Milbank Quarterly

Volume 72 Number 3, 1994



Prioritization of Mental Health Services in Oregon

David A. Pollack, Bentson H. McFarland, Robert A. George, and Richard H. Angell


The Oregon Health Plan is an approach to health care reform that increases access to mental health and chemical dependency services. A key feature is the integration of mental and physical health care. The mental health community had to educate policy makers about the importance of mental and chemical dependency services. They constructed a prioritized list of mental health and chemical dependency services and interdigitated the list with the set of physical health services. The result is a unique attempt to develop a seamless health care system that minimizes discrimination against persons affected by mental illness. The opportunity to achieve parity for mental health must not be delayed or compromised; to do so would worsen the lives of persons already affected by the trauma and stigma assosciated with mental illness.

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