about the benefits of psychological treatment increased people’s
likelihood of seeking treatment. “We’ll never match the ability
of Big Pharma, which can buy 10 Super Bowl ads and never
miss the money,” he said. “But we need to increase awareness of
the services we have to offer.”
The facts are on psychology’s side, said Barlow. What’s
needed, he emphasized, is advocacy. In the United Kingdom,
he pointed out, a chance encounter between a psychologist
and a member of Parliament led to a conversation about
psychological treatment’s cost-effectiveness and then a multi-
year initiative to increase access to psychological therapies
within the National Health Service. Because there weren’t
enough psychologists to deliver those treatments, the
government boosted funding for training programs.
“Did this just happen?” asked Barlow. “Of course not. …
Nothing will happen unless we do it.” n
Rebecca A. Clay is a journalist in Washington, D.C.
APA President Dr. Nadine Kaslow presents a presidential citation to Dr. David Barlow, founder and director emeritus of the
Center for Anxiety and Related Disorders at Boston University.
Should you explore
an alternative practice model?
From baby steps to full-fledged change, psychologists
are exploring new ways of doing business.
BY REBECCA A. CLAY
Health-care reform has caused a lot of anxiety among solo and small group practice practitioners who worry about how they’ll be able to compete in a changing
health-care environment, said Shirley Ann Higuchi, JD,
associate executive director for legal and regulatory affairs in the
APA Practice Organization.
Fortunately, Higuchi told participants at the State Leadership
Conference in March, APA and the APA Practice Organization
are helping psychologists develop innovative new practice
models with varying levels of collaboration and reaching out
to discover what models psychologists are already creating.
These models range from simple, low-investment, low-risk
steps practices can take all the way to complex collaboration
models, such as management services organizations that can
contract with accountable-care organizations. “Practices can try
these models like stepping stones as they move toward greater
collaboration,” said Higuchi.
Kevin Ryan, JD, a member of Epstein, Becker & Green’s
Health Care and Life Sciences practice in Chicago who advises
APA and health-care clients on business and regulatory matters,
laid out the spectrum of options for joint ventures:
• Referral network. In this model, psychologists contract
with possible referral sources, such as primary-care
organizations, hospitals or home health agencies. While this
requires time and effort, said Ryan, it is the least integrated and
therefore least risky alternative practice model. “The truth is, a