chapter  14
Future Directions and New Challenges
Pages 9

Psychotherapy in the age of health care reform is under scrutiny, if not under siege. It is estimated that each year 80 million outpatient medical visits are made for the purposes of receiving psychotherapy (Olfson & Pincus, 1994a). It is an understatement to suggest that "the future of third-party reimbursement for long-term psychotherapy services rests on unstable ground" (Olfson & Pincus, 1994b). Psychotherapeutic interventions of brief models as well as of long-term models are being assessed for purposes of justifying their very existence as entities under a system of managed mental health care.