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New specialist emergency mental health services may be a great approach. But I was disturbed by the tone of St. Vincent Hospital's Andrew Dent's vision (Age, 20/6) for two or three "really overwhelmingly" resourced "centres of excellence" with "security and sedation and all those things" to allow "very interesting" research on samurai-wielding patients "so people would want to work there". Sounds great for the staff - but how about focusing on effective and efficient treatment for people who need help?

While it's important that the media has direct access to key decision-makers in public organisations, I'm starting to see why they employ professional publicists and lobbyists!