This five-year NIMH-funded study of the implementation of MHSA in Los Angeles County is led by Deputy Director Dr. Kathleen Daly, Dr. John Brekke of USC, and Dr. Joel Braslow. The goal is to understand how MHSA policies affect client treatment and outcomes, staff practices and morale, and improve mental health services. Research teams of ethnographers and consumer specialists have been embedded in the culture of specific DMH clinics for a period of three and a half years, observing and conducting interviews with administrators, stakeholders, clinicians, staff, and clients. Clinicians, staff, and clients are also completing surveys about their experiences and attitudes. The research team is now in the preliminary stages of compiling and assessing the data.