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Integrated Care
Published Online: 1 December 2015

From Alienism to ACOs: Integrating Psychiatry, Again

Abstract

This column describes the gradual integration of psychiatrists into mainstream general medical care, from their exile as “alienists” in isolated asylums to their current roles in accountable care organizations. The authors note that a contemporary form of alienism persists and argue that conceptual parity—the idea that mental illnesses exist within the same ontological realm as other illnesses—must first be achieved before full integration can be realized. Some steps toward achieving conceptual parity, such as the development of quality measures for behavioral health care and improved training programs, are described.

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Go to Psychiatric Services
Go to Psychiatric Services

Cover: Fame Weathervane, by E.G. Washburne and Company, circa 1890. Copper and zinc with gold leaf. American Folk Art Museum, Long Island City, New York. Gift of Ralph Esmerian, accession number 2005.8.62. Photo credit: Gavin Ashworth.

Psychiatric Services
Pages: 372 - 374
PubMed: 26620294

History

Published online: 1 December 2015
Published in print: April 01, 2016

Authors

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Dominic A. Sisti, Ph.D.
Dr. Sisti is with the Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia (e-mail: [email protected]). Dr. Ramamurthy is with the Fox Chase Cancer Center, Temple University, Philadelphia. Benjamin G. Druss, M.D., M.P.H., is editor of this column.
Chethan Ramamurthy, M.D.
Dr. Sisti is with the Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia (e-mail: [email protected]). Dr. Ramamurthy is with the Fox Chase Cancer Center, Temple University, Philadelphia. Benjamin G. Druss, M.D., M.P.H., is editor of this column.

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The authors report no financial relationships with commercial interests.

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