Gilbert earned a bachelor of business administration
degree from SHSU in 1974 and master of business administration
degree (with honors) from East Texas State University
From May 1974 to May 1993 he held various administrative
positions within the Texas Department of Mental Health
and Mental Retardation, including work in the areas
of personnel, fiscal services and hospital support.
He was superintendent of the Terrell State Hospital
and Deputy Commissioner for Mental Health Services
for the state of Texas. He served three years
as head of the Dallas County Board of Mental Health
and Mental Retardation's service system for people
From 1995-98 he headed the state mental health and
mental retardation system, and in 1998 was appointed
by Gov. George W. Bush and confirmed by the Texas
Senate to lead the state's health and human services
agencies as commissioner of health and human services.
His responsibilities include oversight of 13 separate
health and human services agencies, with total spending
of $14 billion per year and 54,000 employees.
Gilbert is a member of the American Public Human
Services Association, member of the board of directors
of the National Association of State Mental Health
Program Directors, on the board of governors representing
Region VI, and a certified board examiner of the Association
of Behavioral Healthcare Management, member of the
American College of Health Care
Executives, and adjunct associate professor of the
Department of Psychiatry, Southwestern Medical School,
University of Texas Health Science Center in Dallas.
Gilbert has authored several articles in such professional
publications as Journal on Quality Improvement, AMHA
Leader, The Journal of Mental Health Administration,
Community Support Network News, The Journal of Clinical
Psychiatry, and a book chapter on state hospital reform.