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Behavioral Health Disability pp 1–8Cite as

A Critique of the Behavioral Health Disability System

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Abstract

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, the impact that insurers and the federal disability program, Social Security Administration, of both lengthy approval processes for needed services and the lack of incentives to facilitate the individual’s return to work have resulted in a problematic issue of great complexity.

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References

  • Agency for Healthcare Research and Quality. (2009). National Healthcare Quality Report, 2008. Rockville, MD: Agency for Healthcare Research and Quality (Publication No. 09-0001).

    Google Scholar 

  • American Medical Association. (2008). Guides to the Evaluation of Permanent Impairment. (6th ed.). Chicago: American Medical Association.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual on Mental Disorders (4th ed.). Washington, DC: American Psychiatric Association. Text Revision (DSM-IV).

    Google Scholar 

  • American Psychiatric Foundation, Partnership for Workplace Mental Health. (2005). Assessing and Treating Psychiatric Occupational Disability, Executive Report. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2006). Practice Guidelines for the Treatment of Psychiatric Disorders: compendium. American Psychiatric Association Press, Arlington, VA.

    Google Scholar 

  • Anssea, M., Dierick, M., Buntink, F., et al. (2004). High prevalence of mental disorders in primary care. Journal of Affective Disorders, 78(1), 49–55.

    Article  Google Scholar 

  • Bagenstos, S. R. (2000). Subordination, stigma, and “disability”. Virginia Law Review, 86, 397–534.

    Article  Google Scholar 

  • Bruns, D., & Disorbio, J. M. (2005). Chronic pain and biopsychosocial disorders. Practical Pain Management, 5(7), 2–9.

    Google Scholar 

  • Bruns, D., Mueller, K., & Warren, P. A. (2010). A review of evidence-based biopsychosocial laws governing the treatment of pain and injury. Psychological Injury and Law, 3, 169–181.

    Google Scholar 

  • Buist-Bouwman, M. A., de Graaf, R., Vollebergh, W. A. M., & Ormel, J. (2005). Comorbidity of physical and mental disorders and the effect on work-loss days. Acta Psychiatrica Scandinavica, 111(6), 436–443.

    Article  PubMed  CAS  Google Scholar 

  • Campbell, L. C., Clauw, D. J., & Keefe, F. J. (2003). Persistent pain and depression: A biopsychosocial perspective. Biological Psychiatry, 54, 399–409.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2008). Behavioral risk factor surveillance system prevalence data. Atlanta, GA: CDC.

    Google Scholar 

  • Centers for Disease Control and Prevention; National Center for Injury Prevention and Control (2006). Web-based injury statistics query and reporting system (WISQARS). Retrieved from http://www.cdc.gov/ncipc/wisqars/default.htm.

  • Chellappa, P., & Ramaraj, R. (2009). Depression, homocysteine concentration, and cardiovascular events. Journal of the American Medical Association, 301(15), 1542.

    Article  Google Scholar 

  • Dersh, J., Gatchel, R. J., Polatin, P., & Mayer, T. (2002). Prevalence of psychiatric disorders in patients with chronic, work-related musculoskeletal pain disability. Journal of Occupational and Environmental Medicine, 44, 459–469.

    Article  PubMed  CAS  Google Scholar 

  • Dewa, C., & Lin, E. (2000). Chronic physical illness, psychiatric disorder and disability in the workplace. Social Science & Medicine, 51, 41–50.

    Article  CAS  Google Scholar 

  • de Waal, M. W. M., Arnold, I. A., Spinhoven, P., et al. (2009). The role of comorbidity in the detection of psychiatric disorders with checklists for mental and physical symptoms in primary care. Social Psychiatry and Psychiatric Epidemiology, 44(1), 78–85.

    Article  PubMed  Google Scholar 

  • DiMatteo, M. R., Lepper, H. S., & Croghan, T. W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160, 2101–2107.

    Article  PubMed  CAS  Google Scholar 

  • Disability Management Employer Coalition (DMEC). (2009). Tools of the trade: A compilation of programs and processes for the absence, disability, health and productivity professional. San Diego, CA: Disability Management Employer Coalition.

    Google Scholar 

  • Evans, D. L., Charney, D. S., Lewis, L., et al. (2005). Mood disorders in the medically ill: Scientific review and recommendations. Biological Psychiatry, 58, 175–189.

    Article  PubMed  Google Scholar 

  • Fava, M., Rush, A. J., Alpert, J. E., et al. (2006). What clinical and symptom features and comorbid disorders characterize outpatients with anxious major depressive disorder: A replication and extension. Canadian Journal of Psychiatry, 51(13), 823–835.

    Google Scholar 

  • Gask, L. (2005). Overt and covert barriers to the integration of primary and specialist mental health care. Social Science & Medicine, 61(8), 1785–1794.

    Article  Google Scholar 

  • Gatchel, R. J. (2004). Comorbidity of chronic mental and physical health conditions: The biopsychosocial perspective. American Psychologist, 59, 792–805.

    Article  Google Scholar 

  • Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin, 133(4), 581–624.

    Article  PubMed  Google Scholar 

  • Gros, D. F., Antony, M. M., McCabe, R. E., & Swinson, R. P. (2009). Frequency and severity of the symptoms of irritable bowel syndrome across the anxiety disorders and depression. Journal of Anxiety Disorders, 23(2), 290–296.

    Article  PubMed  Google Scholar 

  • Hutter, N., Scheidt-Nave, C., & Baumeister, H. (2009). Health care utilisation and quality of life in individuals with diabetes and comorbid mental disorders. General Hospital Psychiatry, 31(1), 33–35.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Akiskal, H. S., Ames, M., et al. (2006). Prevalence and effects of mood disorders on work performance in a nationally representative sample of U.S. workers. American Journal of Psychiatry, 163(9), 1561–1568.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Demler, O., Frank, R. G., et al. (2005). Prevalence and treatment of mental disorders, 1990 to 2003. The New England Journal of Medicine, 352(24), 2515–2523.

    Article  PubMed  CAS  Google Scholar 

  • Kessler, R. C., Ormel, J., Dernier, O., & Stang, P. E. (2003). Co-morbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the National Comorbidity Survey. Journal of Occupational and Environmental Medicine, 45, 1257–1266.

    Article  PubMed  Google Scholar 

  • Koike, A. K., Unutzer, J., & Wells, K. B. (2002). Improving the care for depression in patients with comorbid medical illness. American Journal of Psychiatry, 159(10), 1738–1745.

    Article  PubMed  Google Scholar 

  • Kroenke, K. (2003). Patients presenting with somatic complaints: Epidemiology, psychiatric comorbidity and management. International Journal of Methods in Psychiatric Research, 12, 34–43.

    Article  PubMed  Google Scholar 

  • Kroenke, K. (2006). Review of Biopsychosocial medicine: An integrated approach to understanding illness. Journal of Psychosomatic Research, 60(4), 433.

    Google Scholar 

  • Kroenke, K., Spitzer, R. L., Williams, J. B., et al. (1994). Physical symptoms in primary care: Predictors of psychiatric disorders and functional impairment. Archives of Family Medicine, 3, 774–779.

    Article  PubMed  CAS  Google Scholar 

  • McGlynn, E. A., Asch, S. M., Adams, J., et al. (2003). The quality of health care delivered to adults in the United States. The New England Journal of Medicine, 348, 2635–2645.

    Article  PubMed  Google Scholar 

  • Merikangas, K. R., Ames, M., Cui, L., et al. (2007). The impact of comorbidity of mental and physical conditions on role disability in the US adult household population. Archives of General Psychiatry, 64, 1180–1188.

    Article  PubMed  Google Scholar 

  • National Business Group on Health. (2007). An employer’s guide to behavioral health services. Washington, DC: National Business Group on Health. p. 100.

    Google Scholar 

  • National Committee for Quality Assurance. (2009). Healthcare effectiveness data and information set (HEDIS). Washington, DC: National Committee for Quality Assurance.

    Google Scholar 

  • National Institute of Mental Health. (2008). The numbers count: Mental disorders in America. Washington, DC: National Institute of Mental Health.

    Google Scholar 

  • Norquist, G. S., & Regier, D. A. (1996). The epidemiology of psychiatric disorders and the de facto mental health care system. Annual Review of Medicine, 47, 473–479.

    Article  PubMed  CAS  Google Scholar 

  • Ormel, J., Petukhova, M., Chatterji, S., et al. (2008). Disability and treatment of specific mental and physical disorders across the world. British Journal of Psychiatry, 192, 368–375.

    Article  PubMed  Google Scholar 

  • Roy-Byrne, P. P., Davidson, K., Kessler, R. C., et al. (2008). Anxiety disorders and comorbid medical illness. General Hospital Psychiatry, 30(3), 208–225.

    Article  PubMed  Google Scholar 

  • Scott, K. M., Bruffaerts, R., Tsang, A., et al. (2007). Depression–anxiety relationships with chronic physical conditions: Results from the World Mental Health Surveys. Journal of Affective Disorders, 103, 113–120.

    Article  PubMed  CAS  Google Scholar 

  • Scott, K. M., Von Korff, M., Alonso, J., et al. (2009). Mental–physical co-morbidity and its relationship with disability: Results from the world mental health surveys. Psychological Medicine, 39(1), 33–43.

    Article  PubMed  CAS  Google Scholar 

  • Seelig, M. D., & Katon, W. (2008). Gaps in depression care: Why primary care physicians should hone their depression screening, diagnosis, and management skills. Journal of Occupational and Environmental Medicine, 50(4), 451–458.

    Article  PubMed  Google Scholar 

  • Simon, G. E., Grothaus, L., Durham, M. L., Von Korff, M., & Rabiniak, C. (1996). Impact of visit copayments on outpatient mental health utilization by members of a health maintenance organization. American Journal of Psychiatry, 153(3), 331–338.

    PubMed  CAS  Google Scholar 

  • Social Security Administration (2008). Research, statistics, & policy analysis annual statistical report on the social security disability insurance program, 2007. Baltimore, MD: Social Security Administration.

    Google Scholar 

  • Suls, J., & Bunde, J. (2005). Anger, anxiety, and depression as risk factors for cardiovascular disease: The problems and implications of overlapping affective dispositions. Psychological Bulletin, 131, 260–300.

    Article  PubMed  Google Scholar 

  • Talmage, J. B. (2007). Failure to communicate: How terminology and forms confuse the work ability/disability evaluation process. Journal of Insurance Medicine, 39, 192–198.

    PubMed  Google Scholar 

  • Talmage, J. B., & Melhorn, J. M. (Eds.). (2005). A physician’s guide to return to work. Chicago, IL: American Medical Association Press.

    Google Scholar 

  • Wade, D. (2006). Why physical medicine, physical disability and physical rehabilitation? We should abandon Cartesian dualism. Clinical Rehabilitation, 20, 185–190.

    Article  PubMed  Google Scholar 

  • Warren, P. A. (2005). The management of workplace mental health issues and appropriate disability prevention strategies. San Diego, CA: Work Loss Data Institute.

    Google Scholar 

  • Warren, P. A., & Hubbard, J. D. (2008). Psychosocial issues related to behavioral health disability claims. Dearborn National Life Insurance Company.

    Google Scholar 

  • Warren, P. A. (2009) “Behavioral Health as a Causation Issue in Workers’ Compensation and Disability Claims”, IAIABC Journal, 46.

    Google Scholar 

  • WHO (2004). The World Health Report 2004: Changing history. Geneva, Switzerland: The World Health Organization.

    Google Scholar 

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  1. Carle Physician Group, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA

    Pamela A. Warren

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  1. Pamela A. Warren
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  1. Carle Physician Group, Urbana, 61801-2302, Illinois, USA

    Pamela A. Warren

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Warren, P.A. (2010). A Critique of the Behavioral Health Disability System. In: Warren, P. (eds) Behavioral Health Disability. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09814-2_1

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  • DOI: https://doi.org/10.1007/978-0-387-09814-2_1

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