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AbstractThe coupling of interorganizational theory and social network analysis techniques provides a way of assessing systems of services at the community level for children and youth with severe emotional disturbances.

Cries for reform of insanity defense statutes are often associated with notorious cases involving heinous offenses. In fact, little research exists on the reforms sparked by such cases. Reforms initiated without data on their likely impacts may lead to illusory or unintended results. A strategy to assess such changes, and any other type of insanity defense reform, is articulated in this article. This approach is substantially different from the approaches of any published reports. It rests upon a multistate scope, a systemic focus, an assessment of impacts on the entire criminal process, and a longitudinal data base. Some of the impediments to implementing such research designs and ways by which they can be overcome are discussed.

Three major cycles of reform in public mental health care in the United States—the moral treatment, mental hygiene, and community mental health movements—are described as a basis for assessing the shifting boundaries between the mental health, social welfare, and criminal justice systems. Historical forces that led to the transinstitutionalization of the mentally ill from almshouses to the state mental hospitals in the nineteenth and twentieth centuries have now been reversed in the aftermath of recent deinstitutionalization policies. Evidence is suggestive that the mentally ill are also being caught up in the criminal justice system, a circumstance reminiscent of pre-asylum conditions in the early nineteenth century. These trends shape the current mental health service delivery system and the agenda for policy-relevant research on issues involving the legal and mental health fields.

Cries for reform of insanity defense statutes are often associated with notorious cases involving heinous offenses. In fact, little research exists on the reforms sparked by such cases. Reforms initiated without data on their likely impacts may lead to illusory or unintended results. A strategy to assess such changes, & any other type of insanity defense reform, is articulated. This approach is substantially different from the approaches of any published reports. It rests on a multistate scope, a systemic focus, an assessment of impacts on the entire criminal process, & a longitudinal database. Some of the impediments to implementing such research designs & ways by which they can be overcome are discussed. HA

Three major cycles of reform in public mental health care in the US -- the moral treatment, mental hygiene, & community mental health movements -- are described as a basis for assessing the shifting boundaries between the mental health, social welfare, & criminal justice systems. Historical forces that led to the transinstitutionalization of the mentally ill from almshouses to the state mental hospitals in the nineteenth & twentieth centuries have now been reversed in the aftermath of recent deinstitutionalization policies. Evidence suggests that the mentally ill are also being caught up in the criminal justice system, a circumstance reminiscent of pre-asylum conditions in the early nineteenth century. These trends shape the current mental health service delivery system & the agenda for policy-relevant research on issues involving the legal & mental health fields. HA

Machine generated contents note: 1.Mental Health Policy: Fundamental Reform or Incremental Change? -- 2.Division of Labor: Function Shifts and Realigned Responsibilities in the Evolving Mental Health Services System / Joseph P. Morrissey / Howard H. Goldman -- 3.Economic Perspectives on the Organization and Governance of Mental Health Care / Joseph P. Morrissey / Howard H. Goldman -- 4.What Is the Meaning of Recovery? / Richard G. Frank / Sherry A. Glied -- 5.Balancing Access to Medications and Psychosocial Treatments / Larry Davidson / Timothy Schmutte -- 6.Are There Enough Inpatient Psychiatric Beds? / Patricia A. Aredn / Anna Ratzliff -- 7.Mandated Community Treatment in Services for Persons with Mental Illness / Marisa Elena Domino / Eric Slade -- 8.Shared Decision-Making and Self-Directed Care / Marvin S. Swartz / Jeffrey W. Swanson -- 9.Suicide Prevention: Rising Rates and New Evidence Shape Policy Options / Michelle P. Salyers / Yaara Zisman-Ilani -- 10.How Should the United States Respond to the Opioid Addiction and Overdose Epidemic? / Michael F. Hogan -- 11.Early Intervention in Psychosis: From Science to Services / Keith Humphreys / Harold A. Pollack -- 12.Policy Effects on Mental Health Status and Mental Health Care Disparities / Thomas E. Smith / Lisa B. Dixon -- 13.Mental Health Insurance Parity: How Full Is the Glass? / Rupinder K. Legha / Lonnie R. Snowden / Jeanne Miranda -- 14.Housing for People with Serious Mental Illness / Haiden A. Huskamp -- 15.What Is the Role of Schools in the Treatment of Children's Mental Illness? / Josh Leopold -- 16.Policy Issues Regarding Employment for People with Serious Mental Illness / Jeff Q. Bostic / Libby K. Nealis / Sharon A. Hoover -- 17.Adults with Serious Mental Illnesses Who Are Arrested and Incarcerated / Gary R. Bond / Ellen R. Meara / Robert E. Drake -- 18.Gun Violence Prevention and Mental Health Policy / Fred Osher / Michael Thompson -- 19.Stigma as a Mental Health Policy Controversy: Positions, Options, and Strategies for Change / Marvin S. Swartz / Colleen L. Barry / Jeffrey W. Swanson -- 20.How Shall We Promote Citizenship and Social Participation? / Bernice A. Pescosolido -- 21.Evidence-Based Practices or Practice-Based Evidence: What Is the Future? / Michael Rowe / Allison N. Ponce -- 22.New Financing Models in Behavioral Health: A Recipe for Efficiency or Under-Provision? / Marcela Horvitz-Lennon -- 23.Mental Health Disability, Employment, and Income Support in the Twenty-First Century / Thomas G. McGuire.