Community and State Systems Change Associated with the Healthy Transitions Initiative
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People engaged in efforts to improve services to emerging adults with serious mental health challenges have reached the conclusion that service change at the program or agency level is not sustainable without related changes at the systems or policy level. This article focuses on one set of efforts to create intentional system change at both the community and state levels. These changes were pursued by states and communities that received grants under the federally funded Healthy Transitions Initiative (HTI), with the aim of creating more effective services for emerging adults with serious mental health conditions. The article reviews the development of a measure to assess systems change efforts at the state and community levels and describes the findings that emerged when the measure was used to assess the change that occurred in the HTI sites over a period of approximately three and a half years.
KeywordsSystem Change Fiscal Policy Mental Health Condition Social Network Analysis Standardize Root Mean Square Residual
This work was supported by funding from the National Institute of Disability and Rehabilitation Research, United States Department of Education, and the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services (NIDRR grant H133B090019). The content does not necessarily represent the views or policies of the funding agencies. The authors would like to thank the stakeholders who provided their insights and feedback for this work, as well as those who participated in the research study.
Conflict of Interest
The authors report no conflicts of interest.
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