Arm Chair Reflections

Arm Chair Reflections are thought/opinion pieces by members of the College on important issues of the day in the field for which they wish to share ideas. A reflection is attributable solely to the author. Reflections are short pieces, generally two – five pages in length, and may be submitted to Holly Salazar by any member at any time.

ACMHA: A Policy Solace
Eric N. Goplerud, PhD; Reissued May 29, 2013
In 2006, the Board of Directors formalized the longstanding direction and tradition of the College to not take positions on public policy. In doing so, then president Dr. Eric Goplerud drafted an Arm Chair Reflection explaining why. The College continues to serve as the place where we wrestle with difficult ideas and seek to inform one another, without creation of a policy agenda.

Mental Health's Great Gray Area
Arthur Evans, Jr; January 11, 2013
Most acts of violence are committed by people who are not mentally ill. And people with mental illness are more likely to be victims of violence than perpetrators. But tragedies like those in Newtown, Aurora, and Tucson nevertheless tend to jumpstart vital conversations about mental health services and policy.

Community Care Organizations (ACOs for the rest of us)
Dale Jarvis; July 18, 2011
I was in a meeting today in Washington, DC sharing the podium with a wonderful physician from Deloitte’s healthcare group. One of his observations was that many healthcare providers are moving away from becoming Medicare-approved Accountable Care Organizations (ACOs) because the potential rewards pale in comparison to the cost and complexity of playing in the Medicare ACO game. He predicted that we will continue to move toward “accountable care” in the United States, but it may not take the form of a Medicare ACO.

Moving From the Clinic to the Community
Ron Manderscheid, PhD; April 29, 2011
Together with the noisiness of the Greatest Recession, governmental deficits, and national health reform, a quiet and little-noticed revolution is taking place in our notions about the role of one’s community in health and well-being.

Peer Services Explosion: The Time is Now!
Harvey Rosenthal, Sandy Forquer, and Steve Miccio; February 2, 2011
Terrible fiscal times create the political will to implement big changes, including some long overdue ones that involve changing how and where we serve people with psychiatric disabilities.

Tomorrow's Success Depends on Our Greatest Assets: Our Workers
Michael Flaherty, PhD, and John Morris, MSW; November 19, 2010
Here is the dilemma: health care, predominantly a service industry, today takes up 16 percent (Organization for Economic Cooperation and Development, 2010) of our GDP and we can't really expand that percentage much without hurting our international competitiveness – or so we are told and believe. We are, therefore, in a conundrum.