TY - JOUR
KW - Australia
KW - Cost-Benefit Analysis
KW - Delivery of Health Care, Integrated/economics
KW - Humans
KW - Internal Medicine/economics
KW - Managed Care Programs/economics
KW - Mental Disorders/economics/therapy
KW - Mental Health Services/economics
KW - National Health Programs/economics
KW - Outcome and Process Assessment (Health Care)/economics
KW - Patient Care Team/economics
KW - Psychiatry/economics
KW - Psychophysiologic Disorders/economics/therapy
KW - Referral and Consultation/economics
KW - Somatoform Disorders/economics/therapy
AU - R. G. Kathol
AU - D. Clarke
A1 - 
AB - OBJECTIVE: To review the value provided when health care systems independently manage medical and psychiatric care. METHOD: The authors draw on data from the world literature, their own experiences and reflections (one author as an international consultant in the coordination of physical and behavioural health care), and input from colleagues throughout the world who face similar challenges to improve outcomes for complex, high cost patients in their own health care systems. RESULTS: Most health care systems in the world approach the administration and delivery of mental health care separately from that of general medical care. This practice is no longer supported as effective, efficient or inexpensive. Rather accumulating data indicates that concurrent and coordinated medical and psychiatric care, which can only be accomplished by integrating physical and behavioural health through infrastructure change, should replace the present system of independently provided sequential care; that is, one which provides first medical and then psychiatric treatment, or vice versa, with little communication between clinicians in the two sectors. CONCLUSIONS: By making mental health treatment an integral part of general medical care through reorganization of the funding system, a higher percentage of those now untreated for their psychiatric disorders, both within and outside of the medical setting, can have their mental health needs addressed in coordination with their physical disorders. At the same time, the number of patients that can be treated within the same budget will be expanded.
BT - The Australian and New Zealand Journal of Psychiatry
C5 - Medically Unexplained Symptoms
CP - 9
CY - Australia
DO - 10.1080/j.1440-1614.2005.01687.x
IS - 9
JF - The Australian and New Zealand Journal of Psychiatry
N2 - OBJECTIVE: To review the value provided when health care systems independently manage medical and psychiatric care. METHOD: The authors draw on data from the world literature, their own experiences and reflections (one author as an international consultant in the coordination of physical and behavioural health care), and input from colleagues throughout the world who face similar challenges to improve outcomes for complex, high cost patients in their own health care systems. RESULTS: Most health care systems in the world approach the administration and delivery of mental health care separately from that of general medical care. This practice is no longer supported as effective, efficient or inexpensive. Rather accumulating data indicates that concurrent and coordinated medical and psychiatric care, which can only be accomplished by integrating physical and behavioural health through infrastructure change, should replace the present system of independently provided sequential care; that is, one which provides first medical and then psychiatric treatment, or vice versa, with little communication between clinicians in the two sectors. CONCLUSIONS: By making mental health treatment an integral part of general medical care through reorganization of the funding system, a higher percentage of those now untreated for their psychiatric disorders, both within and outside of the medical setting, can have their mental health needs addressed in coordination with their physical disorders. At the same time, the number of patients that can be treated within the same budget will be expanded.
PP - Australia
PY - 2005
SN - 0004-8674; 0004-8674
SP - 816
EP - 825
EP - 
T1 - Rethinking the place of the psyche in health: toward the integration of health care systems
T2 - The Australian and New Zealand Journal of Psychiatry
TI - Rethinking the place of the psyche in health: toward the integration of health care systems
U1 - Medically Unexplained Symptoms
U2 - 16168040
U3 - 10.1080/j.1440-1614.2005.01687.x
VL - 39
VO - 0004-8674; 0004-8674
Y1 - 2005
ER -