Workloads in Clinical Psychiatry: Another Way

McQuistion, Hunter L.; Zinns, Rachel

doi:10.1176/appi.ps.201900125

Cited by 4 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Systems also vary in the amount of administrative time allocated to trainees for chores not completed during patient visits, from 20% to 25% up to 50% time for these functions (Aaronson and Withy, 2017; Goldman et al, 1994; McQuistion and Zinns, 2019).…”

Section: Discussionmentioning

confidence: 99%

Thirty-Minute Psychiatric Management Visits in Academic Medical Centers

et al. 2021

View full text Add to dashboard Cite

To address high clinical demand and manage workflow, some university-based practice settings are tending to replace traditional hour-long outpatient appointments with 30-minute psychiatric management visits, which must comply with multiple regulatory requirements for documentation and billing. This care model can significantly shape the culture of psychiatric treatment and education. Based on the limited published literature on this topic and pooled experiences of faculty, residents, and administrators, this article offers observations and raises questions concerning 1) clinical, educational and administrative benefits, limitations, and challenges for conducting 30-minute psychiatric visits in training contexts; 2) how administrative impositions affecting resident and faculty time and attention impact clinical encounters; 3) how various teaching settings manage regulatory requirements differently; and 4) considerations for education needs and opportunities, research gaps, and policy implications. Quality of care and education could be improved by judicious overhaul of administrative requirements to minimize burdens offering little clinical or educational value.

show abstract

Section: Discussionmentioning

confidence: 99%

Thirty-Minute Psychiatric Management Visits in Academic Medical Centers

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The values in this figure were estimated using provider data from the US News and World Report 129 and depression prevalence data from the Institute of Health Metrics and Evaluation’s Global Health Data Exchange. 1 With a target of maximum caseload of 900 patients per psychiatrist, 130 , 131 only 15 states have sufficient numbers of geriatric psychiatrists for each to have a caseload of 900 depressed patients or fewer. This shortage is even greater when we consider other mental health conditions that would benefit from specialty care.…”

Section: Depression Among Retireesmentioning

confidence: 99%

Spotlight on the Challenges of Depression following Retirement and Opportunities for Interventions

Dang¹,

Ananthasubramaniam²,

Mezuk³

2022

CIA

View full text Add to dashboard Cite

As a major life transition characterized by changes in social, behavioral, and psychological domains, retirement is associated with numerous risk factors that can contribute to the development of depression in later life. Understanding how these risk factors intersect with overall health and functioning can inform opportunities for mental health promotion during this transition. The objective of this review is to summarize the literature on risk and protective factors for depression during retirement transitions, discuss challenges related to appropriate management of depression in later life, and describe opportunities for prevention and intervention for depression relating to retirement transitions, both within and beyond the health care system. Key implications from this review are that 1) the relationship between depression and retirement is multifaceted; 2) while depression is a common health condition among older adults, this syndrome should not be considered a normative part of aging or of retirement specifically; 3) the existing mental health specialty workforce is insufficient to meet the depression management needs of the aging population, and 4) therefore, there is a need for interprofessional and multidisciplinary intervention efforts for preventing and managing depression among older adults. In sum, both healthcare providers, public health practitioners, and community organizations have meaningful opportunities for promoting the mental health of older adults during such major life transitions.

show abstract