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Published Online: 17 March 2006

How to Make Public-Sector Care Work

One hundred and fourteen of 150 psychiatry residency directors surveyed throughout the United States were asked to rate the importance of a list of tasks for delivery of care in the public sector. Below are 16 tasks the directors identified.
Establish an appropriate role on a multidisciplinary team.
Treat both substance abuse and mental illness for patients with dual diagnoses.
Recognize the symptoms of interaction between psychiatric medication and illicit drugs.
Adapt treatment strategies to accommodate patients' cultural beliefs.
Integrate psychiatric intervention with psychosocial rehabilitation.
Assume leadership of a multidisciplinary team.
Interact with staff of supportive housing programs in caring for your patients.
Assess the appropriateness of referring a particular patient to a clubhouse or sheltered workshop.
Work with Assertive Community Treatment teams.
Determine whether behavioral problems of a prisoner stem from an underlying psychiatric disorder.
Counsel a patient with private insurance who has exceeded insurance limits on available public-sector options.
Maintain a rapport with patients who rely heavily on alternative therapies.
Help homeless patients move toward permanent housing.
Provide ongoing treatment in unconventional settings.
Determine whether a patient charged with a low-level offense should be considered for a jail-diversion program.
Develop a comprehensive treatment plan for a felony offender with a chronic psychotic disorder as an alternative to incarceration.

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Published online: 17 March 2006
Published in print: March 17, 2006

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