title: How Health Reform is Recasting Public Psychiatry.
abstract: This article reviews the fiscal, programmatic, clinical, and cultural forces of health care reform that are transforming the work of public psychiatrists. Areas of rapid change and issues of concern are discussed. A proposed health care reform agenda for public psychiatric leadership emphasizes (1) access to quality mental health care, (2) promotion of recovery practices in primary care, (3) promotion of public psychiatry values within general psychiatry, (4) engagement in national policy formulation and implementation, and (5) further development of psychiatric leadership focused on public and community mental health.
authors: Los Angeles County Department of Mental Health, Keck School of Medicine, University of Southern California, 550 South Vermont Avenue, 12th Floor, Los Angeles, CA 90020, USA. Electronic address: rshaner@dmh.lacounty.gov.
authors: Roderick
authors: R
authors: Shaner
authors: Pennsylvania Psychiatric Leadership Council, 6108 Kentucky Avenue, Pittsburgh, PA 15206, USA.
authors: Kenneth S
authors: KS
authors: Thompson
authors: Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Box 951759, CHS 33-251, Los Angeles, CA 90095-1759, USA; Department of History, UCLA Wilshire Center, University of California, Los Angeles, Suite 300, 10920 Wilshire Boulevard, Los Angeles, CA 90024, USA.
authors: Joel
authors: J
authors: Braslow
authors: MHA Village Integrated Service Agency, 456 Elm Avenue, Long Beach, CA 90802, USA.
authors: Mark
authors: M
authors: Ragins
authors: Missouri Institute of Mental Health, University of Missouri-St. Louis, Dome Building, 5400 Arsenal, St Louis, MO 63139, USA.
authors: Joseph John
authors: JJ
authors: Parks
authors: Right Path HC, Ingenuity Health, 10 Fox Den Road, Mounts Kisco, NY 10549, USA.
authors: Jerome V
authors: JV
authors: Vaccaro
mesh_terms: D003156:Community Mental Health Services / Q000639:trends*; D018166:Health Care Reform / Q000639:trends*; D006801:Humans; D011570:Psychiatry / Q000639:trends*
keywords: Community mental health; Health care reform; Integrated behavioral health care; Involuntary treatment; Managed behavioral health care; Public psychiatry; Telepsychiatry