1989;Knesper et al, 1985). The few differences (Beutler et al, 1986) in outcome rates for indigent clients that have been found among therapists of different disciplines appear to favor social workers (Orlinsky & Howard, 1975).…”

Section: Professional Affiliationmentioning

confidence: 87%

Quality of mental health services and method of payment: An empirical study

Wallace

1991

Behavioral Sci & The Law

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Data from a sample of clinicians are examined to study the relationship of the lower socio-economic client and therapist. Therapist practice variables are regressed on variables measuring client income and contrasting client's use of Medicaid with the use of private insurance or out-of-pocket funds. It is found that therapist practice variables can predict a significant proportion of the variance of these criterion variables. These relationships and their implications for the therapeutic needs of indigent clients with less severely impaired conditions are discussed.

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Section: Professional Affiliationmentioning

confidence: 87%

Quality of mental health services and method of payment: An empirical study

Wallace

1991

Behavioral Sci & The Law

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“…With regard to psychology, the National Academy of Sciences (e.g., Committee on Biomedical and Behavioral Research Personnel, 1989) has struggled with this issue for biomedical and behavioral researchers since 1975, and although some inroads have been made (e.g., beginning in 1983, analyses began taking into account the strong services delivery component of psychology and its impact on researcher production), accurate estimation of the supply–demand relationship for psychology has remained elusive. The situation for the practice side of the discipline is no better, although studies are beginning to appear in the literature (e.g., Knesper, Belcher, & Cross, 1989). We simply do not have consistent, sound data as to the size and composition of the psychological work force and its components, a situation that precludes both accurate assessment of the current situation and, certainly, useful projection efforts.…”

Section: The Health and Vitality Of The Researcher Work Forcementioning

confidence: 99%

A national human resources agenda for psychology: The need for a broader perspective.

Pion¹

1991

Professional Psychology: Research and Practice

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Although thought-provoking, Robiner's (1991, this issue) focus on the practice side of the discipline and his formulation of human resources policies for all psychologists, based on conditions facing practitioners, ignores certain other trends that may be occurring in the discipline. Of particular interest are hints that the production and supply of behavioral science researchers may be eroding, particularly in terms of the infusion of new talent into the investigator work force. Thus, the construction and implementation of a national human resources agenda requires that the supplydemand relationships for all components of psychology be considered. This will require not only efforts directed at collecting more comprehensive and sound data on human resources in psychology but also attention to examining the quality of graduate training.Robiner's (1991, this issue) overriding message is that we are confronted with an impending oversupply of psychologists, which poses a serious threat to the continued health of the discipline. He contends that "economic and political trends suggest that fewer, not more, psychologists may be needed for service and research positions" (p. 427) and that "there is no debate on whether saturation will occur, only when" (p. 434).The reasons for this state of affairs are several: The culprits, to name a few, include the unbridled production of psychologists each year, a health care system increasingly focused on containing costs, and stable prevalence rates for disorders. As a result, the need for mental health services will shrink, triggering several serious consequences (e.g., decreased attractiveness to potential students, practitioner misbehavior in order to remain financially solvent, and decreased quality of care). To prevent this scenario, Robiner (1991) proposes a series of regulatory and "self-improvement" mechanisms for implementation by key constituencies (e.g., state licensing boards, doctoral training programs, and professional associations). These include such "front-end" efforts as better targeting of doctoral production and improving the overall quality of training, along with such remedial actions as "down-sizing" training programs.Although sheer mention of the words oversupply and downsizing may be viewed as "treasonous" by some who have long worked to increase the recognition and role of psychological services, Robiner should be congratulated for presenting a set of thought-provoking issues about our current and future status as GEORGINE M. PION, PhD received her doctorate from Claremont Graduate School in 1980. A research associate professor in the Department of Psychology and Human Development at Vanderbilt University, she also is a fellow in the Vanderbilt Institute for Public Policy Studies. I THANK David Cordray and Jessica Kohout for their comments on an earlier version of this article.

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“…Although they need not be the exclusive providers in this domain, the comprehensive treatment of severely disturbed patients benefits from the involvement of medical personnel. In practice, psychiatrists do tend to see more severely disturbed patients than do psychologists (Knesper, Belcher, & Cross, 1989). Psychiatrists can function as generalists who provide the same services as other mental health providers, including pharmacotherapy (Bennett, 1988;Flinn, McMahon, & Collins, 1987).…”

Section: )mentioning

confidence: 99%

Organizational and service delivery issues in managed mental health services.

Patterson¹,

Berman²

1991

Psychotherapy in Managed Health Care: The Optimal Use of Time &Amp; Resources.

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The SettingAmerican PsychManagement, Inc. (APM) is a private mental health benefits firm in Washington, D.C. APM specializes in the design, delivery, and management of mental health benefits to self-insured companies, insurance carriers, labor unions, and health maintenance organizations. Its services include benefit redesign, catastrophic case management, preadmission certification, concurrent care review, and retrospective utilization review. I n addition, it provides preferred provider organizations and capitated mental health benefit plans for health maintenance organizations. Prior to joining American PsychManagement, Dr. Patterson was Director of Psychiatry, Kaiser Permanente of Mid-Atlantic States.

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A Market Analysis Comparing the Practices of Psychiatrists and Psychologists

Cited by 12 publications

References 37 publications

Quality of mental health services and method of payment: An empirical study

Quality of mental health services and method of payment: An empirical study

A national human resources agenda for psychology: The need for a broader perspective.

Organizational and service delivery issues in managed mental health services.

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