More lessons, of a different kind: Canadian mental health policy in comparative perspective.

摘要: Many health policy reformers and researchers in the United States have focused on Canadian care system its lessons for design of a national program U.S. Yet minimal attention has been given to mental this discussion. The author reviews historical development services Canada discusses five current sources tension Canada's system, many which are familiar American setting: restriction fee-for-service payments, two-tiered pattern involving provincial hospitals general hospital psychiatric units, shortages resources, limited funding community-based programs, lack coordination care. concludes that universal insurance coverage patterned after model would ameliorate only some problems faced by mentally ill persons States. Mental benefits must be structured ensure availability organization full spectrum long-term supportive services.