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Abstract

Extensive evidence documents that people with severe mental illness have higher rates of morbidity and mortality compared with the general population and receive lower-quality and higher-cost health care. These trends, at least in part, stem from discrimination, exclusion, widespread stigma, and criminalization of individuals with mental illness. As such, severe mental illness should receive formal, national recognition as a disparities category. Such a designation would have multiple important implications in health policy, services and quality research, and advocacy.

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Go to Psychiatric Services
Go to Psychiatric Services

Cover: Sea Grasses and Blue Sea, by Milton Avery, 1958. Oil on canvas. Gift of friends of the artist, Museum of Modern Art, New York. Digital image © The Museum of Modern Art/Licensed by SCALA/Art Resource, New York. © The Milton Avery Trust/Artists Rights Society, New York.

Psychiatric Services
Pages: 726 - 728
PubMed: 29446331

History

Received: 18 March 2017
Revision received: 1 August 2017
Revision received: 25 October 2017
Accepted: 17 November 2017
Published online: 15 February 2018
Published in print: June 01, 2018

Keywords

  1. Quality of care
  2. Health care reform
  3. health disparities

Authors

Details

Matthew L. Goldman, M.D., M.S.
Dr. Goldman and Dr. Pincus are with the Department of Psychiatry, Columbia University, New York City, and Ms. Spaeth-Rublee is with the New York State Psychiatric Institute, New York City. Dr. Pincus is also with NewYork–Presbyterian Hospital, New York City.
Brigitta Spaeth-Rublee, M.A.
Dr. Goldman and Dr. Pincus are with the Department of Psychiatry, Columbia University, New York City, and Ms. Spaeth-Rublee is with the New York State Psychiatric Institute, New York City. Dr. Pincus is also with NewYork–Presbyterian Hospital, New York City.
Harold Alan Pincus, M.D. [email protected]
Dr. Goldman and Dr. Pincus are with the Department of Psychiatry, Columbia University, New York City, and Ms. Spaeth-Rublee is with the New York State Psychiatric Institute, New York City. Dr. Pincus is also with NewYork–Presbyterian Hospital, New York City.

Notes

Send correspondence to Dr. Pincus (e-mail: [email protected]).

Competing Interests

The views presented here are those of the authors and do not necessarily reflect those of the Commonwealth Fund or the NIH, nor their directors, officers, or staff.

Funding Information

This publication was supported by the Commonwealth Fund (grant 20141104). Additional funding was provided by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH) (grant UL1 TR000040), and the National Institute of Mental Health (grant 5R25MH086466-07).The authors report no financial relationships with commercial interests.

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