Scallet L J, Havel J T
Office of Policy Counsel, Mental Health Policy Resource Center (MHPRC), Washington, D.C. 20036.
Hosp Community Psychiatry. 1994 Sep;45(9):888-92. doi: 10.1176/ps.45.9.888.
The creation of an effective coalition of mental health organizations was integral to the mental health community's early success in furthering coverage for mental health services in national health care reform. A unified coalition was able to establish political credibility and clarify substantive choices while the Task Force on National Health Care Reform was formulating the Clinton Administration's proposal, leading to initial indications that parity for mental health benefits and flexible coverage of a wide range of services would be included. As concerns about the cost of the benefit package increased, the Administration stepped back from including comprehensive coverage, and some organizations in the coalition became divided over specific provisions. However, as of June 1994, the mental health community's consistent consensus about the need for comprehensive coverage and parity enabled the field to gain inclusion for mental health services and, in fact, wider coverage in some of the proposals emerging from Congressional subcommittees.
建立一个有效的心理健康组织联盟，对于心理健康领域在推动国家医疗改革中扩大心理健康服务覆盖范围方面的早期成功至关重要。在国家医疗改革特别工作组制定克林顿政府的提案时，一个统一的联盟能够确立政治信誉并阐明实质性选择，这初步表明心理健康福利的平等以及广泛服务的灵活覆盖将被纳入其中。随着对福利套餐成本的担忧增加，政府不再纳入全面覆盖，联盟中的一些组织在具体条款上出现了分歧。然而，截至1994年6月，心理健康领域对全面覆盖和平等的持续共识使该领域能够将心理健康服务纳入其中，事实上，在国会小组委员会提出的一些提案中获得了更广泛的覆盖。
