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National Council for Behavioral Health
November 9, 2017
1:30pm – 3:00pm ET
2017-2018 Behavioral Health Training &
Technical Assistance for State, Tribal, and
Local Health Officials Program:.
Introductory Webinar
Welcome!
Margaret Jaco Manecke, MSSWProject Manager, Practice Improvement
National Council for Behavioral HealthMargaretM@thenationalcouncil.org
Taslim van Hattum, LCSW, MPHProject DirectorDirector, Practice ImprovementNational Council for Behavioral HealthTaslimVH@thenationalcouncil.org
• CDC Remarks
• National Council for Behavioral Health
• National Council 2018 Conference
• Project Overview
• Participant Introductions
• Wrap-up & Next Steps
• Q&A
Agenda
Kristen A. Chapman, MPH
• Partnership Support Unit
• Office for State, Tribal, Local, and
Territorial Support
• Centers for Disease Control &
Prevention
CDC Remarks
Shelina D. Foderingham, MPH, MSW
Asst. Vice President, Practice Improvement
National Council for Behavioral Health
National Council for Behavioral
Health
Stronger together …
2900 organizations serving
10 million + adults, children
and families with mental
illnesses and/or addictions
Big Tent community based, hospitals, health
centers; housing, school and employment;
prevention, treatment, and recovery
9
US Burden of Disease
• Mood disorders 1st in work loss costs
• Most common reason for SSD
• 2/3 of ER visits related to SUD
• Quarter of adult U.S. hospitals stays involved mental
or substance use disorders –readmission driver
Addictions
Public Health CrisisSince 2000, the rate of deaths from drug overdoses has increased 137%,
ww w. TheNat i ona l Counc i l . o rg
School to Prison Pipeline• Same rates of mental health issues, black and
Hispanic children and young adults receive half the
treatment
• Children and youth of color ... Emotional and
behavioral problems result in suspension, expulsion
or incarceration, not mental health care.
• Black young adults receive one-seventh
substance abuse counseling as compared
to white young adults.Medical Expenditure Panel Survey data covering children/young
adults in all 50 states. Differences in income and insurance did not
account for the racial/ethnic disparities" in treatment.
Ohio’s child welfare system is overwhelmed by children orphaned by the opiate epidemic ...
Angus Deaton, Nobel Laureate in economics, big data...white,
middle-aged men and women with no more than a high school
education mortality rate increased since 1999, because of
drugs, alcohol, and suicide.
Rising Suicide Rates UP
Suicide death: up 24% from 1999 to 2014 - 10.5 to13 per
100,000 people
To create healthier and safer communities by
improving the care for people with mental illness
and/or addictions
Why Do We Exist
• Assertive public policy
• Organizational and operational excellence
• Impactful public education and communications
• Targeted workforce investments
• Association revenue diversification
Strategic Goals
• Population Health Management - Health Homes,
Collaborative Care, and PBHCI grantees
• Coordinated Specialty Care (CSC) - First Episode Psychosis
• FQHC
• SUD Continuum: SBIRT, MAT, Cognitive Treatments,
Housing, Care Management, Recovery Coaching
• Zero Suicide
• Health Justice
• Trauma and Chronic Conditions
• Cannabis
National Council - 45 effective clinical and operations
practice improvement initiatives
What do we do?
Fearless but not Reckless in the Face of Change
National Council Programs
WHAM, MMA, Health Disparities, Executives Leadership
Leadership
Certified Community
Behavioral Health Clinics (CCBHCs)CCBHCs Expand Access to Mental Health and Addiction Care with:
➢ Comprehensive, Integrated Care: CCBHCs are responsible for providing a comprehensive array of mental health and substance use disorder (SUD) services as well as integrated physical health services. SUD services include outpatient services, detoxification, residential programs, and peer support.
➢ Evidence-Based Practices: Supports medication-assisted treatment and other key evidence-based practices for addiction prevention, treatment and recovery.
➢ Enhanced Addiction Workforce: CCBHCs’ Medicaid rates will allow clinics to hire new staff such as licensed addiction counselors or peer addiction support specialists.
➢ Same-Day Access/Care Outside of Clinic: With enhanced staffing, clinics will have greater capacity to offer same-day services. CCBHCs can also offer services outside the four walls of their clinic; for example, via mobile crisis teams, home visits, outreach workers and emergency or jail diversion programs.
➢ Early Identification of SUDs: All patients receive an initial assessment related to the patient’s use of alcohol, tobacco, and other drugs.
Missouri Minnesota New Jersey New York Oregon Oklahoma Nevada Pennsylvania
Participating States
• Legislation expands Certified Community Behavioral Health
Clinic demo to 19 more states and fund beyond 2-year limit.
• CCBHCs expand their communities’ capacity to serve more
individuals living with mental illness or addiction
• Payment rates are set to be adequate to cover the actual
cost of care (just like managed care rates)
• Payment rates can include incentives for quality care
• Rates cover all components of evidence-based treatments
• Required to provide or coordinate with and support medical
treatment
• Required to offer extended hours and 24/7 crisis services
• Required to publicly report treatment quality performance
measures
Excellence in Mental Health and Addictions
Treatment Act Expansion
• Addiction and Co-Occurring Disorders
• Board Governance
• CCBHCs
• Children, Youth and Families
• Clinical Practices
• Criminal Justice
• Crisis Response Services
• Early Interventions in Psychosis
• Finance and Payment
• Health Care Integration
• Hospitals and Health Systems
• Marketing and Branding
• Measurement, Outcomes and Quality
• Medicaid Boot Camp
• Population Health
• Practice Improvement
• Prevention, Peers, and Recovery
• Public Policy
• SBIRT
• Technology
• Trauma-Informed Care
• Workforce, Management, and Leadership
• 40 state, tribal, and local health officials across 22 states
• 4 Tribal Health Officials
• 34 City/County/Regional Health Officials
• 2 State Health Officials
Participants At A Glance
Tribal Health Officials
• Blackfeet Tribal Health (MT)
• Choctaw Nation of Oklahoma
• The Chickasaw Nation (OK)
• Great Plains Tribal Chairmen's Health Board (SD)
City/County/Regional Health Officials• Jefferson County (AL) Department of Health
• Mohave County (AZ) Dept. of Public Health
• County of Santa Cruz (CA) Health Services
• Fremont County (CO) Dept. of Public Health
• Las Animas Huerfano Counties (CO) District
• Town of Enfield (CT)
• Chicago Department of Public Health
• Jackson County (IL) Health Department
• Knox County (IL) Health Department
• Mercer County (IL) Health Department
• Tazewell County (IL) Health Department
• Woodford County (IL) Health Department
• Coffey County (KS) Health Department
• Riley County (KS) Health Department
• Sedgwick County (KS) Division of Health
• St. Mary’s County (MD) Health Department
• Worcester (MA) Health & Human Services
• St. Louis County (MO) Dept. of Public Health
• Dona Ana County (NM) Health & Human Svcs.
• Livingston County (NY) Dept. of Health
• Ontario County (NY) Public Health
• Orleans & Genesee County (NY) Health Dept.
• Otsego County (NY) Department of Health
• Bismarck-Burleigh (ND) Public Health
• Dickey County (ND) Health District
• Pembina County (ND) Public Health
• Wells County (ND) District Health Unit
• Richland (OH) Public Health
• Warren County (OH) Health District
• San Juan County (UT) Public Health
• Lewis County (WA) Public Health
• Whatcom County (WA) Health Department
• Washington Ozaukee (WI) Public Health Dept.
• Wauwatosa (WI) Health Department
State Health Officials
• Minnesota Department of Health
• State of Nevada, Division of Public &
Behavioral Health
Travel Logistics
• Detailed instructions for booking travel will be sent by
December 15th, 2017
• Book airfare through Avenue Travel using provided link
• Deadline for booking travel is February 23, 2018
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health
jurisdiction, and respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s most
pressing behavioral health need.
Introductions
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Bismarck-Burleigh (ND)
Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Blackfeet (MT) Tribal Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Chicago Department of
Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Choctaw Nation of
Oklahoma
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Coffey County (KS) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
County of Santa Cruz (CA)
Health Services Agency
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Dickey County (ND) Health
District
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Dona Ana County (NM)
Health & Human Services
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Fremont County (CO)
Department of Public Health
& Environment
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Great Plains (SD) Tribal
Chairmen's Health Board
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Health & Human Services,
City of Worcester (MA)
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Jackson County (IL) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Jefferson County (AL)
Department of Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Knox County (IL) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Las Animas-Huerfano
Counties (CO) District Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Lewis County (WA) Public
Health & Social Services
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Livingston County (NY)
Department of Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Mercer County (IL) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Minnesota Department
of Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Mohave County (AZ)
Department of Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Ontario County (NY)
Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Orleans & Genesee County
(NY) Health Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Otsego County (NY)
Department of Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Pembina County (ND)
Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Richland (OH) Public
Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Riley County (KS) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
San Juan (UT) Public
Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Sedgwick County (KS)
Division of Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
St. Louis County (MO)
Department of Public Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
St. Mary's County (MD)
Health Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
State of Nevada
Division of Public and
Behavioral Health
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Tazewell County (IL) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
The Chickasaw Nation (OK)
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Town of Enfield (CT)
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Warren County (OH)
Health District
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Washington Ozaukee (WI)
Public Health Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Wauwatosa (WI) Health
Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Wells County (ND)
District Health Unit
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Whatcom County (WA)
Health Department
ONE (1) minute per health jurisdiction:
Please introduce yourself, identify your health jurisdiction, and
respond to the following:
• ONE (1) sentence summarizing your jurisdiction’s MOST
pressing behavioral health need.
Woodford County (IL)
Health Department
• Send Letter of Commitment ASAP if you
haven’t already
• Look out for travel instructions by Dec. 15th
• Doodle poll to schedule monthly conference
calls coming weeks
• Bi-weekly Behavioral Health e-Digest
• Book travel by February 23rd, 2018
Next Steps
Thank you!
Questions?
Margaret Jaco ManeckeMargaretM@thenationalcouncil.org
(202) 774.1658
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