Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface

Roger G. Kathol, Elisabeth J S Kunkel, Joseph S. Weiner, Robert M. McCarron, Linda L M Worley, William R. Yates, Paul Summergrad, Frits J. Huyse

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Background: In their current configuration, traditional reactive consultation-liaison services see a small percentage of the general-hospital patients who could benefit from their care. These services are poorly reimbursed and bring limited value in terms of clinical improvement and reduction in health-service use. Method: The authors examine models of cross-disciplinary, integrated health services that have been shown to promote health and lower cost in medically-complex patients, those with complicated admixtures of physical, mental, social, and health-system difficulties. Conclusion: Psychiatrists who specialize in the treatment of medically-complex patients must now consider a transition from traditional consultation to proactive, value-added programs and bill for services from medical, rather than behavioral, insurance dollars, since the majority ofhealth-enhancement and cost-savings from these programs occur in the medical sector. The authors provide the clinical and financial arguments for such program-creation and the steps that can be taken as psychiatrists for medically-complex patients move to the next generation of inter- disciplinary service.

Original languageEnglish (US)
Pages (from-to)93-107
Number of pages15
JournalPsychosomatics
Volume50
Issue number2
DOIs
StatePublished - Mar 2009

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Substance-Related Disorders
Psychiatry
Mental Health
Health
Health Services
Referral and Consultation
Cost Savings
Insurance
General Hospitals
Health Care Costs
Psychiatrists
Physical Health
Substance Use
Costs
Therapeutics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology

Cite this

Kathol, R. G., Kunkel, E. J. S., Weiner, J. S., McCarron, R. M., Worley, L. L. M., Yates, W. R., ... Huyse, F. J. (2009). Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface. Psychosomatics, 50(2), 93-107. https://doi.org/10.1176/appi.psy.50.2.93

Psychiatrists for medically complex patients : bringing value at the physical health and mental health/substance-use disorder interface. / Kathol, Roger G.; Kunkel, Elisabeth J S; Weiner, Joseph S.; McCarron, Robert M.; Worley, Linda L M; Yates, William R.; Summergrad, Paul; Huyse, Frits J.

In: Psychosomatics, Vol. 50, No. 2, 03.2009, p. 93-107.

Research output: Contribution to journalArticle

Kathol, RG, Kunkel, EJS, Weiner, JS, McCarron, RM, Worley, LLM, Yates, WR, Summergrad, P & Huyse, FJ 2009, 'Psychiatrists for medically complex patients: bringing value at the physical health and mental health/substance-use disorder interface', Psychosomatics, vol. 50, no. 2, pp. 93-107. https://doi.org/10.1176/appi.psy.50.2.93
Kathol, Roger G. ; Kunkel, Elisabeth J S ; Weiner, Joseph S. ; McCarron, Robert M. ; Worley, Linda L M ; Yates, William R. ; Summergrad, Paul ; Huyse, Frits J. / Psychiatrists for medically complex patients : bringing value at the physical health and mental health/substance-use disorder interface. In: Psychosomatics. 2009 ; Vol. 50, No. 2. pp. 93-107.
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