Changing Profiles of Service Sectors Used for Mental Health Care in the United States

Abstract

Objective-Redesigning the fragmented US mental health care system requires knowing how service sectors share responsibility for individuals with mental health needs. Results-GM without PSY or OMH use experienced the largest proportional increase (153%) between surveys and is now the most common profile. PSY use also increased (29%) as did GM and OMH without PSY (72%). OMH without PSY or GM (−73%), CAM only (−132%), and HS without PSY or OMH or GM (−137%) all decreased. The elderly, women, minorities, less-educated, and rural-dwellers were less likely to use profiles capable of delivering pharmacotherapies and/or psychotherapies. Method-

Economic Grand Rounds: Types of Practitioners and Outpatient Visits in a Private Managed Behavioral Health Plan

“…Patients with both mental and substance use disorder claims would be expected to have more complicated cases, and our findings suggest that. Patients with co-occurring disorders were vastly more likely to see a psychiatrist—similar to high-severity cases in the National Comorbidity Survey Replication household survey (20)—and saw practitioners with specialized training in both areas. At the same time, one-third of patients with substance use disorders saw practitioners who did not report specialized training in alcohol or drug use disorders.…”

Front Matter

“…Following the development of Prozac and the selective serotonin reuptake inhibitors (SSRIs), which provided a relatively safe treatment option, there has been a substantial increase in the use of psychotropic medications, especially by nonpsychiatric physicians in the United States (Wang et al, 2005(Wang et al, , 2006. The National Institute of Mental Health's (NIMH) "Depression Awareness, Recognition, and Treatment (DART) Program" was a multiphase information and education program designed to educate health professionals and the general public that depressive disorders are prevalent and treatable (Regier et al, 1988).…”

Predicting Depression among Jordanian Patients Diagnosed with Physical Illnesses

“…Furthermore, the literature showed that treatment of depression had positive outcome on patients' prognosis and quality of life, and that depressed mood lowered the force needed to cope with the chronic diseases, decreased tolerability of physical symptoms, and increased psychosocial disturbances (Frasure-Smith & Lespérance, 2006). Previous studies also show that depression have been linked with chronic illnesses (Honyashiki, Ferri, Acosta, Guerra, & Huang, 2011), and that patients' psychological difficulties and health care professional competency related to psychological follow up care have been linked to increased morbidity, mortality, and expenditure of health services (Wang, Demler, Olfson, Pincus, Wells, & Kessler, 2006;Sullivan, Simon, Spertus, & Russo, 2002). According to Katon (2003), depression contributed to 50% increase in health care cost medical illnesses.…”