Your discussion in this area addresses privacy and confidentiality but fails to address the significant concern consumers have about how knowledge of their mental illness effects care. I have heard numerous stories of consumers having legitimate physical complaints discounted when a provider (most often in an ER setting) learns that the person has a mental illness.By and large consumers recognize the importance of having certain information (like medications) available to treating professionals, but SAMHSA should expand their conception of their role in this area to advocating for anti-stigma education for health care providers.