TY - JOUR AU - E. F. McCance-Katz A1 - AB - Increasing numbers of Americans are affected by serious mental illness and severe substance use disorders. While funding has increased for the treatment of these conditions in recent years, increases in service needs have outstripped resources. Further, too often those living with these conditions are incarcerated, held for inordinate periods without treatment in emergency departments, and/or relegated to the streets as part of the burgeoning numbers of homeless in the United States. These conditions require innovative approaches to care that should include integrated medical care and community resources to decrease isolation and to improve the response to crises as they occur. There are numerous opportunities already in place that, used appropriately, can improve outcomes for some of our most vulnerable people and will improve community living for all. This perspective describes available resources that can better address the mental health and substance use crisis facing the American people. AD - Clinical Professor of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI.; Senior Fellow, Able Americans, National Center for Public Policy Research, Washington DC.; Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI, USA. AN - 40129364 BT - CNS Spectr C5 - Healthcare Disparities; Financing & Sustainability; Opioids & Substance Use CP - 1 DA - Mar 25 DO - 10.1017/s1092852925000197 DP - NLM ET - 20250325 IS - 1 JF - CNS Spectr LA - eng N2 - Increasing numbers of Americans are affected by serious mental illness and severe substance use disorders. While funding has increased for the treatment of these conditions in recent years, increases in service needs have outstripped resources. Further, too often those living with these conditions are incarcerated, held for inordinate periods without treatment in emergency departments, and/or relegated to the streets as part of the burgeoning numbers of homeless in the United States. These conditions require innovative approaches to care that should include integrated medical care and community resources to decrease isolation and to improve the response to crises as they occur. There are numerous opportunities already in place that, used appropriately, can improve outcomes for some of our most vulnerable people and will improve community living for all. This perspective describes available resources that can better address the mental health and substance use crisis facing the American people. PY - 2025 SN - 1092-8529 (Print); 1092-8529 SP - e37 ST - The behavioral healthcare continuum in the United States: what should it look like and how we can pay for it T1 - The behavioral healthcare continuum in the United States: what should it look like and how we can pay for it T2 - CNS Spectr TI - The behavioral healthcare continuum in the United States: what should it look like and how we can pay for it U1 - Healthcare Disparities; Financing & Sustainability; Opioids & Substance Use U3 - 10.1017/s1092852925000197 VL - 30 VO - 1092-8529 (Print); 1092-8529 Y1 - 2025 ER -