0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

1
Letter   |    
Treating the Least Well Off
Robert A. Rosenheck, M.D.
Psychiatric Services 1999; doi:
text A A A

In Reply: I cannot speak for all the participants at our conference, but I certainly agree with both premises of Dr. Thompson's letter: first, that the application of the principles we invoked in our consensus statement should not be limited to systems serving low-income or disadvantaged people, or even to people with mental illness, and, second, that they deserve application across health care systems and across strata of our society.

Although some, but not all, of the participants at the consensus conference have been involved with preserving services such as assertive community treatment, methadone maintenance, and psychosocial rehabilitation in public mental health systems and we referred to the "trench warfare" of organizational decision making as an example, there was no intention to restrict the arenas in which these principles should be applied.

As Dr. Thompson observes in his comment on the contentiousness of the politics of redistributing monies, the processes and challenges of applying these principles vary considerably across sectors and levels of political process, but the animating issues remain much the same.

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Books
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 8.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 8.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
Topic Collections
Psychiatric News