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Comment & Response |

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

Dominic A. Sisti, PhD1; Andrea G. Segal, MS1; Ezekiel J. Emanuel, MD, PhD1
[+] 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.
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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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May 5, 2015
Franklin G. Miller, PhD
1Department of Bioethics, National Institutes of Health, Bethesda, Maryland
JAMA. 2015;313(17):1757. doi:10.1001/jama.2015.3488.
May 5, 2015
David Son, MA, MS Ed
1Creating Increased Connections: Resources for Human Development, Bridgeport, Pennsylvania
JAMA. 2015;313(17):1757. doi:10.1001/jama.2015.3491.
May 5, 2015
Mitchell D. Feldman, MD, MPhil; Eric A. Feldman, JD, PhD; Saul Feldman, DPA
1Department of Medicine, University of California, San Francisco
2University of Pennsylvania Law School, Philadelphia
3Retired, San Francisco, California
JAMA. 2015;313(17):1756-1757. doi:10.1001/jama.2015.3494.
May 5, 2015
Kenneth J. Dudek, MSW
1President, Fountain House, New York, New York
JAMA. 2015;313(17):1755. doi:10.1001/jama.2015.3497.
May 5, 2015
Susan Rogers, BA
1National Mental Health Consumers’ Self-Help Clearinghouse, Philadelphia, Pennsylvania
JAMA. 2015;313(17):1755-1756. doi:10.1001/jama.2015.3500.
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