jason bearden, ceo highland rivers health laurie wilburn-bailey, clinical director advantage...
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Jason Bearden, CEO Highland Rivers Health
Laurie Wilburn-Bailey, Clinical DirectorAdvantage Behavioral Health Systems
David Wallace, Director, Residential ServicesNew Horizons Community Service Board
The state mental health authority has historically had the responsibility for overseeing and providing services for adults with
serious mental illnesses and children with serious
emotional disturbances.
In the state of Georgia, mental health and addiction services are administered by
the same agency, the Department of Behavioral Health and Developmental
Disabilities (DBHDD).
Picture of Central State Hospital circa 1915
“State Asylum for the Insane”
Picture of Central State Hospital circa 2013
“State Asylum for the Insane”
When we say Whole Health, we are referring to a treatment approach that focuses on the care of the whole person, body, mind, spirit, community, and their interactions with society. Recovery is a self-directed journey where it is the person’s choice of what will make their life meaningful and what supports will help them reach their full potential.
When we say Whole Health, we are referring to a treatment approach that focuses on the care of the whole person, body, mind, spirit, community, and their interactions with society. Recovery is a self-directed journey where it is the person’s choice of what will make their life meaningful and what supports will help them reach their full potential.
Recovery Based
Recovery Based
Silos = Failed ModelTraditional supports require the client to navigate complex
and disjointed silos of support.
Provide Coordination and Linkage to Comprehensive Treatment, Recovery and Supportive Services
Georgia’s Criminal Justice and Behavioral Health System
Good Outcomes for
Georgia & People with Disabilities
What is a CSB?
As found in the OCGA § 37-2-6, CSBs are:
(1)Created to provide mental health, developmental disabilities, and addictive diseases services
(2)Authorized to provide health, recovery, housing, or other supportive services;
(3)Public agencies;
(4)Public corporations and instrumentalities of the State of Georgia; and
(5)Created for nonprofit and public purposes to exercise essential governmental functions.
Service category Persons served
Adult mental health and addictive diseases
~ 135,000
Child and adolescent mental health and addictive diseases
~ 31,000
Developmental disabilities
~ 7,000
Unduplicated Person Served (2010)
Specialty Behavioral
Health Services Provider
Continuum of Care
Specialty Behavioral Health Services Provider Target Population & Access
Who can you refer to us? Adults with Serious and Persistent Mental Illness
(i.e., Major Depressive Disorder, Schizophrenia, and Bi-Polar)
Adults and Youth with Addictive Disease Children and Adolescents with Social and
Emotional Disturbances
How do I access you? Direct Referral Line in each CSB (i.e., 1-800 access
number ) Georgia and Crisis Access Line
Veterans Affairs
Veterans Affairs
Commercial Commercial
Mcaid/McareMcaid/Mcare
Child Welfare
Child Welfare
HUDHUD Primary CarePrimary Care
Blending and braiding of fund sources is required to provide comprehensive recovery based services.
The Triple Aim of Healthcare is the perpetual goalCost Effective, Patient Satisfaction & Quality Services
Behavioral Health is uniquely positioned to blend & braid funding streams together to strengthen the overall system of care.
Blending and braiding of fund sources is required to provide comprehensive recovery based services.
The Triple Aim of Healthcare is the perpetual goalCost Effective, Patient Satisfaction & Quality Services
Behavioral Health is uniquely positioned to blend & braid funding streams together to strengthen the overall system of care.
Vocational Rehab.
Vocational Rehab.
Gov’t FundsGov’t FundsCriminal Justice
Criminal Justice
$0
$20
$40
$60
$80
$100
$120
Mental Health Services Substance Use Services
in Bi
llions
Private
Public
U.S Department of Health and Human Services. National Expenditures for Mental Health Services and Substance Abuse Treatment
78%
22%
National Funding Snapshot State CSB Funding Snapshot
Payer % of total revenues
Medicaid 38.99%
Medicare 1.24%
State and federal contracts and grants
49.70%
Private Insurance 1.22%
County Contributions 1.57%
Other 7.28%
10%
90%
Per Capita Mental Health Expenses
Per Capita Mental Health Expenses
Accountability Court & Community Service Board
1. Create complimentary treatment systems. Avoid creating parallel treatment systems.
2. Capitalize on evidence based treatment systems practiced within CSBs
3. Utilize Community Service Board as your public mental health authority to leverage federal and state dollars that other providers cannot bring to bear.
4. Partner with your local Community Service Board that has the ability to bridge system gaps and coordinate services.
Provide Coordination and Linkage to Meet Community Comprehensive Treatment, Recovery and
Support Needs