New Mexico Behavioral Health Purchasing Collaborative Meeting · Karen Meador/BHSD and Gabrielle Sanchez-Sandoval/DOH House Memorial 45 Task Force companion to House Joint Memorial

Video Conference Sites

Farmington

Las Vegas

Las Cruces

Roswell

Albuquerque

New Mexico Behavioral Health

Purchasing Collaborative Meeting

Human Services Department

37 Plaza la Prensa

Santa Fe, NM

Thursday, April 11, 2013

Your Collaborative. Your Success! 1

New Mexico Behavioral Health Interagency Purchasing Collaborative

____________________ ________________________________________________

Thursday, April 11, 2013

37 Plaza La Prensa Santa Fe, New Mexico 1:00 p.m. – 4:00 p.m.

AGENDA

1. 1:00 – 1:20 p.m.

Call to Order

Introduction of Collaborative Member/Recognize Remote Sites

Review/Approval of Minutes from January 10, 2013 (decision item)

CEO Update

2. 1:20 – 1:35 Behavioral Health Planning Council (BHPC) Report Lisa Trujillo, Chair, Behavioral Health Planning Council

3. 1:35-1:50 p.m. Local Collaborative Update TBD

4. 1:50 – 2:05 p.m. Directors Reports/Data Karen Meador and Geri Cassidy, HSD/Behavioral Health Collaborative

5. 2:05 – 2:35 p.m. Mapping Project Carol Luna Anderson/The Life Link and Tony Futch/ALTSD

6. 2:35 – 2:50 p.m. Mental Health First Aid Daphne Rood-Hopkins/CYFD

7. 2:50 – 3:05 p.m. Emergency Room Diversion Model in Rural NM Chris Tokarski/Mental Health Resources

8. 3:05 – 4:00 Public Input

9. 4:00 Adjourn

Retta Ward NM Department of Health

Secretary – Collaborative Co-Chair

Sidonie Squier NM Human Services Department

Secretary – Collaborative Co-Chair

I

Your Collaborative. Your Success! 2

New Mexico Behavioral Health Interagency Purchasing Collaborative

2013 Meeting Schedule

__________________________________________________ __________________

Behavioral Health Purchasing Collaborative 2013 Meetings (all meetings will take place at 37 Plaza la Prensa, Santa Fe, NM):

January 10, 2013 April 11, 2013 July 11, 2013

October 10, 2013 Video conferencing available at the following locations, if available:

Farmington CSED 1800 E. 30th Street Farmington, NM 87501

Las Vegas CSED 2536 Ridge Runner Rd Las Vegas, NM 87701

Las Cruces CSED 653 Utah Avenue Las Cruces, NM

Silver City CSED (not available on April 11) 3088 32nd St. Bypass Road, Suite B Silver City, NM 88061

Roswell CSED 2732 North Wilshire Blvd. Roswell, NM 88201

Albuquerque South CSED 1015 Tijeras NW Ste 100 Albuquerque, NM 87104

Tab 1

NM Behavioral Health Collaborative Meeting Minutes January 10, 2013 1

New Mexico Behavioral Health Collaborative January 10, 2013 · 1:00–4:00 p.m. · 37 Plaza La Prensa, Santa Fe, New Mexico Handouts: Copies of the NM Behavioral Health Purchasing Collaborative Meeting public hand-outs may be obtained from the website www.bhc.state.nm.us

Topic Discussion

Video Conferencing Sites Farmington NM, Las Vegas NM, Las Cruces NM, Silver City NM, Albuquerque NM

Present were: Sidonie Squier/HSD, Brad McGrath/DOH, Troy Jones/DOH, Yolanda Deines/CYFD, Diana McWilliams/BHC, Aurora Sanchez/NMCD, Rosalie Fragoso/DDPC, Gino Rinaldi/ALTSD, Heidi MacDonald/IAD, Laurie Linden/MFA, Daniel Roper/DVR, Annjenette Torres/PED, Col. Timothy Hale/DVS

1. Call to Order

Review/Approval of Minutes from November 19, 2012

CEO Updates

Sidonie Squier, Chair, called the meeting to order at 1:05 pm with a quorum present. Handout-DRAFT Meeting Minutes, New Mexico Behavioral Health Collaborative Meeting – November 19, 2012 A MOTION was made by Gino Rinaldi and seconded by Daniel Roper to approve the minutes from the November 19, 2012 Behavioral Health Collaborative Meeting. The MOTION was PASSED unanimously. Diana McWilliams, CEO, Behavioral Health Collaborative reported on: CPT Code update on National level initiative; readiness year for Centennial Care; and intensive outpatient progress related to substance abuse treatment.

2. Centennial Care Contract (Decision Item)

Handout-Centennial Care PowerPoint re: Stakeholder Public Meetings June-July 2012 Larry Heyeck/MAD Deputy General Counsel Secretary Squier questioned the timing of the vote. Mr. Heyeck responded that the process presented today is to vote on the form of the contract that is out and has been made public. Private and public input has been presented. It is now time to close the procurement by the end of the month for the execution of the contract. It’s a high procurement and high profile item more than $23 billion and was kept confidential to make certain all i’s were doted and t’s crossed before it was released to the public A MOTION to hereby accept the Centennial Care Pro-Forma Contract and its amendment for modernizing the Medicaid healthcare service delivery system beginning January 1, 2014 was made by Secretary Deines and seconded by Gino Rinaldi. The MOTION was PASSED unanimously.

http://www.bhc.state.nm.us/


3. OptumHealth Amendment 13 (Decision Item)

Handout-OptumHealth Amendment 13 A MOTION to hereby accept Amendment 13 which provides for updated OptumHealth New Mexico contract language for 13 and includes the Behavioral Health funding table for 13 was made by Deputy Secretary Aurora Sanchez and seconded by Acting Secretary Brad McGrath. The MOTION was PASSED unanimously.

4. Behavioral Health Planning Council (BHPC) report

Handout: Behavioral Health Planning Council Report; Children and Adolescent Subcommittee; Financial Report Lisa Trujillo, Chair, Behavioral Health Planning Council reported the following:

Additional appointments to the Planning Council; orientation trainings for members for LC, subcommittee and planning council; code of conduct

Subcommittees submitted reports and will be covered under agenda item 5

Local Collaborative Leadership Group

Mapping Project

Behavioral Health Day

5. Local Collaborative Update Handout: LC1, LC2, LC3, LC4, LC5, LC6, LC7, LC8, LC9, LC10, LC11, LC12, LC13, LC14, LC15, LC16, LC17, LC18 Diana McWilliams, Acting CEO, NM Behavioral Health Collaborative Local Collaborative update will now be a consistent item on the agenda. The reports include:

Integration in eastern part of the state core service agency is working on folks diverting from emergency room to the core service agency

Susie Kimble reported that legislative request $250,000. $12 for each LC to meet on a quarterly basis and administrative funds for leads team to meet. Also raising funds by giving trainings and offering CEUs.

6. Directors Reports/Data Handouts: Consumers Served and Expenditures by Service, by Fund and by Ethnicity Karen Meador/BHSD

Review of the directors reports included those populations served by ethnicity and ages

7. Substance Abuse Prevention update Handouts: Diana McWilliams, Acting CEO, NM Behavioral Health Collaborative

Substance abuse prevention strategy – 10 recommendations on the BH Collaborative Substance Abuse Prevention Policy which can be found on the Collaborative website at: http://www.bhc.state.nm.us/pdf/NMBehavioralHealthCollabSubstanceAbusePreventionStrategyOct2012.pdf

Two important components – mapping project services for substance abuse and mental health across the state; and increase our intensive outpatient providers by linking Core Service Agencies to intensive outpatient providers that serve adults and children. Subcommittee headed up by BHSD substance abuse authority in conjunction with Medicaid and OH. The goal is to have 22 providers credentialed by end of the year.

8. Mental Health Initiatives Handouts: House Memorial 45 Task Force Recommendations – December 2012 Karen Meador/BHSD and Gabrielle Sanchez-Sandoval/DOH House Memorial 45 Task Force companion to House Joint Memorial 17.

Guiding Principles can be found on page 2 of the handout.


Recommendations include (page 4 of the handout): Outreach & Engagement Services; System Financing; Peers and PADs; Access to Treatment Guardianship; Roles of District Attorneys; Problem Solving Courts; Education & Training; Crisis System Improvement; and Perception of Violence, Stigma & Treatment

Because of the tragedy in Connecticut, Secretary Squier asked about Civil Commitment and what New Mexico might be doing to prevent potential situations? Where did task force fall on this issue? Karen and Gabrielle answered that New Mexico treatment guardianship is used if a person lacks capacity. Outreach and engagement is proven as most important. Also emergency treatment may be used in an inpatient hospital setting for up to 7 days (or more if necessary) for stabilization and assessment. Also advanced directives and peer specialists are also very powerful tools.

9. Public Input Father Terry Brennan/Interfaith Leap

Proposal for using a property at Los Luceros (150 acres) for transitional living for youth (16-21) that are at risk

Funding a sustainability through OptumHealth, Christis St. Vincent, and support from the community

Next step to go to the Legislature to propose a bill and Father Brennan is requesting support from HSD, CYFD, Cultural Affairs

Donald Hume/Recovery Based Solutions

Mr. Hume served on the HM 45 Task Force

Use of peers important because they have a clear understanding of consumers and the engagement into treatment to assist in recovery

Lorette Enochs/Santa Fe

Ms. Enochs served on the HM 45 Task Force

Supports changes in the statute for the allowance of outreach and for the treatment guardianship process. The process that currently exists under the current statute is limited in terms of allowance of appointment of treatment guardian for those that are not in a hospital or definitive process that a court can follow -- there are changes to the statute that would allow for outreach and the appointment of treatment guardians if an individual is not capable of making those types of decisions

She is also in support of the peer specialist process Robin Connell/Albuquerque

Ms. Connell would like the Local Collaboratives to present at the Collaborative Meetings on what the Bernalillo County is doing

HM 45 in that we don’t respond by taking away the rights of people that are diagnosed with mental illness based on fear because of recent events throughout the country

Valerie Quintana/Behavioral Health Planning Council

Ms. Quintana extended an invitation to the agency collaborative members to provide material/documents related to behavioral health activities to be distributed by the Collaborative at the Legislative Behavioral Health Day.


10. Adjourn The meeting was adjourned at 3:03.

Tab 2

BEHAVIORAL HEALTH PLANNING COUNCIL REPORT

TO THE PURCHASING COLLABORATIVE

2/11/13

NEW APPOINTMENTS

THANK YOU TO THE GOVERNOR

We currently have 50% consumers/family members and advocates and 50% providers/state

employees.

We are currently working with Governor Martinez’s Office to appoint a parent of a Serious

Emotionally Disturbed (SED) child, as this is a new requirement of the Block Grant.

CODE OF CONDUCT - BHPC AND SUBCOMMITTEE MEMBERS

75% of the Planning Council members have signed and sent in their Code of Conduct.

78% of the subcommittee members have signed and sent in their Code of Conduct.

STATUTORY SUBCOMMITTEE REPORTS

ADULT/SUBSTANCE ABUSE/MEDICAID

We recent had a presentation from OptumHealth regarding Communities of Care and the development

of a “Clinical Practice Expectation” document.

Feedback for the document may be faxed or emailed to Tracy at the following:

[email protected] Phone: (505) 428-6560 Fax: (505) 428-6603

The multiple subcommittees receive ongoing information about the Aspen Project, Centennial Care and the

upcoming changes of Medicaid and what the benefits package is going to look like.

With the 2013 Legislative Session completed, healthy discussions have taken place about all bills and

memorials related to behavioral health, their statuses during the session, and the final outcomes prior to the

actions that will take place at Governor Martinez’s desk.

Participation in these subcommittees have been consistent and the ability to attend these meetings remotely, via

teleconference and web-conference, has been beneficial to those who would otherwise have to travel long

distances to participate.

CHILDREN & ADOLESCENTS SUBCOMMITTEE

Efforts continue to work with local communities all around the state to create and promote events for May

Mental Health Month and Children’s Mental Health Awareness Day.

The subcommittee recently had a presentation from the First Born Home Visiting Program.

o It is a program for first time parents.

o It is in 16 counties statewide.

o The Home Visiting helps to provide education to parents with children who are sick, as well as how to

prevent illness.

o The model is based on 45 minute home visits per week – visits ideally begin in the prenatal stages.

Another recent presentation was from Infant Mental Health.

o This program looks at high-risk infants and babies who have had intense services.

o They work with children ages 3-5; small groups of 4-5 kids; and want to support childcare facilities.

We continue to reach out to providers around the state to inform our members of what services are available and

to discover where the gaps in services are.

AD HOC SUBCOMMITTEES

Finance – We are in good shape

BUDGET VARIANCE as of February 2013 we have spent 60% of our budget remaining; our current

balance is $32,701.16 (see attachment).

mailto:[email protected]

BEHAVIORAL HEALTH PLANNING COUNCIL REPORT

TO THE PURCHASING COLLABORATIVE

DATE

BYLAWS

Our first meeting since 2009 was Tuesday, April 2nd

We looked at the standing Bylaws and are in the process of determining if the Chairs of our statutory

subcommittees are required to be members of the Planning Council, as well as a few other items.

CHANGES COMMITTEE

We have gathered many questions from consumers, family members and advocates about the various

upcoming changes in health care/coverage and Centennial Care.

We have placed the questions on SurveyMonkey.com asking people to rate the questions that we have

so far on a scale of interest/importance. There is also space for them to include any other questions

that they may have.

We are working with BHSD to gather the answers and share as we can.

LC LEADERSHIP/ALLIANCE

The LC Alliance met on Tuesday, April 9th

.

They continue to share information on how to recruit consumers and family members to the table;

brainstorm on the various ways to make LCs sustainable; and build on the resources that they have.

MAPPING PROJECT

Thank you to the Aging & Long Term Services Department for their website,

nmresourcedirectory.org.

We have completed three communities and are currently working with CYFD to obtain resource

information for four more sites in the near future.

PROTO CALL

LC REPORTS – they are included in the packet

This is on a voluntary basis.

6 of 18 LCs did not submit a report (2 other LCs are currently not in operation)

ATTACHMENTS:

BUDGET VARIANCE (11/30/12)

Tab 3

March 2013 Quarterly Reports

Of the

New Mexico Local Collaboratives

QUARTERLY LOCAL COLLABORATIVE 1

PROGRESS REPORT TO THE BH COLLABORATIVE

March 22, 2013

Local Collaborative #1: Los Alamos, Rio Arriba and Santa Fe counties

Local Collaborative 1 did not provide a quarterly report.

Thank you,

Local Collaborative Cross Agency Team Staff



March 22, 2013

Local Collaborative #2: Bernalillo County

Report provided by: Ashleigh Largo

Business Items conducted at local collaborative meetings this quarter (Include any business conducted

at the subcommittee level): Within the last three months, Local Collaborative 2 has welcomed a new Co-Chair, Douglas Fraser. Bill

Morefield had resigned in January 2013 for personal and work related reasons. LC2 had conducted two

General Membership Meeting and three Leads Meeting for the months of January, February, and beginning

of March. Business items include Community Concerns, CAT reports, Subcommittee Reports, OptumHealth

reports, and Monthly Presentations.

Ongoing concerns, issues, etc. that this local collaborative is addressing include: concerns which the

LC is addressing in collaboration other organizations:

LC2 has made a bold step in regaining perspective of its purpose and directions as the Local Collaborative

for Bernalillo County in 2013. In January, LC2 began a Decision Making Activity (stemmed from the

Planning Council Orientation Activity) in which the group has is developing goals to accomplish throughout

the year. The goals include Education & Awareness about Mental Health, recruit community members to

increase membership and participation, identify leaders and cultivate them with support, outreach to all parts

of the county (four quadrants) and youth, and to continue Education and Outreach to our Legislators. In

addition, LC2 members participated in the Annual Behavioral Health Day at the State Capitol in January.

LC2 Leads attended the Behavioral Health Awards and Dinner when Lorette Enoch was recognized as LC2’s

STAR. As a result, LC2 would like to network with other LCs around the state to boost youth involvement in

the area of Behavioral Health.

Special projects of your Local Collaborative currently (e.g. Collected Learning Workshops, Quality

Service Review, Systems of Care, Local Initiatives):

LC2 has captivated many community members interested in its monthly General Membership meetings held

at the new location at Downtown @ 700-2nd

St. NW, the “Coffee Shop.” Community members are becoming

more interested in the Local Collaborative as it reflects the information they need in their daily life. In

January, LC2 participated in a Decision Making Activity, guided by Deborah Clark, which relatively began

the conversation of our purpose and direction for LC2 in the future. We are formulating a process in which

LC2 plans to become the Voice of the Community and be knowledgeable of the new health care changes in

2014. In February, Jay Crowe discussed the challenges providers are dealing with in regards to the new

billing codes and the timing for inputting the new changes into the system. OptumHealth also offered their

assistance to providers who are continuing to have difficulties with the new billing codes.

Furthermore, LC2 has decided to organize a Monthly Supply Drive for St. Martin’s Hospitality Center for

the year of 2013.

Number of stipends given out during the quarter for consumer and family member participation;

include support for attending conferences. (If none given out then enter N/A):

LC2 provided three (3) $20 stipends to LC2 members who participated on Behavioral Health Day and

attended the Awards Dinner. LC2 has a name drawing of meeting attendees to give out two (2) Wal-Mart

Gift Cards in the amount of $10.00 each. This is our way of thanking individuals for attendance and active

participation.

Adjustments made by the LC to the budget during the quarter to extend the available funding:

Our budget as of the end of February 2013 is $5,241.39. This does not include the money that has been

earmarked for our Coordinator. The funding for the Coordinator is being housed with the New Mexico

Family Education Center, who has volunteered to be the Fiscal Agent for this specific purpose.



March 22, 2013

Local Collaborative #3: Dona Ana County

Report provided by: Chistena Scott and Susie Kimble Co-Chairs

Business Items conducted at local collaborative meetings this quarter (Include any business conducted at

the subcommittee level):

1. Announcements from BHPC, LC3, LC3 Committees, Community organizations, OptumHealth, and

items from the floor (meetings, trainings, news, RFPs, etc.)

2. Reports from Treasurer, CAT, Legislative news, Statutory Subcommittees, local committees and special

events such as BH Day at the Legislature and BH Summit;

3. Old Business and New Business including the Resource Mapping Project, Wellness Healthy Lifestyle

topics, local CEU trainings for providers, and workshops for consumers.

Ongoing concerns, issues, etc. that this local collaborative is addressing include: concerns which the LC is

addressing in collaboration other organizations

1. Sustainability of the local collaborative;

2. Transportation for consumers and family members to attend local and state meetings;

3. Medicaid Changes – continued provision of, at least, current services;

4. Housing Issues

Special projects of your Local Collaborative currently (e.g. Collected Learning Workshops, Quality Service

Review, Systems of Care, Local Initiatives)

1. Crisis Collaboration Committee: this committee is now independent of LC3 and as of the November

meeting is active and meeting the goals established by the initial first responder representatives, providers

and other interested community members. The group will continue to chart the current crisis response

process in the City and County in order to identify existing gaps and redundancies in order to identify cost

free procedural changes that could positively impact the crisis response system.

2. Adolescents in Transition: meets monthly and currently involves primarily providers but invites

adolescents and parents to attend. Focus has been placed on defining a process for planning for an

adolescent’s transition and involving youth in monthly meeting.

Adjustments made by the LC to the budget during the quarter to extend the available funding.

The local collaborative membership meetings offer a venue for consumers, family members, providers and

interested community members to come together to share information about topics affecting the behavioral

healthcare delivery system. This group has become a conduit for informing people about trainings, conferences

(teleconferences, videoconferences, face to face), and activities at the state, county and city level that affect our

membership and to exchange ideas. In some cases, these meetings offer socialization and networking

opportunities otherwise missing in peoples’ lives.

The Dona Ana County Behavioral Health Collaborative sent three consumers and driver to Santa Fe to attend the

Behavioral Health Day at the Legislature in January 2013. Membership meetings provided presentations on

monitoring the current legislative session, anti-stigma education, new CYFD initiatives and disaster preparedness.

Most of LC3 funds are spent on maintain the success of the local LC3 meetings. The Executive Committee is

concerned about how to enable consumer attendance at conferences like this in the future on a small budget.

Do you have questions or comments for the Collaborative?

Repeat from last two quarterly reports:

1. Is the Purchasing Collaborative intending to offer any financial support to local collaboratives?

2. Can financial reports be sent directly to the LC Treasurer and Admin Assistant? And, can those reports be

prepared at a line item detail level to enable financial planning by the LC Executive Committee? How do

we get the responses?

Respectfully Submitted

Budget to date: $__________________

($ amount; demonstrates how funding was spent on above projects)



March 22, 2013

Local Collaborative #4: Guadalupe, Mora & San Miguel counties


Thank you,




March 22, 2013

Local Collaborative # 5: Chavez, Eddy & Lea Counties


Thank you,




March 22, 2013

Local Collaborative #6: Grant, Hidalgo & Luna Counties

Report provided by: Mary Stoecker, LC6 Facilitator


at the subcommittee level)

Finalize the LC6 Legislative Priority Summary Document

Meet with local, State legislators

Discuss current and future budget needs/uses

Planning for Behavioral Health Day

Total Community Approach; Partnership for Success; Continuum of Care Plan: plan & action


LC is addressing in collaboration other organizations

Discussion at March meeting and on agenda for April and May: do we want to continue as LC6 or go

back to our SW Continuum of Care as main coalition w/ PFS2, DFC, TCA as programmatic?


Service Review, Systems of Care, Local Initiatives)

SOC

TCA – another cut to budget, but continuing with good spirits

CoCC Plan for addressing B/H Continuum of Care including a model for Detox

Partnerships for Success 2 grant in 2 of 3 LC6 counties (Luna, Grant)…… underage drinking

prevention and prescription drug use/abuse prevention

LC Leads group used LC6 Legislative Priorities template

Children’s MH Day planning with Youth Group leading the way


include support for attending conferences

Jan. – Mar. 2013:

We purchased healthy snacks for all who participated in the meetings.

$590.88 used for Behavioral Health Day expenses.

7 people attended PFS2 trainings: In Kind


N/A

Other:

Not yet taken from this 3rd

QTR. budget, but $50/month is paid to a volunteer who sends out all our mailings,

information from other sources pertinent to LC6 participants, ETC. (Jan – March will be $150 once it is

taken from the budget)

Budget to date: $__$4,403.56________________




March 22, 2012

Local Collaborative #7: Catron, Sierra, Socorro & Torrance Counties

Local Collaborative 7 is not currently active, therefore cannot provide a quarterly report.

Thank you,




March 22, 2013

Local Collaborative #8: Colfax, Taos & Union Counties

Report provided by: Ferman Ulibarri



Approved expenditures including the amount needed to hold the annual LC8 retreat

Reported and agreed upon the treatment, intervention and prevention activities for the Total

Community Approach (TCA) funding

Approved participation in a state Behavioral Local Collaborative for sustainability and the

submission of Legislative Appropriation Request to fund each LC in the state

Support for the Taos Crisis System of Care

LC8 Leads meet regularly to establish the agenda for our face-to-face meetings to maintain the

direction of our Local Collaborative



Sustainability

Increasing demand for Behavioral Health Services

Lack of Crisis Response in rural communities

Transportation

Very little prevention services



Total Community Approach

Intensive Out-Patient (IOP) Treatment/Intervention Services for youth in Raton

Substance Abuse Prevention – Dare-To-Be-You in Raton of all 5th

graders

Taos Learning Lab (Botvin Life Skills Training)

Taos Crisis System of Care

QSR – Patricia Gallegos, CAT & Kim Hamstra, TCCS

Mary Passaglia with the Rocky Mountain Youth Corp has dedicated a great deal time and effort to

establish the prevention initiative we have in the region even though prevention services has been cut

significantly over the past few years

Consumer, Cindy Collyer, has represented the Local Collaborative extremely well and is now on the

BHPC Executive Committee and has been on the Substance Abuse and Medicaid subcommittee for

the past few years


include support for attending conferences. (If none given out then enter N/A)

20 – Included the LC8 retreat, Behavioral Health Day at the Legislative Session

Other: ($ amount; demonstrates how funding was spent on above projects)

Computer Repair $ 90.00

Supplies 244.25

Consumer Stipends 240.00

Mileage/Per Diem 387.67

Staff Support 615.00

Retreat – Food 1,015.00

Budget to date: $___$4,695.69 (balance), $2,360.07 (expended)___



March 22, 2013

Local Collaborative #9: Curry & Roosevelt Counties


Thank you,




March 22, 2013

Local Collaborative #10: De Baca, Harding & Quay Counties

Report provided by: Lisa Walraven, LC 10 Coordinator



Robert Fluhman was selected the LC 10 STAR Nominee and received the STAR award during

Legislature. Robert gave a short speech at the Round House.

LC 10 representatives to various BHPC subcommittees were chosen.

Copies of the “No Exceptions” DVD were distributed to each school in LC 10.



LC 10 is addressing the need for more adolescent drug prevention work.

Recruitment and retention of consumers and family members to LC 10 is ongoing. Recruitment

meetings are being planned in Quay County.

Sustainability, as funding is cut.



Quay County continues forward with the home visit planning program for prenatal and post-partum

families though CYFD under the Affordable Care Act. Presbyterian Medical Services has been

awarded the contract. Plans are now underway to prioritize risk issues for youth. The program plans

to have 40 families involved.

Harding County works to find the means to bring an assisted living into its frontier area.


include support for attending conferences. (If none given out then enter N/A) N/A. Stipends have been cut out of LC 10 budget, consumers and family members agreed stipends are not

important to the overall well-being of the LC.

Adjustments made by the LC to the budget during the quarter to extend the available funding. None

Other: The De Baca County Fair Board has asked De Baca County to put on a Health Fair during the

County Fair.

Budget to date: $___1764.83_______




March 22, 2013

Local Collaborative #11: San Juan County and McKinley County

Report provided by: Stevie Gomez and LC 11



Working on improving and updating our agenda

Changing our focus to be on consumers first in our meetings to address needs and concerns.

Bringing other organizations in to address needs of consumers. March: brought Jackie Allen from

work force connections to address road blocks consumers are experiencing.

Mental health task force is working on addressing the crisis in our community by having agencies

collect data, training people on mental health first aid, creating a resource list for law enforcement,

and working on awareness.



Employment issues for consumers

Loss of funding in the community

Better communication with Core Service Agencies

Follow through with consumers who need services



Mental Health Task Group



Stipends for behavioral health day participation for our LC Star Kristine Carlson and two consumers.

Other: ($ amount; demonstrates how funding was spent on above projects)

Budget to date: $__________________________



March 22, 2013

Local Collaborative #12: Lincoln & Otero Counties

Report provided by: Denise Lang, Administrative Coordinator



January’s General Meeting Program: Richard Newton, speaker for LEAP (Law Enforcement Against

Prohibition) shared the idea that drug prohibition works as well as alcohol prohibition and that we need to

treat addiction from a public health perspective rather than just a law enforcement perspective.

February’s Program: Hugo Labady of Border Patrol shared the REAL Program, a community outreach

program dedicated to mentoring at risk youth. They will work with our local Juvenile Probation Office.

March’s Program: Christina Lopez-Gutierrez and Fred Sandoval of Paso Del Norte Border Health

Foundation shared the Mental Illness Stigma Reduction Situational Analysis Initiative, encouraging

community discussion about mental illness and stigma.

We’ve increased participation of LC 12 folks willing to serve on the BHPC Subcommittees

We’ve continued our attendance at the Community Health Council



Our LC has provided the hub for collaboration between TeamBuilders and the Border Patrol for the REAL

program; for the offer to provide a suicide prevention program for the Gay Straight Alliance at the High

School;



The LC continued our support of the Bicycle Recycling program that provides restored bicycles to people in

half-way or recovery houses, the homeless and the disabled.



We provide food and water, no stipends

Adjustments made by the LC to the budget during the quarter to extend the available funding. None

No adjustments were necessary as we stuck to our budget.

Other: Expenses through Jan 2013 leaves us with a balance of $2,405. We average less than $400 a month

on coordinating meetings & food. Feb, Mar, Apr, May and June…5 months left at $400 per month would

bring us to $5 at the end of the fiscal year, June 30, 2013…

Budget to date: $_2,405.00__




March 22, 2013

Local Collaborative #13: Cibola, Sandoval & Valencia Counties

Report provided by: Kenneth Davis co-chair Valencia Co. & Hank Adame co-chair Cibola Co.



LC13 held three local and one tri-counties meeting.

Approved consumer attendance and lodging for Behavioral health day at the legislature

Formed a committee to update written promotional material and develop a free informational website

on www.sharenm.com

Discussed the leadership issue in Sandoval County and developed a short term plan to provide

leadership.

Suspended Consumer stipends until some issues about the way they‘re granted are resolved.



Law enforcement preparedness for response to Behavioral Health Crisis calls: There is a concern

regarding the qualifications of local law enforcement agencies to respond to crisis calls in an

appropriate manner.

The availability of emergency housing for behavioral health consumers: Cibolo County has virtually

no emergency housing available.

The difficulties accessing hospital care in crisis situations: Behavioral health consumers are being

turned away from hospitals while in crisis including those that are life threatening.

The continuing availability of behavioral health services to low income consumers. There is a

concern among the consumer community that adequate services will no longer be available as so

many of them have been reduced or eliminated.

The sustainability of the LC system and network: LC funding at the moment consists of $3,000.00

per LC per year provided by OptumHealth NM and there is a possibility that this will no longer be

available after the institution of Centennial Care.

The lack of leadership and involvement for the Sandoval County branch of LC 13.



Increasing consumer and community involvement in the LCs

Identifying and developing potential funding streams.

Consumer advocacy with the government, healthcare organizations and community.

Creating a closer working relationship with law enforcement agencies.



Granted three consumer stipends at $15.00 each and lodging at the behavioral health day for $199.62


Other:

Budget to date: $_2,405.00__


http://www.sharenm.com/



March 22, 2013

Local Collaborative #14: Mescalero & Jicarilla Apache Nations, the Pueblos of Acoma, Isleta, Laguna &

Zuni, and the Navajo Chapters Alamo, Ramah and To’hajiilee.

Report provided by: Ashleigh Largo


at the subcommittee level):

Within the last three months, LC14 has hired a Coordinator, Ashleigh Largo. LC14 conducts its meetings on

a quarterly basis. Business items include BHPC Subcommittee Reports, budget reports, and CAT reports. In

addition, each of the nine Native American communities is encouraged to provide their community summary

report. Furthermore, Brian Serna has resigned as Co-Chair due to a new employment opportunity in Tesuque.



LC14 continues to focus its priorities on Youth within each community. Developing a strong sense of

empowerment, confidence, and sense of self are vital to communities. Addressing Mental health and

Substance Abuse issues are keys components to raising advocacy for their community, their peers, and

unifying a strong Youth group.


Service Review, Systems of Care, Local Initiatives):

LC14 is currently collaborating within each other to provide a Youth Summit in June. This will allow youth

an opportunity to raise issues in Native American communities which will enable youth to become the voice

of their community and address what is needed. Each of the nine (9) Native American communities is

working with their youth group in which the Youth Summit is hosted by LC14 Youth groups. LC14 would

mentor Youth groups in regards to hosting, communicating, and inviting volunteer presenters discuss a wide-

range of topics regarding Behavioral Health.


include support for attending conferences. (If none given out then enter N/A):

Currently, there are no stipends given to any particular organization or individuals.

Adjustments made by the LC to the budget:

As of March 22, 2013, LC14 has not made any adjustment to its budget.

Budget to date: $__________________




March 22, 2013

Local Collaborative #15: Navajo Nation


Thank you,




March 22, 2013

Local Collaborative #16: Pueblos of Cochiti, Jemez, Kewa, San Felipe, Sandia, Santa Ana & Zia

Report provided by: Becky Ballantine, Sandoval County DWI and Prevention Tribal Liaison

Local collaborative 16 is attended by all of the Tribes in Sandoval County including Pueblos of Cochiti,

Santo Domingo, San Felipe, Sandia, Santa Ana, Zia, Jemez and Ojo Encino of the Navajo Nation.

Additionally State of New Mexico District Courts, CYFD’s Juvenile Probation, Sandoval County DWI and

Prevention Program, Five Sandoval Agency, Kewa Veteran’s Association, Bernalillo High School Resource

Assessment Center, Sandoval County Juvenile Justice Continuum Board is among the partners.

The leadership of the Local Collaborative changed this year. A committee leads the LC this year. The

committee representatives are Steven Bluehorse, James Beecher, Avelino Calabaza, Andrea Shije, and Linda

Diabo. Becky Ballantine provides administrative work. Her position is supported by the Sandoval County

DWI and prevention program.

The third annual Meet and Greet was held on March 12, 2013. Amerind Risk Management of the Santa

Ana Pueblo donated a room in their beautiful building. It was sponsored by LC 16, Sandoval County DWI

and Prevention and the New Mexico Behavioral Health collaborative. Over 100 people attended to include

tribal, state, and county officials, judges, behavioral health and law enforcement. The Sandoval County youth

leaders from Bernalillo High School were participants and assisted with the event. The food was delicious

and provided by the Calabazas from Santo Domingo.

The “Save a Life Pow Wow 2013 - This year the LC received funding and assistance from the Sandoval

County DWI and Prevention Program and through outreach funding from the Behavioral Health

Collaborative. The pow wow will be May 26, at the Bernalillo Middle School in Bernalillo, NM. The flyer is

attached.

RAC - The local collaborative continues, for the sixth year to work with the Reception Assessment Center, a

Juvenile Justice Diversion Program of New Day Youth & Family Services. We are contracted by Sandoval

County Juvenile Justice Board/ County. RAC has an office at Bernalillo High School. Youth are referred to

the RAC for behavioral issues and placed in an alternative setting at the school instead of being suspended or

expelled. The youth are assessed and referred to the resources that they may need. The program is

responsible for keeping many of the students who would otherwise be out of school, in school and continues

to support tribal youth. They are working with the newly developed “Sandoval County Youth leadership”.

The youth are actively assisting the pow wow planning and helped and participated in the meet and greet.

Jail Diversion - A grant was received by the Behavioral Health Collaborative from SAMSHA to, in part to

do outreach to the Native American community within the county. Presbyterian Medical Services is reaching

out to LC 16 and the Behavioral Health Department to assist in providing collaboration and support to the

NA veterans association in their work with Native American Veterans. Sandoval County DWI and

Prevention program works with the collaborative to distribute tools for drug testing, partnerships in

initiatives and is in the process of expanding access to DWI schools within the county and on tribal lands.

They provide a tribal liaison to assist with the work of the Behavioral Health Collaborative.

The Kiwa Veterans continue to do outreach as they travel on funding for gas from the Behavioral Health

Collaborative. They attend many conferences and meetings and assist at a grass roots level in proving

support and advice for veterans.

Special thanks this quarter goes out to all of the members of Local Collaborative 16 who have taken the

time to attend the meetings and the tribal leadership who supports their representation; to Five Sandoval

Agency for providing support and a meeting space; to the Behavioral Health Collaborative for continuing

support; to Sandoval County DWI and Prevention and their Director Diane Irwin for providing a tribal

liaison to assist with the LC and to Amerind Risk Management for their special support with the meet and

greet, to New Day for their valuable insight and support of the RAC program and all others who participate

and assist LC 16 in providing service to the Native American population of Sandoval County.



March 22, 2013

Local Collaborative #17: Urban/Off-Reservation Native Communities

Local Collaborative 17 is not currently active, therefore cannot provide a quarterly report.

Thank you,




March 22, 2013

Local Collaborative #18: Pueblos of Nambe, Okay Owingeh, Picuris, Pojoaque, San Ildefonso, Santa Clara,

Taos, and Tesuque


Thank you,


LOCAL COLLABORATIVE # ___5_____

PROGRESS REPORT TO THE PURCHASING COLLABORATIVE – FY13

Report limited to 1 page only.

Date: March 18, 2013

Report provided by: Marty Everett

Business Items conducted at local collaborative meetings this quarter (Include any

business conducted at the subcommittee level) Total Community Approach including evaluation of services provided through this funding continues to operate in Lea, Eddy and Chaves Counties. The Eddy County School District is now being funded directly – money does not pass through CAI. Representatives from the district have been invited to join the TCA meetings.

Updates regarding the provision of behavioral health services in Carlsbad by Counseling Associates, Inc.

Teen Suicide prevention program “More than Sad” has been presented in both high schools in Roswell. Work has been done in Lea and Eddy Counties also in terms of Suicide Prevention

Cross Agency Team Member Report and Updates from Optum given every month

Behavioral Health Planning Council Subcommittee reports are given by representatives.

QSR updates, LC 5 budget, LC report to BHPC and Unity Center project funding through reinvestment money.

Ongoing concerns, issues, etc. that this local collaborative is addressing include:

concerns which the LC is addressing in collaboration other organizations

Housing efforts across the LC5 region are being discussed. Housing committee for Chaves County meets every month. Topics discussed included Mental Health First Aid Training, Old NM Rehabilitation Center Building, Funds from South Roswell Community Center Interim Approach to Offering Homeless Housing. A Health Impact Assessment Training will be offered in March, 2013 and several members of the committee plan to attend. A full report has been submitted to the LC5

Special projects of your Local Collaborative currently (e.g. Collected Learning

Workshops, Quality Service Review, Systems of Care, Local Initiatives)

The LC is using some of its funding to have an LC member attend the Mental Health First Aid

train the trainer. This LC member will conduct MHFA trainings in Eddy and Chaves Counties

as needed.

Number of stipends given out during the quarter for consumer and family member

participation; include support for attending conferences. (If none given out then

enter N/A) 23 stipends for the quarter

Adjustments made by the LC to the budget during the quarter to extend the

available funding.

$1500.00 plus expanses are being expended to have an LC 5 member become a MHFA trainer.

Budget to date: $__7669.30 – 1500.00 plus expenses.________________

Tab 4

Service Expenditure Amount Percentage

Inpatient $21,069,803 8.45%

Residential $80,117,047 32.13%

Intensive Outpatient $14,706,477 5.90%

Recovery $38,950,798 15.62%

Outpatient Services $88,201,019 35.37%

Value Added Services $5,025,419 2.02%

Outliers $1,305,153 0.52%

Total $249,375,717 100.00%

FY12 Total Dollar Amount & Percentage

CI-09 Services Utilization (Encounters) Report

Reporting Period: 07/01/2011 through 06/30/2012 (FY12 Annual)

Submission Date: 04/01/2013

Inpatient $21,069,803

8%

Residential $80,117,047

32%

Intensive Outpatient $14,706,477

6%

Recovery $38,950,798

16%

Outpatient Services $88,201,019

35%

Value Added Services $5,025,419

2%

Outliers $1,305,153

1%

Collaborative Funding FY12 FY12 Total Expenditure Amount & Percentage

Based on Services Provided as of 06/30/2012

Inpatient

Residential

Intensive Outpatient

Recovery

Outpatient Services

Value Added Services

Outliers

Data Source: OputmHealth NM FY12 CI-09 Report FY12 YTD Expenditure - $249,375,717

Reviewed by: R. Buser, MD

Review Date: 10/30/12 Page 1 of 5 FY12 Snap Shot

21 & Over $77,882,899 31.23%

18-20 $7,931,670 3.18%

Under 18 $163,561,147 65.59%

Total $249,375,717 100%

% of

Total

Service

DollarsTotal Expenditure Amount

FY12 Total Expenditure by Age Group




21 & Over $77,882,899

31%

18-20 $7,931,670

3%

Under 18 $163,561,147

66%

Collaborative Funding FY12 Total Dollars by Age Group FY12


21 & Over

18-20

Under 18

FY12 YTD Dollars for All Age Groups - $249,375,717 Data Source: OputmHealth NM FY12 CI-09 Report


Review Date: 10/30/12 2 of 5 Dollar by Age


Inpatient $10,355,461 12.35%

Residential $7,986,200 9.52%


Recovery $18,058,643 21.53%



Outliers $583,077 0.70%

Total $83,875,685 100.00%

FY12 Total Adult Dollar Amount & Percentage





12%


9%


3%


22%


50%


3%

Outliers $583,077

1%

Collaborative Funding FY12 FY12 Total Adult Expenditure Amount & Percentage


Inpatient

Residential


Recovery

Outpatient Services


Outliers

Data Source: OputmHealth NM FY12 CI-09 Report FY12 YTD Adult Expenditure - $83,875,685


Review Date: 10/30/12 Page 3 of 5 Adult $&%


Inpatient $10,714,342 6.47%

Residential $72,130,847 43.58%


Recovery $20,892,155 12.62%



Outliers $722,076 0.44%

Total $165,500,031 100.00%

FY12 Child Total Dollar Amount & Percentage





6%


44%


7%


13%


28%


2%

Outliers $722,076

0%

Collaborative Funding FY12 FY12 Child Total Expenditure Amount & Percentage


Inpatient

Residential


Recovery

Outpatient Services


Outliers

Data Source: OputmHealth NM FY12 CI-09 Report FY12 YTD Child Expenditure - $165,500,031


Review Date: 01/30/13 Page 4 of 5 Child $&%

Total Unduplicated

Consumers by Age

Group

% of Total

Unduplicated

Consumers

21 & Over 45,807 52.06%

18-20 4,830 5.49%

Under 18 38,665 43.94%

Total* 87,991

*Total represents distinct consumers and may not equal the sum of the column.

FY12 Total Unduplicated Consumers Served By Age

Group




21 & Over 45,807 51%

18-20 4,830 6%

Under 18 38,665 43%

Collaborative Funding FY12 Total Unduplicated Consumers by Age Group FY12


21 & Over

18-20

Under 18

FY12 YTD Unduplicated Consumers - 87,991 Data Source: OptumHealth NM FY12 CI-09 Report


Review Date: 10/30/12 Page 5 of 5 Consumer by Age

HIGHLIGHTS: Posivite Trends

Over the past three years out-of-home services (Inpatient and Residential) decreased and community-based services increased

(Intensive Outpatient, Recovery and Outpatient services).

The decrease in Residential services has been the most significant with a 6.4% decrease.

The increase in Outpatient services is approximately 7.8% and in Intensive Outpatient services is 2%.

Outpatient service spending surpassed Residential services in FY12.

Value Added Services (VAS) have also decreased. VAS are not covered benefits. The goal has been to move consumers into benefit

services.

* FY10 Data Source: OptumHealth NM FY10 CI-09 Annual Report - Claims Paid through 6/26/11** FY11 Data Source: OptumHealth NM FY11 CI-09 Report, Claims Paid through 10/8/11*** FY12 Data Source: OptumHealth NM FY12 Annual Report, Run date 4/8/13

Inpatient ResidentialIntensive

OutpatientRecovery Outpatient VAS Outliers

FY10 * 9.44% 38.54% 3.95% 15.37% 27.41% 3.89% 1.40%

FY11 ** 8.55% 35.48% 4.96% 15.24% 31.18% 3.86% 0.73%

FY12 *** 8.45% 32.13% 5.90% 15.62% 35.37% 2.02% 0.52%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%P

erc

en

t o

f To

tal

Behavioral Health Services

Collaborative Behavioral Health Service Categories Comparison FY10 - FY12

FY10 *

FY11 **

FY12 ***

Highlights: Positive Trends

For Adult services, the trend increases and decreases are relatively small (based upon the overall population) with the exception

of Outpatient services, which increased by 5.58%.

Trends being reviewed:

We need to further explore the increase in Residential services (expected to remain stable or decrease) as well as the decrease

in Recovery services (would be expected to see an increase).

* FY10 Data Source: OptumHealth NM FY10 CI-09 Annual Report - Claims Paid through 6/26/11

** FY11 Data Source: OptumHealth NM FY11 CI-09 Report, Claims Paid through 10/8/11

*** FY12 Data Source: OptumHealth NM FY12 Annual Report, Run date 4/8/13



FY10 * 13.56% 6.95% 1.93% 24.16% 44.27% 6.59% 2.54%

FY11 ** 12.12% 9.41% 2.87% 21.68% 46.18% 6.48% 1.26%

FY12 *** 12.35% 9.52% 3.42% 21.53% 49.85% 2.63% 0.70%

0%

10%

20%

30%

40%

50%

60%P

erc

en

t o

f To

tal


Collaborative Behavioral Health Service Categories Adult Comparison FY10 - FY12

FY10 *

FY11 **

FY12 ***

Highlights: Positive Trends

Children's services show trends which are supported by the Collaborative (e.g. Inpatient and Residential services have decreased,

while Intensive Outpatient, Recovery and Outpatient services have increased over the last three years).






FY10 * 7.56% 52.90% 4.87% 11.37% 19.75% 2.66% 0.89%

FY11 ** 6.79% 48.38% 5.99% 12.06% 23.76% 2.56% 0.47%

FY12 *** 6.47% 43.58% 7.15% 12.62% 28.03% 1.70% 0.44%

0%

10%

20%

30%

40%

50%

60%P

erc

en

t o

f To

tal


Collaborative Behavioral Health Service Categories Child Comparison FY10 - FY12

FY10 *

FY11 **

FY12 ***

Highlights:

While it appears that the age group funding through the Collaborative has shifted very slightly (approx 2.5%) from the under 20

population to the 21 & Over population in the last three years, the funding for the under 20 population is still approximately 66% of the

Collaborative funding.




21 & Over 18-20 Under 18

FY10 * 28.48% 4.10% 67.42%

FY11 ** 30.64% 3.51% 65.85%

FY12 *** 31.23% 3.18% 65.59%

0%

10%

20%

30%

40%

50%

60%

70%

80%P

erc

en

t o

f To

tal


Collaborative Behavioral Health Comparison of Dollar Percentage Spent by Age Group FY10 - FY12

FY10 *

FY11 **

FY12 ***

Highlights:

While most of the dollars are spent on the under 20 population, we continue to serve more adults (21 & over). This has been consistent

over the three year period. We spend most of our dollars for the under 20 population on out-of-home services, which are much more

expensive than the services to the over 21 population which are mostly community-based.




21 & Over 18-20 Under 18

FY10 * 43,346 4,547 35,104

FY11 ** 44,909 4,889 37,266

FY12 *** 45,807 4,830 38,665

$0

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

$40,000

$45,000

$50,000D

olla

r To

tal


Collaborative Behavioral Health Unduplicated Age Group Comparison FY10 - FY12

FY10 *

FY11 **

FY12 ***




Total

FY10 * $266,993,684

FY11 ** $259,017,389

FY12 *** $249,375,716

$240,000,000

$245,000,000

$250,000,000

$255,000,000

$260,000,000

$265,000,000

$270,000,000

Do

llar

Tota

l


Collaborative Behavioral Health Expenditure Comparison FY10-FY12

FY10 *

FY11 **

FY12 ***

Tab 5

MAPPING PROJECT SHOW & TELL PRESENTATION BH COLLABORATIVE MEETING

THURSDAY, 11 APRIL 2013

INTRODUCTION: 5 MINUTES CAROL 3 SCENARIOS: 5 MINUTES / EACH CAROL / TONY LIVE SHOW & TELL CATRON COUNTY LC 15 / NAVAJO NATION LC 6 / SILVER CITY / SYSTEM OF CARE GRANT QUESTIONS: 5 - 10 MINUTES CAROL / TONY

MAPPING PROJECT WRITTEN PRESENTATION COLLABORATIVE MEETING

THURSDAY, 4/11/13

By way of background, the members of the Adult / Substance Abuse / Medicaid Subcommittees of the Behavioral Health Planning Council (BHPC) conceived of the Mapping Project about two years ago. Our objective is to produce a mapping of services, programs and support activities funded not only by the State / OptumHealth but also grass roots faith-based programs, volunteer support groups and City / County funded programs. By working in conjunction with the Aging and Long Term Services Department through their NM Social Services Resource Directory, we believe that this website will become an integral part of the state’s behavioral health resource system. Initially, the Mapping Project task force had difficulty generating any traction; our bi-monthly meetings were canceled more frequently than not. However, in the last three or four months, we seem to be gaining momentum. To date, we have completed the initial mapping for Catron County (a frontier area), LC 15 / the Navajo Nation and LC 6 ( the rural counties of Grant, Luna and Hidalgo) and, in particular, Silver City. We chose to focus on these three areas for two simple, pragmatic reasons: 1. we wanted to focus on rural / frontier areas because we believe that is where there is the most need, and 2. we had “boots on the ground” - we had individuals in Catron County and the Navajo Nation who were involved with this project from the beginning and in the case of Silver City, we had our Children / Adolescent Subcommittee as well as the Children, Youth and Families Department staff working with us in conjunction with their Community of Care work. Our presentation at the Collaborative April 11, 2013 meeting will focus on a scenario from each of these areas focusing on non-state / OptumHealth funded services. Our next steps regarding mapping of local services not only will continue to focus on rural and frontier areas but also will begin to create synergy with other existing projects, such as the Crisis System (HJM 17) and the Recovery Oriented System Of Care (ROSC) as well as continuing collaboration with CYFD’s Community of Care. To that end, we will focus on the following: LC 11 - San Juan County / Farmington where we can enhance the information that we have already gathered from our mapping of LC 15 as well as the working with the Crisis system efforts. LC 9 - Clovis where we can work in conjunction with CYFD as well as the Crisis system. LC 8 - Taos where we can work in conjunction with the Recovery Friendly Taos County and the ROSC task force as well as the Crisis system. LC 5 - Roswell where we can work in conjunction with CYFD as well as the ROSC task force. LC 3 - Las Cruces where we can work in conjunction with the Crisis system as well as CYFD and begin to develop an urban approach to gathering the information. We have also been working closely with ProtoCall (The NM Crisis and Access Line) to weave together our respective resources. Our next steps with an even broader perspective / use for this project center on the “Knowledge Center” of the Resource Directory. We have begun to tie together related directories and resources for local or national organizations, for state initiatives, for Legislative Memorials, etc. We are also particularly interested in coordinating with the BH Collaborative website.

ADRC Presentation – Behavioral Health Collaborative 4/11/13

(PPT slide 1) For those of you who may not already know, the Aging & Disability Resource Center is a

division of the New Mexico Aging & Long-Term Services Dept. Our mission is to provide a single point of

entry for citizens and professionals seeking assistance in navigating the state’s network of social services. The

ADRC provides Information and Assistance and Options Counseling through our call center, in person by

appointment, via email and soon through live web chat; we handle the registry for the State CoLTS-C

Medicaid Waiver; we are home of Senior Medicare Patrol or SMP, the Prescription Drug Assistance

Program, the State Health Insurance Assistance Program or SHIP, and the NM Bill Payer Program, as

well as the Adult Protective Services Intake.

(PPT slide 2) The NM Social Services Resource Directory – or SSRD – was created by the ALTSD as an

online gateway to social service resources, and it is an important component of fulfilling our mission. Currently

there are more than 3000 service resources listed in the SSRD and the BHC mapping project is identifying new

resources and generating revised information on existing resources that is being added to the directory on an

ongoing basis.

We would like to give you a brief demonstration of how the SSRD works.

Imagine you are the foster parent to a teen that has recently been arrested for DWI. You would like to find

options for them to avoid serving jail time. In addition, you feel it would be beneficial to participate in long-

term family counseling.

(PPT slide 3) You would log on to nmresourcedirectory.org and you search “grant county dwi” to find a

court program for youths. As you can see there is a listing for Grant County DWI Program, which may

provide an alternative to jail time for the child. You also do a search for “family therapy” which returns a listing

for Kids in Need of Supportive Services which says in their description that they serve “children, parents and

families in Silver City and surrounding area with therapeutic family services”.

(PPT slide 4) What if you are a social worker who recently relocated to rural New Mexico in the four corners

region between Cuba and Nageezi and you are looking to help a client dealing with family member with an

alcohol problem? Obviously there aren’t likely to be as many resources as in an urban area, and you are

probably thinking that they would have to go to Farmington or Albuquerque to have any real options for

assistance. If you did a search for “Nageezi” or “Cuba” here’s the result you would get and there is an option for

them – the Ojo Encino DBHS Outreach Program – which lists “substance abuse treatment” in their

description. When you called them you would find out more details about what services they provide –

including their affiliation with a treatment center in their area, and that center’s use of traditional healing.

(PPT slide 5) Let’s say you are a high school student in Reserve and you’re feeling desperate from several

issues you are dealing with in your life. Through a presentation at your school, you became aware of the Natural

Helpers Peer Helping Program for students, and you think it would be helpful to talk to someone who can relate

to what you are going through. A Natural Helper suggests that you call a warmline in your area. A search for

“warmline” produces a listing for Grassroots Wellness Center whose description indicates that the

organization in fact does provide a behavioral health warmline.

As you can see the SSRD can be a useful and powerful tool. It provides consumers with options for services

available to them in their area. By empowering them, they can determine for themselves where to begin to get

help. The website does not tell them everything they need to know about a particular issue or condition, but

rather provides a starting point for them to access the services they need.

Offering people options before a situation becomes a crisis – when often the only options are hospital or jail – is

among the recommendations of the House Joint Memorial 17 Task Force. It is certainly a better outcome for

the consumer and a much more efficient use of limited resources.

As we conclude our portion of the presentation today – just a reminder to all of you – we are always working to

make our service listings as complete as possible, so if you know of a resource that is not yet listed on the

SSRD please feel to send us an email via the “contact us” page so we can assist them with the process. Also, we

have some brochures about the ADRC if you would to take some with you today.

Thank you for the opportunity to be a part of the important efforts of the Behavioral Health Collaborative!

Other Sample Scenarios:

You are a retired senior citizen living in Silver City and have lots of time on your hands. You have experience

in the business world and working with non-profits. You are interested in sharing your expertise and giving

back to the community and are looking for opportunities to volunteer. You enter a search for “volunteer

opportunities”. As you can see, you are served numerous results and you scroll down the list until you find a

program in Silver City. You come across The Wellness Coalition, which states in their description that the

organization is a “regional non-profit dedicated to improving the quality of life of the people of southwest New

Mexico”.

Say for instance that you are a mental health professional in Gallup and you have a patient that you have been

working with that is soon to be discharged? You know that this patient does not have a home or suitable living

situation to return to. You want to do the best you can to find out what options might be available to him in your

area. You enter a search for “transitional housing”, and it looks like your patient may be in luck. Care 66 is a

non-profit that states in their description that they “attempt to fulfill our mission by Providing Transitional

Housing to single men”.

Imagine for a moment that you live in a rural area in Catron County. You are caring for your elderly parent

while working at a full time job. You need some basic homemaker assistance with things like shopping and

running errands. A search for “homemaker assistance” returns several results, including one in your area.

Angelwings Coordinated Homecare shows in their description pretty much what you are looking for.

Tab 6

MENTAL HEALTH FIRST AID BIANNUAL REPORT APRIL 11, 2013

Purchasing Collaborative Members:

In May of 2012 the CEO of New Mexico’s Purchasing Collaborative tasked Suzanne Pearlman, CYFD, and Daphne Rood‐Hopkins, then with BHSD, to co‐chair a task force on Mental Health First Aid. Beginning in June of 2012 the newly established Task Force would support many Collaborative agency priorities including: training/development of local crisis systems of care; training recommendations of House Joint Memorial 17 and House Joint Memorial 45 (both calling for more training and education toward mental health awareness and stigma reduction); better tracking of how trainings are currently being implemented across the state; gathering data; and developing training opportunities for future sustainability, etc.

Mental Health First Aid is an evidenced based public education program that teaches people the key skills needed to help someone when a mental health problem or crisis arises. Laypeople having the confidence and training to engage individuals in crisis can save lives — just as laypeople with First Aid/CPR training can save lives. New Mexico needs communities that have the tools to identify and help those in need. The process to further educate communities begins with training as many people as possible to understand and know what to do when a crisis arises.

New Mexico and the Collaborative have been at the forefront of supporting and integrating Mental Health First Aid into our systems and communities since it came to the United States in 2008. New Mexico was one of the first states to train in‐state Instructors and support community trainings across New Mexico prioritizing our most rural and frontier areas as well as Nations, Tribes and Pueblos. According to the National Council for Behavioral Health, the adult Mental Health First Aid program has been delivered to nearly 100,000 Americans through a network of more than 2,500 instructors. To date New Mexico has trained over 2,700 New Mexicans and has a network of 58 Instructors.

The enclosed report highlights the work of many New Mexicans including the diverse membership of the MHFA Task Force, Collaborative agency staff/leaders, community partners, Instructors, etc.

We are very proud to share with you our accomplishments thus far and thank you for your continued support on this important initiative.

Daphne Rood‐Hopkins Suzanne Pearlman Co‐Chair, Mental Health First Aid Task Force Co‐Chair, Mental Health First Aid Task Force Director Social Marketing & Communications Manager Community Outreach & Behavioral Health NM Systems of Care Grant Children, Youth & Families Department Children, Youth & Families Department

Mental Health First Aid is a groundbreaking public education program that helps the public identify,

understand, and respond to signs of mental illnesses and substance use disorders. The program saves

lives, improves mental health, and expands the knowledge of mental illnesses and their treatments,

increases the services provided, and reduces overall stigma by improving mental health “literacy”.

Mental Health First Aid is an important component in New Mexico’s Crisis System

BIANNUAL REPORT JUNE 2012 - JANUARY 2013

MENTAL HEALTH FIRST AID: TO EDUCATE, INFORM & SAVE LIVES IN NM

BIANNUAL REPORT JUNE 2012 - JANUARY 2013 MENTAL HEALTH FIRST AID: TO EDUCATE, INFORM & SAVE LIVES IN NM Of the nearly 60 million adults in the U.S. who experience a mental disorder in

any one year, only about 24 million will seek treatment. For some, the stigma

and shame surrounding mental illness is so strong it keeps them from reaching

out for help.

The only way to break that burden is to talk about mental illness openly, to

demystify it. Learning about mental disorders and serious mental illnesses is

crucial to identifying warning signs in ourselves or people we know. It also is

necessary even if no one in our own lives is affected by mental illness, at this

time and as far as we know.

Think of it this way: You may never have had cancer, and you may not know

anyone who has had cancer. But you know about cancer in general, the basics

of what it is, how it affects individuals and their families, some treatments and

what to expect as the disease progresses.

We need the same literacy about mental illness. Mental illness is real, as is

the pain and disability it can cause. Knowing more about mental illness, signs

to watch for and how to offer help can benefit everyone.

The best way to break down stigma and shame about mental illness is to

educate ourselves and not be afraid to talk about it. Taking the Mental Health

First Aid training is a great way to begin.

‐ Arizona Daily Star 2011

NM MHFA TASK FORCE: Beginning in June 2012

New Mexico’s MHFA Task

Force seeks to train over

1,000 New Mexicans in

MHFA:

Providers

Law Enforcement

Corrections

Field Staff

School Staff

Faith Based Orgs

Community Orgs

Youth & Families

& More!

ABOUT NEW MEXICO’S MHFA TASK FORCE:

Developed in June 2013 New Mexico’s Mental Health First Aid Task Force began meeting with the

objectives of:

Increasing access to MHFA Trainings statewide

Accessing evaluation data for New Mexico since trainings began in 2010

Development of a longitudinal survey for implementation in NM to learn more about long term

impacts – awareness, stigma reduction, increase in access to information and services, etc.

Increasing NM’s Instructor cadre’s capacities through;

o Better in‐state communication/collaboration

o More information about training needs

o Access to information about NM’s Communities of Care resources

o An annual summit to bring together Instructor’s statewide

ABOUT MENTAL HEALTH FIRST AID:

Mental Health First Aid (MHFA) is offered in the form of an interactive 12‐hour course that presents an

overview of mental illness and substance use disorders in the U.S. and introduces participants to risk

factors and warning signs of mental health problems, builds understanding of their impact, and

overviews common treatments. Those who take the 12‐hour course to certify as Mental Health First

Aiders learn a 5‐step action plan encompassing the skills, resources and knowledge to help an

individual in crisis connect with appropriate professional, peer, social, and self‐help care.

The 12‐hour Mental Health First Aid USA course has benefited a variety of audiences and key

professions, including: primary care professionals, employers and business leaders, faith communities,

school personnel and educators, state police and corrections officers, nursing home staff, mental

health authorities, state policymakers, volunteers, young people, families and the general public.

There are three additional training components that will be offered in New Mexico beginning in May

2013:

MHFA for Youth (training provided to those working with youth ages 12‐24)

MHFA for Law Enforcement (provided to those working in the law enforcement field)

MHFA in Spanish (course trained in Spanish with course materials provided in Spanish)

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YOUTH MENTAL HEALTH FIRST AID

Youth Mental Health First Aid is a public education program which introduces participants to the unique risk factors and warning signs of mental health problems in adolescents, builds understanding of the importance of early intervention, and most importantly – teaches individuals how to help a youth in crisis or experiencing a mental health or substance use challenge. Mental Health First Aid uses role‐playing and simulations to demonstrate how to assess a mental health crisis; select interventions and provide initial help; and connect young people to professional, peer, social, and self‐help care.

OUTCOMES:

MHFA studies found that participants gained:

A better recognition of mental disorders

A better understanding of treatments

More confidence in providing help to others

Improved mental health for themselves

Lessened stigmatizing attitudes

Decreased social distance from people with mental disorders

MHFA’s impact on the community:

Increased help provided to others

Increased guidance to professional help

Improved concordance with health professionals about treatment

MHFA’s impact on the public, workplace, rural areas, and participant’s experiences:

Demonstrated a better recognition of disorders from individual case descriptions

Fewer negative attitudes towards people with mental disorders

Increased concordance with health professionals about treatments

Greater confidence in providing help to others

Increased likelihood to provide help to others

Taken from mentalhealthfirstaid.org

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MHFA TASK FORCE WORK PLAN

PART 1: TRACKING AND INFORMING NM INSTRUCTOR’S

The MHFA Task Force seeks to continue the work that the Collaborative began with the federally

funded Transformation State Incentive (TSIG) Grant in 2010. During that time the Collaborative, in

partnership with the Behavioral Health Planning Council (BHPC), and the Local Collaboratives (LCs),

partnered with The Life Link to train over 1,500 people across the state in Mental Health First Aid. To

date there have been more than 2,700 New Mexicans trained in Mental Health First Aid.

Tracking and informing NM’s MHFA Instructor Cadre:

There are currently 58 Instructors for MHFA in New Mexico.

Instructors are responsible for:

Instructing 3 courses per year in order to keep certification current

Responsible for collection of evaluation data at the conclusion of each course (either via hard

copy evaluation or emailed link to evaluation)

Completion of evaluation information for UNM

Communication with NM Instructor Cadre and MHFA Task Force

In addition to the Task Force will:

Insure their certification to instruct is still valid

Identify languages used to give trainings

Identify audiences they plan to instruct/are currently instructing

A New Mexico map with the above information included will be developed once the information has

been identified.

Lastly the Task Force will provide Instructors with information so that they can increase knowledge

regarding Collaborative Departments, Behavioral Health Agencies, OptumHealth New Mexico and

other community supports (both local and statewide) thus increasing the knowledge and

understanding of not only MHFA but also systems of care the Systems of Care value set (Youth and

Family Driven, Community Based and Culturally and Linguistically Competent).

In addition UNM has agreed to provide Continuing Education Units for those who successfully

complete the course (12 CEU’s).

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PART 2: MHFA TASK FORCE OUTCOMES

MEMBERSHIP:

Daphne Rood‐Hopkins, CYFD

Suzanne Pearlman, CYFD/NMSOC

Grace Phillips, NM Association of Counties

Betina McCracken, HSD

Rosemary Strunk, OHNM

Melanie Christopher, OHNM

Jana Spalding, Community Trainer

Porfirio Bueno, OHNM

Troy Fernandez, OHNM

Norma Faries, OHNM

Clinton Pyeatt, UNM

Annette Crisanti, UNM

Helene Silverblatt, UNM

Deb Altschul, UNM/NMSOC

Tracy Townsend, OHNM

Helen Quintana, CYFD

Kristin Jones, CYFD/NMSOC

Karen Meador, BHSD

Edna Ortiz, BHSD

Leticia Rutledge, BHSD

Valerie Quintana, BHSD

Raymond Anderson, The Life Link

Kim Horan, BHSD

Mike Estrada, NMCD

Michael DeBernardi, The Life Link

Beverly Bowman, Crownpoint IHS

James Candelaria, San Felipe SOC

Veronica Sanchez, Taos Crisis SOC

Jesse Chavez, CYFD

Martin Rodriguez, CYFD

Rebecca Estrada, CYFD

Tami Spellbring, CYFD

Patricia Gallegos, DOH

Jeannie Concha, MHFA Instructor

Vivica Meador, CYFD

The Task Force will;

Attend trainings in MHFA to better understand the importance of the training and its benefits

Develop audiences of focus/priority

Develop an implementation strategy

Research alternative mental health/behavioral health trainings

Make decisions about roll out and inclusion in crisis planning

Serve as Advisory Board to the Collaborative and other decision making bodies regarding MHFA

Connect with:

o Care Coordination/CSA’s

o Mapping Project

o Children & Adolescent Sub‐Committee (CASC) of the Behavioral Health Planning Council

Partner/present at the Crisis System of Care track of the Behavioral Health Collaborative

Symposium (see below description):

Crisis System of Care track description: Many people with serious mental illness have contact with law

enforcement and are subsequently held in detention centers, primarily due to a lack of crisis response

5

services. The Collaborative plans to phase‐in regional crisis systems of care building on the work of

House Joint Memorial 17 (Resources for Persons with Mental Illness).

PART 3: TASK FORCE SUB‐COMMITTEES

TRAINING:

Statewide MHFA training calendar, website, tools and resources

Host an annual MHFA Instructor’s Summit – hosted on August 30, 2012

Instructor Cadre Communication Plan

QUALITY:

Performance measures

Goals

Outcomes

EVALUATION:

At this time, the Center for Rural and Community Behavioral Health (CRCBH) MHFA evaluation team

within the Department of Psychiatry at UNM has completed a survey for all MHFA Instructors in New

Mexico to help identify perceived barriers to implementing MHFA training. In addition to analyzing

survey data, they also be conducted discussion groups at the New Mexico MHFA Instructor Summit to

enhance the survey information. This study was funded by an internal UNM grant through the Office

of Community Health and Vision 2020. CRCBH was also awarded another UNM pilot grant through the

Clinical and Translational Science Center at UNM aimed at broadening our understanding of MHFA

participants’ mental health literacy through cultural and demographic contexts that could ultimately

lead to more extensive federal grant support to identify communities in need of mental health training

and support within New Mexico.

The MHFA Task Force’s ultimate aim, working in conjunction with CRCBH, is to enhance the adoption

of MHFA in rural and ethnically diverse communities in New Mexico. Some additional evaluation

possibilities that are currently unfunded include administering pre, post and longitudinal tests to

mental health first aiders in New Mexico to get a sense of how their mental health literacy and comfort

with addressing mental health problems changes after training. We would also like to better

understand the effect of MHFA on those who are the recipients of MHFA interventions.

6

ACCOMPLISHMENTS TO DATE:

TRACKING AND INFORMING NM’s INSTRUCTOR CADRE:

A NM Instructor Summit was held on August 30, 2012 in Los Lunas, NM.

Approximately 35 NM MHFA Instructors were in attendance:

Bryan Gibb, Director of Public Education for The National Council, facilitated a discussion

regarding the Children's, Spanish, Law Enforcement versions of MHFA, and information about

New Mexico's MHFA data

UNM presented preliminary survey results

Three breakout groups were conducted to determine barriers and successes instructors have

faced in setting up, preparing for and facilitating MHFA trainings

NM Communication Discussion – input was given by Instructors on ways that NM Instructors

can better partner and support each other throughout the state

After the Summit (based on the input received during and after the Summit):

A distribution list of NM Instructors was developed, and has been used since September 2012,

to communicate training needs, opportunities, resources information and response to mental

health crisis.

Information about NM’s MHFA information is now hosted on the internet at:

http://www.nmsoc.org/mhfa.html

CRCBH has completed data collection and continue to analyze the results in order to publish

New Mexico MHFA Instructor’s perceived barriers toward implementing curriculum throughout

the state.

Trainings have been set in May 2013 for current Instructors to receive the training for the Youth

and Law Enforcement Curriculums in NM

During the months of December 2011 – May 2012 (the 6 months prior to the implementation of the

MHFA Task Force):

22 MHFA Trainings were held

12 was the average number of participants

257 people were trained in MHFA

During the months of June 2012 – January 2013 (the 6 months since the inception of the MHFA Task

Force):

37 MHFA Trainings were held

13 was the average number of participants

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471 people were trained in MHFA

In the 6 months following the inception of the MHFA Task Force:

Total number of trainings increased by 68%

Average participants increased slightly by 8%

Total number of people trained increased by 83%

MHFA TASK FORCE OUTCOMES:

MHFA Task Force Trainings

Three trainings were hosted by the Task Force in order for members and key leadership to learn more

about MHFA – they were held on:

July 18 – 19, 2012 at San Miguel Plaza – Santa Fe, NM

August 1 – 2, 2012 at OptumHealth NM – Albuquerque, NM

August 23 – 24, 2012 at CYFD San Mateo Office – Albuquerque, NM

Behavioral Health Collaborative Symposium & Crisis Systems of Care Community Development

The Task Force’s Co‐Chair, Suzanne Pearlman, presented during the Crisis System of Care track at the

Behavioral Health Collaborative Symposium on August 15‐16, in Albuquerque, NM. Ms. Pearlman’s

presentation included the importance of inclusion of MHFA as a component of developing a local crisis

system of care. She was approached by many communities seeking to further the conversation locally.

To date MHFA Crisis Systems of Care Trainings have taken place in:

Farmington, NM ‐ January 2013

Taos, NM ‐ January 2013

Planning for such trainings are taking place currently in:

Mora County

San Miguel County

Guadalupe County

San Felipe Pueblo

Mescalero Apache Nation

Curry County

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New MHFA Instructor Training

Currently planned in NM for May 2013 and will include trainers for the following entities which plan to

sustain the trainings within their facilities/organizations/communities:

Representatives from 10 County Detention facilities – both juvenile and adult

Taos County Crisis Systems of Care

A youth and family representative from NMSOC (for statewide training implementation to

youth and family groups – youth and adult curriculums)

Core Service Agency representatives from 3 service areas

3 Tribal Communities (for Culturally appropriate implementation in their communities)

CYFD staff (for both statewide community trainings and CYFD staff trainings on youth and adult

curriculums)

As well as additional community representative interested in training locally

Mental Health Related Training Matrix

Throughout the first 6 months of the Task Force the meetings have included informational

presentations on other mental health trainings such as;

National Alliance on Mental Illness’s (NAMI)Family to Family training

Crisis Intervention Training (CIT)

In the coming months the Task Force will learn more about;

Question, Persuade, Refer (QPR)

Listen‐Empathize‐Agree‐Partner (LEAP) training

Psychological First Aid

Emotional CPR, Wellness Action Recovery Plan (WRAP)

Applied Suicide Intervention Skills Training (ASIST)

Children, Youth & Families Department related mental health trainings

The Task Force will then develop a matrix of mental health related trainings available, information

about the intended audiences, goals and outcomes as well as contact information within New Mexico

to learn more.

System of Care Conference Presentation

The Task Force’s Co‐Chair, Suzanne Pearlman, has submitted a proposal to present at the SOC

Conference in July titled “Summer 2013 System of Care Community Training”.

July 24 ‐ 26, 2013 in Atlanta, Georgia

Title: “Mental Health First Aid for Systems of Care Anti‐Stigma, Awareness, and Community

Development”

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Learn how New Mexico is utilizing Mental Health First Aid to promote their work in Systems of Care,

Anti‐Stigma and Awareness campaigns, and developing key strategic partnerships ‐ one community at

a time.

Throughout the past year New Mexico has engaged MHFA instructors across NM, trained new

instructors, developed a communication plan, engaged tribal communities in NM, created a statewide

task force and has trained over 1,000 participants statewide. Learn how this effort has lead to the

development of local crisis systems of care planning, creating partnerships with schools and engaging

youth and families.

Participants will learn:

• How to develop relationships and partnerships using MHFA

• How NM developed a statewide task force

• How to create a communication network for MHFA

• How to engage youth and family members as leaders in this effort

• How to partner with tribal communities

• How to use MHFA as an important component in developing crisis systems of care

For questions or more information contact:

Suzanne Pearlman

505.827.8018

[email protected]

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Tab 7

1. Hospitals

2. Detention Facilities

3. First Responders

4. FQHC’s

5. CMHC’s/CSA’s

6. Schools

Historically in a referral based system,

referrals are made with no guarantee of

services.

“In a behavioral health system, the way to

decrease crisis episodes is to create access

and opportunities for care.”

Christopher Tokarski

Executive Director

For communities to provide the most

efficient and cost effective behavioral health

services, there must be an “integration of

care” relationship between key community

stakeholders. This takes on an even greater

significance in the rural and frontier areas

where resources are either limited or non-

existent.

The integration required is paramount to

creating a “continuity of care” that

addresses behavioral health needs/services

that should reduce the need for higher levels

of care.

CSA’s

Adult/Children

Hospitals First

Responders

Detention

Facilities

/schools

FQHC’s

Clinics

Physicians

90% of placements are made by clinicians,

law enforcement, and other health

professionals based on what they think is

appropriate care, not on what the client

needs/wants

There is the assumption that in-patient

placements = “BETTER CARE”

There is the belief that in-patient

placements have resolved or addressed the

crisis and/or the precipitating factors that

led to the crisis episode

Too often individuals coming out of

emergency psychiatric placements are placed

right back into the environment that led to

the crisis episode without the precipitating

factor(s) having been resolved.

Most in-patient emergency placements are

too brief (2 to 3 days maximum) and have

very little therapeutic interventions

provided. Typically services are medication

driven.

Physician time

Need for mental health evaluations

Time in ER waiting for MH evaluation

completion

Bed occupancy

Time in ER waiting placement/transport

Use of ICU for high risk holds/placement

Transportation issues by EMS and/or Sheriff’s

Dept.

Short-term housing in detention centers

Manpower taken out of community

Accessing of needed services in a timely

manner

Family expense

In an attempt to address these issues MHR has

established an integrated care approach with

Plains Regional Medical Center through the

ED. The hope is to engage individual and/or

families in appropriate behavioral health

services and decrease the overall use of ED’s

for psychiatric/behavioral health needs.

Result in healthier community

Builds relationships between emergency

departments and community BH providers

Reduce “revolving door or repeat visits” to

ER for psychiatric purposes

Engages individuals/families by accessing BH

services more quickly and efficiently

Reduction of ER costs

Reduction of costs related to higher levels of

care

Decrease number of transports by EMS =

increasing savings and time

Increase utilization of natural supports within

the community

Increased ability to identify “high utilizers”

with chronic medical and/or behavioral

health needs

Increase the potential for more “peer

interaction” in building supports and

delivering services

To establish a Mental Health Court in Judicial

District 9

To become trained and certified to provide

MH First Aid to first responders

Develop additional systems in frontier areas

Incorporate an “open access” treatment

model within Mental Health Resources, Inc.

service delivery system

Documents

New Mexico Behavioral Health Purchasing Collaborative Meeting · Karen Meador/BHSD and Gabrielle Sanchez-Sandoval/DOH House Memorial 45 Task Force companion to House Joint Memorial