A particular issue currently is the DSM-5 revision. As I have mentioned previously (see post), I have signed up for the campaign to abolish psychiatric diagnostic systems like DSM. I think it would help psychiatry to be without a diagnostic system for a while. It managed without one until 1948. The American psychiatric system has become very dependent on DSM for billing purposes, but I'm sure the insurance companies could develop an alternative system unrelated to DSM. After all, in the UK, clusters have been created for the introduction of payment by results without requiring an ICD diagnosis.
The meeting was split on the issue of the need for mental health legislation. As I've said before (see previous post) I think it's important revolutionaries and reformers work together. In the UK context, there is need for further reform of the Mental Health Act following the 2008 amendment. For example, there are ethical problems about enforcing community treatment in a capable patient. I think there is also a need for further safeguards in the use of ECT in a patient who is not consenting to treatment. But, unlike some, I do see a need for legislation.
For further reflections on the meeting, see Brad Lewis's post on Mad in America blog.