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In 1967, state lawmakers passed legislation creating Community Mental Health Boards.   The Lorain County Board of Mental Health (LCBMH) is the local public agency that plans, funds, monitors and evaluates a system of services for residents with mental illness in Lorain County.

A citizen's board of 18 community members decides the services to be provided and funded based upon state requirements and community needs. It also monitors and evaluates delivery of those services. Private, not-for-profit, including independent community agencies are contracted by LCBMH to provide an array of mental health services, including counseling, peer support, community support programs, prevention, consultation, crisis intervention, housing development and management, and vocational employment support.