Health Affairs

Health Affairs, 25, no. 3 (2006): 737-749 doi: 10.1377/hlthaff.25.3.737 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Regulation & Policy

Defining ‘Mental Illness’ In Mental Health Policy

Howard H. Goldman and Gerald N. Grob

Mental health policy is shaped fundamentally by the definition of mental illness associated with the policy. Changing policies reflect changing definitions. At various times, the definition may be narrow or broad with respect to the scope of conditions covered by a specific policy. The priority accorded to impairment severity is the most crucial and enduring policy issue related to the definition of mental illness and the scope of that definition. This paper explores the role of definitions in framing mental health policy, using examples from the history of policy making over the past half-century.

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