A Window of Opportunity: Visions and Strategies for Behavioral Health Policy Innovation

Objective: The New York City’s Thrive (ThriveNYC) and the Los Angeles County Health Neighborhood Initiative (HNI) are two local policies focused on addressing the social determinants of behavioral health as a preventive strategy for improving health service delivery. On January 29, 2016, lead­ers from both initiatives came together with a range of federal agencies in health care, public health, and policy research at the RAND Corporation in Arlington, Virginia. The goal of this advisory meeting was to share lessons learned, consider research and evaluation strategies, and create a dialogue between stakeholders and federal funders – all with the purpose to build mo­mentum for policy innovation in behavioral health equity. Methods: This article analyzes ethnographic notes taken during the meeting and in-depth interviews of 14 meeting participants through Kingdon’s multiple streams theory of policy change. Results: Results demonstrated that stake­holders shared a vision for behavioral health policy innovation focused on community engagement and social determinants of health. In addition, Kingdon’s model highlighted that the problem, policy and politics streams needed to form a window of opportunity for policy change were coupled, enabling the possibility for behavioral health policy innovation. Conclusions: The advisory meeting suggest­ed that local policy makers, academics, and community members, together with federal agents, are working to implement behav­ioral health policy innovation. Ethn Dis. 2018;28(Suppl 2):407-416; doi:10.18865/ed.28.S2.407.