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Taking Issue   |    
Creating a “Pull Request” for Collaborative Care
Andres Barkil-Oteo, M.D., M.Sc.
Psychiatric Services 2013; doi: 10.1176/appi.ps.004832012
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Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut

Copyright © 2013 by the American Psychiatric Association

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Until recently, mental health services have been provided by licensed mental health professionals, and psychiatric medications have been prescribed mostly by psychiatrists. However, a significant portion of mental health services is now provided outside traditional mental health venues. Estimates from a study by Mark and colleagues published in this journal in 2009 indicated that 79% of antidepressants, 87% of anxiolytics, and 51% of antipsychotics are prescribed by nonpsychiatrists. In addition, 50% of all U.S. patients being treated for depression receive treatment in the primary care sector.

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