Sections
Individual Psychotherapy and the Role of the Psychiatrist | Investigative Psychotherapy | Supportive Psychotherapy | Empirical Studies | Current Research Perspectives: Evidence-Based Practice | Illness Phase–Specific Cognitive-Behavioral Therapy | Treatment Integration and Flexible Psychotherapy | Shared Decision Making and Recovery | Initiation of Outpatient Psychotherapy | Medication Compliance | Family Support | Family Psychoeducation in Routine Care | Conclusion | References
Excerpt
The role of the psychiatrist in the treatment of schizophrenia
varies widely based on treatment setting and availability of resources.
In strained public systems and cost-conscious managed care environments,
economic constraints circumscribe the psychiatrist's role
to that of "medication management." In some instances
medication management and crisis services are the only care provided
to individuals with schizophrenia. This practice is contrary to
substantial evidence that combining medication with psychosocial
treatment yields better outcomes than medication alone, particularly
for those with the most severe disabilities (Mojtabai et al. 1998).