How Health Reform is Recasting Public Psychiatry

Roderick Shaner; Kenneth S Thompson; Joel Braslow; Mark Ragins; Joseph John Parks 3rd; Jerome V Vaccaro

doi:10.1016/j.psc.2015.05.007

How Health Reform is Recasting Public Psychiatry

Psychiatr Clin North Am. 2015 Sep;38(3):543-57. doi: 10.1016/j.psc.2015.05.007.

Authors

Roderick Shaner¹, Kenneth S Thompson², Joel Braslow³, Mark Ragins⁴, Joseph John Parks 3rd⁵, Jerome V Vaccaro⁶

Affiliations

¹ Los Angeles County Department of Mental Health, Keck School of Medicine, University of Southern California, 550 South Vermont Avenue, 12th Floor, Los Angeles, CA 90020, USA. Electronic address: [email protected].
² Pennsylvania Psychiatric Leadership Council, 6108 Kentucky Avenue, Pittsburgh, PA 15206, USA.
³ Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Box 951759, CHS 33-251, Los Angeles, CA 90095-1759, USA; Department of History, UCLA Wilshire Center, University of California, Los Angeles, Suite 300, 10920 Wilshire Boulevard, Los Angeles, CA 90024, USA.
⁴ MHA Village Integrated Service Agency, 456 Elm Avenue, Long Beach, CA 90802, USA.
⁵ Missouri Institute of Mental Health, University of Missouri-St. Louis, Dome Building, 5400 Arsenal, St Louis, MO 63139, USA.
⁶ Right Path HC, Ingenuity Health, 10 Fox Den Road, Mounts Kisco, NY 10549, USA.

PMID: 26300038
DOI: 10.1016/j.psc.2015.05.007

Abstract

This article reviews the fiscal, programmatic, clinical, and cultural forces of health care reform that are transforming the work of public psychiatrists. Areas of rapid change and issues of concern are discussed. A proposed health care reform agenda for public psychiatric leadership emphasizes (1) access to quality mental health care, (2) promotion of recovery practices in primary care, (3) promotion of public psychiatry values within general psychiatry, (4) engagement in national policy formulation and implementation, and (5) further development of psychiatric leadership focused on public and community mental health.

Keywords: Community mental health; Health care reform; Integrated behavioral health care; Involuntary treatment; Managed behavioral health care; Public psychiatry; Telepsychiatry.

Publication types

Review

MeSH terms

Community Mental Health Services / trends*
Health Care Reform / trends*
Humans
Psychiatry / trends*