It is generally recognized that mental health policy is shaped by the interaction of complex social, economic, intellectual, and medical variables.
An often neglected, yet significant, factor, however, is the very structure of the American political system that was created by the adoption of the federal constitution in 1789.
The constitutional framework made intergovernmental relations local, state, federal - important determinants in shaping and transforming social policy in general and mental health policy in particular.
The division of power among three levels of government creates incentives to shift responsibilities, which in turn changed and distorted coverage patterns, thereby inadvertently transforming both costs and policy goals.
Itis thus critical to take into account the ways in which America's political structure mediates and recasts the context of mental heath policy. (R.A.). Autres articles psychiatrie dans le numéro : 1) Setting mental health priorities : problems and possibilities (Callahan d.). 2) Establishing mental health priorities (Mechanic d.). 3) Prioritization of mental health services in Oregon (Pollack D.A. et a.).
Mots-clés Pascal : Santé mentale, Politique sanitaire, Histoire, Etats Unis, Système politique
Mots-clés Pascal anglais : Mental health, Health policy, History, United States, Political system
Notice produite par :
ENSP - Ecole nationale de la santé publique (devenue EHESP)
Cote : 94 V
Code Inist : 002B30A01. Création : 09/06/1995.