Actually, Abilify is preferred by a big percentage of people with schizophrenia, so docs like it because there's better adherence. I've worked in behavioral health for years before I joined this team. The biggest challenge, besides compliance, for mental health centers and hospitals is the shortage of psychiatrists, and huge caseloads. Haldol is effective, but makes people feel like crap, so they have to be seen more often for symptoms. Ecause they don't take their meds. That means longer wait lists, and fewer patients (especially paying patients) get seen. Abilify has better adherence, and if it can be given monthly, it frees up slots for the doc. Federal grants and certain funding streams have an expectation for numbers of people served as well. Mental health is a relatively low percent of most Medicaid budgets anyway, and the priority for most of the states is to keep patients using public money out of the hospital.