par Amiel, Roger 
Référence International journal of mental health, 6, 4, page (40-44)
Publication Publié, 1977
Référence International journal of mental health, 6, 4, page (40-44)
Publication Publié, 1977
Article révisé par les pairs
| Résumé : | The financing of continuing care of chronic psychiatric patients is a universal problem. In every country the chronically ill continue to crowd the psychiatric hospitals; and even though an increasing number are being 'deinstitutionalized', most remain wards of the community, since they are unable to hold paying jobs. Social security agencies, conceived to provide social guarantees for wage labor, their funds deriving mainly from taxes on employers and on employee wages, are reluctant to assume these costs, claiming that they should come from state budgets based on tax revenues. The best formulas for social insurance are those that, while assuming responsibility for proven cases of illness, also gradually extend their activities to detection of psychiatric disorders at an early stage and reach out into the community with programs of social and occupational rehabilitation for those who have been impaired by illness. Moreover, the economic value of prevention is now generally recognized. Social security funds should therefore cover efforts to detect mental disorders early; to combat their initial manifestations, in the hope of retarding or circumventing the appearance of disabling complications; and to maintain or rehabilitate vulnerable individuals, former patients, and fragile and newly discovered subjects, particularly among the employable population. |
