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In the decades of the 1990s many mental health programs and the systems that fund these programs have identified themselves as recovery-oriented. A program that is grounded in a vision of recovery is based on the notion that a majority of people can grow beyond the catastrophe of a severe mental illness and lead a meaningful life in their own community.(More)
Following a needs assessment, the American Lung Association of the District of Columbia (ALADC) began a 3-year pilot program (1986 to 1989) to improve the health status of 5- to 10-year-old urban black asthmatic children. The authors hypothesized that participation in a 1-day asthma camp curriculum, using a collaborative multidisciplinary team approach(More)
The involvement of mental health service users in service delivery is a new and growing phenomenon. Such involvement is complex, given the history of paternalism in the mental health system, the power differential between service providers and service users, and the very differing views each group holds on multiple issues. Unless such differences are(More)
BACKGROUND & OBJECTIVE Since the first report of HIV-1 infection in Tamil Nadu, India, HIV-1 seroprevalence in India has increased steadily. Though interventions to prevent mother-to-child transmission (MTCT) are available, their implementation is a significant challenge. Therefore, among pregnant women in rural Tamil Nadu, the acceptance of education(More)
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OBJECTIVE To determine the number and kinds of programs that medical schools and managed care organizations offer or plan to offer to retrain physician specialists to practice primary care medicine and to discover physicians' attitudes toward such retraining. DESIGN A survey was mailed in 1994 to all 126 medical schools and the 19 largest US managed care(More)
Coercion in psychiatry stems from the historic inequality between the psychiatrist and the person who is designated as the "patient," even though he/she may not have chosen this role, and may not see him/herself as needing psychiatric attention. The psychiatrist has the power to define an individual as mentally ill, and then to confine and treat the person(More)
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