A few years ago the Republican controlled state legislature passed a law taking decision-making authority for mental health away from the elected county supervisors and replaced them with a group of volunteers from the community. The board includes mental health consumers, attorneys, advocates and mental health professionals. There are a lot of big decisions to be made regarding Milwaukee County mental health. The county is moving away from the model of maintaining a large mental health facility which they have been downsizing over the years by closing wards and shifting the people who lived there to community based facilities. Case management, which helps people live in the community, has already been contracted out to various agencies. These agencies help engage with consumers and connect them to services with the aim of reducing their dependence on in patient treatment, which is expensive and often very traumatic.
However, there are no guarantees in this system. We all know people in community programs who died but we can try to reduce the number of preventable deaths. We can ensure that case management provides necessary services. We can increase the number of affordable housing units. We can offer physical and mental health in a coordinated fashion and make certain that people are getting regular check ups. We can have clinics where we would want to be treated. These are very easy steps we can take in our own agencies
But what we do to guide the process of system wide reform? One way is by joining the mental health board. Imagine my surprise when a former co-worker asked me to apply to join the board, which is appointed by the county executive. I will be tossing my hat into the ring tonight to see if I can add my experience to this group. I am excited, interested and curious all at the same time. I will post some more as the process goes along.