Stephen, I agree with your frustration. It is indeed nearly impossible to change the system from within. In fact, it may be a rule of systems theory that by their very nature systems cannot produce the second order change, the transformational change, from within. Then it becomes a question of the best strategy. At NEC we have been pushing the envelop for some time, by going outside the mental health system to reach less trained persons who deal with issues of emotional distress by teaching emotional CPR to the lay public. Also, Oryx Cohen’s film Healing Voices” reaches out to the public at large.