I would be extremely concerned that patients with the major mental illnesses under Bohmer's standard care model would be classed as needing ‘standard care’ and would be handled by non-medical professionals. ^{Reference Abed1} To me, this is callous care and not standard care. It is a theoretically smart sounding concept, but, at a clinical level, most good clinicians would appreciate that just knowing the protocol and guidelines without knowledge of various other possibilities in the vast array of medical complexities is a dangerous practice. There is a clear difference between how a doctor diagnoses and attributes complaints to a cause compared with other professionals and these concepts are now being created only to undermine the role of a doctor in psychiatry.

What is further concerning is that the history and the future of research are never considered in these theoretical concepts. Research for these standard-care patients has come mostly from doctors who have closely worked with these patients day in and day out learning the subtleties of their presentations.

If research is to continue, doctors will have to work closely with these standard-care patients! This is a seriously concerning model to me.