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Psychotherapeutic Outcome and Professional Affiliation

Mental health policy decisions have been influenced by ideological belief as much as by scientific evidence. Reimbursement for psychotherapy has been largely restricted to psychiatrists and, more recently, psychologists on the grounds that these are the only professional groups capable of offering effective service. Research findings on the differential effectiveness of the three major helping professions-psychiatry, psychology, and social work-are reviewed and demonstrate equality of outcome. A pluralistic policy of reimbursement for psychotherapeutic services is suggested, and the implications of such a policy are examined.