1460 www.thelancet.com Vol 378 October 22, 2011 1 Karamanoli E. Dept crisis strains Greece’s ailing health system. Lancet 2011; 378: 303–04. 2 Stuckler D, Basu S, McKee M. International Monetary Fund and aid displacement. Int J Health Serv 2011; 41: 67–76. 3 Stuckler D, King LP, Basu S. International Monetary Fund programs and tuberculosis outcomes in post-communist countries. PLoS Med 2008; 5: 1079–90. 4 Gupta S. Response of the International Monetary Fund to critics. Int J Health Serv 2010; 40: 323–26. 5 Paparrigopoulos T, Liappas I. Greek academic psychiatry and neurology before the fi ring squad? Lancet 2011; 378: 313. parts (probation, prisons, courts, and police stations) and to encourage the expansion of preventive services. Such expansion involves providing better support for those with a range of problems, not simply psychosis, and a return to a focus on problem behaviours (ie, provision of services to assess and treat those who threaten, stalk, exhibit poor anger control, or develop sexually deviant interests). The way forward is through the dismantling of the current artifi cial barriers between forensic psychiatry services and the criminal justice system, and a move towards a convergence of care eff orts, while maintaining agency integrity. This integration would be more likely to produce equitable mental health delivery for all in the system, not just the lucky few, through ensuring better interagency cooperation and coordination of care. In doing so, it would also aid in preventing people from entering or reentering the criminal justice system, and so further their own interests as well as those of public protection.