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Fixing the Troubled Mental Health System

Fixing the Troubled Mental Health System Opinion VIEWPOINT Untreatedandpoorlytreated serious mental illness af- environment, namely, communities and neighbor- Lloyd I. Sederer, MD fects the lives of individuals, families, and communities hoods not jails or prisons, nursing homes, shelters, or Columbia University Mailman School of every day. Each year, approximately 39 000 people long-term hospitals. Inpatient care should be used for Public Health, New commit suicide, and the majority of them have acute crisis stabilization with discharge to comprehensive York, New York; and mental illness. More than half of suicides are the result services with evidence-based treatments customized New York State Office of Mental Health, of a self-inflicted gunshot wound. Many other persons to a patient’s stage of illness and preferences. Crisis Albany. with serious mental illness have lives of isolation, are services should be available in every community, as homeless, or are incarcerated. Because of the stigma of alternatives to inpatient care, with intensive commu- Steven S. Sharfstein, mental illness, an inability to know that they are ill, or nity teams (eg, assertive community treatment) mobi- MD troubling experiences with mental health services, lized when ongoing clinic services are inadequate for University of Maryland School of Medicine, people with mental illness often do not seek http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Fixing the Troubled Mental Health System

JAMA , Volume 312 (12) – Sep 24, 2014

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2014.10369
pmid
25122559
Publisher site
See Article on Publisher Site

Abstract

Opinion VIEWPOINT Untreatedandpoorlytreated serious mental illness af- environment, namely, communities and neighbor- Lloyd I. Sederer, MD fects the lives of individuals, families, and communities hoods not jails or prisons, nursing homes, shelters, or Columbia University Mailman School of every day. Each year, approximately 39 000 people long-term hospitals. Inpatient care should be used for Public Health, New commit suicide, and the majority of them have acute crisis stabilization with discharge to comprehensive York, New York; and mental illness. More than half of suicides are the result services with evidence-based treatments customized New York State Office of Mental Health, of a self-inflicted gunshot wound. Many other persons to a patient’s stage of illness and preferences. Crisis Albany. with serious mental illness have lives of isolation, are services should be available in every community, as homeless, or are incarcerated. Because of the stigma of alternatives to inpatient care, with intensive commu- Steven S. Sharfstein, mental illness, an inability to know that they are ill, or nity teams (eg, assertive community treatment) mobi- MD troubling experiences with mental health services, lized when ongoing clinic services are inadequate for University of Maryland School of Medicine, people with mental illness often do not seek

Journal

JAMAAmerican Medical Association

Published: Sep 24, 2014

References