Commentary suggests implementing stability and community-based care principles to improve mental health access for youth.
After 25 years of reforms, North Carolina’s youth mental health system has experienced significant change, but limited measurable improvement. This commentary proposes three principles—stability, shared learning, and strong community-based care—to shift from recurrent restructuring to reliable access, practical improvement, and a focus on prevention.
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Paul Lanier (2026) studied this question.
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