Mark Heyrman of the University of Chicago surveys from a health and criminal justice perspective the wide range of challenges associated with mental illness in society. Over three million people with either mental illness or some form of psychological distress will become newly insured under the new health reform law. However, institutions such as hospitals, community health services, prisons, and courts, according to Heyrman, are not very well coordinated to handle large numbers of complex mental health cases. New payment incentives under the health reform law could improve care coordination, but additional reforms of Medicaid will likely be needed.

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