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Previous Volume 353:1184 September 15, 2005 Number 11 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Kessler and colleagues (June 16 issue)¹ report a dramatic increase in the rate of psychiatric treatment within general medicine from 1990 to 2003. They mention competing demands, but it is important also to emphasize the increased complexity and cost of integrating psychiatric treatment into primary care. Recent data from our pharmacies at Denver Health underscore this burden on a public health care system. Of all prescriptions written by our general internal medicine providers in the first quarter of 2005, 15 of the top 75 (ranked according to volume) and 13 percent of the total pharmacy acquisition costs . . . [Full Text of this Article]

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