history of psychotherapy

psychotherapy

the treatment of mental conditions by verbal communication and interaction

the 1960s

World War II precipitated the need for mental health professionals

Community Mental Health Centers Act of 1963 led to deinstitutionalization

Health insurers provided coverage

Psychotherapy inaugural issue in 1963

Community Mental Health Centers Act of 1963

lots of individual community mental health centers available for people to receive services even if they cant pay

the 1970s

New legislation that added services at CMHC’s that addressed children, elderly, substance abuse

Psychotherapy flourished in the 70’s because of funding

President’s Commission (Carter) on Mental Health, 1977

Medicare reimbursement shift not accepted (50/50 vs 80/20)

President’s Commission (Carter) on Mental Health, 1977

many people in need of MH services, most seen by general practitioners (training very different and not enough)

the 1980s

The Reagan administration proposed a 25% cut in federal funding.

Managed Care Organization (MCO) in late 80s

MCOs

aetna, blue cross, limiting the number of sessions that you can receive within a year; started creating rules

the 1990s

Medicare legislature (Cap estimated for older adults and disabled people; limits on how much $ you could be reimbursed for)

80% of psychologists thought managed care had a negative impact on their practice

Push for prescriptive authorities (Iowa, Idaho, Illinois, New Mexico, Louisiana; Learn how to prescribe medications to patients as needed)

the 2000s

GW Bush New Freedom Initiative (MH issues rank first in illness causing disability)

Telehealth interventions

HIPAA Health Insurance Portability and Accountability Act (progress vs process note)

Progress note

basic information about the session (themes, plan for treatment)

process note

deep details about persons experience and life; never be required to release this information

2010 beyond

Stigma lessened

About 50% of Americans have received psychological services

Neuroscience

Issues of telehealth at the forefront