Focusing the Nation’s attention on important public health issues, including the release of the first Surgeon General’s report ever issued on the topic of mental health and mental illness in 1999.

The Center for Mental Health Services

The Center for Mental Health Services (CMHS) is the Federal agency within the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) that leads national efforts to improve prevention and mental health treatment services for all Americans. CMHS pursues its mission by helping States improve and increase the quality and range of treatment, rehabilitation, and support services for people with mental health problems, their families, and communities. CMHS programs and activities include:

(from the Conclusion)

Mental Health and Mental Illness Across the Lifespan

 . . . Even more than is true for adults, children must be seen in the context of their social environments—that is, family and peer group, as well as that of their larger physical and cultural surroundings. Childhood mental health is expressed in this context, as children proceed along the arc of development. A great deal of contemporary research focuses on developmental processes, with the aim of understanding and predicting the forces that will keep children and adolescents mentally healthy and maintain them on course to become mentally healthy adults. Research also focuses on identifying what factors place some at risk for mental illness and, yet again, what protects some children but not others despite exposure to the same risk factors. In addition to studies of normal development and of risk factors, much research focuses on mental disorders in childhood and adolescence and what can be done to prevent or treat these conditions and on the design and operation of service settings best suited to the needs experienced by children. (Our emphasis.)

. . . and in 2004:

Remarks by
A. Kathryn Power, M.Ed.
Director

Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
U.S. Department of Health and Human Services


Transforming Child Mental Health Care

"It is up to you—the States—to ensure that change actually takes place. This is why the Commission vested the States with one of the most critical elements of system transformation: creation of a Comprehensive State Mental Health Plan. As outlined by the Commission, the State plan should:

  1. Increase the flexibility of resource use at the State and local levels;
  2. Hold State and local levels of government accountable for results;
  3. Ensure that an array of service options are integrated into a seamless system of care in which “any door is the right door” to get help; and
  4. Leverage additional resources from other systems that interact with individuals who have mental disorders, such as housing, health, employment, justice, and education.

I’d like to spend a moment on the first item. States need to do a better job coordinating the Federal dollars they already receive. We’ve learned through our Transition, Linking, and Caring Program that areas receiving multiple grant funds don’t communicate with each other. In other words, funding silos created at the Federal level are being reproduced at the State level. This is simply unacceptable! The Federal government is working hard to reduce fragmentation of services. This is a primary objective of our Action Agenda and the Federal Partners Workgroup that created it. The States need to work even harder at ending fragmentation of services at their level.

Imagine a State mental health care system that combines the resources of a mental health block grant, a child system-of-care grant, a Safe Schools/Healthy Student grant, a homelessness grant, and grants from the Department of Labor and the Department of Education! What could your State accomplish if you linked all of these systems? Wouldn’t this be a phenomenal opportunity to realize the concept of “any door is the right door” for someone needing help? What these programs can accomplish together far outweighs what they can accomplish individually.

The New Freedom Commission was right: “The time has long passed for yet another piecemeal approach to mental health reform.” The States, as well as the Federal Government, have to make a concerted effort to create comprehensive systems of care for children as well as adults. It’s time for us to move forward with what we know into what we do. "