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This article first appeared in Volume 7, No, 3 (2000) of the Human Givens journal.

PROFESSOR MARCELLINO SMYTH is a general adult psychiatrist at North Birmingham Mental Health Trust and an honorary professor in social and community psychiatry at the University of Central England (Centre for Mental Health Policy). His main academic interest is in evaluating the extent to which new service models can impact on individuals receiving psychiatric care and their relationship with psychiatric services.

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