A Critique of the Behavioral Health Disability System

  • Pamela A. Warren


A snapshot of the behavioral health (BH) spectrum reveals numerous factors that dramatically impede favorable treatment and disability leave outcomes. The managed care system was originally developed as a means to have the primary care physician (PCP) manage an individual’s health concerns. However, an unintended result has been that PCPs have become the primary professionals who are treating BH concerns. Thus, the primary care system has become the de facto mental health system in this country. Moreover, the additional aspects of poor diagnostic processes, treatment follow-up, and referrals to BH professionals further compound the poor treatment outcome issue. Additionally, these same issues impact insurers, the State Workers’ Compensation (WC) and Federal Employees’ Compensation Act (FECA), the Social Security Administration (SSA), as well as the private disability insurers. All of these disability systems utilize lengthy and ineffective approval processes for requested services. In addition, these systems lack incentives to facilitate the individual’s return to work. Taken as a whole, the combined issues that occur collectively across all disability systems have resulted in a problematic, complex disability conundrum.


Behavioral Health Disability Workers’ Compensation Federal Employees’ Compensation Act (FECA) Social Security Administration De Facto Behavioral Health Care System Behavioral Health Treatment System Insurance Disability Psychology 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Pamela A. Warren
    • 1
  1. 1.Carle Physician Group and University of Illinois Medical SchoolDepartment of PsychiatryMonticelloUSA

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