building on our strengths june 17, 2011
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Building on Our Strengths June 17, 2011. Valerie Vicari Western Area Director Office of Mental Health & Substance Abuse Servic es. Challenges are what make life interesting. Overcoming them is what makes life meaningful. Regional Stakeholder Meeting - PowerPoint PPT PresentationTRANSCRIPT
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Valerie Vicari Western Area Director
Office of Mental Health & Substance Abuse Services
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Regional Stakeholder Meeting Allegheny, Beaver, Washington,
Lawrence, Greene
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Regional Steering Committee
◦ Presented the Mayview Closure Experience at each 2011 Service Area Plan Meeting (Norristown, Danville, Wernersville, Warren, Clarks Summit, Torrance).
◦ Allegheny Health Choices, Inc (AHCI) led the presentation with PSAN.
◦ The message of hope and recovery was shared statewide.
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We have made considerable progress in transforming the behavioral health system
There is still much to do – we must continue our momentum
We can build on our strengths and learn new ways to succeed◦ Innovation◦ Evidence-based programs◦ Look with “new eyes” at today’s reality
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Allentown State Hospital Closure
◦ ASH closure completed December 14, 2010
◦ 108 CHIPP discharges
◦ Over $12.5M allocated to the community to develop services and supports
◦ Additional 11 discharges for individuals with dual diagnosis; funding transferred to ODP for waiver matching
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Allentown State Hospital Closure
◦Transfer CSPs were developed for those transferred
◦ CSPs significantly increase success for consumers as they proceed on their recovery journey
◦ Lehigh, Northampton, Carbon/Monroe/Pike counties - Enhanced infrastructure to support the individuals discharged or diverted from state hospital Examples: Extended Acute Care beds, CTT
development and ACT services
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Reflects the Commonwealth’s decision to end the unnecessary institutionalization of adults who have a serious and persistent mental illness
The goal is to return all persons who are being served in a state hospital bed to their communities ◦ Requests funds to support the reduction of civil bed
capacity by 90 persons each Fiscal Year
◦ Resources will be allocated to the counties
◦ Community Support Planning process will drive service development
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Each County to develop a Comprehensive Service Area Integration Plan by 6/30/2012
◦ Based on CSPs and reflective of Environmental Scan
◦ Must address at minimum – Housing Non-residential services and supports How special needs will be met, including substance
abuse, physical health, TBI, limited English proficiency, etc.
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Each County to create Housing options to reduce reliance on congregate settings of 16 or more beds ◦ Personal Care Home Integration Plan by
6/30/2012
Each County to create a comprehensive funding strategy that supports these plans by 6/30/2012
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Governor’s Recommended Budget
FY 2011-12
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Mental Health Services Appropriations
CHIPPs funded in FY 2010-11 for 6 months are annualized. This includes 30 CHIPPs at Norristown.
Increase of $1.5 M for individuals discharged from Allentown
State Hospital who need high-end, costly services. Includes the transfer of $2.45 M for 6 months to ODP for 35
individuals to move from State Hospitals to the waiver program.
Includes the transfer of funds to ODP for 7 individuals
currently residing in the community to move to the waiver program.
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Mental Health Services Appropriations $4.95 M for discharge of 90 individuals for 6 months from
NSH as part of the Fred L Litigation Does not include a cost of living adjustment
Special Pharmaceutical Benefit Package (SPBP)
Increase from $2.346 M to $3.618 M
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Drug and Alcohol
Act 152 funding is maintained at
$14,727,107 ◦ Total includes reduction of $1.5 M that occurred in
September 2010 ◦ Funds have been moved to capitation for FY 2011-
12 State funds -$12.857 M Federal funds -$1.870 M
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HealthChoices Carve out is still in place
Savings of $29.025 M◦ Revisions to provider performance incentives (P4P) ◦ Limitations on reinvestment funds ◦ Utilization of evidence-based services for children and
youth ◦ Offset by the transfer of the non-hospital residential
drug and alcohol treatment services previously funded through the MA outpatient appropriation
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Funds will be managed within the HC-BH Program
Builds on experience with expedited enrollment pilot program
Utilizes existing assessment and service authorization process – will be transparent for recipients
Funds will be used to cover rate adjustments due to increased non-hospital detox and rehabilitation services
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“Promoting Self-Sufficiency through Sensible Reforms”
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◦PA leads the nation in the number of Certified Peer Specialists who have been trained and employed
◦PA is the first state to secure civil service status for Certified Peer positions
◦We all benefit from the growth of CPS!
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42%47%
52%
0%
10%
20%
30%
40%
50%
60%
Reduced publicassistance
Decreasedhospitalizations
Decreasedcrisis/ER services
Yes
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3%16%
83%
63%
0%10%20%30%40%50%60%70%80%90%
Working full- orpart-time
Unemployed andnot looking for
work
Before Training
After Training
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Get spending under control
Embark on a long-term, multi-year strategy to reduce costs
Change the mindset on public assistance to promote personal independence and individual empowerment
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Care management that focuses on personal responsibility, prevention and wellness strategies
More efforts to deter fraud and abuse and to recover costs
Initiatives to encourage more home- and community-based care
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See public assistance as a temporary safety net, not a long-term restraint
Empower recipients to make decisions that lead to self-sufficiency
Promote welfare to work strategies
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