,,iii  #aag? ,,congress  #b;d ,session  
,s4 ,,res4 #eah  ,,9 ,,! ,,s5ate ,,( ,,!
 ,,unit$ ,,/ates  ,febru>y #ag1         
#bjbb,mr4 ,w>nock 7= himself1 ,mr4      
,padilla1 ,ms4 ,/ab5[1 & ,mr4 ,book]7   
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions          
,,resolution  ,express+ ! s5se ( !      
,s5ate t 9 ord] to effectively address !
 high preval5ce ( individuals 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 treatm5t ( m5tal heal? &
 sub/ance use disord]s s !y are no long]
 se5 sep>ately2 ,:]eas1 accord+ to ! ,_w
 ,heal? ,organization1 m5tal illness is 
sev]ely und]diagnos$1 & less ?an half ( 
individuals :o meet diagno/ic crit]ia   

are id5tifi$2 ,:]eas !re is a press+ ne$
 to provide a compreh5sive solution to  
fix our heal? c>e sy/em t incorporates !
 ne$s & exp]tise ( all its /akehold]s1  
especially individuals :o h exp]tise 9  
m5tal heal? & sub/ance use disord]s2    
,:]eas x is ess5tial to remove !        
misguid$ association betwe5 m5tal       
illness & viol5ce1 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+ ) a m5tal heal? condition 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 m51 
9 p>ticul>1 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 behavior2 ,:]eas ! 
bulk ( 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+ e>li] 9 an attempt to prev5t su* 
crises2 ,:]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 suicidal ideation & 
n j ! act ( suicide 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 9
 ! ,unit$ ,/ates 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$]al ,gov]nm5t
 to improve ! c>e & relat$ s]vices =    
m5tal heal? & sub/ance use disord]s has 
left ,/ates & localities-- 7#a7 )\t     
adequate guidance or res\rces2  7#b7    
unable to provide ! m5tal heal? &       
sub/ance use disord] s]vices ne$$ to    
adequately meet ! ne$s ( _! populations2
 &  7#c7 unable to effectively di/ribute
 s]vices to adequately meet ! ne$s ( _! 
populations2 ,:]eas !re is a ne$ =      
great] collaboration across all ,f$]al  
ag5cies t t\* v>i\s aspects ( ! heal?   
c>e sy/em 9 ord] to fully incorporate ! 

ne$s & conc]ns ( ev]yone involv$ 9 !    
treatm5t & prev5tion ( m5tal heal? &    
sub/ance use disord]s2 ,:]eas !re is a  
ne$ = great] collaboration betwe5       
,f$]al1 ,/ate1 & local ag5cies t t\* on 
v>i\s aspects ( ! heal? c>e sy/em2      
,:]eas !re is a ne$ = a 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 gets access to !  
necess>y c>e & treatm5t2 ,:]eas #ac ye>s
 aft] ! date ( enactm5t ( ! ,paul       
,well/one & ,pete ,dom5ici ,m5tal ,heal?
 ,p>ity & ,addiction ,equality ,act (   
#bjjh 7subtitle ,b ( title ,v ( division
 ,c ( ,public ,law #aaj-cdc71 !re is    
/ill a lack ( compliance among insur]s &
 failure to 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] 9 :i*
 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 ( individuals 9 ! ,unit$     
,/ates suff]+ f a sub/ance use disord]  
receive specialty treatm5t2 ,:]eas !re  
is a ne$ to increase access to &        
utilization ( telem$ic9e = m5tal heal? &
 sub/ance use disord] s]vices1 bo? )9   
,/ates & across ,/ate l9es2 ,:]eas !re  
is a ne$ = a bett] way to %>e in=mation 
among provid]s to bett] s]ve pati5t ne$s
 :ile /ill protect+ pati5t privacy2     
,:]eas !re is a ne$ = consi/5t c>e      
coord9ation & m effective transition    

s]vices = pati5ts mov+ betwe5 hospitals 
& ! community2 ,:]eas safe h\s+ ne$s to 
be recogniz$ z a basic requirem5t =     
successful treatm5t & ne$s to be bett]  
address$ 9 ! transition ( c>e2 ,:]eas   
!re is a ne$ to improve social          
det]m9ants ( heal?1 su* z increas$      
access to /able h\s+ & jobs1 =          
individuals 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 appropriate1 & 9 compliance ) 
! ,am]icans ) ,disabilities ,act ( #aiij
 7#db ,u4,s4,c4 #abaja et seq47 & !     
decision ( ! ,supreme ,c\rt ( ! ,unit$  
,/ates 9 ,olm/ead v4 ,l4,c41 #ebg ,u4,s4
 #eha 7#aiii72 ,:]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   
indep5d5tly2 ,:]eas !re is a ne$ to     
address isolation issues g]iatric       
pati5ts face1 :i* c negatively impact _!
 m5tal heal?2 ,:]eas #cj p]c5t ( fir/   
respond]s exp]i5ce m5tal heal?          
conditions1 su* z depression &          
po/-traumatic /ress1 & h high] rates (  
suicidal ideation & suicide attempt ?an 
! re/ ( ! population2 ,:]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 ( ! inability to   
cope ( ! c>etak]2 &  7,c7 #e p]c5t (    
*ildr5 ent]+ c>e z a result ( p>5tal    
alcohol abuse2  7#b7 ev5 :5 necess>y to 
ensure ! safety ( a *ild1 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 ! exp]i5ces (  
trauma = ^? families & contributes 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 t h ! pot5tial to             

significantly impact ! m5tal heal? ( !  
*ildr52  7#b7 9 ! la/ #e ye>s1 #di4d    
p]c5t ( *ildr5 :o ne$$ m5tal heal?      
s]vices did n receive ! necess>y        
s]vices1 & !re is a ne$ = improv$ access
 to 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]s = 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   
assum$ curr5t or pot5tial ?reats1 :i*-- 
7,a7 c cause significant h>m to ! m5tal 
heal? & emotional well-be+ ( *ildr52    
7,b7 has comp\nd$ exi/5t /igma = gr\ps (

 /ud5ts2  7,c7 has _h a disproportionate
 impact on /ud5ts ( color by initiat+   
crim9al 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    
ye>s old !y are cut (f f m5tal heal? &  
sub/ance use disord] s]vices1 :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 = individuals ag$ #ah to #cd1 !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    
,:]eas1 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 #e1ejj1jjj vet]ans &      

s]vicememb]s rely on ! ,dep>tm5t (      
,vet]ans ,affairs = heal? s]vices1 &    
#a1ejj1jjj vet]ans h receiv$ a m5tal    
heal? diagnosis1 &-- 7#a7 #a 9 #d active
 duty memb]s %[s signs ( a m5tal heal?  
condition2  7#b7 ! rate ( po/-traumatic 
/ress disord] 7ref]r$ to 9 ?is preamble 
z ,,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 z comp>$ to civilians2     
7#d7 e day1 #ag 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 ( individuals ent]+ ! ,dep>tm5t ( 
,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 has ,,ptsd1 %[+ ! int]connect$ness 
betwe5 ^! conditions2 ,:]eas !re is a   
ne$ to bett] educate all individuals 9 !
 crim9al ju/ice sy/em on ! impact & ne$s
 ( individuals ) m5tal heal? conditions 
& sub/ance use disord]s2 ,:]eas ! ,unit$
 ,/ates crim9al ju/ice sy/em is ! l>ge/ 
provid] ( m5tal heal? s]vices1 & x 0 n  
built1 nor int5d$ to be us$1 = t        
purpose1 &-- 7#a7 !re are ar\nd #eej1jjj
 individuals inc>c]at$ 9 ! ,unit$ ,/ates
 ) s]i\s m5tal illness2  7#b7 #a 9 #e   
individuals inc>c]at$ 9 ! ,unit$ ,/ates 
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$uce inappropriate        
inc>c]ation & det5tion = individuals )  
m5tal heal? & sub/ance use disord] ne$s2
 ,:]eas "o-?ird ( individuals inc>c]at$ 
9 ! ,unit$ ,/ates receive treatm5t =    

m5tal illness1 & _m times treatm5t 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 individuals ) m5tal illness &     
sub/ance use disord]s2 ,:]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+  
individuals f re5t]+ ! crim9al 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 acc\nt = age &          
developm5t reflect+ ! mo/ up-to-date    
sci5tific cons5sus on bra9 developm5t & 
behavior & ensur+ t !re are developm5tal
 & age appropriate s]vices2 ,:]eas !    
juv5ile ju/ice sy/em mu/ fulfill its    

purpose ( support+1 rehabilitat+1 &     
treat+ *ildr5 9 ne$ r ?an puni%+ !m1    
giv5 t-- 7#a7 /udies h %[n t #gj p]c5t (
 y\? 9 det5tion h a diagnos$ m5tal      
illness1 & #fj p]c5t ( ^? y\?s may also 
meet ! crit]ia = a sub/ance use disord]2
  7#b7 #ij p]c5t ( individuals 9 !      
juv5ile ju/ice sy/em h be5 expos$ to    
trauma or viol5ce1 :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]vices1 & !re=e !re is a ne$ 
to h specific s]vices & programs )9 !   
juv5ile ju/ice sy/em ) a focus on _!    
ne$s2 ,:]eas !re is a ne$ = s]vices 9 ! 
juv5ile ju/ice sy/em to be trauma-in=m$ 
& develop$ = high-ne$ individuals2      

,:]eas /udies %[ t #da4b p]c5t (        
individuals :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 ,:]eas1    
giv5 ! high co-occurr5ce ) m5tal        
illness1 compreh5sive c>e = sub/ance use
 disord]s %\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$ication-assi/$    
treatm5t 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 lesbian1 gay1 bisexual1          
transg5d]1 & que] 7ref]r$ to 9 ?is      
preamble z ,,lgbtq7 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 ?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$ z be+ h\s$ accord+ to _! liv$  
g5d]1 :ile n be+ h\s$ accord+ to liv$   
g5d] 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 m5tal heal? &        
sub/ance use1 specifically %[+-- 7#a7 t 
#dg p]c5t ( individuals 9 ! ,unit$      
,/ates 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 
! m5tal heal? hotl9e ( ! ,sub/ance      
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration to ab\t #bj1jjj texts 9   
,april #bjbj2  7#d7 a #ee p]c5t increase
 9 alcohol sales2  7#e7 a record high ( 
m ?an #ajj1jjj ov]dose fatalities betwe5
 ,may #bjbj & ,april #bjba1 driv5 by    

increas$ feel+s ( anxiety1 depression1 &
 use ( sub/ances2 &  7#f7 an increase 9 
burn\t & m5tal heal? conditions among   
heal?c>e provid]s1 ) #di p]c5t exp]i5c+ 
burn\t & #ch p]c5t exp]i5c+ anxiety or  
depression2 & ,:]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 = 
individuals ) m5tal heal? conditions &  
sub/ance use disord]s :o ne$ cl9ical    
int]v5tion 9 ord] to effectively r$uce  
or mitigate ! impact ( risk factors t   
lead to psy*ological di/ress among      
individuals 9 high-risk populations3    
,n[1 !re=e1 be x ,t x is ! s5se ( !     
,s5ate t 9 ord] to effectively address !
 high preval5ce ( individuals suff]+ f  
m5tal heal? conditions & sub/ance use   
disord]s1 ! ,unit$ ,/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 individuals 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 & 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$]al framework to   
,/ates1 localities1 & ,indian ,tribes t 
connects ag5cies & s]vices s !y c h     
guidance :5 work+ to address ! m5tal    
heal? & sub/ance use disord] ne$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$s to create a compreh5sive 
approa* to improv+ ! heal? c>e sy/em t  
incorporates m5tal heal? & sub/ance use 
disord]s & t includes sy/em improvem5ts 
t-- 7,a7 focus on e>ly scre5+1          
diagnosis1 & int]v5tion across ! c>e    
cont9uum to prev5t m5tal heal? crises2  
7,b7 improve ! ability ( families to    
access timely1 af=dable1 & high-quality 
treatm5t & s]vices2  7,c7 /r5g!n m5tal  
heal? & sub/ance use disord] s]vices 9  
s*ools & ensure !re is engagem5t f all  
/akehold]s2  7,d7 improve & exp&        
community-bas$ s]vices s individuals h  
access to s]vices locally2  7,e7 improve
 c>e coord9ation across treatm5t sett+s 

s pati5ts h s]vices :5 ne$$ & d n h to  
navigate ! sy/em !mselves2  7,f7 promote
 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$s ( 
ea* individual to provide ! be/ c>e =   
ea* individual2  7,h7 ensure seamless   
transitions 9 c>e :5 mov+ ?r\gh /eps or 
processes2  7,i7 end ! crim9alization ( 
m5tal illness & sub/ance use disord]s & 
increase programs = div]sion t connect  
individuals to treatm5t1 social         
supports1 & social s]vices2  7,j7       
provide access to high-quality &        
evid5ce-bas$ m5tal heal? & sub/ance use 
disord] c>e = individuals :o are        
inc>c]at$2  7,k7 create "y adult s]vices
 & programs )9 ! crim9al ju/ice sy/em = 
individuals :o are ag$ #ah to #be to    
successfully r$uce recidivism & t are   
in=m$ by neuropsy*ological bra9 sci5ce2 
7,l7 incorporate appr5tice%ip or job    
tra9+ programs into ! crim9al ju/ice    
sy/em1 p>ticul>ly = y\?1 to emp[] !m &  
r$uce recidivism2  7,m7 ensure cultural 

congru5ce s ev]yone 9 ne$ ( m5tal heal? 
& sub/ance use disord] c>e has s]vices t
 meet _! ne$s2  7,n7 adopt a population 
heal? approa* z a tool to help address  
ongo+ disp>ities 9 access to m5tal heal?
 & sub/ance use disord] c>e by y\? &    
adults ( color2  7,o7 ensure t lesbian1 
gay1 bisexual1 transg5d]1 & que]        
individuals1 communities ( color1 &     
immigrants h access to m5tal heal? &    
sub/ance use disord] s]vices t are      
culturally appropriate1 are 9 ! necess>y
 language1 & address any unique /igma f 
_! communities2  7,p7 enable vet]ans to 
access timely m5tal heal? & sub/ance use
 disord] c>e t ensures cont9uity & is   
free ( any adm9i/rative burd5s2  7,q7   
include tra9+ = educators1 fir/         
respond]s1 & cl9icians to id5tify       
indicators ( m5tal heal? conditions &   
sub/ance use disord]s & to r$uce /igma &
 bias relat$ to ^! conditions s !y c    
respond 9 a m productive way & connect  
individuals ) m appropriate s]vices2    
7,r7 support heal? c>e provid]s by      

address+ _! m5tal heal? & sub/ance use  
disord] ne$s to r$uce burn\t2  7,s7     
provide a process by :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$ic9e2  7,t7 lev]age ! curr5t m5tal
 heal? & sub/ance use disord] work=ce by
 r$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& tra9+        
opportunities & gr[ ! work=ce by p>tn]+ 
) s*ools & programs to provide free     
education to individuals :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 individuals 9 ! ,unit$ ,/ates
 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>e1 includ+ f9ancial burd5s & location 
hurdles4