In Washington DC, a Struggle for the Efficient Care of the Mentally Ill

[This article posted on December 26, 2008. It is posted within the following categories: Healthcare Policy & The Media, Politics & The Law, via Michael Douglas, MD, MBA.]

Healthcare advocates in favor of privatizing[1] services to the mentally ill in the District of Columbia are doing so because the move will save money. Union reps for the District’s public municipal services disagree, citing the potential for undertreatment and outright negligence of DC’s most vulnerable of the lot.

Union leaders who represent some employees said the transition is risky. They said city counselors provide care to the most difficult cases, people with deep psychiatric troubles. Those patients have developed a trust with their counselors and are less likely to make the transition to a private care provider, they said.

In addition, union leaders said, about 200 workers would lose their jobs in the midst of a recession. They probably would seek work in the private sector, where pay is lower and job turnover is higher, the leaders said. 

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  1. Privatizing may have unintended consequences. It could lead to the fragmentation of treatment services by eliminating interdisciplinary teams and interagency programs, for example. []

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