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How Health Reform is Recasting Public Psychiatry
Roderick Shaner1, Kenneth S Thompson2, Joel Braslow3
1Los Angeles County Department of Mental Health, Keck School of Medicine, University of Southern California, 550 South Vermont Avenue, 12th Floor, Los Angeles, CA 90020, USA.
Abstract:
This article reviews the fiscal, programmatic, clinical, and cultural forces of health care reform that are transforming the work of public psychiatrists. Areas of rapid change and issues of concern are discussed. A proposed health care reform agenda for public psychiatric leadership emphasizes (1) access to quality mental health care, (2) promotion of recovery practices in primary care, (3) promotion of public psychiatry values within general psychiatry, (4) engagement in national policy formulation and implementation, and (5) further development of psychiatric leadership focused on public and community mental health.
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