Across the nation, the mode of governance for behavioral health systems varies significantly. In many ways, each state’s behavioral health governance structure is unique. As policymakers consider transitioning the behavioral health system in Nevada from a governance and service delivery structure centralized at the State level to a more regionalized system, it is important to define the objectives for doing so. It is also important to consider how such a change might build on the strengths and reduce the weaknesses of the existing system, and what it might cost to transition to and maintain a more regionalized system.

The objectives for considering regionalization of behavioral health governance in Nevada may include involving local stakeholders in the identification of key behavioral health issues and development of priorities; developing community-based resources and services; and improving access to care. This study outlines numerous issues and key factors to consider as policymakers weigh whether to regionalize the behavioral health system and the type or style of regional governance that might be most effective in Nevada.