Promoting Recovery through Self Direction: Strategies and Lessons from New York State

Within the public mental health system, self-direction supports people in developing and directing their own services to help reach their own goals for recovery and independence. New York State’s Office of Mental Health has begun implementing a self-direction pilot that pairs each person’s own recovery plan with a flexible budget to purchase goods and services relevant to their goals. This webinar will: 1) Provide an overview of self-direction models and outcomes research to assist people with serious mental illnesses; 2) Describe how New York’s model was developed and adopted during a shifting Medicaid managed care environment, including successful advocacy strategies; 3) Discuss operational concerns such as provider training and outreach during New York’s first pilot year; and 4) Report on early participant outcomes related to the pilot.


  • Bevin Croft, PhD., MPP, Research Associate, Human Services Research Institute (HSRI)
  • Briana Gilmore, MSc., Director of Planning and Recovery Practice, Community Access
  • Keith Aguiar, Self-Direction Pilot Program Manager, Community Access
  • Oyeama (“Zisa”) Okpalor, NY Program Participant