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. 1997 Mar;54(3):201-4.
doi: 10.1001/archpsyc.1997.01830150019002.

Managed care and the future of psychiatry

T Detre  1 , M C McDonald
Affiliations

Managed care and the future of psychiatry

T Detre et al. Arch Gen Psychiatry. 1997 Mar.

Abstract

In 1987, one of us (T.D.) issued 3 predictions about the future of psychiatry, all of which have come true: (1) The promiscuous use of psychiatry to address a world of problems that are not biomedical and are unrelated to individual patients or their families has diluted the specialty's focus and made it what it should not be-a proposed solution to social ills. (2) The routinization of complex clinical tasks has inevitably resulted in downward decentralization, enabling lower-level professionals to take over responsibilities that were once the purview of physicians. (3) New knowledge about the brain and the mind have made it mandatory for psychiatry and neurology to mate for life to assure the future of both.

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Comment in

  • Essential roles for psychiatry in the era of managed care.
    Olfson M, Weissman MM, Gottlieb JF. Olfson M, et al. Arch Gen Psychiatry. 1997 Mar;54(3):206-8. doi: 10.1001/archpsyc.1997.01830150024003. Arch Gen Psychiatry. 1997. PMID: 9075460 No abstract available.
  • The futures of psychiatry.
    Sharfstein SS. Sharfstein SS. Arch Gen Psychiatry. 1997 Mar;54(3):212-3. doi: 10.1001/archpsyc.1997.01830150032006. Arch Gen Psychiatry. 1997. PMID: 9075461 No abstract available.
  • When psychiatry is not psychiatry.
    Clemens N, Gabbard GO. Clemens N, et al. Arch Gen Psychiatry. 1998 Feb;55(2):182-3; author reply 183-4. doi: 10.1001/archpsyc.55.2.182. Arch Gen Psychiatry. 1998. PMID: 9477934 No abstract available.
  • The demise of comprehensive clinical psychiatry.
    Kay J. Kay J. Arch Gen Psychiatry. 1998 Feb;55(2):183-4. doi: 10.1001/archpsyc.55.2.183. Arch Gen Psychiatry. 1998. PMID: 9477935 No abstract available.