Abstract
People with severe and persistent mental illness have a broad array of needs related to health and well being. In the present era of shrinking health care resources and managed care, it is not likely that the formal health care system can or will be sufficiently responsive to the needs of this population. To address adequately the care and treatment of individuals with serious mental illness, it is essential to identify and use all available resources, both in the formal health care system and within informal systems of care.
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