ABSTRACT
Using international and historical comparisons, the authors examine different methods of producing primary care providers for mentally distressed people. They conclude that registered nurses with general training do not appear a reliable source of recruits to the field and that a ‘nursing’ approach to the issue may not well serve the interests of mental health. Instead, the authors propose the use of entry-level specialists who are divorced from general nursing. Such specialists would ensure that shortages of registered nurses do not adversely affect the care of mentally distressed persons.