What is Public Psychiatry?

Public and Community Psychiatry encompasses the care of people with serious and complex behavioral health needs in multiple community service systems typically publicly funded through Medicaid, Medicare and local grants and contracts. These organizations and programs often provide care for underserved populations and address mental health and substance use needs in additions to other social determinants of health, under the governing principles of recovery and systems based practice.

Recovery “A process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential”

hope, dignity, respect, choice, social support, involvement in meaningful activities, and

having a sense of meaning and purpose in one’s life (SAMHSA)

Systems based practice (SBP) in psychiatry can be conceptualized as a set of roles performed by psychiatrists to meet the comprehensive needs of the individual person within and beyond the health care system

Four Factor Model of SBP:

  1. Patient Care Advocate
  2. Team Member
  3. Information Integrator
  4. Resource Manager

Le Melle S, Arbuckle M. Integrating Systems-Based Practice / Community Psychiatry and Recovery into Residency Training. Academic Psychiatry 2012 Nov;36(6):473-478

LeMelle S, Clemmey P, Ranz J. Outpatient Training in Public/Community Psychiatry and Systems-Based Practices. Academic Psychiatry 2014;Dec; 38(6):693-695