This report highlights the structure, responsibilities, policies, services, and financing of single-state agencies and state mental health agencies. The report includes discussion of efforts to integrate physical and behavioral health and efforts by state agencies to address opioid abuse and misuse.

This report gives an overview of shared decision-making (SDM), an intervention that enables people to actively manage their own health. It examines research on the effects of SDM in general and mental health care, and includes recommendations for advancing SDM in practice.