SIMPLE. PERSONAL. POWERFUL. The Los Angeles Department of Mental Health (DMH) is a mini world. Serving greater than 260,000 people annually, DMH’s more than 4,500 employees see clients from across the behavioral and mental health spectrum – those suffering from depression, schizophrenia, bipolar or co-occurring addiction. In addition to its directly operated service programs, LACDMH manages a large network of non- governmental contracted agencies. Challenge The five directly-operated programs that serve an area in downtown L.A. known as “Skid Row” work with the most severely and persistently mentally ill — people who hear voices, who are most often homeless. Lisa, a social worker for the county’s Downtown Full Service Partnership (FSP) program, tells of a young man who came in f

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