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Health indicators in the United States are among the worst in the
developed world, even though its health care system is, by a wide
margin, the most expensive in the world. It is a disparity that
stems from a fragmentation of services and financial arrangements
that often prioritize commercial interests over public health.
Seeking Value: Balancing Cost and Quality in Psychiatric Care, a
comprehensive volume by the Group for the Advancement of
Psychiatry's Mental Health Services Committee, examines the myriad
factors that have led to the current state of health care in the
United States-starting with an analysis of the meaning and history
of value measurement-but it does not stop there. It offers a
holistic vision for health care reform, one in which psychiatric
professionals play a pivotal role. A section on system
interventions tackles traditional models of financing health care
and the role of market forces as it considers broad public health
strategies, from elimination of administrative waste to integration
of care, that can reduce costs and improve population health, with
a special emphasis on the interaction between mental and physical
health. Recognizing that these larger-scale interventions require
time to bear fruit, the book also explores the ways the psychiatric
profession and individual psychiatrists can contribute to a more
skill-diverse, collaborative, activist, value-conscious, and
visionary specialty. Several chapters also identify public policy
issues and cultural constructs that go beyond the typical role of
clinicians and health care administrators, but that have the
potential to impact population health in significant ways,
illustrating how different choices could result in remarkable
improvements in social well-being. The incorporation of healthy
practices in the workplace, efforts to mitigate the impact of
climate change, and the elimination of counterproductive
incarceration practices all feature in this discussion. Exhaustive
in approach, the book aims to spur thought, conversation, and
action to improve value in the services the psychiatric profession
provides and the systems in which it operates. Its clear and
compelling message will equip readers to develop an advocacy agenda
that will resonate with nonmedical stakeholders and the practical
strategies needed to see it realized.
During the past decade or more, there has been a rapid evolution of
mental health services and treatment technologies, shifting
psychiatric epidemiology, changes in public behavioral health
policy and increased understanding in medicine regarding approaches
to clinical work that focus on patient-centeredness. These
contemporary issues need to be articulated in a comprehensive
format. The American Association of Community Psychiatrists (AACP),
a professional organization internationally recognized as holding
the greatest concentration of expertise in the field, has launched
a methodical process to create a competency certification in
community psychiatry. As a reference for a certification
examination, that effort will benefit enormously from a
comprehensive handbook on the subject.
The second edition of the AACP's (American Association for
Community Psychiatry) Textbook of Community Psychiatry is a welcome
update of this notable work that comprehensively presents the state
of the art in this field. Along with continuously evolving
scientific advances and principles of clinical care, community
psychiatry must respond to shifts in public policy as well as
economic climate. The past decade has witnessed significant
political and social changes, including climate change, immigration
levels, technological advancement, the influence of social media
and the rise of political unrest. This new edition reflects these
wider changes, incorporating new chapters and enhancing previous
ones. It remains the standard text for certification of those
working in healthcare and social welfare systems design and
delivery of services. Readers will gain knowledge of: Basic pillars
of the field Evidence based interventions Telepsychiatry and
technological aids Trauma informed services Integrated health
systems Social determinants of health Structural discrimination
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