Lone figure standing at edge of vast California landscape at golden hour
TREAT Humanity  ·  A national initiative  ·  est. 2024

Building the infrastructure for mental health and human wellbeing.

Science is advancing faster than the systems built to evaluate, deliver, and learn from it. TREAT Humanity connects evidence, care, measurement, workforce, policy, and emerging treatments around one fundamental question: What helps people get better, for whom, under what circumstances, and does it last?

Nationally designed. Starting in California.

The cost of waiting

The system is expensive because it intervenes late.

America does not lack mental health research, promising treatments, skilled clinicians, or public spending. It lacks the infrastructure that connects them. Care often arrives after crisis. Outcomes are measured too narrowly. Data remain fragmented. And what one program learns rarely becomes knowledge the next program can use.

The result is measured not only in suffering, but in emergency care, disability, incarceration, lost productivity, disrupted families, and enormous downstream cost.

$282B
Estimated annual economic cost of mental illness in the United StatesSource: National Bureau of Economic Research
61.5M
U.S. adults experienced a mental illness in 2024Source: SAMHSA, 2024 NSDUH
11 yrs
Average delay between onset of mental-health symptoms and treatmentSource: NAMI
~48%
U.S. adults with mental illness who received no treatment in 2024Source: SAMHSA, 2024 NSDUH
Overcrowded emergency department — the cost of a system without infrastructure

Emergency department, 11:47 PM. This is what the absence of infrastructure looks like.

The argument that crosses every divide

Mental health treatment is not compassion spending. It is fiscal policy.

Human wellbeing and fiscal discipline point in the same direction. When systems fail to intervene early, coordinate care, or learn from outcomes, costs migrate downstream into emergency medicine, disability, law enforcement, housing instability, and lost productivity.

The question is not whether society pays. We are already paying. The question is whether we pay for systems that help people recover.

Mental health treatment is not only compassion spending. It is fiscal policy.

What the RAND evaluation found

RAND's evaluation of Los Angeles County's Full Service Partnerships found $82.9 million in savings associated with five measured outcomes, representing a 24% reduction in non-FSP government spending among participants.

But RAND also identified something important: the available data were not enough. The researchers recommended broader longitudinal measurement, including housing, education, employment, social engagement, meaningful activity, and other outcomes that better describe how people's lives change over time.

Better systems serve people and communities

The result of late, fragmented care is measured not only in spending, but in suffering, disability, incarceration, lost productivity, disrupted families, and lives constrained by systems that do not learn.

Human wellbeing and fiscal discipline point in the same direction: toward earlier care, continuity, meaningful outcomes, and systems capable of improving.

Learn what helps people recover

That is the larger opportunity: not simply to spend more, but to learn more precisely what helps people recover, what does not, and why.

$82.9M
In savings across five measured outcomesRAND evaluation of Los Angeles County's Full Service Partnerships
Source: RAND Corporation RR2783
24%
Reduction in non-FSP government spendingAmong participants included in the RAND evaluation
Source: RAND Corporation RR2783
24,282
Participants includedIn the five-year RAND evaluation
Source: RAND Corporation RR2783
What TREAT Humanity builds

Six layers of infrastructure. One learning system.

Mental health will not be transformed by one treatment, one dataset, one profession, or one policy. TREAT Humanity works across the layers that determine whether good science becomes better lives.

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01 · Evidence & Outcomes
Measure what recovery actually means
Build a richer picture of whether a person's life improves
Symptoms matter. They are not the whole outcome. TREAT advances longitudinal measurement of functioning, quality of life, resilience and adaptive capacity, patient-defined goals, behavior, physiology where useful, and system utilization.

The goal is not another single score. It is a richer picture of whether a person's life actually improves, and whether that improvement lasts.
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02 · Learning Systems
Turn fragmented data into learning
Connect evidence without reducing people to data points
Clinical records, public-service data, patient-reported outcomes, and prospective measures often live in separate worlds. TREAT works toward privacy-protective, trusted systems that can connect them without reducing people to data points.

For whom does what work, under what circumstances, and does it produce durable improvement?
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03 · Workforce & Standards
Train for the care we are actually building
Match training to clinical responsibility
New treatments and new models of care create new responsibilities. TREAT focuses on competency, supervision, ethical standards, trauma literacy, and workforce models in which training matches clinical responsibility.
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04 · Access & Care Models
Evidence does not help people who cannot reach it
Build continuity across settings and communities
TREAT develops and evaluates models that can work across hospitals, community settings, underserved populations, and rural regions, with continuity before, during, and after acute treatment.
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05 · Emerging Treatments
Innovation without lowered standards
Expand what is possible without promoting one treatment
Psychedelic-assisted therapy, new pharmacologic approaches, digital tools, neurotechnology, and other emerging interventions may expand what is possible in mental healthcare.

TREAT's role is not to promote any one treatment. It is to help build the evidence, delivery models, safeguards, workforce, and measurement needed to use new tools responsibly.
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06 · Policy & Public Infrastructure
Make what works durable
Translate learning into institutions that improve over time
Evidence changes lives only when institutions can act on it. TREAT translates learning into standards, policy, financing strategies, public accountability, and institutional models capable of improving over time.
Human stories

Behind every statistic
is a life the system was meant to serve.

Our vision
The full scope of the crisis

This is bigger than what you see on the street.

Mental health reaches far beyond the healthcare system.

Homelessness is the most visible consequence of California's mental health infrastructure failure — but far from the only one. The same broken system touches every community, every income level, and every corner of the state.

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Schools

One in five California students has a diagnosable mental health condition. Most receive no school-based support. Early intervention produces the highest return of any investment in the system.

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Workplaces

Mental illness is the leading cause of disability in working-age adults. Lost productivity and early workforce exit cost California's economy hundreds of billions annually.

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Families

Untreated parental mental illness is one of the strongest predictors of child poverty and intergenerational trauma. Systems that reach parents reach the next generation simultaneously.

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Rural California

Inland communities face provider shortages that make care effectively inaccessible. The rural crisis is invisible to urban policymakers — and severe.

Aerial view of California valley at golden hour
California — the proof of concept

California is where we start. Not where we stop.

California combines world-class research, extraordinary demographic diversity, substantial public investment in mental health, major Medicaid reforms, and a powerful precedent for building public scientific infrastructure.

That makes it an unusually strong place to test new models, measure them rigorously, and build approaches that other communities can adapt rather than simply copy.

Los Angeles
75,000+
Individuals experiencing homelessness on a given night. LA County spends over $1 billion annually on homeless services. Without integrated mental health infrastructure, the cycle continues.
San Francisco
$672M
Annual behavioral health budget — among the highest per capita in the country. Yet psychiatric crises on city streets and overloaded emergency departments persist. Spending without infrastructure produces visible failure.
Inland California
60%
Of rural Californians with mental illness who receive no care — often because there is no provider within driving distance. The rural crisis is invisible to urban policymakers and severe.

California has done this before. As a founding member of the Independent Citizens Oversight Committee of CIRM, TREAT's founder helped govern an $8.5 billion public institution that became the largest stem cell research agency in the world. We know how to build institutions that last.

Read our vision  →
Diverse California community gathering at golden hour
When we focus, we deliver

America has built ambitious public systems before. Mental health deserves the same seriousness.

We built national infrastructure. We put humans on the moon. We mapped the human genome. In California, voters created a public agency that has committed billions to move regenerative medicine from discovery toward patients.

None of these efforts succeeded because someone found a single solution. They succeeded because science, institutions, public investment, talent, measurement, and sustained purpose were brought together.

TREAT Humanity is not another treatment program. It is an effort to build the connective architecture through which science, care, public systems, and lived experience can learn from one another and improve over time.

Jeannie Fontana, MD, PhD
Jeannie Fontana, MD, PhD
Founder and CEO, TREAT Humanity
About the founder

Jeannie Fontana, MD, PhD, is the founder and CEO of TREAT Humanity. Trained in medicine, biochemistry, and molecular biophysics, she has spent decades working at the place where scientific discovery meets the institutions responsible for bringing it to people.

The death of her mother from ALS profoundly shaped her understanding of what happens when human need moves faster than science. Fontana went on to work in patient advocacy, biomedical research, governance, and public policy. She served on the boards of the ALS Association and Sanford Burnham Medical Research Institute and was a founding member of the governing board of the California Institute for Regenerative Medicine, California's voter-created stem cell agency, now backed by $8.5 billion in public funding.

Her work now spans mental health, consciousness, psychedelic medicine, outcomes measurement, policy, and the design of systems capable of translating scientific progress into human benefit.

TREAT Humanity grew in part from her work in psychedelic medicine, where extraordinary therapeutic promise revealed a larger problem: innovation is advancing faster than the systems built to evaluate it, deliver it safely, measure what happens afterward, and learn from the results.

“My interest is not in defending any one treatment. It is in building a system capable of learning: what helps, for whom, under what circumstances, and whether the change lasts.”

Get involved

Help build the learning infrastructure mental health has been missing.

TREAT Humanity is assembling researchers, clinicians, technologists, policymakers, funders, and people with lived experience around projects that can be tested, measured, challenged, and improved.

Ways to participate
Research & Measurement

Academic, clinical, and outcomes collaboration

Clinical & Workforce

Training, standards, and new models of care

Technology & Data

Responsible infrastructure for longitudinal learning

Policy & Public Systems

Regulatory, financing, and institutional design

Community & Lived Experience

Building systems around the outcomes people themselves value

Philanthropy

Supporting rigorous early work that traditional funding often cannot

Begin a conversation
Why early support matters
Build rigorous early work

Early philanthropic support allows TREAT Humanity to develop research partnerships, build measurement infrastructure, convene disciplines that rarely work together, and test new models before they are ready for conventional public or academic funding.

Invest in durable public-good infrastructure

We welcome funders interested in building durable public-good infrastructure rather than supporting a single treatment or program.

California freeway infrastructure — America built this. Mental health deserves the same.

Mental health treatment is not only humane policy.
It is fiscal policy. And it is long overdue.

TREAT Humanity · treathumanity.org · jfontana@treathumanity.org