,,iv #aaf? ,,congress #b;d ,session ,h4 ,,res4 #ajeg ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,july #ba1 #bjbj,mr4 ,k5n$y 7= himself1 ,ms4 ,matsui1 ,mr4 ,tonko1 ,mr4 ,crd5as1 & ,mr4 ,trone7 submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,,resolution ,express+ ! s5se ( ! ,h\se ( ,repres5tatives t 9 ord] to effectively address ! high preval5ce ( ^? suff]+ f m5tal heal? conditions & sub/ance use disord]s1 ! ,unit$ ,/ates ne$s to make hi/oric f9ancial inve/m5ts into m5tal heal? & sub/ance use disord] c>e & f9ally ackn[l$ge su* c>e z a priority 9 heal? c>e equal to physical heal?1 & = o!r purposes4 ,:]eas !re is an urg5t ne$ to improve our heal? c>e sy/em to bett] integrate m5tal heal? & sub/ance use disord]s s !y are no long] se5 sep>ately2 ,:]eas accord+ to ! ,_w ,heal? ,organization1 m5tal illness is sev]ely und]diagnos$1 & less ?an half ( ^? :o meet diagno/ic crit]ia are id5tifi$2 ,:]eas !re is a press+ ne$ to provide a compreh5sive solution to fix our heal? sy/em t incorporates ! ne$s & exp]tise ( all its /akehold]s1 especially ^? :o h exp]tise 9 m5tal heal? & sub/ance use disord]s2 ,:]eas x is ess5tial to remove ! misguid$ association betwe5 m5tal illness & viol5ce driv5 by fe> & misund]/&+2 ,:]eas m5tal illness & sub/ance use disord]s h be5 und]rese>*$1 und]treat$1 & ov]/igmatiz$2 ,:]eas /igma1 vilification1 & dismissal ( m5tal illness & sub/ance use-- 7#a7 create a culture t-- 7,a7 disc\rages utilization ( m5tal heal? & sub/ance use disord] s]vices2 & 7,b7 lacks ackn[l$gm5t t /ruggl+ ) m5tal heal? conditions or sub/ance use disord] is n some?+ to be a%am$ (2 & 7#b7 c v>y 9 prom95ce 9 diff]5t cultures & communities1 & are p>ticul>ly high among communities ( color & m9ority communities2 ,:]eas m5 9 p>ticul> face cultural & societal b>ri]s to seek+ treatm5t = m5tal heal? conc]ns & sub/ance use disord]s1 :i* c contribute to conc]n+ outcomes includ+ suicide & aggressive behaviors2 ,:]eas ! bulk ( our m5tal heal? & sub/ance use disord] s]vices are reactive in/ead ( proactive1 treat+ pati5ts :5 !y are 9 crisis in/ead ( incorporat+ s]vices & scre5+s e>li] 9 an attempt to prev5t su* crisis f occurr+2 ,:]eas !re is a ne$ to increase access to treatm5t1 s]vices1 & social supports = ev]yone to proactively address root causes ( m5tal illness & sub/ance use disord]s2 ,:]eas x is necess>y to address ! root causes ( m5tal heal? conc]ns & sub/ance use disord]s2 ,:]eas x is necess>y to address suicide 9 a holi/ic mann] & recognize & address suicide ideation & n j ! action 9 isolation2 ,:]eas !re is a ne$ to address social det]m9ants ( heal?1 :i* are conditions t directly & indirectly affect ! heal?1 heal? c>e1 & wellness ( individuals & communities1 9 ord] to effectively provide c>e = all individuals liv+ ) m5tal illness & sub/ance use disord]s2 ,:]eas m5tal heal? impacts physical heal?1 & physical heal? impacts m5tal heal?2 ,:]eas ! curr5t heal? c>e sy/em does n adequately incorporate m5tal heal? & sub/ance use disord]s into ! assessm5t or deliv]y ( c>e1 z evid5c$ by ! fact t all vital signs are curr5tly = physical heal? alone & d n t\* on m5tal heal? or sub/ance use disord]s2 ,:]eas ! lack ( a unit$ approa* across ! ,f$]al ,gov]nm5t to improve m5tal heal? & sub/ance use disord]s has left ,/ates & localities-- 7#a7 )\t adequate guidance or res\rces2 7#b7 )\t res\rces unable to provide ! m5tal heal? & sub/ance use disord] s]vices ne$$ to adequately meet ! ne$s ( _! populations2 & 7#c7 ) res\rces unable to effectively di/ribute s]vices to adequately meet ! ne$s ( _! populations2 ,:]eas !re is a ne$ = great] collaboration across all ,f$]al dep>tm5ts t t\*es v>i\s aspects ( ! heal? c>e sy/em 9 ord] to fully incorporate ! ne$s & conc]ns ( ev]yone involv$ 9 ! m5tal heal? & sub/ance use disord] sy/em2 ,:]eas !re is a ne$ = great] collaboration betwe5 ,f$]al1 ,/ate1 & local dep>tm5ts t t\*es on v>i\s aspects ( ! heal? c>e sy/em2 ,:]eas !re is a ne$ = "o c5traliz$ location )9 ! ,f$]al ,gov]nm5t = good1 reliable in=mation on m5tal heal? & sub/ance use disord]s = provid]s1 pati5ts1 & c>egiv]s2 ,:]eas !re is a ne$ = /&>diz$ def9itions1 /&>ds ( c>e1 & metrics = m5tal heal? & sub/ance use disord]s across discipl9es2 ,:]eas !re is a ne$ to *ange inc5tives = provid]s to bett] ensure ev]yone ) m5tal heal? & sub/ance use disord]s ne$s gets access to ! necess>y c>e & treatm5t2 ,:]eas ! ,m5tal ,heal? ,p>ity & ,addiction ,equality ,act has be5 9 effect s9ce #bjjh1 & #ab ye>s lat] !re is /ill a lack ( compliance among insur]s n adequately cov]+ m5tal heal? & sub/ance use disord] s]vices2 ,:]eas ,m$icaid is ! s+le l>ge/ pay] ( m5tal heal? & sub/ance use disord] s]vices1 & reimbursem5t is f> f adequate2 ,:]eas !re is a ne$ to inc5tivize pay]s to adequately cov] m5tal heal? & sub/ance use disord] s]vices 9 ! same mann] t all specialty s]vices are cov]$2 ,:]eas !re is a ne$ to increase ! numb] ( m5tal heal? & sub/ance use disord] provid]s2 ,:]eas #ee p]c5t ( c\nties 9 ! ,unit$ ,/ates d n h a s+le psy*iatri/1 psy*ologi/1 or social work]2 ,:]eas only #aj p]c5t ( p suff]+ f a sub/ance use disord] receive specialty treatm5t2 ,:]eas !re is a ne$ to increase access & utilization to telem$ic9e = m5tal heal? & sub/ance use disord] s]vices bo? )9 ,/ates & across ,/ate l9es2 ,:]eas pati5t privacy ne$s to be protect$1 b !re ne$s to be a bett] way to %>e in=mation among provid]s to bett] s]ve ! pati5t's ne$s2 ,:]eas safe h\s+ ne$s to be recogniz$ z a basic requirem5t = treatm5t to be successful & ne$s to be bett] address$ z p transition c>e2 ,:]eas !re is a ne$ to improve social det]m9ants ( heal?1 su* z increas$ access to /able h\s+ & jobs1 = ^? suff]+ f m5tal illness & sub/ance use disord]s to h a su/a9$ recov]y2 ,:]eas !re is a ne$ to provide c>e 9 m appropriate & integrat$ sett+s = all pati5ts1 su* z treat+ g]iatric pati5ts 9 _! homes z oppos$ to nurs+ homes1 :5 appropriate & 9 compliance ) ! ,am]icans ) ,disabilities ,act ( #aiij 7,public ,law #aja-ccf7 & ! ,supreme ,c\rt's ,olm/ead v4 ,l4,c4 decision2 ,:]eas !re is a ne$ = great] focus on int5sive outpati5t1 p>tial hospitalizations1 resid5tial programs1 day programs1 support$ h\s+1 ass]tive community treatm5t1 mobile crisis s]vices1 pe] support s]vices1 support$ employm5t1 & community-bas$ s]vices = adults ) m5tal illness & sub/ance use disord]s2 ,:]eas !re is a ne$ to ensure t s]vices support individuals ) m5tal heal? conditions & sub/ance use disord]s to p>ticipate fully 9 _! communities & live & ?rive indep5d5tly ,:]eas !re ne$s to be consi/5t c>e coord9ation & m effective transition s]vices = ^? mov+ betwe5 hospitals & ! community2 ,:]eas !re is a ne$ to address isolation issues g]iatric pati5ts face :i* c negatively impact _! m5tal heal?2 ,:]eas depression1 anxiety1 po/-traumatic /ress1 & psy*osis are "s ( ! mo/ common conditions wom5 exp]i5ce pre- & po/p>tum2 ,:]eas unmet p>5tal m5tal heal? & sub/ance use disord] treatm5t & s]vice ne$s contribute to increas$ involvem5t ) ! *ild welf>e sy/em1 :i* leads to prev5table fo/] c>e placem5ts1 giv5 t-- 7#a7 9 #bjah1 #bfb1ief *ildr5 ent]$ fo/] c>e1 ) ! lead+ reasons relat$ to m5tal heal? & sub/ance use disord] ne$s ( ! p>5ts1 )-- 7,a7 #cf p]c5t ( *ildr5 ent]+ c>e z a result ( p>5tal drug abuse2 7,b7 #ad p]c5t ( *ildr5 ent]+ c>e z a result ( ! c>etak]'s inability to cope2 & 7,c7 #e p]c5t ( *ildr5 ent]+ c>e z a result ( p>5tal alcohol abuse2 7#b7 ev5 :5 necess>y to ensure a *ild's safety1 fo/] c>e itself creates additional trauma = bo? ! *ild & family2 & 7#c7 long/&+ racial inequities 9 *ild welf>e s]vices create disproportionate *ild welf>e involvem5t = ,black1 ,native1 & ,lat9x *ildr5 & families1 :i* exac]bates ^? families' exp]i5ces ( trauma & contribute to heal? disp>ities :ile n result+ 9 ne$$ access to quality m5tal heal? & sub/ance use disord] s]vices2 ,:]eas *ildr5 & adolesc5ts h unique ne$s :5 x comes to m5tal heal? & sub/ance use disord]s & ! s]vices provid$1 giv5 t-- 7#a7 #de p]c5t ( *ildr5 h exp]i5c$ adv]se *ildhood exp]i5ces :i* h ! pot5tial to significantly impact ! m5tal heal? ( *ildr52 7#b7 9 ! la/ #ab mon?s1 #di4d p]c5t ( *ildr5 :o ne$$ m5tal heal? s]vices did n receive ! necess>y s]vices1 & !re ne$s to be improv$ access to m appropriate treatm5t s]vices1 :i* mu/ focus on community-bas$ supports & s]vices available ne> _! home1 9 ord] to effectively prev5t *ildr5 f exp]i5c+ a m5tal heal? crisis2 7#c7 _m *ildr5 suff]+ & /ruggl+ g undiagnos$ & are n adequately support$1 & !re is a ne$ to improve tra9+ & und]/&+ ( m5tal heal? & sub/ance use disord] conc]ns = educators s9ce (t5 !re are b>ri]s to m5tal heal? & sub/ance use disord] treatm5t 9 a s*ool sett+2 7#d7 #db p]c5t ( s*ool di/ricts h report$ us+ ?reat assessm5t & risk assessm5t teams1 an approa* creat$ by ! ,unit$ ,/ates ,secret ,s]vice t involves id5tify+1 evaluat+1 & tak+ action on curr5t or pot5tial ?reats :i*-- 7,a7 c cause significant h>m to ! m5tal heal? & emotional well-be+ ( *ildr52 7,b7 has comp\nd$ already exi/5t /igma = gr\ps ( /ud5ts2 7,c7 has _h a disproportionate impact on /ud5ts ( color by initiat+ ju/ice involvem5t 9 lieu ( m appropriate s]vices2 & 7,d7 has _h a disproportionate impact on /ud5ts ) disabilities2 7#e7 families & c>egiv]s ne$ to be includ$ :5 treat+ *ildr5 suff]+ f m5tal illness & sub/ance use disord]s2 & 7#f7 :5 *ildr5 turn #ah !y are cut (f f m5tal heal? & sub/ance use disord] s]vices :i* impacts cont9uity ( c>e2 ,:]eas !re is a gr[+ ne$ = m5tal heal? & sub/ance use disord] s]vices among/ "y adults & college-ag$ adults1 & betwe5 #bjjg & #bjag1 = ^? ag$ #ah-cd !re 0 a-- 7#a7 #ajh-p]c5t increase 9 drug-relat$ dea?s2 7#b7 #fi-p]c5t increase 9 alcohol-induc$ dea?s2 & 7#c7 #ce-p]c5t increase 9 suicide dea?s2 ,:]eas despite ! ris+ ne$ = m5tal heal? & sub/ance use disord] treatm5t by "y adults1 !re cont9ues to be disp>ities 9 access+ c>e exp]i5c$ by "y adults ( color2 ,:]eas #e4e million vet]ans & s]vicememb]s rely on ! ,dep>tm5t ( ,vet]ans ,affairs = heal? s]vices1 & #a4e million vet]ans h receiv$ a m5tal heal? diagnosis1 &-- 7#a7 #a 9 #d active duty memb]s %[s signs ( m5tal heal? conditions2 7#b7 ! rate ( po/-traumatic /ress disord] 7,,ptsd7 is #ae times high] 9 s]vicememb]s ?an comp>$ to civilians due to milit>y combat & milit>y sexual assault & trauma2 7#c7 ! rate ( depression is #e times high] 9 s]vicememb]s ?an comp>$ to civilians2 7#d7 e day1 #bb vet]ans die by suicide2 7#e7 !re is a fe> ( disclos+ m5tal heal? conditions & sub/ance use disord]s & seek+ treatm5t due to negative c>e] implications2 & 7#f7 less ?an #ej p]c5t ( vet]ans receive ! m5tal heal? treatm5t & s]vices !y ne$2 ,:]eas #aa p]c5t ( ^? ent]+ ! ,vet]ans ,affairs heal? sy/em meet ! crit]ia = a sub/ance use disord]2 ,:]eas vet]ans are m likely to h an alcohol use disord] ?an civilians2 ,:]eas #b 9 #aj vet]ans ) ,,ptsd h a comorbid sub/ance use disord]1 & #a 9 #c vet]ans seek+ s]vices = a sub/ance use disord] also h ,,ptsd1 %[+ ! int]connect$ness betwe5 ^! conditions2 ,:]eas !re is a ne$ to bett] educate all ^? 9 ! crim9al ju/ice sy/em on ! impact & ne$s ( ^? ) m5tal heal? conditions & sub/ance use disord]s2 ,:]eas ! ,unit$ ,/ates ju/ice sy/em is ! l>ge/ provid] ( m5tal heal? s]vices1 & x 0 n built1 or int5d$ to be us$1 = t purpose1 &-- 7#a7 !re are #eej1jjj p curr5tly inc>c]at$ ) m5tal illness2 7#b7 #a 9 #e p inc>c]at$ has a s]i\s m5tal illness2 & 7#c7 ( ^? inc>c]at$1 #ge p]c5t ) a s]i\s m5tal illness suff] f a co-occurr+ sub/ance use disord]2 ,:]eas !re is a ne$ = inc5tives to r$uce inappropriate inc>c]ation & det5tion = ^? ) m5tal heal? & sub/ance use disord] ne$s2 ,:]eas "o-?ird ( p inc>c]at$ receive treatm5t = m5tal illness1 & _m times x is inconsi/5t & inadequate1 & !re is a ne$ = improv$ access to s]vices & treatm5ts t are also trauma in=m$2 ,:]eas !re is a ne$ to h m5tal heal?1 sub/ance use disord]1 & div]sion s]vices available at all int]cepts ( ! ,sequ5tial ,int]cept ,model1 a model develop$ to in=m m appropriate community-bas$ responses & div]t ^? ) m5tal illness & sub/ance use disord]2 ,:]eas !re is a ne$ to improve levels ( coord9ation1 c>e managem5t1 & insurance cov]age be=e1 dur+1 & aft] inc>c]ation2 ,:]eas po/release navigation is key to keep+ p f re5t]+ ! ju/ice sy/em2 ,:]eas !re is insuffici5t und]/&+ ( ! m5tal heal? effects ( inc>c]ation2 ,:]eas !re is a ne$ to r$ef9e ! juv5ile ju/ice sy/em to include ^? :o are #be ye>s ( age or y\ng] 9 ord] to reflect ! mo/ up-to-date sci5tific cons5sus on bra9 developm5t & behavior2 ,:]eas ! juv5ile ju/ice sy/em mu/ fulfill its purpose ( support+1 rehabilitat+1 & treat+ *ildr5 9 ne$ r ?an puni%+ !m giv5 t-- 7#a7 /udies h %[n t #gj p]c5t ( y\? 9 det5tion h a diagnos$ m5tal illness1 & #fj p]c5t ( ^? may also meet ! crit]ia = a sub/ance use disord]2 7#b7 #ij p]c5t ( ^? 9 ! juv5ile ju/ice sy/em h be5 expos$ to trauma or viol5ce :i* may increase ! likelihood ( juv5ile ju/ice involvem5t2 7#c7 entry into ! juv5ile ju/ice sy/em may exac]bate ! exi/+ m5tal heal? & sub/ance use disord] conc]ns ( y\?s1 p>ticul>ly 9 ! abs5ce ( consi/5t scre5+ & treatm5t = ^! conditions2 & 7#d7 an e/imat$ #cc p]c5t ( *ildr5 9 long-t]m juv5ile ju/ice facilities h intellectual1 developm5tal1 & o!r disabilities & 7 receiv+ special education s]vices2 !re=e !re is a ne$ to h specific s]vices & programs )9 ! juv5ile ju/ice sy/em ) a focus on _! ne$s2 ,:]eas /udies %[ t #da4b p]c5t ( ^? :o are diagnos$ ) a sub/ance use disord] are also diagnos$ ) a m5tal illness1 :i* is likely an und]e/imate 9 light ( ! curr5t b>ri]s to id5tify+ & report+ m5tal heal? conc]ns2 ,:]eas giv5 ! high co-occurr5ce ) m5tal illness1 compreh5sive c>e = sub/ance use %\ld include access to psy*oph>macology1 psy*o!rapy1 cont+5cy managem5t1 recov]y support1 all evid5ce-bas$ m$ication-assi/$ treatm5t1 a multidiscipl9>y /aff1 & gr\p !rapy = adults1 &-- 7#a7 addiction treatm5t c5t]s %\ld ei!r (f] or h available compreh5sive c>e & support & h ! ability to treat m5tal illness z well z sub/ance use disord]s2 & 7#b7 to all[ = treatm5t flexibility to fit ! ne$s ( ! pati5t1 !re is a ne$ to increase access to all evid5ce-bas$ m$ication-assi/$ treatm5t1 9 prisons1 jails1 & all addiction treatm5t c5t]s2 ,:]eas !re are inequities 9 access1 availability1 & quality = m5tal heal? & sub/ance use disord] s]vices = m9ority communities1 &-- 7#a7 !re is great] /igma among racial & e?nic m9ority populations2 7#b7 racial & e?nic m9orities are disproportionately affect$ by disabilities t result f m5tal heal? conditions2 & 7#c7 only #ca p]c5t ( ,african ,am]icans & ,hispanics & #bb p]c5t ( ,asians receive m5tal heal? c>e comp>$ to #dh p]c5t ( ,caucasians2 ,:]eas ,,lgbtq individuals are m ?an twice z likely to suff] f m5tal heal? conditions & sub/ance use disord]s ?an het]osexual individuals1 &-- 7#a7 #bi p]c5t ( ,,lgbtq y\?s attempt suicide1 :i* is almo/ #e times m likely ?an het]osexual y\?s2 7#b7 approximately #ca p]c5t ( ,,lgbtq old] adults report symptoms ( depression1 & #ci p]c5t report s]i\sly ?9k+ ab\t suicide2 7#c7 #cj4h p]c5t ( transg5d] individuals report consid]+ suicide comp>$ to #b4c p]c5t ( het]osexual individuals2 & 7#d7 ( ! #d1hij transg5d] individuals inc>c]at$ 9 ,/ate prisons1 only #ae 7 confirm$ ( be+ h\s$ accord+ to _! liv$ g5d]1 :i* poses a significant ?reat to _! m5tal heal?2 ,:]eas ! ,,covid-#ai p&emic has highlight$ ! gaps 9 our heal? sy/em :5 x comes to m5tal heal? & sub/ance use disord] s]vices & %[n h[ %elt]+ 9 place & isolat+ c impact "o's m5tal heal? & sub/ance use1 specifically %[+-- 7#a7 t #dg p]c5t ( p report t ! p&emic has negatively impact$ _! m5tal heal?1 ) #ba p]c5t say+ t x has _h a major negative impact2 7#b7 a significant increase 9 numb] ( calls to suicide prev5tion hotl9es2 7#c7 a #a1jjj-p]c5t increase 9 texts to ,,samhsa's m5tal heal? hotl9e to ab\t #bj1jjj texts 9 ,april #bjbj2 7#d7 a #ee-p]c5t increase 9 numb] ( alcohol sales2 & 7#e7 an #aa4d-p]c5t increase 9 ov]dose fatalities 9 ! fir/ qu>t] ( #bjbj driv5 by increas$ feel+s ( anxiety1 depression1 & use ( sub/ances2 & ,:]eas !re is a ne$ = a population heal? approa* t exam9es ! di/ribution ( heal? across populations & focuses att5tion on ! ne$ to provide access to ! be/ evid5ce-bas$ treatm5t = ^? ) m5tal heal? conditions & sub/ance use disord]s :o ne$ cl9ical int]v5tion 9 ord] to effectively r$uce or mitigate ! impact ( risk factors t lead to psy*ological di/ress among ^? 9 high-risk populations3 ,n[1 !re=e1 be x ,t x is ! s5se ( ! ,h\se ( ,repres5tatives t 9 ord] to effectively address ! high preval5ce ( ^? suff]+ f m5tal heal? conditions & sub/ance use disord]s1 ! ,unit$ ,/ates ne$s to make hi/oric f9ancial inve/m5ts into m5tal heal? & sub/ance use disord] c>e & f9ally ackn[l$ge su* c>e z a priority 9 heal? c>e1 equal to physical heal?1 & recognize t-- 7#a7 m5tal heal? & physical heal? ne$ to be treat$ toge!r to treat ! :ole pati5t2 7#b7 pati5t c>e ne$s to be pati5t-focus$2 7#c7 m5tal heal? & sub/ance use disord] c>e ne$s to be proactive & treat p be=e !y are 9 crisis2 7#d7 any /igma associat$ ) m5tal heal? & sub/ance use disord]s is completely unw>rant$ & s]ves z a b>ri] to c>e2 7#e7 ! ,f$]al ,gov]nm5t ne$s to create a compreh5sive approa* to improv+ ! heal? c>e sy/em t incorporates m5tal heal? & sub/ance use disord]s t includes sy/em re=m t-- 7,a7 aims to break d[n silos across ! ,f$]al1 ,/ate1 local1 & ,tribal levels = improv$ communication & c>e coord9ation2 7,b7 provides a ,f$]al framework to ,/ates1 localities1 & ,tribes t connects ag5cies & s]vices s !y c h guidance :5 work+ to address ! m5tal heal? & sub/ance use disord] ne$s ( _! communities2 7,c7 inc5tivizes provid]s to see bo? m complex & less complex pati5ts & to see pati5ts 9 rural & und]s]v$ areas2 7,d7 expects insur]s to comply ) p>ity laws & holds !m acc\ntable = n provid+ p>ity ( m5tal heal? & sub/ance use disord] s]vices & treatm5ts2 & 7,e7 requires bo? public & private pay]s to h high] reimbursem5t rates = m5tal heal? & sub/ance use disord] s]vices t are on p> ) m$ical & surgical s]vices2 7#f7 ! ,f$]al ,gov]nm5t ne$s to create a compreh5sive approa* to improv+ ! heal? c>e sy/em t incorporates m5tal heal? & sub/ance use disord]s t includes sy/em improvem5ts t-- 7,a7 focuses on e>ly scre5+s1 diagnosis1 & int]v5tion across ! c>e cont9uum to prev5t ^? f exp]i5c+ a m5tal heal? crisis2 7,b7 improves families' ability to access timely1 af=dable1 & high-quality treatm5t & s]vices2 7,c7 /r5g!ns m5tal heal? & sub/ance use disord] s]vices 9 s*ools & ensures !re is engagem5t f all /akehold]s2 7,d7 improves & exp&s community-bas$ s]vices s p h access to s]vices locally2 7,e7 improves c>e coord9ation across treatm5t sett+s s pati5ts h ! s]vices !y ne$ :5 !y ne$ x & d n ne$ to navigate ! sy/em !mselves2 7,f7 promotes a su/a9$ recov]y t includes social det]m9ants ( heal?1 su* z h\s+1 jobs1 & *ildc>e2 7,g7 c adju/ to meet ! ne$s ( ea* individual to provide ! be/ c>e = ea* p]son2 7,h7 ensures seamless transitions 9 c>e :5 mov+ ?r\gh /eps or processes2 7,i7 ends ! crim9alization ( m5tal illness & sub/ance use disord]s & increases programs = div]sion t connects individuals to treatm5t1 social supports1 & social s]vices2 7,j7 provides access to high-quality & evid5ce-bas$ m5tal heal? & sub/ance use disord] c>e = ^? :o are inc>c]at$2 7,k7 creates "y adult s]vices & programs )9 ! ju/ice sy/em = ^? :o are ages #ah to #be to successfully r$uce recidivism & t are in=m$ by neuropsy*ological bra9 sci5ce2 7,l7 incorporates appr5tice%ip or job tra9+ programs into ! ju/ice sy/em1 p>ticul>ly = y\?1 to emp[] !m & r$uce recidivism2 7,m7 ensures cultural congru5ce s ev]yone 9 ne$ ( m5tal heal? & sub/ance use disord] c>e has s]vices t meet _! ne$s2 7,n7 adopts a population heal? approa* z a tool to help address ongo+ disp>ities 9 access to m5tal heal? & sub/ance use disord] c>e by y\? & adults ( color2 7,o7 ensures t ,,lgbtq individuals1 communities ( color1 & immigrants h access to m5tal heal? & sub/ance use disord] s]vices t are culturally appropriate1 are 9 ! necess>y language1 & address any unique /igma f _! communities2 7,p7 enables vet]ans to access timely m5tal heal? & sub/ance use disord] c>e t ensures cont9uity & is free ( any adm9i/rative burd5s2 7,q7 includes tra9+ = educators1 fir/ respond]s1 & cl9icians to id5tify indicators ( m5tal heal? conditions & sub/ance use disord]s & to r$uce /igma & bias relat$ to ^! conditions s !y c respond 9 a m productive way & connect p ) m appropriate s]vices2 7,r7 supports heal? c>e provid]s by address+ _! m5tal heal? & sub/ance use disord] ne$s to r$uce burn\t2 7,s7 provides a process 9 :i* ,/ates c "w ) o!r ,/ates to reconcile lic5sure & c]tification = & reimbursem5t to m5tal heal? & sub/ance use disord] provid]s across ,/ate l9es = ! purpose ( telem$ic9e2 7,t7 lev]ages ! curr5t m5tal heal? & sub/ance use disord] work=ce by r$uc+ adm9i/rative burd5s to all[ m5tal heal? & sub/ance use disord] provid]s to p]=m to _! highe/ level ( lic5sure & c]tification2 & 7,u7 exp&s tra9+ opportunities & gr[s ! work=ce by p>tn]+ ) s*ools & programs to provide free education to ^? :o "w 9 rural or und]s]v$ areas2 7#g7 exp&$ access to m5tal heal? & sub/ance use disord] c>e is ess5tial to improv+ heal? & well-be+2 7#h7 all ,am]icans des]ve access to m5tal heal? & sub/ance use disord] c>e )\t any b>ri]s1 su* z co/ or location ( s]vices2 & 7#i7 ! ,unit$ ,/ates ne$s to compreh5sively break d[n all b>ri]s to receiv+ access to m5tal heal? & sub/ance use disord] c>e includ+ f9ancial burd5s & location hurdles4