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Alternative Settings: Unintended Consequences: In Reply
Kerry A. Thomas, B.Sc.(Psych.), B.Soc.Sc.(Psych.); Debra Rickwood, Ph.D., B.A.
Psychiatric Services 2013; doi: 10.1176/appi.ps.640123
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Copyright © 2013 by the American Psychiatric Association


In Reply: Hubbeling and Chang raise important issues and highlight the fact that changes in one area of mental health care have an impact on other parts of the system. The mental health care system provides a continuum of services of treatment and support. Ideally, clients are able to move between levels of service according to changes in their symptoms and well-being; the aim is to provide care in the least restrictive environment. For example, both Australia (1) and the United Kingdom (2) have such a system.

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National Action Plan on Mental Health, 2006–2011.  Canberra,  Council of Australian Governments, 2006
Reforming the Mental Health Act.  London,  Department of Health and Home Office, 2000
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