Michael F. Hogan, Ph.D., was confirmed in March 2007 as Commissioner of Mental Health in New York State. The NYS Office of Mental Health operates 25 accredited psychiatric hospitals, and oversees New York’s $5B public mental health system that serves 650,000 individuals annually. Dr. Hogan previously served as Director of the Ohio Department of Mental Health and Commissioner of the Connecticut DMH. He chaired the President’s New Freedom Commission on Mental Health in 2002-2003, and was appointed as the first behavioral health representative on the board of The Joint Commission in 2007. He has also served on NIMH’s National Advisory Mental Health Council, as President of the National Association of State Mental Health Program Directors and Board President of NASMHPD’s Research Institute. He has received leadership awards from the National Governor’s Association, the National Alliance on Mental Illness, the Campaign for Mental Health Reform, the American College of Mental Health Administration and the American Psychiatric Association.

1. AOT: What’s the Conversation We Should Have? Berger Symposium November, 2009 Dr. Mike Hogan, Commissioner, OMH

2. A Conceptual Model for Discussing AOT

4. Model: What Facilitates Treatment Engagement? Accessible, Acceptable, Competent Care A Navigable, User-Friendly System Special Enhancements for Engagement Use of Leverage Applies to Few Applies to Many More Intrusive Less Intrusive

5. A Navigable, User-Friendly System? “ Shambles” “ Opaque” “ Is there no place on earth for me?” “ Who’s the bastard out there?” Mega-city complexity Continuity of Caregivers? NYS “System” Resists Order—Change Here is Hard