Healing Body and Mind: A Critical Issue for Health Care ReformIt doesn't make sense to treat Dan's bleeding ulcer, without attention to the depression that spurs him to drink alcohol excessively, which contributes to ulcer development. Nor is it prudent to ignore Nancy's anxiety that prevents her following through on chemotherapy for breast cancer. The connections are obvious, yet today connecting treatments for mind and body is a rare occurrence. Mental health and substance-abuse disorder assessments and interventions are separated by the payment mechanics of health plans, which encourage independent delivery of services. Dr. Kathol, a veteran internist and psychiatrist, shows the physical, emotional, social, economic and legal effects of what he calls headless health care. He illustrates with patient stories the profound impact that emotional issues and/or psychiatric disorders have on physical health and, conversely, the impact medical illness has on mental health. This book begins with stories of real patients suffering with concurrent behavioral and physical disorders who are forced to navigate a health care system that fosters what Kathol calls inferior care, escalating the costs and perpetuating personal impairment. He calls for health system reorganization wherein behavioral health becomes an integral part of physical health—integrated health care. |
Contents
| 1 | |
2 Health Progress | 17 |
3 Health Care Management | 39 |
4 Mangled Medicine | 63 |
5 Homework | 81 |
6 The Alliance Forms | 105 |
Other editions - View all
Healing Body and Mind: A Critical Issue for Health Care Reform Roger G. Kathol,Suzanne Gatteau No preview available - 2007 |
Common terms and phrases
Abraham administrative alcohol Alex Alvin and/or anxiety asthma behavioral health services benefit bipolar Blues clinical clinicians comorbid coordination coverage depression diabetes disability disease management doctors Ecumenical Care Ecumenical Care’s Edward electroconvulsive therapy emergency room Eva’s fund distributors Harry health and substance-use health care costs health care dollar health care system health plan health savings accounts health system hospital improvement inpatient insourced internist intervention Kathy Kathy’s kidney lithium managed behavioral health Margie Margie’s medical and behavioral medical and psychiatric medical illness Medical Mart medical psychiatry unit medical setting ment mental health mental health/substance-use disorder mental illness nurse outcomes outpatient patients with concurrent percent physical and behavioral physical health physical illness primary care physicians ProAct problems programs psychiatric illness psychiatric services psychotherapy purchasers reimbursement staff substance-use disorder symptoms Telstar therapy tion total health treated treatment Vicki