From Constant Change to Continuous Improvement: Improving Stability in North Carolina’s Youth Mental Health System

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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Publication Details

Journal
North Carolina Medical Journal
Published
2026-04-30
DOI
https://doi.org/10.18043/001c.160572
Primary Topic
Mental Health Treatment and Access
Type
article
Field-Weighted Citation Impact
0.00
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article

From Constant Change to Continuous Improvement: Improving Stability in North Carolina’s Youth Mental Health System

Paul Lanier
North Carolina Medical Journal
Mental Health Treatment and Access
article

From Constant Change to Continuous Improvement: Improving Stability in North Carolina’s Youth Mental Health System

Paul Lanier
article en

Abstract

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.

North Carolina Medical JournalVol. 87(1)
University of North Carolina at Chapel Hill (US)
Reduced inequalities
Openalex Percentile: Top 5%
Mental Health Treatment and Access
DOIOpen Access PDFOpenAlex
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From Constant Change to Continuous Improvement: Improving Stability in North Carolina’s Youth Mental Health System — Paul Lanier · North Carolina Medical Journal (2026) | TGRS Research Map | TGRS