Format

Send to

Choose Destination
See comment in PubMed Commons below
Health Aff (Millwood). 2007 Nov-Dec;26(6):1548-50.

Mental health services then and now.

Author information

1
nstitute for Health, Health Care Policy, and Aging Research, State University of New Jersey, New Brunswick, USA. mechanic@rci.rutgers.edu

Abstract

Over the past twenty-five years, psychiatric services have shifted from hospital to community. Managed care reinforces this trend. Mental illness is better understood and less stigmatized, and services are more commonly used. But many in need do not receive care consistent with evidence-based standards, or at all. Challenges are greatest for people with serious and persistent mental illnesses who depend on generic health and welfare programs and integrated services. Evidence-based rehabilitative care is often unavailable. Failures in community care lead to arrest; jail diversion and treatment are required. Despite progress, implementing an effective, patient-centered care system remains a formidable challenge.

PMID:
17978371
DOI:
10.1377/hlthaff.26.6.1548
[Indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Support Center