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Comment & Response
May 5, 2015

Expanding Long-term Care Options for Persons With Serious Mental Illness—Reply

Author Affiliations
  • 1Department of Medical Ethics and Health Policy, Perelman School of Medicine at the University of Pennsylvania, Philadelphia
JAMA. 2015;313(17):1757-1758. doi:10.1001/jama.2015.3503

In Reply For some persons with serious mental illness, more structured institutional or hospital settings that provide treatment, safety, and the conditions for recovery are needed. The term asylum harkens back to the literal and idealized meaning of the term as a place of sanctuary and healing. The letters from Mr Dudek, Ms Rogers, Dr Feldman and colleagues, and Mr Son advocating for community-based mental health programs have misunderstood our Viewpoint.

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