Treatment of Personality Disorders in an Era of Limited Resources
Our field is at a moment of great excitement, opportunity, and risk. Faced with the reality that resources for treatment have limits, a revolution in funding of mental health benefits has begun. The attention of psychiatrists has been powerfully drawn to the financial arena, where the introduction of close management of benefits has introduced a sometimes dizzying array of hoops through which a clinician must leap, dragging the patient behind, in order to persuade a case manager or utilization reviewer that a particular treatment is indicated. Quality is in danger of falling by the wayside in favor of cost containment as the watchword by which clinicians practice their art.