PS 1996; 47:874-875
Copyright © 1996 by American Psychiatric Association
Psychiatry: three models in search of a future
JD Bloom
School of Medicine, Oregon Health Sciences University, Portland 97201, USA.
The author proposes three models for the future of psychiatry. The public
health psychiatry model is rooted in psychiatry's participation in
community mental health care for the past 50 years. It emphasizes
ideological similarities between community mental health care and managed
care. The clinical neuroscience model melds the specialties of neurology
and psychiatry to form a clinical brain science, yielding the nonmedical
care of mentally ill persons to nonmedical mental health professionals. In
the primary care model, more intensive medical training would allow the
psychiatrist to function either as a primary care physician or as a
"primary care specialist."
