Psychiatr Serv 58:1529-1531, December 2007
doi: 10.1176/appi.ps.58.12.1529
© 2007 American Psychiatric Association
State Mental Health Policy: "We Never Used to Do Things This Way": Behavioral Health Care Reform in New Mexico
Cathleen E. Willging, Ph.D.,
Leslie Tremaine, Ed.D.,
Richard L. Hough, Ph.D.,
Jill S. Reichman, Ph.D.,
Steven Adelsheim, M.D.,
Karen Meador, J.D. and
Elizabeth A. Downes, Ph.D.
This column describes the first year of efforts in New Mexico to reform the behavioral health system. The process, guided by principles of cultural exchange theory, seeks to establish a "collaborative culture" among all stakeholders involved, including state agencies, consumers, families, advocates, and providers. Challenges have included inadequate system funding; insufficient development of skill sets among state personnel; underestimation of time and labor needed to address complex tasks; varying federal statutory and funder requirements for individual agencies; lack of a solid infrastructure for data collection, management, and dissemination; and clear definitions of the roles and relationships of local stakeholders to the state leadership group.
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Mental Health Policy Development in the States: The Piecemeal Nature of Transformational Change
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