Heller School for Social Policy and Management, Brandeis University, 415 South St., MS035, Waltham, MA 02454, USA.
Psychiatr Serv. 2010 Nov;61(11):1066-8. doi: 10.1176/ps.2010.61.11.1066.
Types of privately insured outpatient treatment provided by in-network practitioners were examined in a national managed behavioral health care organization to consider how practitioner type and expertise are related to diagnoses of mental disorders, substance use disorders, or both. Using 2004 practitioner credentialing, patient enrollment, and claims data, the investigators found that two-thirds of claims for psychiatrists involved medication management and two-thirds also involved psychotherapy (an overlap of about 30%). Most patients with substance use disorders saw practitioners who had specialized alcohol or drug disorder training. Claims for patients with more complex co-occurring mental and substance use disorders indicate utilization of appropriately qualified practitioners with substantial experience on average.
研究人员使用 2004 年的从业者认证、患者登记和理赔数据发现，三分之二的精神科医生理赔涉及药物管理，三分之二的理赔也涉及心理治疗（重叠约 30%）。大多数患有物质使用障碍的患者会选择有专门的酒精或药物障碍培训的从业者。对于有更复杂的共病精神和物质使用障碍的患者，理赔表明平均使用了具有丰富经验的合格从业者。
