Document Detail


What about the patient?
MedLine Citation:
PMID:  10073376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our mental health care system fails to serve the very people whose suffering that system ostensibly exists to alleviate. This article relates the stories of 3 people who fell through the cracks of this system. An alternative approach, the Integrated Services Agency (ISA), has been implemented in California and offers hope to persons with schizophrenia. The ISA approach focuses on the expressed needs of the members it exists to serve, and both members and staff have experienced changes in their roles and expectations. Staff and members have learned that engagement with the "outside world" involves taking risks but that risk avoidance only perpetuates the status quo. The ISA approach rewards growth and patients' being well rather than rewarding docility and illness. Medication is neither ordered nor assigned, but chosen in a collaboration between staff and members. ISAs have returned care to the mental health care system.
Authors:
D E Weisburd
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of clinical psychiatry     Volume:  60 Suppl 3     ISSN:  0160-6689     ISO Abbreviation:  J Clin Psychiatry     Publication Date:  1999  
Date Detail:
Created Date:  1999-03-15     Completed Date:  1999-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801243     Medline TA:  J Clin Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  38-41     Citation Subset:  IM    
Affiliation:
The Journal: Quarterly Publication of the California Alliance for the Mentally Ill, Toluca Lake, Calif, USA.
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MeSH Terms
Descriptor/Qualifier:
California
Community Mental Health Services / economics,  organization & administration
Comprehensive Health Care / economics,  organization & administration
Female
Health Services Needs and Demand
Humans
Insurance, Psychiatric / economics
Male
Schizophrenia / drug therapy,  economics*,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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