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Published Online: 21 January 2005

State Gets Strategy for Reforming System

The Michigan Mental Health Commission submitted its final report and recommendations to Governor Jennifer Granholm (D) on October 24, 2004 (see story on page 1).
Commission members identified seven goals and several recommendations to implement each goal. More detailed recommendations appear in the report.
The following are the goals and representative recommendations:
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Goal 1: The public knows that mental illness and emotional disturbance are treatable, recovery is possible, and people with mental illness lead productive lives.
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The governor should convene Michigan leaders across many sectors as a private and public partnership to develop and launch a public education campaign.
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Goal 2: The public mental health system will define clearly those persons it will serve and will address the needs of those persons at the earliest time possible to reduce crisis situations.
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Uniform guidelines for serving individuals eligible for public mental health services should be put in place across the state.
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Goal 3: A full array of high-quality mental health treatment, services, and supports is accessible to improve the quality of life for individuals with mental illness and their families.
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A mental health institute should be created to develop evidence-based practice, and practice-based evidence research and state clinical leadership should be strengthened.
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Goal 4: No one enters the juvenile and criminal justice systems because of inadequate mental health care.
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Screening and assessment of children and adults at first contact should be ensured, and prerelease planning should address mental health and other needs.
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Goal 5: Michigan's mental health system is structured and funded so that high-quality care is delivered effectively and efficiently by accountable providers.
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A new funding strategy should be adopted by public mental health services, including dedicated state funding, full and flexible use of federal funds, adoption of new executive-branch budget policy, maintenance of county matching funds, and passage of a state parity law.
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Goal 6: Recovery is supported by integrated mental and physical health care and housing, education, and employment services.
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Mental and physical health care should be more integrated, as should substance abuse and other mental health treatment.
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Goal 7: Consumers and families are actively involved in service planning, delivery, and monitoring at all levels of the public mental health system.
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A mechanism should be implemented to obtain service-recipient and family feedback on satisfaction with services and progress toward outcomes.

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Published online: 21 January 2005
Published in print: January 21, 2005

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