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Ensuring Services for Persons With Chronic Mental Illness Under National Health Care Reform
H. Richard Lamb; Stephen M. Goldfinger; David Greenfeld; Kenneth Minkoff; John C. Nemiah; John J. Schwab; John A. Talbott; Allan Tasman; Leona L. Bachrach
Psychiatric Services 1993; doi:
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Department of Psychiatry, University of Southern California School of Medicine, 1934 Hospital Place, Los Angeles, California 90033

1993 by the American Psychiatric Association

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People with chronic mental illness present complex challenges for the design of health care financing reforms. In this position statement from the committee on psychiatry and community of the Group for the Advancement of Psychiatry, the authors describe chronic and severe mental illnesses as psychiatric illnesses that require acute and ongoing psychiatric assessment and treatment, as chronic medical diseases that require ongoing rehabilitative services, and as persistent disabilities that need ongoing supportive care and social services. Any proposal for health care reform must ensure parity of chronic psychiatric illnesses with other psychiatric conditions. It must also reimburse psychiatric rehabilitation at parity with other medical rehabilitation and provide equal access to and reimbursement for broad ancillary health services that reduce costs and improve quality of life.

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