The National Strategy Areas of Focus

Most mental health conditions appear by the age of 25. Given the high levels of anxiety, depression, and suicidality we’ve seen in recent years, it’s clear that children and youth require a specific focus and timely intervention.

The landmark 2008 Mental Health Parity and Addiction Equity was intended to ensure equal coverage for mental health and substance use care. Some 15 years later, Americans continue to face parity violations and inequitable access. The following recommendations serve to help realize the full promise of parity, both through enforcement of the Federal Parity Act and through other systemic changes made to ensure appropriate health coverage and overall access to care.

We live in an era of great technological and scientific advancement. From the onset of artificial intelligence to the speed with which we develop new clinical treatments, with the proper rules and safeguards, research and technology can improve access to care and improve lives.

Response to individuals experiencing mental health or substance use emergencies varies dramatically across the United States. Calling 911 has long been the default response, which can lead to inappropriate treatment and negative outcomes. We must create new systems, including but not limited to the 988 Suicide and Crisis Lifeline, to better serve Americans throughout the entire continuum of mental health and substance use care.

Historically marginalized communities face persistent challenges when seeking mental health and substance use care, including language barriers, implicit bias, and lack of cultural competency. Creating a more diverse provider workforce is essential to ensuring equitable access and higher quality of care for all.