Founded in 1959 and based in Alexandria, VA, the National Association of State Mental Health Program Directors (NASMHPD) is a private, not-for-profit 501 (c) (3) organization representing the state executives responsible for the $41 billion public mental health service delivery system serving 7.5 million people annually in all 50 states, 6 territories, and the District of Columbia. NASMHPD (pronounced "NASH-bid") is the only national association to represent state mental health commissioners/directors and their agencies.NASMHPD represents the viewpoints and concerns of state mental health agencies to Congress, federal agencies and other national organizations by tracking legislation, leading collaborative efforts, initiating proposals to strengthen, streamline and simplify federal mental health programs and regulations, and educating members of Congress about the complex issues facing state mental health agencies. NASMHPD provides members with the opportunity to share state-to-state expertise and experiences through multiple venues. Further, NASMHPD provides the opportunity for states to receive technical assistance, consultation, and training based on the needs requested by the state.