Implementation mechanisms used in national efforts to improve community services to keep individuals with mental illness out of local jails

Little is known about the implementation mechanisms to decarcerate and build programming for mental health services in a county. SU is an important attribute to facilitate reform both directly and indirectly through implementation mechanisms. Counties can benefit from use of relationship building activities to advance policy and service reform efforts, identifying performance metrics of their system, and having infrastructure available to improve the availability of EBPs. Overall, policy changes are possible, but an emphasis should be on strategies that increase the availability of EBPs and MH-EBTs.