Scattergood Foundation

Advancing Innovative Strategies for Change in Behavioral Health

The Scattergood Consensus Project'Opening Closed Doors' to Achieve Meaningful Solutions

Scatter Review

The Scattergood Foundation regularly serves as a convener on difficult to solve problems where divergent perspectives and varied solutions exist. One way The Foundation has chosen to fulfill this role is by commissioning experts on a given topic to author papers that address issues and solicit interactive feedback from readers. We want your voice to join others in developing meaningful solutions.  We call this effort the Scattergood Consensus Project.

Our first two papers, Privacy Discussion, and Liberty and Recovery, were authored spring 2014 and accompanied by a panel discussion during the National Council Conference featuring author and advocate Pete Earley, Dr. Michael Hogan, Dr. Lloyd Sederer, consumer advocate Harvey Rosenthal and moderated by Scattergood President Joe Pyle. These papers resulted from last year's Opening Closed Doors Conference, a meeting of national thought leaders in mental health hosted by Dr. Sederer and the Scattergood Foundation, and facilitated by Dr. Hogan.

From 5/1 through 8/1 the two papers were available on this page in an interactive webform. The papers were divided into sections with multiple-choice questions and an open-ended comment boxes at the end of each section. There was also a general commenting section at the end of each webform. At the end of this 90-day period we synthesized all of the answers and comments and incorporated them into a new consolidated Privacy and Liberty paper. Below you can read the consolidated Privacy and Liberty paper, the two initial papers, and the results from the interactive webforms.


Download Printable versions of the associated papers and materials             
Interactive Papers   

 National Council Behavioral Health Conference

 #NatCon14 Presentation

  Consolidated Paper

Privacy and Liberty: An Opportunity to Save Lives


Want a quick overview of the consolidated paper?
• Privacy protections in mental health have both a needed application and their limits – in both immediate, even life endangering, circumstances as well as over time.
- For example, untreated mental illness, particularly untreated psychosis, has serious and far-reaching consequences for patients, family members, and society in terms of family, societal and financial costs.
• Policy options now exist and are available to government leaders, advocacy groups, clinicians, and those impacted by serious mental illness. These include:
1. Recent HIPAA guideline clarifications from HHS
2. Advance Directives
3. Two Congressional Bills that offer solutions for the first time in a very long time {The Helping Families in Mental Health Crisis Act (Murphy) and The Strengthening Mental Health in Our Communities Act of 2014 (Barber)}. These need our advocacy to advance a bipartisan bill that will pass.
4. Mental Health First Aid
• Continuous, comprehensive, quality mental health care is fundamental to most every person’s recovery.  Care that is voluntarily chosen and collaborative is always preferable, and probably most effective.
• Only when people are at serious risk to themselves and others and refuse to participate in treatment should involuntary treatment, including AOT, be considered. When it is used, it should be done sparingly and respectfully.
• There are five areas where liberty can be protected while advancing recovery.
1. Innovations in clinical care:   
a. Advance Directives
b. Wellness Recovery Action Plans (WRAP)
c. Common Ground/Shared Decision Making
2. Innovations in health and mental health services delivery
a. Integration of health and mental health in primary care settings
b. Open-access to appointments in community clinics
c. Peer specialists
d. Housing – including Housing First approaches
e. Accessible, immediate crisis care
f. Assertive Community Treatment (ACT)
3. Serving people with serious mental illness at risk for or involved in the criminal justice system
a. Mental Health Courts
b. Crisis Intervention Teams (CIT)
4. Early Intervention Programs for youth with emerging psychotic disorders (First Episode Programs)
5. When all else fails: Assisted Outpatient Treatment
Who has endorsed Privacy and liberty: An opportunity to save lives
Cindy Baum-Baicker, PhD
Board Chair, Thomas Scattergood Behavioral Health Foundation
President of the Section on Couples and Family Therapy for the Division of Psychoanalysis (39) of the American Psychological Association
Michael Hogan, PhD
Hogan Health Solutions
Chair of the President’s New Freedom Commision (2003)
Joe Pyle, MA
President, Thomas Scattergood Behavioral Health Foundation
Barbara Ricci
Board Chair, NAMI NYC Metro
Linda Rosenberg, MSW
President and CEO, National Council for Behavioral Health
Hank Schwartz, MD
Vice President, Behavioral Health, Hartford HealthCare,
Psychiatrist-in-Chief, Hartford Hospital
Lloyd Sederer, MD
Adjunct Professor, Columbia/Mailman School of Public Health
Medical Editor for Mental Health for the Huffington Post/AOL
Executive Leadership from the following hospitals:
The Institute of Living (a division of Hartford Hospital), Hartford CT
Natchaug Hospital, Mansfield, CT
Rushford Center, Inc., Middletown, CT
The Hospital of Central Connecticut Departments of Psychiatry located in:
New Britain, CT; Backus Hospital, Norwich, CT; and Midstate Medical Center, Meriden CT

Interested in endorsing the paper or joining us on this work? Email Alyson Ferguson at