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The transforming influence of care in the community, with its resulting mass of new legislation, has brought about change whose pace has been gathering momentum. The culmination of this process is evident in the Modernising Mental Health Services (Department of Health, 1999a) agenda, proposals to reform the Mental Health Act (Department of Health 1999b, 1999c, 1999d) and the Mental Health National Service Framework (Department of Health, 1999e). This article explores the challenges.

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