Judge Milton Mack's Mission to Reform Mental Healthcare

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Judge Milton Mack shares his mission to reform the mental health system by moving from crisis intervention to early treatment and prevention.

His groundbreaking work in Michigan demonstrates how changing laws and procedures can dramatically improve outcomes while reducing costs.

• Moving from an inpatient model to an outpatient world where over 90% of mental health care now occurs
• Changing intervention standards to help people before they reach crisis, not waiting for the "magic moment" of danger
• Implementing mediation for mental health cases to increase engagement and compliance
• Creating a system that reduces trauma by avoiding unnecessary hospitalization and incarceration
• Demonstrating success through Genesee County's 70% reduction in hospitalization and 90% treatment compliance
• Building coordinated stakeholder systems where law enforcement, hospitals, courts and treatment providers work together
• Focusing on upstream solutions to prevent people from entering the criminal justice system
• Recognizing that early intervention in mental health is as important as early intervention for cancer

We need to intervene early—we wouldn't wait to treat someone with cancer when they're stage four, and we do just as much damage by waiting to treat mental illness.

Assisted outpatient treatment is the most humane option, far better than hospitalization, jail, or homelessness. This approach benefits everyone.

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1. Introduction to Judge Milton Mack (00:00:00)

2. A Broken Mental Health System (00:01:51)

3. Changing the Intervention Standard (00:04:18)

4. Mediation and Outpatient Treatment Success (00:07:20)

5. Trauma Reduction and Culture Change (00:10:10)

6. Mental Health Diversion and Prevention (00:15:39)

7. Early Intervention and Humane Treatment (00:21:14)