
- Vol 30 No 6
- Volume 30
- Issue 6
The Family Guide to Mental Health Care
If your practice or your advocacy efforts place you anywhere near people encountering the mental health system for the first time, please have a look at this book.
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A brief literature search suggests there is nothing published like this book. In any case, this one is comprehensive while remaining so welcoming; it is so authoritative and yet unintimidating, one need not look further.
The author is
The section on medications, titled “What to Know, What to Ask,” provides an example of the author’s approach. It discusses how pharmaceutical companies influence the publication of clinical trials, and the impact of pharmaceutical drug detailing. The section emphasizes the importance of being an informed consumer and being prepared for a discussion of options with one’s doctor or nurse practitioner. The entire book is like this: a savvy yet fully academic, informed approach to getting the best possible care from the current poorly organized system of care (which an ED colleague of mine has termed a “non-system”).
Only one paragraph in the entire book disappoints: Dr Sederer’s lucid explanation of why one does not get an MRI to diagnose psychiatric illnesses is followed by an emphasis on how little we know about the causes of mental illnesses or how treatments work. Some might say that recent advances in genetics and molecular neuroscience support a somewhat more hopeful view of psychiatry’s grasp of causation and mechanism.
Our current non-system of mental health care has no obvious door, nor does it have a personal guide to help a newcomer find appropriate resources or providers. Patients and their families have to learn as they go. With the Affordable Care Act (ACA; aka ObamaCare), however, many states are reorganizing their Medicaid programs. Some, like Oregon, hope to soon use the same system for Medicare and even for public employees. Perhaps here is a window of opportunity for mental health care to become more accessible, through the emerging “medical homes” the ACA advocates.
Such an improvement would add one more location where a patient could hope to find, in a better-organized mental health care system, piles of this book: not just in mental health centers and EDs, but in medical home lobbies as well. Surely Dr Sederer would regard this as a fitting thank you for his laudable efforts.
By Lloyd I. Sederer, MD; New York: WW Norton and Company; 2013 • 256 pages • $25.95 (hardcover)
Disclosures:
Dr Phelps is Director of the Mood Disorders Program at Samaritan Mental Health in Corvallis, Ore. His Web site,
Articles in this issue
over 12 years ago
“PRN” Medication for Alcohol Dependence May Reduce Harmover 12 years ago
No Mortality Increase With Antipsychotics in Prospective Studyover 12 years ago
Epidemiology and Treatment of Substance Use and Abuse in Adolescentsover 12 years ago
Bias Against Schizophrenic Patients Seeking Medical Careover 12 years ago
Pain and Suicideover 12 years ago
Shared Risk Factors in Multiple Psychiatric Disordersover 12 years ago
Genetics and Pharmacogenetics of Schizophrenia: Recent ProgressNewsletter
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