Health Affairs, 25, no. 3 (2006): 720-729
doi: 10.1377/hlthaff.25.3.720
© 2006 by Project HOPE
 
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Regulation & Policy

The Patient As A Policy Factor: A Historical Case Study Of The Consumer/Survivor Movement In Mental Health

Nancy Tomes

This paper analyzes the history of the modern consumer/survivor movement and its impact on the policy-making climate in the mental health field. The growing attentiveness to consumers’ perspectives is presented largely as a consequence, not a cause, of radical restructurings of the mental health system. Consumers’ perspectives have entered policy discourse in the wake of policy failures and have flourished in a climate of perpetual crisis and tight budgets. Precisely because it has been such a contested arena for so long, the mental health field has produced some innovative responses to demands for patient empowerment.


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