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American Academy of Child and Adolescent PsychiatryAmerican Psychiatric AssociationAmerican Psychological AssociationBazelon Center for Mental Health LawCHADD - Children and Adults with Attention-Deficit/Hyperactivity DisorderDepression and Bipolar Support AllianceFederation of Families for Children’s Mental HealthNAMI - National Alliance for the Mentally IllNational Association of County Behavioral Health DirectorsNational Association of State Mental Health Program DirectorsNational Council for Community Behavioral HealthcareNational Empowerment CenterNational Mental Health AssociationNational Mental Health Consumers’ Self-Help ClearinghouseSuicide Prevention Action Network USAUSPRA - United States Psychiatric Rehabilitation Association
A Roadmap for Federal Action onAmerica’s Mental Health Crisis
The Campaign for Mental Health ReformJuly 2005
EMERGENCYRESPONSE
EMBARGOED UNTIL WEDNESDAY, July 27, 2005, 8:45 am
 
Acknowledgements
 The Campaign for Mental Health Reform is a national partnership of organizations representing millions of people with mental disorders, theirfamilies, service providers, administrators, and other advocates. Its goal is tomake access, recovery and quality in mental health services the hallmarks of ournation’s mental health system.From concept to individual policy recommendations,
Emergency Response 
represents the collective effort of dozens of staff members who work with theorganizations that make up the Campaign for Mental Health Reform. This reportwould not have been possible, however, without the abundant research andinitial drafting provided by Jennifer Urff, J.D. The Campaign thanks her for herinvaluable contributions.This report was made possible through the generous support of the John D. andCatherine T. MacArthur Foundation and an anonymous donor.Campaign Steering Committee:Robert Bernstein, Ph.D., Bazelon Center for Mental Health LawRobert W. Glover, Ph.D., National Association of State Mental HealthProgram DirectorsMichael Faenza, M.S.S.W., National Mental Health AssociationMichael Fitzpatrick, M.S.W., National Alliance for the Mentally Ill
Emergency Response 
is also available online at www.mhreform.org. For questionsabout this report or the Campaign, contact the Campaign at info@mhreform.org.© The Campaign for Mental Health Reform, July 2005
 
Table of Contents
4
Executive Summary
6
Background: Why Reform Is Essential and Why the Federal Government MustLead It 
10
A Roadmap to Transform Mental Health Care
10
Step 1: Maximize the effectiveness of scarce resources by coordinatingprograms and making systems “seamless” to consumers.
13
Step 2: Stop making criminals of those whose mental illness results ininappropriate behavior.
15
Step 3: Make Medicaid accountable for the effectiveness of the mental healthservices it pays for.
18
Step 4: Prevent the negative consequences of mental disorders by gettingthe right services to the right people at the right time.
21
Step 5: Invest in children and support and value their families’ role in makingtreatment decisions.
23
Step 6: Promote independence by increasing employment, eliminatingdisincentives for economic self-sufficiency and ending homelessness.
26
Step 7: Address the mental health needs of returning veterans and theirfamilies.
27
Conclusion
28
Notes
3
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