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Private practice of psychiatry: future roles

Z M Lebensohn

    The American Journal of Psychiatry
    |November 1, 1978
    PubMed
    Summary

    Private psychiatric practice is a significant, yet underestimated, national resource for mental healthcare. National health insurance may reshape its future, necessitating adaptations in treatment and training.

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    Area of Science:

    • Psychiatry
    • Health Policy
    • Mental Healthcare Services

    Background:

    • Private practice psychiatry forms a substantial, underrecognized component of mental healthcare in America.
    • The private sector functions as a large-scale national service for both outpatient and inpatient psychiatric care.

    Purpose of the Study:

    • To analyze the impact of national health insurance on the future of private psychiatric practice.
    • To compare potential challenges and resolutions with international experiences (England, Soviet Union, China).

    Main Methods:

    • Qualitative analysis of the role of private practice in mental healthcare.
    • Comparative policy analysis of national health insurance impacts on psychiatric services.

    Main Results:

    • Private practice is a critical, yet often overlooked, provider of mental health services.
    • National health insurance presents significant challenges and necessitates strategic adjustments for private psychiatry.
    • International comparisons offer insights into potential policy outcomes and service adaptations.

    Conclusions:

    • Future trends in private psychiatry likely involve increased use of adjuvant techniques and a stronger focus on the medical model.
    • Enhanced resident training in general psychiatry and briefer therapy forms are anticipated.
    • Adaptation to national health insurance policies is crucial for the sustainability and evolution of private psychiatric practice.

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