Pharmaceuticalization and Care Coordination in New York City Outpatient Mental Health

Bibliographic Data

ID4564422
AuthorsNeil Krishan Aggarwal (0000-0001-9430-0861, Columbia University and the New York State Psychiatric Institute, New York, New York, USA, corresponding author)
Year2024
Volume43
Issue5
Pages383-396
Publication date2024-07-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Anthropology (JOURNAL)
Journal identifiersISSN: 0145-9740 • E-ISSN: 1545-5882
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/01459740.2024.2378092
PMID39037498
OpenAlexW4400882898
LanguageEN
References cited52

US government quality measures prioritize pharmaceuticalization and care coordination to promote patient treatment adherence. How these measures affect outpatient mental health service delivery and patient-provider communication where psychiatrists and nonphysicians collaborate is understudied. Analyzing 500 hours of participant-observation, 117 appointments, and 98 interviews with 45 new patients and providers, I show that psychiatrists and social workers coordinated care by encouraging medications and seeing two mental health providers as the default treatment, irrespective of patient preferences. Ethnographic perspectives crucially account for models of service delivery and provider behaviors in researching treatment adherence

Affect (linguistics · Business · Ethnography · Government (linguistics · Health care · Mental health · Mental health service · Political science · Psychiatry · Quality (philosophy · Service (business · Service delivery framework · Service provider · Sociology · Medicine · Mental Health and Patient Involvement · Mental Health Treatment and Access · Nursing · Psychology · Schizophrenia research and treatment

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