I had the privilege of attending the 2008 St. Louis Consumer Summit at St. Patricks in St. Louis. It was fairly interesting on day one, made so primarily by the input of people like Robert Qualls, but it didn't get really good until day 2 when consumer participants across all three disciplines of psychiatric services, DD and alcohol and drug abuse services took over the agenda. That was an exceptional day in which to participate. As that second day occurred, I wished the Commission, Legislators, and more of my staff could have seen it. I was struck, particularly, by two personal insights.
First, we professionals have talked forever about how difficult it is to break down "silos" between us as we try to work across state division and department lines; and those difficulties for us are real, in part because we are always worrying about the risks associated with true collaboration or service integration strategies on that portion of the service world we control.