Each year, more than a quarter of the U.S. adult a problem have diagnosable mental health - still less than half of all kinds of depression, bipolar disorder - of treatment for it. The numbers are similar for children.
TweetMany care get, get it doctor, rather than a mental health by their primary care professional such as a psychiatrist or psychologist. This is partly by choice: people would rather speak to someone they know and trust of medical problems, and for many, it is still a stigma see one "decrease".
But part of the reason people consult with their primary care doctors or go without worry is that it hard, can be get experts to an appointment with a mental health. Psychiatrist, are particularly scarce, especially in rural areas.
A recent survey for the Tennessee psychological Association, for example, found that the average waiting time was to see a psychiatrist for an appointment not dringenden 54 days for patients with private health insurance and 90 days for the TennCare, the State Medicaid program, says Lance Laurence, Director of Professional Affairs for the TPA.
"It is a huge problem," says Katherine Nordal, executive Director for professional practice at the American Psychological Association, a trade group for psychologists.
Psychologists say they have a solution to solve the problems of access: give them more authority to prescribe psychotropic medications. You can already in New Mexico and Louisiana, as well as in all branches of the military and the Indian health service require. Half a dozen other States to consider measures that more psychologists prescription authority would be.
Some of these States have considered and rejected such legislation above, but Nordal says her group is "cautiously optimistic", the it may in some States this year successful.
Psychiatrists are doctors with a specialization in Psychiatry; Psychologists have a doctoral degree, and their training includes coursework in the diagnosis and management of mental illness. Any physician may prescribe psychotropic drugs from dermatologists, surgeons, but before psychologists can prescribe medication - in the respective jurisdictions that allow - they need to complete work corresponds to an additional master's degree in clinical psychopharmacology, says Nordal. With the exception of the psychiatrist says they no medical professional as well as medication for mental illness as a prescription is psychologists versed in.
In addition, psychologists provide other types of treatment, such as talk therapy and cognitive behavioral therapy, in contrast to the psychiatrist, which prescribe often only medication; a national survey found that only 10.8% speak offer for all of their patients by psychiatrists. "We have a larger Toolkit than many others also, which require," says Nordal.
Health insurance usually covers prescription drugs for the treatment of mental illness, but coverage for therapy sessions with a provider of mental health is less routine. This has led to an over-reliance on drug therapy in the last few years, are all. Experts say that this imbalance which should mental change health parity Act, entry into force of the last year; Requires use it for mental health, at least so generously offered as benefits for medical and surgical care. Also the type of treatment is somewhat moved, however, many patients will need even drug therapy.
Physician groups as the American Medical Association, and some patients stakeholders, however, are cool to the idea of letting psychologists to prescribe drugs. "These are the hard drugs with severe side effects," says Mike Fitzpatrick, executive Director of the National Alliance on mental problems, a consumer lobby organization. "We strongly believe that should be treated by a person with medical training [prescription]."
The problem will be expected to expected to win right more acute health insurance with about 32 million people to the health overhaul. The Association of American medical colleges projected a shortage of 45,000 family doctors alone up to 2020.
Experts agree that better integration solutions are between primary care and mental health care. This makes sense, in part because for more than a third of the patients with mental health problems, the only practitioner, which you see a primary care provider. In addition, people with chronic illnesses such as diabetes, heart disease and asthma are significantly more common to mental health problems as you have without chronic disease. People with serious mental illness, the in fact 25 years earlier, on average, than the rest of the population.
The health overhaul, with its emphasis on medical homes and accountable care organizations that are responsible for the management of patients health, rather than only the medical services, offers promising models for integration, experts agree.
Provider in addition to family doctors, in the same Office work mental health in clinical psychologist Benjamin Miller primary care "Dream World". Miller is an Assistant Professor of family medicine at the University of Colorado School of medicine in Denver. His job is, mental health in the Department of family medicine clinical, education and research functions to integrate.
"There are a number of psychological needs, which is seen in primary care," he says. "It from the other conditions can tease you, that a person is facing."
This column is created through a collaboration between the post and Kaiser Health News. KHN, an editorially independent news service is a program of the Kaiser Family Foundation, a non-partisan health care policy organization, which not connected is with Kaiser Permanente.
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