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New Freedom Commission on Mental Health : ウィキペディア英語版
New Freedom Commission on Mental Health

The New Freedom Commission on Mental Health was established by U.S. President George W. Bush in April 2002 to conduct a comprehensive study of the U.S. mental health service delivery system and make recommendations based on its findings. The commission has been touted as part of his commitment to eliminate inequality for Americans with disabilities.
The President directed the Commission to identify policies that could be implemented by Federal, State and local governments to maximize the utility of existing resources, improve coordination of treatments and services, and promote successful community integration for adults with a serious mental illness and children with a serious emotional disturbance.〔()〕 The commission, using the Texas Medication Algorithm Project (TMAP) as a blueprint, subsequently recommended screening of American adults for possible mental illnesses, and children for emotional disturbances, thereby identifying those with suspected disabilities who could then be provided with support services and state-of-the-art treatment, often in the form of newer psychoactive drugs that entered the market in recent years.
A broad-based coalition of mental health consumers, families, providers, and advocates has supported the Commission process and recommendations, using the Commission's findings as a launching point for recommending widespread reform of the nation's mental health system.
Opponents of the plan have questioned the motives of the commission, largely from a civil liberties perspective, asserting the initiative campaign is little more than a thinly veiled proxy for the pharmaceutical industry, which, in its pursuit of profits, is too eager to foster psychotropic medication interventions. Some opponents contend that its objectives are to foster chemical behavior control of American citizens. However, no commission recommendations specifically call for increased drug use and the commission did call for closer scrutiny of psychiatric drug treatment, months before the Food and Drug Administration (FDA) started taking these steps in the wake of reports of increased rates of suicide, especially during the first months of drug use.〔()〕
==Commission reports==
On July 22, 2003, the President's commission returned a report containing nineteen formal recommendations, organized under six proposed national goals for mental health. The report of the commission was viewed favorably by most major consumer, provider and other mental health interest groups. Much of the support for the program has centered on the commission's emphasis on recovery from mental illness, its call for consumer and family-centered care, and its recommendation that states develop a more comprehensive approach to mental health.
The commission reported that "despite their prevalence, mental disorders often go undiagnosed," so it recommended comprehensive mental health screening for "consumers of all ages," including preschool children, because "each year, young children are expelled from preschools and childcare facilities for severely disruptive behaviors and emotional disorders."
According to the Congressional Research Service, the commission did not specifically recommend a nationwide screening program for mental illness, although it did discuss the need to identify mental illness in certain settings (juvenile detention facilities, foster care) where research has shown that very high proportions of youth have these disorders. The commission also recommended deeper study of the safety and effectiveness of medication use, especially among children.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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