Shortly after I posted a two-part blog on this site back in February about New York’s just-approved Medicaid Health Homes, I got this crazy, ultimately grandiose idea to talk to the case managers and clients I had worked with for years as director of a New York City case management program. Most of them were still with the program and I believed we still had a good connection with one another. Given all the changes they would soon be subjected to, I thought it might be helpful if they got a view of the prospective impact of those changes from the perspective of an advocate and critic of the public mental health system. This a story about...

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