January 2019 Monthly Update from SAMHSA’s Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS).

CAMHPRO disclaimer: The deadlines of these webinars are from January, so they may not be available, but please look at the material for updates and resources. Thank you.
SAMHSA’s Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS)
Welcome to the January 2019 Monthly Update from SAMHSA’s Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS). BRSS TACS monthly updates highlight upcoming events and resources that promote recovery.
In This Issue:
  • Recovery LIVE! Virtual Event: “What Does the Data Say? Effective Use of Recovery Supports in Various Treatment and Healthcare Settings”— January 24
  • Ask the Expert
  • Webinar: “Building Healthy Communities: The Role of Behavioral Health in Advancing Health Equity and Optimal Health for All”
  • Infographics Demonstrate Value of Peer Supports
  • BRSS TACS 2019 Capacity Building Opportunity
  • SAMHSA Reimagined
  • New Report: Drug and Opioid-Involved Overdose Deaths — United States, 2013–2017
  • Recommended Recovery Resources

Recovery LIVE! Virtual Event

What Does the Data Say? Effective Use of Recovery Supports in Various Treatment and Healthcare Settings
Thursday, January 24, 2:00–3:00 p.m. EST
BRSS TACS invites you to join national experts in a conversation about using research and program data to communicate the effectiveness of recovery supports.
Presenters will discuss real-life examples and strategies for measuring and using program data to communicate effectiveness and reinforce the value of recovery supports in treatment and healthcare settings. They will share data from several research studies on the effectiveness of recovery supports and recent data from the Association of Recovery Community Organizations.
This event supports critical SAMHSA strategic priorities as described in the SAMHSA FY2019–FY2023 Strategic Plan, including activities related to the Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) to improve the lives of individuals living with serious mental illness or serious emotional disturbances and their families. For example, included in the 45 recommendations in the ISMICC’s seminal report, issued in December 2017, is a focus on developing standards that include a full spectrum of integrated, complementary services known to be effective and to improve outcomes. These standards include team-based models of care delivery that are interdisciplinary and incorporate peer and family support specialists as a matter of routine practice.
Presenters include Phil Rutherford, Director of Operations, Faces and Voices of Recovery; Annette Crisanti, Associate Professor, Department of Psychiatry and Behavioral Sciences, University of New Mexico; and Jennifer Chadukiewicz, Recovery Coach Program Manager, Connecticut Community for Addiction Recovery (CCAR).
Join us for this free, interactive virtual event, moderated by BRSS TACS Deputy Director Steven Samra.
Register
BRSS TACS Ask the Expert

Ask the Expert

Justine Hanson, Senior Associate at the Center for Social Innovation, discusses research behind peer-delivered recovery supports.
Question: What does research say about the effectiveness of peer-delivered recovery supports?

Answer

There is evidence that peer support may
  • increase access to and engagement in treatment;
  • improve treatment retention;
  • reduce substance use;
  • increase empowerment, hope, and quality of life;
  • lead to improved social supports and better relationships with treatment and service providers and practitioners;
  • reduce criminal justice involvement; and
  • contribute to a range of improvements in recovery-related outcomes.
However, research has not kept pace with the exponential growth of peer support services being provided in a multitude of settings for people of all ages, often with different needs, by peers with varying levels of training, supervision, and experience. Not surprisingly, the strongest evidence base is for the oldest and most-researched forms of peer support: mutual help groups, peer-led structured group interventions (like Wellness Recovery Action Planning or WRAP), and recovery housing.
It is critical to broaden the research base to include all forms of peer recovery support at all stages of life. Programs can help build practice-based evidenceby using a range of methods to evaluate peer services and sharing their results widely.
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Webinar: “Building Healthy Communities: The Role of Behavioral Health in Advancing Health Equity and Optimal Health for All” 

The National Council on Behavioral Health is hosting a webinar on January 23, 2019, from 2:00 to 3:00 p.m. EST, focused on successfully advancing health equity and achieving health for all.
This webinar will focus on addressing tobacco use and mental and substance use disorders by changing the narrative about what creates health, implementing health in all policies and systems agendas and building community capacity to improve health for all.” Register and find out more today.

Infographics Demonstrate Value of Peer Supports

BRSS TACS offers several 2-page documents that use data to illustrate the value of peer recovery supports for people with mental or substance use disorders.
You can find these Peer Support Resources in English and in Spanish on the BRSS TACS website.
BRSS TACS 2019 Capacity Building Opportunity
BRSS TACS is pleased to announce the 2019 Capacity Building Opportunity, an intensive technical assistance opportunity offering sustained, individualized consultation, training, and peer-to-peer support. Up to 25 peer-run, recovery community, family-run, or youth- and young adult-run organizations will be chosen to participate in one of five focus areas:
  1. Partnering With State Systems to Advance Recovery
  2. Developing an Integrated Workforce
  3. Building Infrastructure and Organizational Capacity
  4. Sustaining Access to Treatment and Recovery in Educational Settings
  5. Supporting Reintegration
For more information on eligibility and how to apply, please review the overview and applicationApplications are due by Thursday, January 31, 2019, at 8:00 p.m. EST.  If you have any questions, please send an email to BRSS TACS.

New Report: Drug and Opioid-Involved Overdose Deaths United States, 2013-2017

The Centers for Disease Control and Prevention recently released a Morbidity and Mortality Weekly Report focused on drug and opioid-involved overdose deaths. Among the 70,237 drug overdose deaths in 2017, 47,600 (67.8%) involved opioids, with increases from 2016 among age groups, racial/ethnic groups, and other demographic groups. Between 2016 and 2017, there was a 45.2% increase in synthetic opioid-involved overdose death rates. Check out the full weekly report for more information.

SAMHSA Reimagined

SAMHSA recently published a review of its 2018 accomplishments. The following are just three examples of many notable achievements:
  • The SAMHSA Center for Behavioral Health Statistics and Quality released results from the 2017 National Survey on Drug Use and Health. The data show that the number of new heroin users decreased by more than 50 % from the previous year.
  • The Opioid State Targeted Response Program awarded $500M to states to develop prevention, treatment, and recovery systems to address the opioid crisis. The program provided services for over 121,000 people, trained 396,000 people, and offered 1,300 funded organizations at least one form of medication-assisted treatment in 2018.
  • SAMHSA launched an effort in which 23 states will be creating real-time bed registries to identify available beds and post-crisis follow-up services for people living with serious mental illness.

Recommended Recovery Resources

Request Technical Assistance

BRSS TACS offers free technical assistance, training and learning opportunities on recovery supports and services. We deliver training and technical assistance in a variety of formats, including consultations, virtual and in-person events and meetings, and online resources. Request technical assistanceor email technicalassistancebrsstacs@center4si.com.

About BRSS TACS

BRSS TACS helps programs, systems, states, territories, and tribes as they implement effective recovery supports and services for individuals of all ages and diverse populations with mental or substance use disorders or co-occurring mental and substance use disorders.
SAMHSA’s mission is to reduce the impact of substance use and mental illness on America’s communities.
Questions or comments about this e-mail? Let us know!

Joining BRSS TACS Listserv

Receiving this Monthly Update from a colleague?  Sign up for the BRSS TACS listserv.
Disclaimer: This newsletter was supported by contract number HHSS2832012000351/HHSS28342002T from the Substance Abuse and Mental Health Services Administration (SAMHSA). The views, opinions, and content of the newsletter are those of the writers and do not necessarily reflect the views, opinions, or policies of SAMHSA or the U.S. Department of Health and Human Services (HHS).

Live & Learn Peer Support Research and Updates!

Research and resources from Live & Learn partners

SAN LUIS OBISPO, CA

Mental Health Peer-Run Organizations and Health Homes Publication

We are pleased to share the last in a series of journal publications from the 2012 National Survey of Mental Health Peer-Run Organizations: “Attitudes of Mental Health Peer-Run Organizations Towards Health Homes: Recommendations for Policy and Practice“, published in Community Mental Health Journal, was coauthored by Elizabeth Siantz and Laysha Ostrow

Abstract: This study examined peer-run organizations’ attitudes towards collaborating in health homes. Data were drawn from the 2012 National Survey of Peer-Run Organizations. Multinomial logistic regression modeled the association between organizational willingness to participate in a health home and salient factors. Current efforts (OR = 5.05; p < 0.05), planned efforts (OR = 4.27; p < 0.05) to encourage physical healthcare, and staff size (OR = 1.09; p < 0.05) were associated with willingness to collaborate in health homes. Some organizations were concerned about power dynamics with potential medical collaborators. Relationships with medical providers, staffing capacity, and concerns about coercion should be considered when integrating peer-run organizations and health homes.

Continue reading the full article HERE. Visit our Dissemination page for more peer-reviewed publications and public reports from this study.

The Reclaiming Employment Business Directory is a “living” directory of mental health and social change small businesses in the U.S. that are operated by people with a psychiatric history. Each week the Reclaiming Employment Business Directory featured business will be highlighted in the directory as well as advertised across our social media platforms.

List your Small Business HERE!

Our first featured small business is Auspicious Fish. Auspicious Fish is a peer service dedicated to act as a supporter and navigator to clients on the path to their best possible self.

Find us on Facebook and Twitter to support the featured businesses.

Stay tuned for more updates on the Reclaiming Employment project!
Visit ReclaimingEmployment.net
Reclaiming Employment logo



 

Peer Respite.net provides a national directory of voluntary, short-term, overnight programs that provide community-based, non-clinical crisis support to help people find new understanding and ways to move forward.Reclaiming Employment logo

To visit the directory click HERE.
To submit a Peer Respite to be added to the directory click HERE.

To find out more about our partnerships and services, go to www.livelearninc.net/services and http://www.livelearninc.net/partners/

 

California Poll: Mental Health Care Access, Insurance Coverage, Affordability Rank Among Top Health Care Priorities for New Governor, Legislature

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California Poll: Access to Mental Health Care, Insurance Coverage, and Affordability Rank among Californians’ Top Health Care Priorities for the New Governor and Legislature

Most Californians Say
Their Community Does Not Have Enough Mental Health Providers

Large Majorities across Parties Say Medi-Cal is Important to the State;
Most Residents Say Program is Important to Their Families;
Access to Care Remains a Challenge for Some Enrollees

 

Californians rank making health care more affordable among their top overall priorities for the state’s new governor and legislature, with 45 percent citing it as “extremely important,” just behind improving public education (48%) and ahead of affordable housing (40%), finds a new KFF (Kaiser Family Foundation)/California Health Care Foundation poll examining state health policy issues.

Among health issues, Californians’ top priorities are ensuring people with mental health problems can get treatment (49% say it is “extremely important”), making sure all Californians have access to health coverage (45%), and reducing what people pay for their health care (41%).

Mental health access ranks in the top two health priorities for Democrats, Republicans and independents alike. Half (52%) of all Californians say their community does not have enough mental health providers to serve local needs.

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“We have never before seen the public place such strong emphasis on access to mental health treatment in our national or state polls,” said KFF’s President and CEO Drew Altman.

“There is a strong sense of urgency in these mental health findings,” said Sandra R. Hernández, president and CEO of the California Health Care Foundation. “Californians are telling us loud and clear that more should be done to expand and improve mental health treatment.”

The poll also gauges Californians’ views on the Medi-Cal program and finds an overwhelming majority (91%) say Medi-Cal is “very” or “somewhat” important to the state, including large majorities of Democrats (97%), independents (90%), and Republicans (80%). About six in 10 Californians (59%) say Medi-Cal is personally important to them and their families.

READ THE REPORT METHODOLOGY

The state-wide survey of 1,404 California residents was conducted before new Gov. Gavin Newsom unveiled his budget plan and priorities, which include proposals to expand health care access, affordability and coverage. Its findings highlight many of the challenges Californians face in these areas as the governor, legislature and other policymakers weigh potential solutions. For example:

Affordability

  • More than four in 10 Californians (44%) say they or someone in their household delayed or skipped medical care in the past year because of the cost. The share rises to more than half for people who are uninsured (54%) as well as those with incomes below 200% of the federal poverty level (55%).
  • One in five (20%) say they have had problems paying household medical bills in the past year. The share is higher among those who suffer from a debilitating health condition (34%).
  • Worries about affording unexpected medical bills (63%) outrank worries about affording routine out-of-pocket medical costs (56%) and worries about affording other basic needs, including transportation (53%) and housing (52%).

Access

  • Most Californians (57%) say residents with mental health conditions are not able to get needed services, and nearly half (48%) say the same about people with alcohol and drug use problems. The share reporting lack of access is even higher among those who say they or a family member sought treatment for these problems in the past 12 months.
  • Nearly a quarter (23%) of Californians say they had to wait longer than they thought reasonable to get an appointment for medical care in the past 12 months. This includes one in three (33%) Medi-Cal enrollees.
  • Among those who say they or a family member sought treatment for a mental health condition in the past year, about a quarter (23%) say they had to wait longer than they thought reasonable to get an appointment for mental health care, a share rising to four in ten (42%) for Medi-Cal enrollees.
  • In addition to half of Californians citing a shortage of mental health providers, about a third say their communities don’t have enough primary care doctors (35%) or specialists (33%) to serve local residents, and a quarter say they don’t have enough hospitals (27%). People living in the San Joaquin Valley and the Inland Empire are more likely than other Californians to say their local community lacks adequate numbers of providers.
  • The poll finds Californians strongly support one potential idea for addressing regional provider shortages: a large majority (83%) say the state government should provide medical and nursing students with scholarships and financial help if they agree to work in areas with too few providers.

Coverage

  • Half (50%) of the uninsured in California say they have been without insurance for at least two years. The main reason people report for being uninsured is that insurance is too expensive or they cannot afford it.
  • Worries about immigration status may also contribute to some uninsured Californians’ reluctance to seek coverage. Among the uninsured, 40 percent say they are worried that signing up for insurance could draw attention to their or a family member’s immigration status.
  • Although ensuring access to insurance is a top priority for Californians, residents hold mixed views on establishing a single-payer health system in the state. About half the public (48%) favors such a plan, while four in 10 (40%) oppose it. Notably, six in ten California Republicans (62%) strongly oppose such a plan, while about half as many Democrats (32%) strongly support it.

Views on the Affordable Care Act and Covered California

Most Californians (58%) view the Affordable Care Act favorably, making the national health reform law somewhat more popular in California than the country as a whole. This may be largely due to the fact that California leans Democrat, and Democrats are more supportive of the law than independents or Republicans.

Most Californians (56%) also say the state-run health insurance marketplace, Covered California, is working well. This includes majorities of Democrats (70%) and independents (55%), but only a third of Republicans (34%).

READ THE REPORT METHODOLOGY

Designed and analyzed by researchers at KFF and the California Health Care Foundation, the California Health Policy Survey was conducted from November 12-December 27, 2018 among a random digit dial telephone sample of 1,404 adults living in California. Interviews were conducted in English and Spanish by landline (476) and cell phone (928). The margin of sampling error including the design effect for the full sample is plus or minus 3 percentage points. For results based on subgroups, the margin of sampling error may be higher.

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.

Contacts:

Rakesh Singh | (650) 854-9400 | rsingh@kff.org
Lisa Aliferis | (510) 587-3159 | laliferis@chcf.org

Join our 2nd Thursday, Peer Webinars

CAMHPRO’s PS4PS Webinar
Thursday, January 10, 2019 at noon
‘Peer Support 4 Peer Supporters’

If you’re interested in being a co-facilitator

Email Klettau7@gmail.com

You only need to register once for this monthly webinar with your correct email. If you are registered you will receive a reminder email each month with your unique link to join.

REGISTER HERE

About CAMHPRO’s Monthly Peer Webinars

Quarterly Rotation of:
— Peer Support 4 Peer Supporters (PS4PS) NEW
— Spotlight on Model Peer Practices
— State Peer Standardization Update

Schedule:
Jan, April, July, Oct: Peer Support 4 Peer Supporters
Feb, May, Aug, Nov: Peer Model Spotlight
Mar, June, Sep, Dec: State Peer Specialist Standardization Update

  1. Thu, Feb 14, 2019 12:00 PM – 1:00 PM PST
  2. Thu, Mar 14, 2019 12:00 PM – 1:00 PM PDT

Sally’s Place Open House: Alameda County’s First Peer-Run Adult Respite

Aaron Ortiz, of La Familia Counseling Services in the Bay Area, praised Zinman for her tireless work on behalf of consumers. “I’d like to announce that La Familia will be opening a peer respite facility in January.”

Sally Zinman’s Place is the first peer-run adult respite in Alameda County. It’s been a long time in the making, and we would love for you to join in the celebration. See you there!

JANUARY 9, 2019
1:00 – 4:00 P.M.
1525 B. STREET, HAYWARD

Aaron Ortiz, of La Familia Counseling Services in the Bay Area, praised Zinman for her tireless work on behalf of consumers. “I want to say thank you to Sally for really empowering the consumer and I’d like to announce that La Familia will be opening a peer respite facility in January and we’re going to name it after Sally for all of her work and it’s going to be called Sally’s Place.” READ FULL ARTICLE

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IN PARTNERSHIP WITH:

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Peer Certification is Back! SB 10!

Senator Beall has reintroduced SB 10, mental health  services: peer, parent, transition age, and family support specialist certification

See News Release from Senator Beall’s office:

Legislators Call for Urgent Action to Improve Mental Health Services and Delivery
December 03, 2018

SACRAMENTO — On the opening day of a new legislative session, lawmakers from the Senate and Assembly gathered to call for action to stem California’s mental health crisis.

“It’s no secret that access to integrated mental health services and provider shortages plague our state, resulting in deteriorated mental health outcomes for all Californians,’’ said Beall, chairman of both the Senate Mental Health Caucus and the Select Committee on Mental Health. “The lack of integrated, accessible mental health services is one of the greatest humanitarian challenges we face and we must invest in mental health infrastructure to save many, many lives.

“Early access to treatment is key. Three-quarters of all mental health issues have their onset by the age of 24. Yet adolescents and young adults are the group least likely to receive mental health care. State Auditor Elaine Howle identified that counties have millions of dollars in unspent mental health funds and the state is projecting now a massive budget surplus. With resources available and the need for comprehensive mental health so great, the time for legislation and legislators to act is now.’’

“Joining Beall were John Moorlach (R-Costa Mesa), and Assemblymembers Dr. Joaquin Arambula (D-Fresno), Kansen Chu (D-San Jose) and representatives from the Steinberg Institute, Mental Health America of California and the National Alliance on Mental Illness.

This morning, Beall introduced three bills to increase and ensure mental health services and treatment:

SB 10 increases the effectiveness of mental health and addiction supportive services by establishing a state certification process for peer providers — people with lived experiences as family members, clients, or caretakers of individuals recovering from addiction or mental illness – who guide and help their clients.

SB 11 strengthens enforcement of state and federal mental health parity laws by requiring health care service plans and health insurers to submit annual reports to the state to determine if they are complying with parity laws. The information would be available to the public on the website of either the Department Of Managed Health Care or the Department of Insurance.

SB 12 declares the intent of the Legislature to amend the existing Mental Health Services Act (Proposition 63) to authorize the state and local governments to establish at least 100 drop-in centers to meet youths’ needs. They would be modeled after the headspace project, an Australian national network comprised of “one-shop stop’’ centers for youth to ensure they have the coping skills and a support system in place for a successful transition to adulthood. In California, 17 percent of high school students reported they have seriously considered attempting suicide; 9 percent reported they have attempted suicide one or more times.

The need for mental health treatment, therapy, and counseling is high in California. Only three out of four Californians who have mental health needs receive treatment.

The legislators made clear that California must eliminate gaps in the delivery of mental health services.

Sen. Moorlach called for connecting mental health services to young people. “I think with the Mental Health Services Act and all the funding that’s available, redirecting, giving more focus, and getting things moving is so critical. We can’t have $2.5 billion sitting in bank accounts languishing when we have so many families in need,’’ he said.

Arambula said, “Our foster kids who are exposed to more trauma than most should not have to deal with the crisis of the moment by being penalized and being sent to a judicial system that is not ready to process them. Instead, we should be meeting them where they are at by providing wrap-around services, a social worker and a crisis line.’’

Chu said he supports having at least one mental health professional on school campuses. “I believe the most central location to provide wrap-around services is at the school,’’ he said.

MHSOAC Honors Mental Health Icons

If California had to pick superstars in mental health advocacy, Sally Zinman and Rusty Selix would top the list.

That was the overwhelming consensus at the Mental Health Services Oversight and Accountability Commission meeting after the Commission named its two new fellowships in honor of Zinman and Selix. The Commission named the Mental Health Policy Consumer Fellowship in Zinman’s honor and the Mental Health Policy Practitioner Fellowship in Selix’s honor.

“We want to recognize both Sally Zinman and Rusty Selix and thank them both for the work that they’ve done and for their lifetime of advocacy and dedication to mental health,” said acting Commission Chair Khatera Aslami-Tamplen.

The announcement at the Commission meeting October 25 in Alameda County was met with resounding applause and with heartfelt tributes for them both.

“Sally Zinman has been a lifelong advocate for those of us living with mental health challenges and has been a leader in the consumer and peer movement across the country,” Aslami-Tamplen said. “She’s been a strong voice for self-empowerment, self-determination, consumer rights and for people living with mental health unmet needs, working to eliminate stigma and discrimination and uphold the civil rights of individuals with mental health challenges. We are honored to name the MHSOAC Mental Health Consumer Fellowship after Sally Zinman.”

State Senator and Commissioner Jim Beall presented Zinman with a framed resolution from the California State Senate.

“I’m really honored, Sally, to present you with this resolution from our California State Senate on their behalf,” Beall said. “Congratulations and maybe you can be a mentor for all these interns. We want them to be the future leaders in mental health in California and that’s what we are creating, the future leaders so congratulations and thank you for doing this work.”

Zinman called the honor, an honor for consumers.

“I see this as honoring all the consumers I have met and talked to, whose voices are in my ears and whose ideas I’ve listened to because I’m really them,” she said. “What I know and what I pass on and the work that I do is a collection of all of them.  I feel like I’m just a vehicle for all those people, the 41 years of their ideas and visions. That’s all in my mind so when you are naming a fellowship after me, you are naming it after consumers, after our consumer movement and after the values that we try to infuse into the system.”

Zinman said that she hoped that the future fellows would instill the values of the collective consumers into the Commission’s work.

“I know that the fellowship will help their careers and teach them a lot in terms of policy and I see them as teaching you all,” she said. “It’s really a vehicle for bringing those values and our principles to the Commission and to the larger mental health system. I thank you for honoring the consumer values and principles and movement by naming this fellowship after myself because that’s who I am. Thank you for the opportunity to continue that by having a person every day at your offices infusing the values of the consumer movement into this Commission.”

Aaron Ortiz, of La Familia Counseling Services in the Bay Area, praised Zinman for her tireless work on behalf of consumers. “I want to say thank you to Sally for really empowering the consumer and I’d like to announce that La Familia will be opening a peer respite facility in January and we’re going to name it after Sally for all of her work and it’s going to be called Sally’s Place.”

Several speakers called both Zinman and Selix mentors who inspired their work and commitment to mental health and said the Commission chose the right people as the Fellowships’ namesakes.

Rusty Salix could not attend the meeting. Selix co-authored the Mental Health Services Act, along with then-State Senator and now Sacramento Mayor Darrell Steinberg.

“Rusty Selix has contributed to our mental health movement tremendously and we wouldn’t be here today without the contributions of Rusty Selix,” Aslami-Tamplen said.  “He has been a strong and stabilizing voice for destigmatizing mental health challenges and building a continuum of care. We are honored to name the MHSOAC Policy Practitioner Fellowship after Rusty Selix and present him with a resolution for his lifetime of dedication to mental health.”

Executive Director Toby Ewing said Selix was instrumental in pushing many of California’s groundbreaking mental health system changes. “Rusty shared this much grander vision around opportunities for education, around ways to engage our public safety partners, around ways to engage the medical community and primary care and he’s continued to push this vision and as it is represented now in the Act and how we in California are really trying to transform that system from the fail-first system to one that is recovery oriented that really is about prevention and early intervention and is about innovation.”

He added that globally, others are starting to recognize the value of California’s mental health system.

“Rusty laid the foundation for not only for what we’re seeing today as far as fundamental improvements in our mental health system, but also the expanded global attention that you see,” Ewing said. “People do now recognize that mental health is foundational to quality of life. And we’re beginning to see how other states and other countries begin to look at what California is doing as a strategy for improving the mental health systems in their own communities.”

LINKED ARTICLE