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Mental health visits to complementary and alternative medicine providers.
Gen Hosp Psychiatry. 2004 May-Jun; 26(3):171-7.GH

Abstract

The objective of this study was to examine the characteristics of mental health visits to Complementary and Alternative Medicine (CAM) providers. A representative sample of acupuncturists, chiropractors, massage therapists, and naturopathic physicians in four states reported on 8933 consecutive visits, including demographic characteristics; presenting complaints; referral source; treatments provided; disposition; and other sources of care for the presenting problem. The proportion of visits for a mental health complaint ranged from 7% to 11% for acupuncture, massage, and naturopathic physicians to less than 1% for chiropractors. For acupuncturists, massage therapists, and naturopaths, 69-87% of patients making mental health visits were self-referred. The CAM provider discussed care with a conventional medical provider in 6-20% of cases and was aware of concomitant conventional medical care in an additional 10-30%. Only 1-5% were subsequently referred to conventional providers. For acupuncturists, massage therapists, and naturopaths, the proportion of visits for mental health concerns is similar to that in conventional primary care. Mental health visits to chiropractors are much less common, but this may reflect differences in true prevalence or differences in presentation. Among those seeking CAM care for mental disorders, concomitant treatment by conventional medical providers is common, but communication or coordination of care is rare.

Authors+Show Affiliations

Center for Health Studies, Group Health Cooperative, Seattle, WA, USA. simon.g@ghc.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15121344

Citation

Simon, Gregory E., et al. "Mental Health Visits to Complementary and Alternative Medicine Providers." General Hospital Psychiatry, vol. 26, no. 3, 2004, pp. 171-7.
Simon GE, Cherkin DC, Sherman KJ, et al. Mental health visits to complementary and alternative medicine providers. Gen Hosp Psychiatry. 2004;26(3):171-7.
Simon, G. E., Cherkin, D. C., Sherman, K. J., Eisenberg, D. M., Deyo, R. A., & Davis, R. B. (2004). Mental health visits to complementary and alternative medicine providers. General Hospital Psychiatry, 26(3), 171-7.
Simon GE, et al. Mental Health Visits to Complementary and Alternative Medicine Providers. Gen Hosp Psychiatry. 2004 May-Jun;26(3):171-7. PubMed PMID: 15121344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental health visits to complementary and alternative medicine providers. AU - Simon,Gregory E, AU - Cherkin,Daniel C, AU - Sherman,Karen J, AU - Eisenberg,David M, AU - Deyo,Richard A, AU - Davis,Roger B, PY - 2003/10/29/received PY - 2004/01/07/accepted PY - 2004/5/4/pubmed PY - 2004/8/25/medline PY - 2004/5/4/entrez SP - 171 EP - 7 JF - General hospital psychiatry JO - Gen Hosp Psychiatry VL - 26 IS - 3 N2 - The objective of this study was to examine the characteristics of mental health visits to Complementary and Alternative Medicine (CAM) providers. A representative sample of acupuncturists, chiropractors, massage therapists, and naturopathic physicians in four states reported on 8933 consecutive visits, including demographic characteristics; presenting complaints; referral source; treatments provided; disposition; and other sources of care for the presenting problem. The proportion of visits for a mental health complaint ranged from 7% to 11% for acupuncture, massage, and naturopathic physicians to less than 1% for chiropractors. For acupuncturists, massage therapists, and naturopaths, 69-87% of patients making mental health visits were self-referred. The CAM provider discussed care with a conventional medical provider in 6-20% of cases and was aware of concomitant conventional medical care in an additional 10-30%. Only 1-5% were subsequently referred to conventional providers. For acupuncturists, massage therapists, and naturopaths, the proportion of visits for mental health concerns is similar to that in conventional primary care. Mental health visits to chiropractors are much less common, but this may reflect differences in true prevalence or differences in presentation. Among those seeking CAM care for mental disorders, concomitant treatment by conventional medical providers is common, but communication or coordination of care is rare. SN - 0163-8343 UR - https://www.unboundmedicine.com/medline/citation/15121344/Mental_health_visits_to_complementary_and_alternative_medicine_providers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163834304000167 DB - PRIME DP - Unbound Medicine ER -