FOUNDATION FOR EXCELLENCE IN MENTAL HEALTH CARE, INC
Accelerating the world's transition to excellent mental health care Edit Page
Programs and results
What we aim to solve
Mental health care as we know it is failing people worldwide. Medications are over-prescribed, people are forced into treatment without their consent, and many end up hopelessly lost within the system. Navigating the current system can often be as challenging as navigating a mental health crisis itself. The experience of mental health service users all over the world often centers around outdated and ineffective treatments. This results in feelings of alienation, loss of autonomy, inappropriate prescriptions and, in some cases, abuse of human rights. A growing body of research shows that the current, entrenched system of care often fails to improve outcomes for people who are facing mental health challenges.
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Adapting the Open Dialogue Model in the United States
With a multi-year grant from Open Excellence, mental health clinicians and researchers at UMass Medical School and UC San Diego began the work of adapting the Finnish Open Dialogue model for use in the United States. It is an innovative, recovery-oriented, clinical intervention that has been demonstrated to help individuals in acute psychiatric crises to find recovery.
There are currently three pilot projects underway; in Framingham, Massachusetts and Atlanta, Georgia, as well as the Institute for Dialogic Practice in Haydenville, MA which runs a two-year training program in dialogical practices and the Open Dialogue approach.
Hearing Voices Expansion and Support
Supporting the expansion of Hearing Voices peer-support groups across the United States, Israel and online. These groups offer a safe place for people to share their experiences of voices, visions, tactile sensations, unshared beliefs, and other distressing experiences. By meeting together to help and support one another, to exchange information, and most importantly to learn from each other’s coping strategies, these groups transform the lives even of people who have suffered for many years. Some people stop hearing voices entirely, while others learn to accept and “live with voices” in ways that enable them to regain more control over their lives.
RxISK Fund
Open Excellence administers the donor-advised RxISK.org Fund which supports the RxISK mission to "make medicines safer for all of us". Prescription drug side effects are now your most likely source of death, disability, or injury. Experts estimate that only 1–10% of serious adverse events (those causing hospitalization, disability, or death) are ever reported. Not to mention the millions of medically mild adverse drug events that occur each year — ones that compromise your concentration, functioning, judgment, and ability to care.
RxISK is a free, independent website where you can research prescription drugs and report a drug side effect. The resulting RxISK Report provides you with your RxISK Score indicating how likely it is that you are experiencing a drug side effect. This structured tool can help you articulate what is happening to you and determine whether your doctor is listening.
Open Dialogue International Research Collaboration (HOPEnDialogue)
Open Dialogue is a resource-oriented approach for people experiencing a mental health crisis. Developed in Finland, it has shown excellent results: 84% of persons experiencing a first episode psychosis returned to an active social life and only 33% were exposed to neuroleptic medications. Since these results were published, Open Dialogue has gained considerable attention and been adopted in countries around the globe, but implementation and outcomes have not yet been systematically investigated.
HOPEnDialogue is the first international research project to support the development of the approach and the investigation of its efficacy in different settings and cultures. HOPEnDialogue is based at the Italian National Research Council with an international advisory board of twenty-two experts, including researchers, OD clinicians, peers, family members and public health officers.
Independent mental health journalism with a global focus
United Nations special rapporteur Dainius Pūrius wrote in 2017, “We need little short of a revolution in mental health care to end decades of neglect, abuse and violence . . . I am calling on States to move away from traditional practices and thinking, and enable a long overdue shift to a rights-based approach. The status quo is simply unacceptable.”
In partnership with Open Society Foundations, Open Excellence is supporting original international reporting to change the status quo via the webzine MadInAmerica.com, a nonprofit founded by science journalist Robert Whitaker. In addition to coverage of critical issues with the current standard of mental health care and innovations from around the world, madinamerica.com has compiled resources on psychiatric drug safety, efficacy and withdrawal. It also offers information on non-drug therapies, individual and family support groups and a spectrum of voices of people with lived experience and professionals working on innovation and reform.
Safety and support for psychiatric drug withdrawal
One in six Britons were taking an antidepressant in 2018. So was the same proportion of American women. Those numbers surged during the COVID-19 pandemic, especially among people who had never taken them before. The increase was even greater in Australia which also saw 31% increase in anti-anxiety drugs. At the same time, there is growing recognition among national standards organizations and the general public that these drugs create physical dependence and side effects that often make withdrawal difficult and sometimes impossible. This has left many people with prolonged or permanent injury and disability. Currently, physicians are not trained in how to safely and effectively assist people to taper and withdraw from these drugs and the few independently developed tapering protocols are not widely known. Open Excellence is supporting the International Institute for Psychiatric Drug Withdrawal in its work to improve practice, research and training in this critical area.
Sponsoring Surviving Race Dialogues and Retreat
In response to the increased visibility of structural racism, systemic oppression, and police violence, Surviving Race will convene advocates, artists, educators, peer supporters, psychiatric survivors, and white allies to 1). Acknowledge, celebrate, and integrate the legacy of hope, resiliency and vision forged by our ancestors; 2). Examine the impact of structural racism, systemic oppression, and police violence on health disparities and racial trauma experienced by Black and Indigenous People of Color (BIPOC); and 3). Co-create future strategies and implementation steps to counter structural racism, systemic oppression, and police violence against BIPOC.
Open Excellence is a major sponsor of this 4-day forum in Savannah, Georgia in August 2022 to promote justice and healing.
Where we work
External reviews

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Our results
How does this organization measure their results? It's a hard question but an important one.
Number of media citations of advocate research or products
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Total number of grants awarded
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Holding steady
Number of donations made by board members
This metric is no longer tracked.Totals By Year
Type of Metric
Input - describing resources we use
Direction of Success
Increasing
Total dollar amount of grants awarded
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of new donors
This metric is no longer tracked.Totals By Year
Type of Metric
Input - describing resources we use
Direction of Success
Increasing
Our Sustainable Development Goals
Learn more about Sustainable Development Goals.
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Our vision is to radically improve outcomes for people with mental health challenges. We are transforming the current medical model of care to a recovery-based model that institutes trauma-informed practices, fully informed consent, person-centered choice, less reliance on medication, and more helpful and hopeful tools for recovery.
What are the organization's key strategies for making this happen?
Former NIMH Director Tom Insel recently said, "I spent 13 years at NIMH really pushing on the neuroscience and genetics of mental disorders, and when I look back on that I realize that while I think I succeeded at getting lots of really cool papers published by cool scientists at fairly large costs—I think $20 billion—I don't think we moved the needle in reducing suicide, reducing hospitalizations, improving recovery for the tens of millions of people who have mental illness."
To move the needle, the Foundation for Excellence in Mental Health Care is funding clinical research and piloting recovery programs that are already helping people today, with preliminary data showing improved outcomes. These focus on neglected areas of research such as the side-effects of long-term use of medication, nutrition and metabolic disorders that cause psychiatric symptoms, and treatment supports such as Open Dialogue and Hearing Voices support groups.
By funding clinical research, piloting recovery models of care and sharing unbiased information, we will achieve a fact based system of care that allows people to make well informed choices for their treatment.
We accomplish this by connecting donors to the causes that they find most meaningful through our worldwide network of researchers.
What are the organization's capabilities for doing this?
The Foundation has a community of dedicated donors who come from all walks of life but are united by a common vision and passion. We partner them with world renowned researchers, who together with our staff, international Board of Directors and Scientific Advisory Council members advance the mission of the Foundation. These include pioneering thought leaders from institutions such as the University of Massachusetts Medical School, University of Illinois College of Medicine, Oregon Health & Science University, Emory School of Medicine, Harvard Medical School and UC San Diego Medical School, to name a few. These researchers and board members include people who have lived through and with many different mental health challenges and this first-hand expertise informs every aspect of the work of the Foundation.
We have an extensive fabric of international relationships established over decades from which to draw further expertise and assistance.
The staff, consisting of our CEO Seana O'Callaghan, Chief Administrative Officer Malea Vedack, and Chief Communications Officer Jessica Pratt orchestrate the smooth operation of financial stewardship, grant making, monitoring, and effective communication.
What have they accomplished so far and what's next?
We are making progress in the following key areas: research, education and innovative program implementation. We have funded research which has been published in peer-reviewed journals, we have on-going research taking place currently in the areas of nutrition and multi-nutrients, long-term use of psychotropic drugs and the efficacy of Open Dialogue and Hearing Voices groups.
We partner with educational programs that offer family member support and continuing professional education. We have implemented a model treatment program which is now being replicated in three states, “Open Dialogue".
We are still working to achieve a large enough donor base to assure sustainability for many years to come in order for us to truly accomplish our mission of changing and improving mental health care.
How we listen
Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.
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How is your organization using feedback from the people you serve?
To inform the development of new programs/projects, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals
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Which of the following feedback practices does your organization routinely carry out?
We take steps to get feedback from marginalized or under-represented people, We take steps to ensure people feel comfortable being honest with us, We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive
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What challenges does the organization face when collecting feedback?
We don't have any major challenges to collecting feedback
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
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Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
FOUNDATION FOR EXCELLENCE IN MENTAL HEALTH CARE, INC
Board of directorsas of 03/29/2022
Kermit Cole
Giovan Bazan
Gayle Berg, PhD
Kermit Cole
David Hughes, PhD
Human Services Research Institute.
Chris Gordon, MD
Advocates Inc.
Ronda "Ro" Speight
MHA Westchester
Peter Kinderman, PhD
University of Liverpool
Hannah M Lingley
Capital One
Pablo Sadler, MD, MPH
New York City Bureau of Mental Health
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? No -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? No -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? No
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
The organization's leader identifies as:
Race & ethnicity
Gender identity
Sexual orientation
No data
Disability
No data
Equity strategies
Last updated: 11/18/2021GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more
- We review compensation data across the organization (and by staff levels) to identify disparities by race.
- We ask team members to identify racial disparities in their programs and / or portfolios.
- We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
- We use a vetting process to identify vendors and partners that share our commitment to race equity.
- We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.
- We have community representation at the board level, either on the board itself or through a community advisory board.
- We help senior leadership understand how to be inclusive leaders with learning approaches that emphasize reflection, iteration, and adaptability.
- We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.