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Massachusetts DMH Commissioner Childs to
leave post

(July 2007 Issue)

By Phyllis Hanlon

In a statement to New England Psychologist, Elizabeth Childs, M.D., Department of Mental Health (DMH) commissioner, reports that on June 4, she gave her resignation to Secretary of Health and Human Service Judy Ann Bigby.

On April 18, 2003, then-Gov. Mitt Romney appointed Childs to the Commissioner post. Previously, she served as director and chief of psychiatry at Caritas Carney Hospital. The first psychiatrist to hold the commissioner position since the early 1980s, Childs assumed the role at a fiscally unstable time in the department's history. In spite of significant challenges, she created several initiatives and expanded programs and services during her four-year tenure.

As co-chair of the Facility Feasibility Commission, Childs helped craft the Inpatient Study Report for the General Court of March 2004, resulting in a bond bill for a new state psychiatric hospital.

Her concern for the younger generation in the Commonwealth led to positive change. "During my tenure, the department expanded Transitional Age Youth services, which has brought a renewed and stronger voice to the DMH child and adolescent service system," says Childs.

Under her direction, the DMH shifted its culture of care with the Restraint/Seclusion Reduction Initiative and the Recovery Learning Communities program. The DMH also expanded Projects for Assistance in Transition from Homelessness (PATH) grants from the Center for Mental Health Services. The department's approach to ending homelessness has been singled out "as an exemplary and promising practice" by the U.S. Department of Housing and Urban Development.

Childs's other accomplishments include a Quality Improvement Initiative that involves the Community Health Center/Community Mental Health Center quality pilot project, a groundbreaking model of coordination among mental health, public health and primary care services. She also successfully implemented the Massachusetts Child Psychiatric Access Program, the Readmission Learning Collaborative and smoking cessation and wellness programs.

Focused on utilization management, the DMH decreased inpatient census and secured funding for capital upgrades across all DMH facilities. "I engaged the department and its stakeholders in a broad-based strategic planning process to create an integrated mental health system that aligns services with MassHealth Behavioral Health programs that increases access, decreases fragmentation, improves quality and creates a model of care that is evidence-based, consumer and family driven and recovery-oriented," says Childs.

Andrea Watson, executive director of Parents for Residential Reform at the Federation for Children with Special Needs (FCSN), worked on the Suicide Task Force with Childs. She applauds Childs's dedication to the department and to the public she served. "Her commitment and work behind the scenes at the Department of Social Services and the Department of Youth Services is amazing. She was not afraid to share resources and participate with other departments."

Childs was recently named to the National Advisory Mental Health Council of the National Institutes of Mental Health (NIMH). She will serve in that capacity until September 2010.

Juan Martinez, communications director for the Executive Office of Health and Human Services (EOHHS) says, "Childs stepped down to pursue additional graduate studies at Harvard's John F. Kennedy School of Government and to expand her private practice," he says. "No replacement has been named yet. She will remain in her role until July 31."