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Implementing the lessons of mental health service demonstrations: human rights issues
Author(s) -
Goldman H. H.
Publication year - 2000
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.0902-4441.2000.007s020[dash]12.x
Subject(s) - mental health , subsidy , human services , service (business) , public relations , mental illness , foundation (evidence) , ideology , renting , psychology , nursing , medical education , business , medicine , political science , psychiatry , politics , marketing , law
Is the failure to implement the lessons of mental health service demonstrations an ethical problem? This paper reviews the experience with evaluating multi‐site service demonstration programs in the United States. Some of the lessons have been adopted and others have not. There appears to be a pattern to the adoption of lessons: ideological and inexpensive changes in organization or treatment approach are more likely to be adapted than costly changes in the availability of services or ‘transfer’ resources (such as disability benefits or rental subsidies) to support independent housing. The paper reviews this experience for demonstrations such as the Community Mental Health Centers program, the Community Support Program, and the Robert Wood Johnson Foundation Program on Chronic Mental Illness, and it discusses prospects for current federal demonstrations.