Overhauling the Nation's Mental Health System
Feature article in Clinician News at Medscape - " In its final report, the President's New Freedom Commission on Mental Health recommends 'a fundamental transformation' that, if achieved, will require stronger intervention on the part of primary care practitioners as well as a national commitment to making "recovery" from mental illness the expected outcome in these patients. The report targets several aspects that need to be addressed. These include enhanced clinician education, early diagnosis and intervention, elimination of disparities in mental health care (eg, age, race, ethnicity, geography), and more widespread use of telemedicine and electronic medical technologies..." [Viewing Medscape resources requires registration, which is free].  
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Gatekeepers to Pharmaceuticals
Article in Medscape Psychopharmacology Today by Thomas A. M. Kramer, MD - "More and more, the television and other media tell our patients to talk to us. "Ask your doctor," they say. Millions and millions of dollars are being spent just to tell our patients to talk to us. The reason that so much money is being spent to foster communication is because marketing is being done to people who cannot, of their own volition, buy the product. They have to come to us to ask permission..." [Viewing Medscape resources requires registration, which is free].  
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A mental-health safety net, frayed and torn
Feature story in the Christian Science Monitor - "States, facing their worst fiscal crises since World War II, have been making drastic cuts - and are considering more. And since healthcare programs such as Medicaid constitute roughly 20 percent of state budgets, they are often targets. In the last legislative session, 29 states cut their mental-healthcare systems, according to the National Alliance for the Mentally Ill. But experts say lawmakers will regret their choices. The mentally ill need treatment one way or another - and prevention is far less costly than crisis care. A 24-hour hospital stay for a mentally ill patient in crisis can cost a state the same as six months of outpatient care. Jailing the same person for a misdemeanor, such as trespassing or panhandling, can cost as much as a year of outpatient care."  
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Mental health services 'failing' (UK)
BBC story - " A report by the health think tank The King's Fund says services in London are failing and more needs to be done. It comes just days after another report warned many trusts across the country are struggling to maintain services because of a lack of money. The Department of Health insists progress is being made and NHS services are improving." See also Mental Health in London at the King's Fund web site for copies of the report and related resources.  
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