This provocative book illustrates how the Americans With Disabilities Act (ADA) has failed to alleviate discrimination against people with mental disabilities. Rich in descriptions of court cases and disability law, the book shows how the ADA has been applied in a wide range of areas, such as employment, insurance, medical care, education, and professional licensing. Throughout, the author, a professor of law, intertwines moving first person accounts with a wealth of hard to find information (complaints under the ADA court settlements, opinion letters, and testimony from Congressional hearings).

This book features a unique survey compiled by the author that compellingly describes how people with mental disabilities experience discrimination. Stefan discovered two groups: Those who are part of the American mainstream and who report that people often refuse to believe their struggles, and those who are publicly identified as "mentally ill" and who are considered incapable of any type of achievement.

The author persuasively argues that America's current economic, legal, and social structures cannot accommodate the truth that mental disability is a continuing struggle that can—and often does—coexist with achievement and success. This bold and challenging book is an ideal resource for lawyers, people with mental disabilities, therapists, and anyone who seeks to understand the full impact of disability law.

Table of Contents



  1. The Landscape of Discrimination Today
  2. Images of Mental Illness
  3. Disability Benefits or Disability Rights?
  4. The Americans With Disability Act and Its Impact on Mental Health Systems
  5. Discrimination in the Delivery of Services to People With Psychiatric Disabilities
  6. Private Insurance and the Americans With Disabilities Act
  7. Professional Education, Licensing, and Discipline

Conclusion: From Segmentation to Transformation

Appendix A: Survey

Appendix B: Statutes Providing Disability Rights and Benefits

Table of Authorities


About the Author