Roles of mental health professionals in multidisciplinary medically supervised treatment programs for obesity

Excess weight is a major medical problem for more than one third of Americans and, after cigarette smoking, is the second largest cause of death. However, obesity treatments remain controversial, and only surgical therapies have patient volume and appropriate follow-up adequate to prove effectivenes...

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Bibliographic Details
Published inSouthern medical journal (Birmingham, Ala.) Vol. 90; no. 6; pp. 578 - 586
Main Authors HUNTER, S. M, LARRIEU, J. A, MERRITT AYAD, F, O'LEARY, J. P, GRIFFIES, W. S, DEBLANC, C. H, MARTIN, L. F
Format Journal Article
LanguageEnglish
Published Hagerstown, MD Lippincott Williams & Wilkins 01.06.1997
Subjects
Behavior Therapy
Biological and medical sciences
Case Management
Cause of Death
Clinical Protocols
Cost-Benefit Analysis
Exercise Therapy
Feasibility Studies
Follow-Up Studies
Humans
Medical sciences
Mental Health
Metabolic diseases
Nutritional Physiological Phenomena
Obesity
Obesity - economics
Obesity - psychology
Obesity - surgery
Obesity - therapy
Patient Care Planning
Patient Care Team
Physician's Role
Psychiatry
Psychotherapy
Treatment Outcome
Human
Evaluation
Obesity
Costs
Nutrition disorder
Mental health
Metabolic diseases
Health education
Decision tree
Epidemiology
Physician patient relation
Public health organization
Data processing program
Occupational responsibility
Diagnosis
Public health
Nutritional status
Multidisciplinary
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Summary:Excess weight is a major medical problem for more than one third of Americans and, after cigarette smoking, is the second largest cause of death. However, obesity treatments remain controversial, and only surgical therapies have patient volume and appropriate follow-up adequate to prove effectiveness. National Institutes of Health conferences on obesity treatments and the Institute of Medicine have suggested that all obesity treatment programs, including those which are medically supervised, should be multidisciplinary, involving professionals from the behavioral, nutritional, and exercise fields to facilitate delivery of a patient-treatment matching strategy. There are no models to suggest how these recommendations should be accomplished or whether they are financially feasible. We present a case management model that includes psychotherapists in a multidisciplinary obesity treatment program. More data are needed to show whether these suggestions improve cost-effectiveness of obesity treatments.
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ISSN:0038-4348
1541-8243
DOI:10.1097/00007611-199706000-00001