Health Affairs, 28, no. 3 (2009): 666 doi: 10.1377/hlthaff.28.3.666 © 2009 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Care Continuum

PROLOGUE

Along The Care Continuum

Just a few decades ago, the U.S. mental health care continuum was defined by two points: inside a psychiatric hospital, or out in the cold. The rich mentally ill went off to private institutions; those less well off ended up in public facilities—the so-called shame of the states—many of whose deprivations have been well chronicled. Meanwhile, for a handful of well-to-do patients still in the community, there were private caretakers as well as psychiatrists. For everyone else, there was essentially nothing.

Happily, the advent in recent years of effective medications and optimal behavioral therapy have increased the number of distinct . . . [Full Text of this Article]

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