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Comments by Leonard Stein
Leonard I. Stein
Psychiatric Services 1990; doi:
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As one of the originators of the Madison model of community care, Dr. Leonard Stein was asked to comment on the four papers related to the Madison model published in this issue. Dr. Stein is director of research and training at the Mental Health Center of Dane County, where the model is the main vehicle for providing care to seriously mentally ill patients, and is professor of psychiatry at the University of Wisconsin Medical School. Address correspondence to him at the Department of Psychiatry, University of Wisconsin Medical School, 600 Highland Avenue, Madison, Wisconsin 53792.

1990 by the American Psychiatric Association

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Abstract

It is difficult to make a summary statement about a diverse group of papers. However, some of the papers tangentially reflect a current phenomenon that deserves attention: a growing tendency to view case management as the magical solution to the problems faced by persons with severe and persistent mental illness, with the consequent minimization of the importance of professional expertise.The needs of persons with severe and persistent mental illness are many and complex. Adequate care for such persons requires the collaboration and close personal involvement of well-trained professionals from various disciplines, and well-trained paraprofessionals. The Madison model serves as one vehicle for providing such care. It is not a case management program, treatment program, on rehabilitation program; rather, it is a care program that makes use of well-trained professionals and paraprofessionals who together provide treatment, rehabilitation, and case management services.

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