2023
Making Progress
The Meadows Mental Health Policy Institute worked diligently to address the nation’s ongoing mental health crisis in 2023, and this annual report demonstrates the progress we made toward our goal to expand access to evidence-based mental health care. In 2023, our years of research-grounded policy and programmatic support to the Texas Legislature culminated in the largest investment in mental health by any legislature in American history. At the same time, we reached beyond Texas to grow our presence in Washington, D.C., and state capitals across the U.S. to accelerate the integration of mental health care into health care more broadly. By shaping policy and guiding implementation at the national, state, and local levels, the Meadows Institute continues to strive to become the most trusted voice in Texas and across the country for positive advances in behavioral health that change lives.
& Chief Executive Officer
As we approach the Meadows Mental Health Policy Institute’s 10th anniversary, we want to take a moment to reflect on the immense impact of our work to expand access to evidence-based mental health care since 2014—and to envision another decade of remarkable progress.
In our first decade, the Meadows Institute has become the most trusted voice in Texas for behavioral health and – more importantly – action that changes lives. In 2023, our years of research-grounded policy and programmatic support to the Texas Legislature culminated in the largest investment in mental health by any legislature in American history.
In addition to an investment of $2.26 billion for new hospitals in communities across our state, the boldest achievement of all was the unprecedented commitment by the State of Texas to ensure that every child in need in every school across the state would have access to same-day mental health care from a consortium of our leading medical schools. This is just one of the many accomplishments captured in our 2023 annual report, demonstrating how the Meadows Institute has elevated Texas as a global leader in addressing mental health needs.
2023 also saw us reach beyond Texas, applying our industry-leading expertise to the audacious challenge of helping solve the mental health crisis gripping our nation. From the Meadows Institute’s growing policy presence in Washington, D.C., and in an increasing number of state capitals, we worked with leaders from both sides of the aisle to accelerate the integration of mental health care into health care more broadly. We brought a host of evidence-based best practices for behavioral health emergency response, pediatric mental health, and trauma and grief to communities across the country.
In Texas alone, the Meadows Institute helped more than 15 million people in 2023 access the mental health care they need and deserve. We improved mental health care for more than 2 million Texans in a dozen communities by implementing research-based services, helped health systems commit to better ways to treat depression and prevent suicide for nearly 10 million more, and reached 3.5 million children and youth through expanded school-based mental health programs. Our achievements in the 2022 federal Bipartisan Safer Communities Act empowered projects that reached millions more in 2023, and agreements in the 2023 year-end budget position additional millions to benefit.
Our momentum only stands to grow from here.
During this pivotal year, we undertook a strategic review in collaboration with the Bridgespan Group to benchmark our impact alongside the nation’s leading mental health policy and practice organizations. We were gratified to discover that our scope for both policy and programs is uniquely intersecting, comprehensive, and ambitious.
As we prepare to enter our second decade, we deeply thank the Meadows Foundation and Lyda Hill Philanthropies for their support in 2023, which renews their longstanding commitment to bolster our impact. Their vision and generosity, along with our broader community of philanthropic supporters, lay the groundwork for the Meadows Institute to deliver on our continued promise to help all people access high-quality mental health care.
Thank you for reading this report and learning more about our impact last year. And thank you for your partnership in transforming the lives of people and communities in Texas, across the nation and beyond.
Nancy Woodman
Board ChairAndy Keller, Ph.D.
President and Chief Executive OfficerLinda Perryman Evans Presidential Chair
Andy Keller, Ph.D.
“We’re filling this huge gap by supporting children’s support systems. We help communities and families help each child—so we can keep them on a healthy trajectory and never get to a point of crisis.”
– Andy Keller, president and CEO
1
Children
And FamilIES
Supporting Mental Health
Through the Lifespan
The Meadows Mental Health Policy Institute believes identifying mental health needs in youth as early as possible and directing children to appropriate care is the key to solving our nation’s mental health crisis. As most mental health conditions start in childhood and young adulthood, detecting and treating them early helps young people return to a positive developmental path and long-term quality of life.
From classrooms to exam rooms to briefing rooms, the Meadows Institute is leading the change children and families deserve—and establishing Texas as a global leader in behavioral health.
2
Health System
Transformation
Bolstering Access to Mental Health Care
A routine primary care visit often includes screenings to check for hypertension, heart disease, cancer, diabetes, and other chronic conditions. Unfortunately, critical mental health screenings are too often left out of the mix.
There’s a better, more equitable way to deliver care: embedding mental health care within family doctors’ offices, including pediatricians and OB-GYNs. With the catalytic support of philanthropist Lyda Hill, the Meadows Mental Health Policy Institute is creating this transformation, working to vastly improve outcomes and quality of life for our Texas neighbors—and sparking long-overdue progress across the United States.
“Offering high-quality mental health care where people and families already seek
care empowers primary care providers to detect mental illness when symptoms are far
less severe and respond when mental health services are most effective.”
– Melissa Rowan, chief operating officer
3
Justice
AND Health
Transforming the Culture of Crisis Response
Too many people suffering from mental illness get caught in the criminal justice system instead of receiving the help and compassion they need.
The Meadows Mental Health Policy Institute is helping communities across Texas and the United States shift the focus of mental health crisis response from public safety to public health so that every person in crisis can access care instead of facing arrest, and every law enforcement officer can access mental health and wellness support.
“We don’t believe a crisis is a crime, and a call for help isn’t naturally a state of conflict.”
– Yolanda Lewis, executive vice president for Justice and Health, to the 22,000-member Chicago Bar Association
4
Policy
Advances
Creating Change in Texas and Leading the Nation Toward Stronger Mental Health Policy
Texas’ Record Funding for Behavioral Health
Meadows Institute expertise and guidance for Texas state policymakers in 2023 aimed for more than incremental progress—we boldly sought to help every single Texan in need of mental health care. And we delivered big results.
Expanding National Commitment to Mental Health
By strengthening important relationships on Capitol Hill, including with Chairwoman of the U.S. House Appropriations Committee, Rep. Kay Granger (R-TX), the Meadows Institute helped secure an unprecedented amount of mental health program financing in the 2023 federal budget for data-driven programs designed for maximum impact. And we did all this during a legislative session in which spending cuts were the norm.
“Mental health is a big priority of this Senate and has been for several years. This is the largest
increase in mental health funding in the history of Texas.”
– State senator Joan Huffman (R-Houston), Chair of the Texas Senate Finance Committee
Highlights
& Milestones
In this pivotal year, the Meadows Mental Health Policy Institute celebrated many moments of leadership, collaboration, and progress as we worked to ensure equitable access to high-quality mental health care—and shared our success in Texas with the rest of the nation.
Philanthropy
We are grateful to the funding partners whose confidence and support will sustain the Meadows Institute’s extraordinary momentum for years to come.
The Meadows Foundation expanded its investment in the Meadows Institute with a new, five-year grant to make critical mental health care available to more Texans.
built on their historic support for the Meadows Institute with a new, unrestricted three-year grant.
The Penner Family Foundation
granted the Meadows Institute funding to scale equitable, impactful reforms to support the mental health of children, youth, and families in Colorado.
community colleges.
mental health crisis.
Innovation
The Meadows Institute is positioning Texas as a pioneering hub for behavioral health innovation and promoting data-driven ways to augment existing mental health systems throughout the
state and nationwide.
The Meadows Institute proudly partnered with Going Digital: Behavioral Health Tech to lead the first-ever policy track at the Behavioral Health Tech Conference, the largest behavioral health technology convening in the world, to advance solutions at the intersection of innovation and mental health policy and increase adoption of high-quality DMHT.
We launched our first partnership with venture capital firm GreyMatter to explore new, sustainable financing models for expanding mental health care.
In November, Trauma and Grief (TAG) Center Executive Director Dr. Julie Kaplow published the book “Multidimensional Grief Therapy” about meeting the unique needs of bereaved children and adolescents so they can lead healthy, happy, productive lives after experiencing loss.
and presented “An International Vision to Advance Innovation in Mental Health,” underscoring the urgency of addressing the growing mental health crisis.
Thought
Leadership
Our subject matter experts are leaders in their fields who shape mental and behavioral health research, policy and practice in Texas and nationwide.
The Hackett Center and local partners convened the region’s first Maternal Behavioral Health Roundtables. They facilitated cross-sector learning, prioritized actionable steps to address critical community-identified needs, and provided opportunities to build connections in the field. Together, roundtable attendees are developing pilots to bolster local capacity for efficient and effective use of existing resources.
THANKFUL FOR YOUR SUPPORT
- Supporters
spacer - Board of
Directors - President's
Council - Texas State of
Mind Society
spacer
2023 Supporters
VISIONARY
Lyda Hill Philanthropies™
The Meadows Foundation, Inc.
The Hackett Family
BENEFACTOR
Charles Butt Foundation
Communities Foundation of Texas—W.W. Caruth Jr. Fund
CVS Health Foundation
Episcopal Health Foundation
George and Faye Young Foundation
The Goodness Web
Harold Simmons Foundation
Methodist Healthcare Ministries of South Texas, Inc.
The Moody Foundation
New York Life Foundation
Paso del Norte Health Foundation
Pew Charitable Trusts
Carolyn & Karl Rathjen
The Rees-Jones Foundation
Robert Wood Johnson Foundation
Deedie Rose
CHAMPION
AAA-ICDR Foundation
The Don and Sybil Harrington Foundation
a supporting organization of the Amarillo Area Foundation
Emmet Family Charitable Foundation
Kozmetsky Family Foundation
The Powell Foundation
St. David’s Foundation
Texas Health Resources
Trellis Foundation
LEADER
Ballmer Group
The Boone Family Foundation
Brave of Heart Fund*
The Brown Foundation
The Commonwealth Fund
The Cullen Trust for Health Care
Cynthia and George Mitchell Foundation
Ford Foundation
Hoblitzelle Foundation
The Humana Foundation
John D. and Cynthia T. MacArthur Foundation
John Templeton Foundation
Michael & Susan Dell Foundation
Rainwater Charitable Foundation
Reach Resilience
Schusterman Family Foundation
Sid W. Richardson Foundation
Sozosei Foundation
Texas Mutual
Texas Pioneer Foundation
United Way of Metropolitan Dallas
William Stamps Farish Fund
ADVOCATE
Abell-Hanger Foundation
The Annie E. Casey Foundation
Chevron
Dallas Mavericks Foundation
Linda Perryman Evans
Mary Jo Flaherty and Andy Keller
Harris & Eliza Kempner Fund
The Henry Foundation
Herman H. Fleishman Foundation
Ippolito Charitable Foundation of Galveston
The Mary Ann and F. Carrington Weems Foundation
Mary Moody Northen Endowment
Elizabeth McIngvale, Ph.D., LCSW
The Honorable Lyndon Olson
The Permanent Endowment Fund
of Moody Memorial First United Methodist Church
Prosper Road Foundation
Rockwell Fund, Inc.
San Antonio Medical Foundation
Sasser Family Foundation
Scharbauer Foundation
The Yarborough Foundation
FRIENDS
David Ahmad
Jarrett and Nora Arp
Bill and Lenni Burke Family Fund
Sharon Butterworth
Nadine Craddick
Richard Eiseman
Diane Frank
Barbara Gentry
Henry Harbin, M.D.
Albert Hawkins
Adrienne Kennedy
Tom Luce
Mercedes-Benz of Austin
Mindy and Gary Moor
The Honorable Harriet O’Neill & Kerry Cammack
Becky and John Opperman
Ruthie and Jay Pack
Perkins-Prothro Foundation
Linda and Bob Rosenberg
Altha Stewart
Jeff Wilson
Nancy Woodman
*Founded by the Foundations of New York Life
and Cigna and administered by E4E
Directors
Board of Directors
Chair
Linda Perryman Evans
Chair Elect
Nancy Woodman
Secretary
Albert Hawkins
Treasurer
John Opperman, Ph.D.
Board Directors
Sharon Butterworth
Nadine Craddick
Henry Gallardo
Maureen Hackett
Henry Harbin, M.D.
Albert Hawkins
Stacey Hunt Spier
Adrienne Kennedy
Patsy Woods Martin
Elizabeth McIngvale, Ph.D., LMSW
The Honorable Lyndon Olson, Jr.
The Honorable Harriet O’Neill, J.D.
Kim Phelan
Karl Rathjen, M.D.
The Honorable Renee Rodriguez-Betancourt, J.D.
Linda Rosenberg
Lisa Rosenbloom
Altha Stewart, M.D.
Laura Street
Elam Swann
Chase Untermeyer
Jeff Wilson, MSHA
The Honorable John M. Zerwas, M.D.
Council
President's Council
Chairs
Deedie Rose
Linda Perryman Evans
Members
David Brown
Sharon Butterworth
Bob Garrett
Maureen Hackett
Tom Luce
Octavio N. Martinez, Jr.
The Honorable Lyndon Olson, Jr.
The Honorable Harriet O’Neill
Nancy Woodman
Mind Society
Texas State of Mind Society
Susan Albritton
Emy Lou & Jerry Baldridge
Hong & James Bass
Pam & John Beckert
Nancy & Randy Best
Lucy & Henry Billingsley
Sue & Pryor Blackwell
Linda Buford
Patricia & John Burruss
Nancy & Clint Carlson
Robin & James Carreker
Kelly Compton
Debra & George Couch
Kelly & Dan Decker
Barbara & Steven Durham
Christina & Chris Durovich
Betsy & Richard Eiseman
Claire & Dwight Emanuelson
Mary Jo Flaherty & Andy Keller
Diane Frank
Kathleen & Robert Gibson
Jane & Greg Greene
Shandalynn & Kelby Hagar
Regen Horchow & Ken Hersh
Libby & David Hunt
Nancy & Rod Jones
Caren & Peter Kline
Suzanne & Robert Kriscunas
Carol & John Levy
Sarah & Alan Losinger
Pam & Tom Luce
Barbara & Mike Lynn
Suzanne & Patrick McGee
Beth & Tom Montgomery
Susan & Bill Montgomery
Nancy O’Neil
Diane & Mark Parmerlee
Felicia & Gideon Powell
Michal Powell
Renie Randall
Carolyn & Karl Rathjen
Anne & Rob Raymond
Katherine & Eric Reeves
April & Ben Renberg
Carol & Frank Riddick III
Nancy & Sandy Robertson
Deedie Rose
Theodora Ross
Karen & Chris Roussos
Lizzie & Dan Routman
Diane & John Scovell
Debbie & Ric Scripps
Linda & Leslie Secrest
Mary & Mike Silverman
Nicole & Justin Small
Gay & William Solomon
Catherine & Sam Susser
Betty & Elam Swann
Gloria & George Tarpley
Beth & Charles Thoele
Patsy Woods Martin
2023 Supporters
VISIONARY
Lyda Hill Philanthropies™
The Meadows Foundation, Inc.
The Hackett Family
BENEFACTOR
Charles Butt Foundation
Communities Foundation of Texas—W.W. Caruth Jr. Fund
CVS Health Foundation
Episcopal Health Foundation
George and Faye Young Foundation
The Goodness Web
Harold Simmons Foundation
Methodist Healthcare Ministries of South Texas, Inc.
The Moody Foundation
New York Life Foundation
Paso del Norte Health Foundation
Pew Charitable Trusts
Carolyn & Karl Rathjen
The Rees-Jones Foundation
Robert Wood Johnson Foundation
Deedie Rose
CHAMPION
AAA-ICDR Foundation
The Don and Sybil Harrington Foundation
a supporting organization of the Amarillo Area Foundation
Emmet Family Charitable Foundation
Kozmetsky Family Foundation
The Powell Foundation
St. David’s Foundation
Texas Health Resources
Trellis Foundation
LEADER
Ballmer Group
The Boone Family Foundation
Brave of Heart Fund*
The Brown Foundation
The Commonwealth Fund
The Cullen Trust for Health Care
Cynthia and George Mitchell Foundation
Ford Foundation
Hoblitzelle Foundation
The Humana Foundation
John D. and Cynthia T. MacArthur Foundation
John Templeton Foundation
Michael & Susan Dell Foundation
Rainwater Charitable Foundation
Reach Resilience
Schusterman Family Foundation
Sid W. Richardson Foundation
Sozosei Foundation
Texas Mutual
Texas Pioneer Foundation
United Way of Metropolitan Dallas
William Stamps Farish Fund
ADVOCATE
Abell-Hanger Foundation
The Annie E. Casey Foundation
Chevron
Dallas Mavericks Foundation
Linda Perryman Evans
Mary Jo Flaherty and Andy Keller
Harris & Eliza Kempner Fund
The Henry Foundation
Herman H. Fleishman Foundation
Ippolito Charitable Foundation of Galveston
The Mary Ann and F. Carrington Weems Foundation
Mary Moody Northen Endowment
Elizabeth McIngvale, Ph.D., LCSW
The Honorable Lyndon Olson
The Permanent Endowment Fund
of Moody Memorial First United Methodist Church
Prosper Road Foundation
Rockwell Fund, Inc.
San Antonio Medical Foundation
Sasser Family Foundation
Scharbauer Foundation
The Yarborough Foundation
FRIENDS
David Ahmad
Jarrett and Nora Arp
Bill and Lenni Burke Family Fund
Sharon Butterworth
Nadine Craddick
Richard Eiseman
Diane Frank
Barbara Gentry
Henry Harbin, M.D.
Albert Hawkins
Adrienne Kennedy
Tom Luce
Mercedes-Benz of Austin
Mindy and Gary Moor
The Honorable Harriet O’Neill & Kerry Cammack
Becky and John Opperman
Ruthie and Jay Pack
Perkins-Prothro Foundation
Linda and Bob Rosenberg
Altha Stewart
Jeff Wilson
Nancy Woodman
*Founded by the Foundations of New York Life
and Cigna and administered by E4E
Board of Directors
Chair
Linda Perryman Evans
Chair Elect
Nancy Woodman
Secretary
Albert Hawkins
Treasurer
John Opperman, Ph.D.
Board Directors
Sharon Butterworth
Nadine Craddick
Henry Gallardo
Maureen Hackett
Henry Harbin, M.D.
Albert Hawkins
Stacey Hunt Spier
Adrienne Kennedy
Patsy Woods Martin
Elizabeth McIngvale, Ph.D., LMSW
The Honorable Lyndon Olson, Jr.
The Honorable Harriet O’Neill, J.D.
Kim Phelan
Karl Rathjen, M.D.
The Honorable Renee Rodriguez-Betancourt, J.D.
Linda Rosenberg
Lisa Rosenbloom
Altha Stewart, M.D.
Laura Street
Elam Swann
Chase Untermeyer
Jeff Wilson, MSHA
The Honorable John M. Zerwas, M.D.
President's Council
Chairs
Deedie Rose
Linda Perryman Evans
David Brown
Sharon Butterworth
Bob Garrett
Maureen Hackett
Tom Luce
Octavio N. Martinez Jr., M.D., MPH
The Honorable Lyndon Olson, Jr
The Honorable Harriet O’Neill
Nancy Woodman
Texas State of Mind Society
Susan Albritton
Emy Lou & Jerry Baldridge
Hong & James Bass
Pam & John Beckert
Nancy & Randy Best
Lucy & Henry Billingsley
Sue & Pryor Blackwell
Linda Buford
Patricia & John Burruss
Nancy & Clint Carlson
Robin & James Carreker
Kelly Compton
Debra & George Couch
Kelly & Dan Decker
Barbara & Steven Durham
Christina & Chris Durovich
Betsy & Richard Eiseman
Claire & Dwight Emanuelson
Mary Jo Flaherty & Andy Keller
Diane Frank
Kathleen & Robert Gibson
Jane & Greg Greene
Shandalynn & Kelby Hagar
Regen Horchow & Ken Hersh
Libby & David Hunt
Nancy & Rod Jones
Caren & Peter Kline
Suzanne & Robert Kriscunas
Carol & John Levy
Sarah & Alan Losinger
Pam & Tom Luce
Barbara & Mike Lynn
Suzanne & Patrick McGee
Beth & Tom Montgomery
Susan & Bill Montgomery
Nancy O’Neil
Diane & Mark Parmerlee
Felicia & Gideon Powell
Michal Powell
Renie Randall
Carolyn & Karl Rathjen
Anne & Rob Raymond
Katherine & Eric Reeves
April & Ben Renberg
Carol & Frank Riddick III
Nancy & Sandy Robertson
Deedie Rose
Theodora Ross
Karen & Chris Roussos
Lizzie & Dan Routman
Diane & John Scovell
Debbie & Ric Scripps
Linda & Leslie Secrest
Mary & Mike Silverman
Nicole & Justin Small
Gay & William Solomon
Catherine & Sam Susser
Betty & Elam Swann
Gloria & George Tarpley
Beth & Charles Thoele
Patsy Woods Martin