Ethics and value strategies used in prioritizing mental health services in Oregon

David A. Pollack, Bentson H. McFarland, Robert A. George, Richard H. Angell

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


The authors describe the ethical considerations underlying the inclusion of mental health services into a prioritizedhealth care system. The Oregon Health Plan is a process for defining and delivering basic health services to an entire state. As the plan was developed, the mental health community needed to decide whether or not to participate in the process and, if so, how. Lengthy discussions among mental health consumers, family members, and providers led to a strategy that emphasized the integration of mental health and chemical dependency services into a comprehensive and universal health care program. This approach appears to have achieved relative parity for mental health.

Original languageEnglish (US)
Pages (from-to)322-339
Number of pages18
JournalHEC Forum
Issue number5
StatePublished - Sep 1993
Externally publishedYes


  • health policy
  • mental health
  • prioritization
  • rationing

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy


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