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July 8, 1998

Trends in Prescribing Psychotropic Medications—Reply

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;280(2):132-134. doi:10-1001/pubs.JAMA-ISSN-0098-7484-280-2-jac80010

In Reply.— Drs Staudenmeier and Jacoby raise several important questions. As we noted in our article,1 the NAMCS data can only be used to determine patterns, not appropriateness of care. Also, there is evidence supporting the observation that patients who see psychiatrists have more severe and complex problems than patients of nonpsychiatric physicians and, therefore, may be more likely to need and receive prescription medications.2 We agree that research on the impact of changes within psychiatric residency training and reimbursement mechanisms on treatment selection is needed. These and other research questions can be examined through the American Psychiatric Association's Practice Research Network.3