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Thanks for a fascinating and detailed insight into what sounds like a legalistic quagmire that you have to confront just to ensure good enough healthcare. I am a psychiatrist in the UK, where our system of mental health care is by no means perfect, but I am perpetually confounded by the variation in approaches to the provision of care in not-so-different countries where you might think practise would be fairly similar.

I know that the same argument can be made about physical health care but the differences when it come to mental healthcare provision seem more stark. The idea that the federal government has to sue a state to try and ensure service provision seems mind-boggling when viewed from afar. I would be interested to know what substantive changes the injunctive order would be expected to make? You mentioned reduced wait times for competency assessments but was there any improvement in community mental healthcare provision?

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