In the course of things, I ran across this report which seems relevant to the recent discussion of the Collaborative Care model [and likely has as much to do with its construction as any other factor mentioned]:
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Given the salary data, it seems clear that APN’s will eventually replace Psychiatrists as the Psychiatric Consultants to Care Managers. Psychiatrists will eventually be lumped in with the LCSW’s, PhD’s MFT’s in the Other Behavioral Health specialties category.
A Conversation With Jeffrey A. Lieberman, MD
http://www.psychiatrictimes.com/cultural-psychiatry/conversation-jeffrey-lieberman-md/page/0/1
….When we talk about mental illness, we’re not talking about the “worried well” or problems in living.We’re talking about what might be considered to be brain disorders, which include traditional mental illnesses, addictions, and intellectual disabilities. These all pertain to the parts of the brain that mediate cognitive function, perception, emotion regulation, and information processing. The number of people affected by mental illness is enormous, and the costs of neglecting their treatment is staggering….