In response to your concern Mary and all colleaques withregards to meeting the needs of patients. As a novice nurse way back early 80's, my experience with mentally ill patients is that of colors and shapes of drugs, if the manufacturers changed the color, size or shape we would see an influx of relapses because the tablets don't work as they said. Very limited information was given probably because we thought they would not understand or would not comply if they are told about their side effects. As a post graduate student 2002-2004 I adapted the Hidegard Peplau's "Therapeutic relationships from hospital to community" Theory and it has had a positive impact in patient education by nurses. The trend is slowly changing after 25 years. If patients misplace their clinic booklets they will tell you what they take, Haloperidol, Epilim, Melleril or something as well as the doses, at other times they will report back because "I have side effects to medication and I want it changed or reduced" especially common ones like extrapyramidal side effects, the nurses' work is to comfirm with their files what they are told. This is very encouraging because in mental health education about causes, symptoms, medication and possible side effects is done rigorously by the community mental health nurses. We still have a long way to go but there is a significant change between now and 1980.