transforming mental health in america sybil goldman, m.s.w. special assistant for children office of...

Transforming Mental Health in America

Sybil Goldman, M.S.W.

Special Assistant for ChildrenOffice of the Administrator

Gary M. Blau, Ph.D.

Chief, Child, Adolescent & Family Branch

Center for Mental Health Services

Substance Abuse, Mental Health Services Administration

““Imagination is the Imagination is the beginning of creation. beginning of creation. You imagine what you You imagine what you desire, you will what desire, you will what you imagine and at you imagine and at last you create what last you create what you will.”you will.”

~ George Bernard Shaw ~

““Imagination is the Imagination is the beginning of creation. beginning of creation. You imagine what you You imagine what you desire, you will what desire, you will what you imagine and at you imagine and at last you create what last you create what you will.”you will.”

~ George Bernard Shaw ~

The President’s New Freedom Commission on Mental Health

Achieving the Promise:Transforming Mental Health Care in America

4

Transforming Mental Health CareTransforming Mental Health Carein Americain America

Transforming Mental Health CareTransforming Mental Health Carein Americain America

“We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports - essentials for living, working, learning, and participating fully in the community.”

~ Presidents New Freedom Commission on Mental Health – Achieving the Promise: Transforming Mental Health Care in America ~

“We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports - essentials for living, working, learning, and participating fully in the community.”

~ Presidents New Freedom Commission on Mental Health – Achieving the Promise: Transforming Mental Health Care in America ~

The Goals of a Transformed System

Goal 1 Americans Understand that Mental Health Is Essential to Overall Health

Goal 2 Mental Health Care Is Consumer and Family Driven

Goal 3 Disparities in Mental Health Services Are Eliminated

* Includes 19 Key Recommendations


Goal 1 Americans Understand that Mental Health Is Essential to Overall Health

Goal 2 Mental Health Care Is Consumer and Family Driven

Goal 3 Disparities in Mental Health Services Are Eliminated


President’s New FreedomCommission on Mental HealthCommission on Mental Health


Goal 4 Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice

Goal 5 Excellent Mental Health Care Is Delivered and Research Is Accelerated

Goal 6 Technology Is Used to Access Mental Health Care and Information



Goal 4 Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice

Goal 5 Excellent Mental Health Care Is Delivered and Research Is Accelerated

Goal 6 Technology Is Used to Access Mental Health Care and Information


President’s New FreedomCommission on Mental HealthCommission on Mental Health

7

Defining Transformation:Defining Transformation:Defining Transformation:Defining Transformation:

A continuous and complex process

New behaviors, new competencies

New sources of power

New partners

Profound changes in structure, culture, policy and programs

Will not happen over night

A continuous and complex process

New behaviors, new competencies

New sources of power

New partners

Profound changes in structure, culture, policy and programs

Will not happen over night

8

The process of Transformation includes The process of Transformation includes three distinct types of activities:three distinct types of activities:

• Continuous Continuous smallsmall stepssteps

• A series of exploratory A series of exploratory mediummedium jumpsjumps, and , and

• A few A few big big jumpsjumps

Goal 1: Americans Understand That Mental Health Is Essential to Overall Health

Goal 1: Americans Understand That Mental Health Is Essential to Overall Health

Recommendations

1.1 Advance and implement a national campaign to reduce the stigma of seeking care and a national strategy for suicide prevention

1.2 Address mental health with the same urgency as physical health

Recommendations

1.1 Advance and implement a national campaign to reduce the stigma of seeking care and a national strategy for suicide prevention


Goal 2:Mental Health Care Is Consumer and Family Driven


Recommendations

2.1 Develop an individualized plan of care for every adult with a serious mental illness and every child with a serious emotional disturbance


Recommendations

2.1 Develop an individualized plan of care for every adult with a serious mental illness and every child with a serious emotional disturbance




Recommendations

2.3 Align relevant Federal programs to improve access and accountability for mental health services

2.4 Create a Comprehensive State Mental Health Plan

2.5 Protect and enhance the rights of people with mental illnesses

Recommendations

2.3 Align relevant Federal programs to improve access and accountability for mental health services

2.4 Create a Comprehensive State Mental Health Plan

2.5 Protect and enhance the rights of people with mental illnesses

Goal 3:Disparities in Mental Health Services Are Eliminated

Goal 3:Disparities in Mental Health Services Are Eliminated

Recommendations

3.1—Improve access to quality care that is culturally competent

3.2—Improve access to quality care in rural and geographically remote areas

Recommendations

3.1—Improve access to quality care that is culturally competent

3.2—Improve access to quality care in rural and geographically remote areas

Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice


Recommendations

4.1—Promote the mental health of young children

4.2—Schools should have the ability to play a larger role in mental health care for children

Recommendations

4.1—Promote the mental health of young children

4.2—Schools should have the ability to play a larger role in mental health care for children



Recommendations

4.3—Screen for co-occurring mental and substance abuse disorders and link with integrated treatment strategies

4.4—Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and support

Recommendations

4.3—Screen for co-occurring mental and substance abuse disorders and link with integrated treatment strategies

4.4—Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and support

Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated


Recommendations

5.1—Accelerate research to promote recovery and resilience and, ultimately, to cure and prevent mental illnesses

5.2—Advance evidence-based practices (EBPs) using dissemination and demonstration projects and create a public-private partnership to guide their implementation

Recommendations

5.1—Accelerate research to promote recovery and resilience and, ultimately, to cure and prevent mental illnesses

5.2—Advance evidence-based practices (EBPs) using dissemination and demonstration projects and create a public-private partnership to guide their implementation



Recommendations

5.3 Improve and expand the workforce providing evidence-based mental health services and supports

5.4 Develop the knowledge base for… – Eliminating mental health disparities– Assessing long-term effects of

medications– Reducing impact of trauma– Improving acute care

Recommendations

5.3 Improve and expand the workforce providing evidence-based mental health services and supports

5.4 Develop the knowledge base for… – Eliminating mental health disparities– Assessing long-term effects of

medications– Reducing impact of trauma– Improving acute care

Goal 6:Technology Is Used To Access Mental Health Care and Information

Goal 6:Technology Is Used To Access Mental Health Care and Information

Recommendations

6.1 Use health technology and telehealth to improve access and coordination of mental health care, especially for Americans in remote areas or in underserved populations

6.2 Develop and implement integrated electronic health record and personal health information systems

Recommendations

6.1 Use health technology and telehealth to improve access and coordination of mental health care, especially for Americans in remote areas or in underserved populations

6.2 Develop and implement integrated electronic health record and personal health information systems

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Federal Partners for Transformation

Federal Partners for Transformation

U.S. Department ofHealth & Human Services

AoANIH/NIDA

ACFNIH/NIMH

AHRQHHS/OS

- ASPE

CDC - OCR

CMS - OD

- OPHS

HRSASAMHSA

IHS

U.S. Department ofHealth & Human Services

AoANIH/NIDA

ACFNIH/NIMH

AHRQHHS/OS

- ASPE

CDC - OCR

CMS - OD

- OPHS

HRSASAMHSA

IHS

Other Partners

Dept. of EducationDept. of Housing and Urban DevelopmentDept. of JusticeDept. of LaborSocial Security Adm.Dept. of Veterans AffairsWhite House Office of Faith-Based Community Initiatives

19

SAMHSASAMHSA SAMHSASAMHSA

AACCOUNTABILITYCCOUNTABILITY CCAPACITYAPACITY EEFFECTIVENESSFFECTIVENESS

Measure and report program performance

Increase serviceavailability

Improve servicequality

VVision:ision: A Life in the Community for EveryoneA Life in the Community for Everyone

MMission:ission: Building Resilience and Facilitating Building Resilience and Facilitating Recovery for people with or at risk for Recovery for people with or at risk for mental or substance use disordersmental or substance use disorders

“One SAMHSA”

Each strand is individual Each strand is individual

and unique. Woven and unique. Woven

together they transform together they transform

into a strong and mighty into a strong and mighty

cloth.cloth.

Each strand is individual Each strand is individual

and unique. Woven and unique. Woven

together they transform together they transform

into a strong and mighty into a strong and mighty

cloth.cloth.

22

Major SAMHSA InitiativesMajor SAMHSA InitiativesMajor SAMHSA InitiativesMajor SAMHSA Initiatives Implementing the Strategic Prevention FrameworkImplementing the Strategic Prevention Framework

Building Substance Abuse Treatment Capacity: Building Substance Abuse Treatment Capacity: Access to RecoveryAccess to Recovery

Addressing Needs of Youth and Adults with Addressing Needs of Youth and Adults with Co-occurring Mental and Substance Use Co-occurring Mental and Substance Use

DisordersDisorders

Transforming the Mental Health SystemTransforming the Mental Health System

23

SAMHSA’s Children and SAMHSA’s Children and Families WorkgroupFamilies Workgroup

SAMHSA’s Children and SAMHSA’s Children and Families WorkgroupFamilies Workgroup

• Membership:Membership:

Key policy and program leadership for children across three Key policy and program leadership for children across three Centers & OA: CMHS, CSAP & CSATCenters & OA: CMHS, CSAP & CSAT

• Purpose: Purpose:

Align SAMHSA vision, goals and activities Align SAMHSA vision, goals and activities to improve the to improve the quality and availability of quality and availability of a comprehensive, integrated continuum of services and supports — that includes — that includes prevention, early intervention, and treatment —for children, prevention, early intervention, and treatment —for children, with or at risk for mental and/or substance use disorders, and with or at risk for mental and/or substance use disorders, and their families.their families.

• Action Plan

More grows in the

garden than the

gardener sows.

~ Spanish Proverb ~

More grows in the

garden than the

gardener sows.

~ Spanish Proverb ~

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SAMHSA Matrix Action PlansSAMHSA Matrix Action PlansSAMHSA Matrix Action PlansSAMHSA Matrix Action Plans

• Children and Families

• Strategic Prevention Framework

• Mental Health Transformation

• Co-occurring Disorders

Action Plans available online: www.samhsa.gov

26

Children and Families two-year Children and Families two-year Action Plan – Action Plan – Selected TA StrategiesSelected TA Strategies


• Resource/toolkit on SA and MH screening for use in multiple settings

• TA document to help States use standardized screening tools

• Resource document on primary care/behavioral health interface: MH/SA screens of children 0 to 3 and their caregivers, and facilitated referrals

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• Pilot project, “Transforming, Linking and Caring (TLC),” links regional CMHS child-focused grantees to develop continuum of care

• Financing guide on strategies for integrating funding streams for SA and MH services and supports

• Prototype of individualized plan of care for children and their families

28

Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected Grant OpportunitiesSelected Grant Opportunities

Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected Grant OpportunitiesSelected Grant Opportunities

• Create and award Child and Adolescent State Infrastructure Grants (SIG)

• Create new State Mental Health Transformation Grants (to include children and families, and build on Child and Adolescent SIG)

• Develop prototype grants to fund a State adolescent SA treatment coordinator to build State infrastructure and capacity for services integration

29

Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected CollaborationsSelected Collaborations

Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected CollaborationsSelected Collaborations

• Collaborate with Dept. of Education to expand school-based MH programs

• Collaborate with ASPE, ACF, CMS and Depts. of Education and Justice on eliminating practice of parents giving up custody for treatment

• National Child Traumatic Stress Initiative (increase outreach to build new collaborative partnerships)

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SAMHSA’s 4 Standard Grant SAMHSA’s 4 Standard Grant AnnouncementsAnnouncements

SAMHSA’s 4 Standard Grant SAMHSA’s 4 Standard Grant AnnouncementsAnnouncements

• Services GrantsServices Grants – – provide funding toprovide funding to expand and strengthen effective, expand and strengthen effective, culturally competent mental health and substance abuse servicesculturally competent mental health and substance abuse services

• InfrastructureInfrastructure GrantsGrants– – support identification and implementation of support identification and implementation of systems/structures, but not designed to fund servicessystems/structures, but not designed to fund services

• Best Practices Planning & Implementation GrantsBest Practices Planning & Implementation Grants–– help help communities and providers identify practices to effectively meet local needs, communities and providers identify practices to effectively meet local needs, develop strategic plans for implementing/adapting those practices, and pilot-develop strategic plans for implementing/adapting those practices, and pilot-test practices prior to full-scale implementationtest practices prior to full-scale implementation

• Service-to-Science GrantsService-to-Science Grants – – provide funds to document and evaluate provide funds to document and evaluate innovative—but not yet proven effective–practices that address service gapsinnovative—but not yet proven effective–practices that address service gaps

Note: Note: Some funding opportunities do not fit standard announcements; separate stand-Some funding opportunities do not fit standard announcements; separate stand-alone grant announcements will be published in those instancesalone grant announcements will be published in those instances

““Frisbeetarianism is the Frisbeetarianism is the

belief that when you die, belief that when you die,

your soul goes up on your soul goes up on

the roof and gets the roof and gets

stuck..” stuck..”

~ George Carlin ~~ George Carlin ~

““Frisbeetarianism is the Frisbeetarianism is the

belief that when you die, belief that when you die,

your soul goes up on your soul goes up on

the roof and gets the roof and gets

stuck..” stuck..”

~ George Carlin ~~ George Carlin ~

T = (V + B + A) (CQI)2

The Transformation EquationThe Transformation EquationTransformation (Vision Belief Action) ( Continuous Quality Improvement )2

• The primary strategy of the Child, Adolescent & Family Branch for transforming mental health involves helping states, local communities & tribal organizations build strong systems of care. Key elements of this strategy include:

– Vision that provides direction for the work we do

– Belief that guides the work we do

– Action that is taken to make our vision and beliefs a reality; and

– Continuous Quality Improvement which helps ensure that our actions reflect the wishes and needs of the community being served

Transformation (Vision Belief Action) ( Continuous Quality Improvement )2

• The primary strategy of the Child, Adolescent & Family Branch for transforming mental health involves helping states, local communities & tribal organizations build strong systems of care. Key elements of this strategy include:

– Vision that provides direction for the work we do

– Belief that guides the work we do

– Action that is taken to make our vision and beliefs a reality; and

– Continuous Quality Improvement which helps ensure that our actions reflect the wishes and needs of the community being served

Center for Mental Health ServicesChild, Adolescent and Family Branch

Center for Mental Health ServicesChild, Adolescent and Family Branch

Vision– All children and their families live, learn, work, and participate fully in communities where they experience

joy, health, love, and hope.

Mission– Through investment and partnerships in home and community-based systems

of care, the Child, Adolescent and Family Branch promotes potential and the well-being of children and youth who have, or are at risk of having, a serious emotional or behavioral disturbance, and their families.

Accomplished by…

• Embracing families and their cultures,

• Eliminating disparities and fostering cultural and linguistic competence,

• Establishing effective service delivery models,

• Collaborating with other public and private child-serving systems and organizations, and

• Ultimately transforming children’s mental health care across America.

Vision– All children and their families live, learn, work, and participate fully in communities where they experience

joy, health, love, and hope.

Mission– Through investment and partnerships in home and community-based systems

of care, the Child, Adolescent and Family Branch promotes potential and the well-being of children and youth who have, or are at risk of having, a serious emotional or behavioral disturbance, and their families.

Accomplished by…

• Embracing families and their cultures,

• Eliminating disparities and fostering cultural and linguistic competence,

• Establishing effective service delivery models,

• Collaborating with other public and private child-serving systems and organizations, and

• Ultimately transforming children’s mental health care across America.

ContextContext

• CASSP Program begins in 1993

A budget of 4.9 million in when the CASSP program was initiated.

• CASSP Program begins in 1993

A budget of 4.9 million in when the CASSP program was initiated.

Children’s Program Federal Funding

Children’s Program Federal Funding

Fiscal Year (FY) 2004 budget: $102,353,000

Fiscal Year (FY) 2004 budget: $102,353,000

ContextContext

Eastern Kentucky

North Carolina (10 counties)

California 5 (Santa Cruz,San Mateo, Riverside Ventura, &

Solano Counties)

Vermont 1 (statewide)

Lyons, Riverside, & Proviso, IL

Bismarck, Fargo, & Minot, ND

Northern Arapaho Tribe, WY

Sault Ste. Marie Tribe, MI

Rhode Island 2 (statewide)

Hillsborough County, FL

Charleston, SC

King County, WA

Clark County, WA

Clackamas County, OR

Vermont 2 (statewide)

Passamaquoddy Tribe, ME

Rhode Island 1 (statewide)

Maine (4 counties)

Edgecombe, Nash, & Pitt Counties, NC

Alexandria, VA

Baltimore, MD

South Philadelphia, PA

Mott Haven, NY

Detroit, MI

Northwoods Alliance, WI Milwaukee, WI

Navajo Nation

Sacred Child Project, ND

San Diego County, CA

Napa & Sonoma Counties, CA

Lane County, OR

Santa Barbara County, CA

Greenwood, SC

West Palm Beach, FL

Contra Costa County, CA

Birmingham, AL

North Carolina (11 counties)

Oglalla Sioux Tribe, SD

Lancaster County, NE

Willmar, MN

Pima County, AZ

Marion County, IN

Charleston, WV

Montgomery County, MD

Delaware (statewide)

Burlington County, NJWestchester County, NY

Worcester, MANew Hampshire (3 regions)

Gwinnett & Rockdale Counties, GA

System-of-Care Communities of the Comprehensive Community Mental Health Services Program for Children and Their Families

United Indian Health Service, CA

Nebraska (22 counties)

San Francisco, CA

Clark County, NV

Rural Frontier, UT

Denver, CO

Las Cruces, NM

Wichita, KS

Parsons, KS

Travis County, TX

u

u

u

u

uu

u

u

u

u

u

u

u

u

u

u

u

u

u

Sacramento County, CAGlenn County, CA

Colorado (3 counties)El Paso County, TX

u

Oklahoma

Ft. Worth, TX

Choctaw Nation, OK

St. Charles County, MO

Missouri

Broward County, FL

Connecticut (statewide)

Washington, DC

u

New York, NY

Lake County, IN

Illinois (Chicago area)

Idaho

Wai'anae & Leeward, HI

Fairbanks, AK

Yukon Kuskokwim Delta Region, AK

Guam

Puerto Rico

Oakland, CA

Monterey County, CA

Four Counties, OR

u

Allegheny County, PA

Southern Consortium & Stark County, OH

Cuyahoga County, OH

Jackson, MS

St. Louis, MO

Nashville, TN

Louisiana (5 parishes)

3 counties & Catawba Indian Nation, SC

9-1-93 4

2-1-94 7

9-1-94 9

11-1-94 2

9-1-97 9

10-1-98 13

Date Numberu

uu

Funded Communities

11-1-98 1

9-30-99 20

5-1-00 1

7-1-00 1

10-1-02 18

9-30-03 7

u

Date Number

Montana

Iowa

Arkansas

Ninety-six systems of care grants and cooperative agreements funded since 1993

Each community funded for 6 years Forty-five communities have completed federal funding phase (graduated)

Context: System of Care Development EffortsContext: System of Care Development Efforts

Forty-eight States impacted by the Children’s Program

364 counties served by the Program since 1993

Number of children served: More than 60,000

Context: System of Care Development EffortsContext: System of Care Development Efforts

Philosophy of the ProgramPhilosophy of the Program

Driven by the needs and preferences of the child and family;

Addressed through a strength-based approach;

Focus and management of services occurs in multi- agency and community base;

Services, partners and programs are responsive to cultural characteristics of the populations served and:

Families are partners in all phases of the program.

Systems of Care as a Transformation StrategySystems of Care as a Transformation Strategy

• Relentless customer focus

Beliefs + Actions x (CQI)2

Family Involvement

Technical Assistance

Research

System of CareTransformation

Cultural Competence

Site Improvement

Youth Involvement

• Moving from family involvement to family driven

• Fully embracing youth involvement

• Opening the data set• Establishing key benchmarks

• Recovery, resilience, prevention - defining how systems of care contribute

• Integrating technical assistance activities

• Moving from concept to reality. Tools & strategies

• Improving the site visit process

• Council on Collaboration and Coordination

• Family driven

FundedCommunities:Transforming

Systemsof Care

Integrated & Coordinated Technical Assistance

TransformationLeadership

Research AgendaFamily Driven

Youth Guided

Reducing Disparities

Continuous QualityImprovement

Approach

Council on Coordination & Collaboration Priority Focus Areas

Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas

1. Continuous quality improvement

• Ensuring the quality of outputs and outcomes of the sites, the partners and the Council.

1. Continuous quality improvement

• Ensuring the quality of outputs and outcomes of the sites, the partners and the Council.


2. Leadership to transform children’s mental health

• Synthesizing “lessons learned” regarding best practices for organizing and implementing mental health services to children and their families with a focus on practical outcomes of care.

• Strengthen overall program goals and activities.

• Move from “good” to “great.”

• Define recovery and resilience for children and families.

2. Leadership to transform children’s mental health

• Synthesizing “lessons learned” regarding best practices for organizing and implementing mental health services to children and their families with a focus on practical outcomes of care.

• Strengthen overall program goals and activities.

• Move from “good” to “great.”

• Define recovery and resilience for children and families.


3A. Family Driven

• Define “family-driven”

• Strengthen roles of families in systems of care

• Lessons learned about family involvement

• Further develop concept of family choice

• Develop concept of youth guided care

3A. Family Driven

• Define “family-driven”

• Strengthen roles of families in systems of care

• Lessons learned about family involvement

• Further develop concept of family choice

• Develop concept of youth guided care


3B. Youth Guided

• Develop National Youth Development Board

• Protocols and orientation for youth attending local and national meetings

3B. Youth Guided

• Develop National Youth Development Board

• Protocols and orientation for youth attending local and national meetings


4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers

•Emphasize essential role of cultural & linguistic competence in achieving the vision & mission of the Branch and the Program.

•Enhance organizational capacity for cultural and linguistic competence.


•Emphasize essential role of cultural & linguistic competence in achieving the vision & mission of the Branch and the Program.

•Enhance organizational capacity for cultural and linguistic competence.



•Increase awareness and knowledge of factors that contribute to disparities.

•Develop specific approaches that contribute to the goal of eliminating disparities.


•Increase awareness and knowledge of factors that contribute to disparities.

•Develop specific approaches that contribute to the goal of eliminating disparities.



•Support Branch efforts to implement principles and concepts of cultural and linguistic competence.


•Support Branch efforts to implement principles and concepts of cultural and linguistic competence.


5. Develop a research agenda to enhance the understanding of how to develop and provide effective, efficient and coordinated services within systems of care.

• Priority list of research areas to guide the national evaluation

• Searchable electronic knowledge management system

• Infrastructure for supporting activities of a National Evaluation Data Users Group

• CQI report card

5. Develop a research agenda to enhance the understanding of how to develop and provide effective, efficient and coordinated services within systems of care.

• Priority list of research areas to guide the national evaluation

• Searchable electronic knowledge management system

• Infrastructure for supporting activities of a National Evaluation Data Users Group

• CQI report card


6. Provide an integrated and coordinated approach to technical assistance to CMHS system of care sites

• Develop a single coordinated technical assistance plan and feedback mechanism to meet the needs of the community.

• Clarify for funded sites the roles and assistance provided by Federal Partners


• Develop a single coordinated technical assistance plan and feedback mechanism to meet the needs of the community.

• Clarify for funded sites the roles and assistance provided by Federal Partners



• Develop peer-to-peer network

• Review strategies for reducing

paperwork requirements of

sites. Identify areas of

duplication of effort.8

• Create CQI plan for Technical

Assistance Partners –

Consumer Technical Assistance

Program


• Develop peer-to-peer network

• Review strategies for reducing

paperwork requirements of

sites. Identify areas of

duplication of effort.8

• Create CQI plan for Technical

Assistance Partners –

Consumer Technical Assistance

Program

Individualized Plans of CareIndividualized Plans of Care

• Identify and promote the development of

guidelines for individualized planning of care that

focus on developing comprehensive, consumer

and family-driven service plans -with an outcome

of recovery and resiliency - that cross various

systems and funding sources.

• Identify and promote the development of

guidelines for individualized planning of care that

focus on developing comprehensive, consumer

and family-driven service plans -with an outcome

of recovery and resiliency - that cross various

systems and funding sources.

Individualized Plans of CareIndividualized Plans of Care• Two-phase process

– Phase I, SAMHSA/CMHS will identify evidence-based

approaches to service planning and develop guidelines

for the implementation of such models.

– Phase II will include the convening of regional policy

academies for State-based teams to encourage the

implementation of such approaches and to refine the

guidelines based on State experiences.

• Two-phase process

– Phase I, SAMHSA/CMHS will identify evidence-based

approaches to service planning and develop guidelines

for the implementation of such models.

– Phase II will include the convening of regional policy

academies for State-based teams to encourage the

implementation of such approaches and to refine the

guidelines based on State experiences.

Individualized Plans of CareIndividualized Plans of Care• Collaboration

– Collaboration between the CMHS Associate Directors

for Consumer and Medical Affairs, and the Child,

Adolescent, and Family Branch of the Division of

Services and Systems Improvement along with

consultation with the SAMHSA Medical Director.

• Collaboration

– Collaboration between the CMHS Associate Directors

for Consumer and Medical Affairs, and the Child,

Adolescent, and Family Branch of the Division of

Services and Systems Improvement along with

consultation with the SAMHSA Medical Director.

Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care

1) Strengthen the language regarding

implementing family involvement in

systems of care. This includes asking

applicants to operationalize how they

will address “family-driven” care.

2) Include additional requirements regarding

collaboration (e.g. identify priorities that are

consistent with the Action Agenda, including

Child Welfare and Juvenile Justice.

1) Strengthen the language regarding

implementing family involvement in

systems of care. This includes asking

applicants to operationalize how they

will address “family-driven” care.

2) Include additional requirements regarding

collaboration (e.g. identify priorities that are

consistent with the Action Agenda, including

Child Welfare and Juvenile Justice.CollaborationCollaboration

LanguageLanguage

Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care3) Develop specific requirements to ensure strong

linkages between local systems of care and

statewide transformation efforts. Require

applicants to provide examples and develop

a plan for how they will address this issue.

4) Require applicants to demonstrate how they will

coordinate with other relevant federally funded

initiatives, including the Mental Health Block

Grant, Safe Schools, Healthy Students…etc.

3) Develop specific requirements to ensure strong

linkages between local systems of care and

statewide transformation efforts. Require

applicants to provide examples and develop

a plan for how they will address this issue.

4) Require applicants to demonstrate how they will

coordinate with other relevant federally funded

initiatives, including the Mental Health Block

Grant, Safe Schools, Healthy Students…etc.

CoordinationCoordination

CollaborationCollaboration

LinkagesLinkages

LanguageLanguage

Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care

5)Add language requiring the development of youth involvement and youth leadership. Require Youth Coordinator position.

5)Add language requiring the development of youth involvement and youth leadership. Require Youth Coordinator position.

Youth involvement

Youth involvement

CoordinationCoordination

CollaborationCollaboration

LinkagesLinkages

LanguageLanguage

A problem can not be solved with the same consciousness that

created it. ~ Albert Einstein ~

transforming mental health in america sybil goldman, m.s.w. special assistant for children office of...

Documents

mental health slide

mental health screening

mental illnesses

excellent mental health

overall health goal

accelerated goal

transformed system goal

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