How would we know if the mental health systems in the United States were really reformed?

Here are 25 indicators that, if fully implemented, would represent a comprehensive system reform. For more detail on each indicator, read the full blog.

Score each indicator on the following scale:
0 Haven’t even thought of it
1 It is in planning documents and scheduled for implementation
2 It has started in operation
3 It has been implemented so that 50% or more are gaining access to or benefiting from it
4 It is fully implemented.

A score near 100 will not be achieved anytime soon but whatever the number, it will provide an overall assessment of reform and will lead to both immediate and longer-term goals. Now you can score your system and keep working toward total reform.