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Are people left behind on the care pathway?

The care pathway has arrived in the mental health service. Three general pathways were implemented as of 1 January this year, after some debate (1–4): pathways for assessment and treatment in the mental health service, one for adults and one for children, and a pathway for mental health and addiction. These are based on five objectives: increased service user involvement /satisfaction; continuous and coordinated patient pathways; reduced unnecessary waiting times; parity of access to services in the whole country; and better attention to somatic health and lifestyle (5). These general buzzwords are specified as follows: An assessment plan must be drawn up and implemented within six weeks and the patient must receive a copy. Any rejection of treatment must be explained. A set of ‘guidelines for priority setting’ provides indicative deadlines for when to commence assessment for different conditions – e.g. one week in cases of bipolar disorder type 1 at an unstable stage.