Michael F. Hogan, Ph.D., joins Dr. Dixon and Dr. Berezin to discuss the challenges and opportunities for nationwide reform in systems of care for individuals in psychiatric crisis in the United States.

Dr. Hogan has served as commissioner of the New York State Office of Mental Health, director of the Ohio Department of Mental Health, and commissioner of the Connecticut Department of Mental Health and Addiction Services. He was chair of the President’s New Freedom Commission on Mental Health under President George W. Bush. He has been appointed to the board of The Joint Commission and as a member of the National Action Alliance for Suicide Prevention.

• How Dr. Hogan became interested in this area of research [2:10]
• How an ideal crisis system would operate, and what aspects of such a system are currently missing [7:10]
• How widespread is this model throughout the United States? [16:02]
• Other recommendations the article makes to improve crisis services [23:22]
• Efforts to improve the National Suicide Prevention Lifeline [29:12]
• How has nonsuicidal crisis been incorporated into the new three-digit (988) hotline? [32:11]
• Examples of larger structural changes in crises services [36:30]
• How issues of race and social injustice tie in to this conversation [38:56]
• Dr. Hogan’s thoughts on what the future holds [44:38]

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This article is part of the Think Bigger, Do Good series commissioned by the Thomas Scattergood Behavioral Health Foundation, Peg’s Foundation, the Patrick P. Lee Foundation, and the Peter & Elizabeth Tower Foundation. The full series can be viewed at www.ThinkBiggerDoGood.org.