title: The medicalization of therapeutic communities in the era of health care reform.
abstract: Recent health care reform legislation has prompted greater efforts to divert substance abusers to addiction treatment facilities. A major component of reform has been the acknowledgement that mental health and addiction issues must be treated on a par with medical issues. The merger of the Haight Ashbury Free Clinics and Walden House offers a model for the medicalization of therapeutic communities to provide a medical home for previously underserved, marginalized populations.
authors.forename: David E
authors.initials: DE
authors.lastname: Smith
mesh_terms: D003131:Combined Modality Therapy; D003153:Community Health Services / Q000331:legislation & jurisprudence / Q000458:organization & administration; D003299:Cooperative Behavior; D003415:Crime; D018166:Health Care Reform / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006297:Health Services Accessibility / Q000331:legislation & jurisprudence; D006801:Humans; D007373:Interinstitutional Relations; D008507:Medically Underserved Area; D009939:Organizations, Nonprofit / Q000331:legislation & jurisprudence; D010348:Patient Care Team; D016320:Substance Abuse Treatment Centers / Q000331:legislation & jurisprudence / Q000458:organization & administration; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D013808:Therapeutic Community; D014481:United States; D035862:Vulnerable Populations / Q000331:legislation & jurisprudence