Future Shock

Can the system keep up with the evolution of mental health?

There's no question the state-funded mental health system needs to evolve, much like it did in the 1960s, says Coleman. New and improved drugs have emerged so rapidly that the subsequent demand for assistance in finding jobs, housing and educational opportunities caught the state flat-footed.

"Mental health is in the dot-com age," says Coleman. "The system hasn't caught up with the science. We're still dealing with a system that is not used to putting people back to work."

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