Legalization of Drugs: The Ultimate Harm Reduction Measure

Illegal drugs are dangerous, but many of their dangers are caused by their illegality rather than the drugs themselves. Yes, the use of illegal (and some legal) drugs results in addiction. But if we really want to reduce the dangers of drug abuse, we must address its illegality as well as the...

Why Integrated Care for Co-Occurring Disorders Is So Important

Providing integrated treatment for people with co-occurring behavioral and physical health disorders has become a central goal of mental health policy reform. Why? In part the answer is that the failure to provide effective integrated care drives up the cost of care. But the answer also is that...

A Good Place to Live Is Critical for Older Adults with Psychiatric Disabilities: Needed Public Policy Changes

Not so many years ago a diagnosis of schizophrenia was a life sentence, shortened only by the low life expectancy of people with serious and persistent mental illness. Thanks to the recovery movement, we now understand that a diagnosis of schizophrenia or other serious psychotic disorder does not...

We Must Advocate for Older Adults with Behavioral Health Conditions

As of this writing, the healthcare and behavioral health systems are facing unprecedented threats from proposed legislation to significantly roll back the gains achieved through the Affordable Care Act (ACA). Medicaid is also under threat, as the current legislative proposal attempts to alter its...

Elder Abuse: A Challenge to the Mental Health System

As the elder boom gathers momentum over the next 25 years, there will be more and more victims of elder abuse. America’s mental health system is not prepared to respond appropriately. It is not prepared to effectively engage victims, who are often suspicious of offers of help; it is not...

Fight Against Threats to Behavioral Heath Funding

The Trump presidency and Republican control of the Congress may do great damage to the already inadequate American mental health system by repealing the Affordable Care Act, eliminating Medicaid as an entitlement, privatizing Medicare, and limiting the authority of the states to regulate health...

The Presidential Election: Time for Behavioral Health Advocates to Speak Out

The next President of the United States can act to improve or to harm the American mental health system. Behavioral health advocates should speak out now to provide the political pressure that will be needed to improve rather than to harm the system. Preserve The Affordable Care Act Perhaps the...

Congressional Mental Health Policy Reform: Hope or Hype?

Since the tragic killings in Newtown, CT in 2013, most politicians have mistakenly maintained that mass murder is largely a consequence of a “broken” mental health system. In Washington, and elsewhere, elected officials have been promising to “fix” the system, and to their credit they have...

A Behavioral Health Workforce for An Aging America

As efforts are made to improve America’s inadequate behavioral health workforce, the needs of older adults should be a central concern. By 2030, Americans over the age of 65 will become as large a portion of the population as children under the age of 18. But there is far more interest in...

Improving the American Mental Health System: The Importance of the Workplace

Bill lived in an almost constant sense of dread. At work he was distracted by his worries about his children, who were having problems in school and about his deteriorating relationship with his wife. He worried about having enough money to pay the bills. At night he lay awake ruminating about...