Ethics and Value Strategies Used in Prioritizing Mental Health Services in Oregon
Pollack, David A.
McFarland, Bentson H.
George, Robert A.
Angell, Richard H.
HEC (HealthCare Ethics Committee) Forum. 1993 Sep; 5(5): 322-339.
The authors describe the ethical considerations underlying the inclusion of mental health services into a prioritized health care system. The Oregon Health Plan is a process for defining and delivering basic health services to an entire state. As the plan was developed, the mental health community needed to decide whether or not to participate in the process and, if so, how. Lengthy discussions among mental health consumers, family members, and providers led to a strategy that emphasized the integration of mental health and chemical dependency services into a comprehensive and universal health care program. This approach appears to have achieved relative parity for mental health.
Behavior Disorders; Costs and Benefits; Diagnosis; Drug Abuse; Ethics; Family Members; Government; Health; Health Care; Health Care Delivery; Health Care Reform; Health Services; Indigents; International Aspects; Life; Managed Care Programs; Medicine; Mental Health; Mental Health Services; Methods; Morbidity; Managed Care; Preventive Medicine; Psychiatric Diagnosis; Public Policy; Quality of Life; Resource Allocation; Treatment Outcome; Values;
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Backlar, Patricia; McFarland, Bentson H. (1996-12)Oregon is one of three states that allows persons to prepare a legal document-and advance directive-to stipulate the mental health treatment they wish to receive should they lose their decision-making capacity. An ...