Treating Mental Illness: Generalist Versus Specialist

Abstract

Prologue: In an era of cost containment and escalating health spending, reduced access to specialty health services is evident across the health sectors. On the mental health front, alternatives to specialty mental health services are the focus of recent debate as policy analysts question the merits of generalist versus specialist care. Sociologist David Mechanic suggests that the public should not be misguided by recent research findings that general medicine can fill the gap for providing specialty mental health services. “Much of the [mental health] care provided by general medical providers is superficial,

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