As my year-long intenship is wrapping up at a public community mental health clinic, I thought it would be an appropriate time to offer some reflections about the quality of mental health care people are receiving in this country. Starting in two weeks I’ll be transitioning to begin a post-doc at a private psychiatric hospital. The transition will be quite an adjustment. Currently, the majority of the patients I am seeing are on Medicaid or Medicare. Many of them are also being treated by psychiatrists for “medication management” and some are also in a community psychiatric program where they are paired with a community support specialist who attempts to promote the patient’s adjustment to the community by providing resources. The critiques I will lay out on this post are not directed towards any of the social workers, psychologists or psychiatrists who valiantly provide mental health care to the severely “mentally ill” who are serviced in community mental health clinics (CMHCs). These workers are vastly underpaid and unappreciated. The pay that psychologists receive is a complete insult. Of course, the pay is dictated by Medicaid’s cheap reimbursement for psychotherapy and psychological testing. Many psychologists opt to go into private practice or enter private hospitals or clinics where they are more adequately compensated for their services. Along with the wonderful training I will be receiving during my post-doc, the benefits and pay certainly played a significant role in my reluctant decision to transition from a public to private setting.
First, psychotherapy is undervalued and disrespected. Continue reading “Reflections on the State of Public Mental Health Treatment”