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Group Appointments in Psychiatry+

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Textbook of Community Psychiatry

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Abstract

The demand for treatment with psychotropic medications has increased faster than psychiatric clinicians have been trained to properly supervise their use. Medications for substance use disorders are becoming a vital part of treatment. But access to expert psychotropic prescribing is often limited and delayed. Shared medical appointments for chronic medical conditions are being used more as primary care moves toward population- and outcome-based reimbursement. Shared medical appointments for patients with mental illness or substance use problems are a powerful treatment vehicle for combining medical and psychosocial treatments in an efficient and accessible format. Despite significant clinical evidence for their effectiveness, few psychiatric specialists currently run groups for their patients, and group psychotherapy is rarely part of psychiatric education. As economics and clinician shortages create pressure for systems change, group medical visits as an alternative to individual appointments will likely be encouraged. As medical providers are pressured by systems and patient demand to see patients for a steady stream of relatively brief appointments, burnout starts to result, for which longer group sessions with another staff member can be a relieving change of pace.

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Author information

Authors and Affiliations

  1. Department of Psychiatry, Tufts University Medical School, Maine Medical Center, Portland, ME, USA

    Benjamin Crocker

  2. University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  3. Department of Psychiatry, John A Burns School of Medicine, University of Hawai’i, Honolulu, HI, USA

    Leslie Hartley Gise

Authors
  1. Benjamin Crocker
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  2. Wesley E. Sowers
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  3. Leslie Hartley Gise
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Corresponding author

Correspondence to Benjamin Crocker .

Editor information

Editors and Affiliations

  1. Clinical Professor of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Wesley E. Sowers

  2. Clinical Professor of Psychiatry, New York University Grossman School of Medicine | NYU Langone Health, New York, NY, USA

    Hunter L. McQuistion

  3. Clinical Professor of Psychiatry, Columbia University, Vagelos College of Physicians and Surgeons, New York, NY, USA

    Jules M. Ranz

  4. Professor Emerita of Psychiatry, Department of Psychiatry and Behavioral Neurobiology, University of Alabama at Birmingham, Birmingham, AL, USA

    Jacqueline Maus Feldman

  5. Vice Chair/Professor, Department of Psychiatry, Case Western Reserve School of Medicine, Ohio, OH, USA

    Patrick S. Runnels

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Crocker, B., Sowers, W.E., Gise, L.H. (2022). Group Appointments in Psychiatry+. In: Sowers, W.E., McQuistion, H.L., Ranz, J.M., Feldman, J.M., Runnels, P.S. (eds) Textbook of Community Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-031-10239-4_18

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