Health Affairs, 25, no. 3 (2006): 730-733 doi: 10.1377/hlthaff.25.3.730 © 2006 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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Regulation & Policy

PERSPECTIVE

A Seat At The Table: Trend Or Illusion?

Responding to Nancy Tomes’s conclusion that mental health consumers are beneficiaries but not primary causes of a new attentiveness to consumers’ concerns, this review finds various historical and contemporary reasons for the mental health consumer movement to remain vigilant: the system’s shallow acceptance of consumer self-determination; continued reliance on expedient coercive tactics rather than therapeutic engagement; the currently narrow reach of initiatives in self-direction; and the fragmentation of authority in the delivery of public services and supports needed by mental health consumers.

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				R. Bernstein Commentary: The Climate for Physician Adherence to Psychiatric Advance Directives J Am Acad Psychiatry Law, September 1, 2006; 34(3): 402 - 405. [Abstract] [Full Text] [PDF]