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Do psychotherapists speak to psychopharmacologists? A survey of practicing clinicians.

The journal of the American Academy of Psychoanalysis and Dynamic Psychiatry·2010
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Split-care patients and their caregivers: how collaborative is collaborative care?

Rachel Levine Baruch1, Bella Vishnevsky, Thomas Kalman

  • 1*Clinical Psychology, Fordham University, Bronx; †Weill Medical College of Cornell University, New York; and ‡Psychiatry, Weill Medical College of Cornell University, New York City, NY.

The Journal of Nervous and Mental Disease
|May 5, 2015
PubMed
Summary

Patient satisfaction with split-care treatment significantly decreases when psychotherapists and psychopharmacologists do not communicate. This lack of provider communication impacts treatment outcomes and compliance.

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Area of Science:

  • Healthcare Management
  • Psychiatry
  • Patient Experience

Background:

  • Split-care treatment involves coordinating care between multiple specialists, often a psychotherapist and a psychopharmacologist.
  • Effective communication between these providers is crucial for optimal patient outcomes but is frequently lacking.
  • Previous studies indicate that over 20% of patients experience no communication between their split-care providers.

Purpose of the Study:

  • To assess patient experiences with split-care treatment.
  • To investigate the frequency of communication between psychotherapists and psychopharmacologists.
  • To determine the impact of provider communication on patient satisfaction.

Main Methods:

  • A 23-item questionnaire was administered to split-care patients via SurveyMonkey using Amazon Mechanical Turk.
  • The survey assessed patient-reported communication between their treating professionals.
  • Patient satisfaction with treatment was evaluated in relation to provider communication.

Main Results:

  • 30% of patients reported no communication between their treating professionals.
  • 30% and 36% of patients were never asked for permission to communicate by their psychotherapist or psychopharmacologist, respectively.
  • Lack of communication between providers was significantly associated with lower patient satisfaction.

Conclusions:

  • The study confirms a high incidence of non-communication in split-care settings.
  • Provider communication is essential for enhancing patient satisfaction in split-care treatment.
  • Improving inter-professional communication may positively influence treatment compliance and outcomes.