Milwaukee County’s Mental Health Reform Successes

In a local publication, the Urban Milwaukee online newsletter reports on the beginnings of success in Milwaukee County’s difficult reform process addressing their overstressed mental health services delivery system. Milwaukee County had made the national news more than a few occasions in the last three years or so, as its deficiencies came to light. The reader is encouraged to use any search engine to see such accounts as this, to get a feel for what the advocates, patients, public mental health agencies and the local county government, were facing. It sounded even to this reader and observer, like another example of failure, governmental funding neglect, inadequate services, etc., that would take its place alongside numerous other instances of local and regional failure in mental health services delivery. It was also very much in doubt that adequate solutions would or could be organized, funded and put into place.

However, the local groups involved in Milwaukee County from county officials to agencies, advocacy groups, patients, and mental health providers, pledged to address the issues jointly, and they did so for over two years. Their efforts, I am sure, were extremely difficult and daunting to everyone involved. But they persevered under very stressful circumstances, and as the television commentators would say, ‘they pulled it off.’

In an article entitled “Milwaukee County’s Approach in Mental Health Reform is a National Success Story,” this unusual effort is detailed anyone interested in this national and local issue to read, take heart from, and to learn from.

One of the signal features of their effort was truly bringing all the “stakeholders” together to work in a very unified manner, encouraging novel ideas. Very different worlds, from police to clinicians and local governmental officials of all stripes formed working groups in a “multidisciplinary” way[another current buzzword that I often detest, but seems to apply in this effort]. One example is that early on in their work process, the reformers for lack of a better term overcame the usual city-county splits of governmental entities, clinical entities, and police law enforcement groups. Too often I have seen all kinds of efforts ranging from budgetary matters to who pays for the pro football team’s new stadium to where the next trash landfill will be located. In greater Milwaukee, the city-county entities worked together [gee, I wish Congress could do that…]

So, if you are interested in mental health reform and need an example of success to strengthen your own resolve, please read about Milwaukee’s efforts.

 

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Author: Frank

I am a older child, adult, geriatric teaching psychiatrist with over 30 years' practice experience in North Carolina, first at Duke as clnical teaching faculty, then in Western NC as a primary child psychiatry specialist. I have taught and supervised child psychiatrists and psychiatrists in training and many other mental health professionals and taught at two medical schools. I have served in many public and private practice settings. My primary interest is in observing and documenting the ongoing mental health reform efforts in the State of North Carolina and documenting its sucessess and failures at all levels. My favorite pastime among many others is spoofing my friends and kids with my deadpan sense of humor.

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