Outpatient utilization patterns of integrated and split psychotherapy and pharmacotherapy for depression

Psychiatric Services : a Journal of the American Psychiatric Association
W GoldmanB J Burns

Abstract

This exploratory study examined utilization and costs among depressed patients in two treatment models-integrated treatment, in which psychotherapy and pharmacotherapy were provided by a psychiatrist, and split treatment, in which pharmacotherapy was provided by a psychiatrist and psychotherapy by a nonphysician psychotherapist. A quasi-experimental retrospective design was used to compare claims data from a national managed mental health care organization for 191 patients in integrated treatment and 1,326 in split treatment. During the 18-month study, patients receiving integrated treatment used significantly fewer outpatient sessions and had significantly lower treatment costs, on average, than those in split treatment. Integrated treatment appeared to be associated with a pattern of utilization characterized by frequent treatment episodes in contrast to that of split treatment, which was characterized by more sessions with fewer breaks of 90 days or more. The results do not support the prevailing assumption that integrated treatment is more costly than split treatment in a managed care network. Despite limitations in the study methods, the strength of these preliminary findings poses a powerful challenge and invites further ...Continue Reading

Citations

Oct 24, 1998·Journal of the American Academy of Child and Adolescent Psychiatry
Jun 1, 1999·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·M Dewan, N Yohai
Aug 10, 2010·Primary Care Companion to the Journal of Clinical Psychiatry·Alan M Langlieb, Christine J Guico-Pabia
Jan 19, 2000·Journal of the American Academy of Child and Adolescent Psychiatry·C J Kestenbaum
May 2, 2001·The Journal of Behavioral Health Services & Research·B Stein, M Orlando
Jan 17, 2009·Issues in Mental Health Nursing·Evelyn Parrish, Ann Peden
Aug 6, 2013·Issues in Mental Health Nursing·Evelyn ParrishFred Danner
Mar 1, 2012·The Psychiatric Clinics of North America·Fredric N Busch, Larry S Sandberg
Dec 13, 2005·Health Services Research·E Michael Foster, Fengjuan Xuan
Sep 26, 2012·Psychodynamic Psychiatry·Thomas P KalmanRoger Granet
Dec 6, 2000·Medical Care Research and Review : MCRR·M Tai-SealeR Obenchain
Dec 6, 2008·Journal of Psychiatric Practice·Norman A Clemens
Jul 2, 2005·Journal of Psychiatric Practice·N A Clemens
Nov 12, 2005·Journal of Occupational and Environmental Medicine·Alan M Langlieb, Jeffrey P Kahn
Apr 27, 1999·Medical Care·T W CroghanT J Kniesner
Apr 23, 2002·The Journal of Mental Health Policy and Economics·William GoldmanJoyce McCulloch
Aug 19, 2021·Journal of Clinical Psychology in Medical Settings·Gerald LeventhalWilliam N Robiner

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BETA
pharmacotherapy
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