Incorporating the prevention paradigm into administrative psychiatry.
This overview describes the application of primary, secondary, and tertiary prevention-as well as universal, selective, and indicated preventive interventions-to psychiatric and substance use disorders. Ways in which the psychiatrist with a clearly defined administrative role, such as the medical director of a program, service, agency, or organization, or a psychiatrist in some other directorial role (eg, director of education or clinical program director), can apply the prevention paradigm are described. Specifically, a prevention orientation is relevant to administrative psychiatry in the domains of service delivery, education and training, research, and community consultation and advocacy.
Compton
Michael T
MT
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. mcompto@emory.edu
D000437:Alcoholism / Q000517:prevention & control*; D003156:Community Mental Health Services / Q000458:organization & administration; D003299:Cooperative Behavior; D003479:Curriculum / Q000639:trends; D004503:Education, Medical, Graduate / Q000458:organization & administration; D005544:Forecasting; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration; D001523:Mental Disorders / Q000517:prevention & control*; D008605:Mental Health Services / Q000458:organization & administration*; D011322:Primary Prevention / Q000458:organization & administration*; D011570:Psychiatry / Q000193:education / Q000458:organization & administration*; D012106:Research; D019966:Substance-Related Disorders / Q000517:prevention & control*; D014481:United States