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The Case for Severe Mental Illness as a Disparities Category
Matthew L Goldman1, Brigitta Spaeth-Rublee1, Harold Alan Pincus1
1Dr. Goldman and Dr. Pincus are with the Department of Psychiatry, Columbia University, New York City, and Ms. Spaeth-Rublee is with the New York State Psychiatric Institute, New York City. Dr. Pincus is also with NewYork-Presbyterian Hospital, New York City.
Abstract:
Extensive evidence documents that people with severe mental illness have higher rates of morbidity and mortality compared with the general population and receive lower-quality and higher-cost health care. These trends, at least in part, stem from discrimination, exclusion, widespread stigma, and criminalization of individuals with mental illness. As such, severe mental illness should receive formal, national recognition as a disparities category. Such a designation would have multiple important implications in health policy, services and quality research, and advocacy.
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