There is an industry-wide transition happening in behavioral health — one that calls for more quality over quantity, more home- and community-based services, more crisis response, more assertive community treatment (ACT), and more primary care integration. The effects on provider organizations are varied, and they include: increased risk with single-payer dependence; the need to expand/shrink services to larger/smaller populations; new service delivery tools and technologies; and changing community demographics. For any executive team worth its salt, this calls for regular and thorough rethinking of how care is delivered across the organization — and for the possible selection . . .