Establishing a practical and effective psoriasis treatment center.

Running an effective psoriasis treatment center requires 1) capable phototherapists who have received the appropriate education and training; 2) a full range of equipment, including light boxes, hand-foot units, scalp débridement machines, and a whirlpool bath; 3) adequate space; 4) economic considerations, including reimbursements so patients can receive treatment and the center can be paid; and 5) the medical expertise necessary to care for the most severe psoriatic patients. These and other issues are discussed in this article.