Transcript Creating a World Class Behavioral Healthcare System in

Creating a World Class Holistic
Behavioral Healthcare System in
Harris County
Appreciative Inquiry Summit
June 16-17 2005
Creating Community Support
Mental Health Association began by:
 Identifying Appreciative Inquiry as the
right process
 Contracting with Case Western Reserve
Univ., School of Business and Mgmt
 Securing Funding
 Creating Design Team to create
consensus and plan
Design Team Members:
Mr. Ian Aitken, President and CEO, The Menninger Clinic
Mr. Domingo Barrios, Grant Officer, Houston Endowment, Inc.
Dr. David Buck, President and Chief Medical Officer, Healthcare for the Homeless
Dr. John Burrus, Chief of Psychiatry, Ben Taub Hospital
Mr. Jack Callahan, Mental Ilness Advocate, Advocacy Inc.
Dr. Ron Cookston, Director, Gateway to Care
Dr. Avrim Fishkind, Medical Director, Neuropsychiatric Center
Mrs. Carolyn Hamilton, President, NAMI West Houston
Ms. Nicole Lievsay, Director of Juvenile Justice and Behavioral Health Initiatives, Harris
County Judge Robert Eckels' Office
Mr. Anthony Love, President & CEO, Coalition for the Homeless of Houston/Harris
County, Inc.
Dr. Curtis Mooney, President & CEO, DePelchin Children's Center
Dr. Lois Moore, Chief Administrator, Harris County Psychiatric Center
Dr. William Schnapp, Associate Professor, UT Mental Science Institute
Dr. Steven Schnee, Executive Director, MHMRA
Ms. Betsy Schwartz, Executive Director, MHA
Mr. Mel Taylor, President & CEO, The Council on Alcohol and Drugs - Houston
Mr. Stephen L. Williams, Director, Houston Department of Health and Human Services
What is Appreciative Inquiry
Appreciative Inquiry is
 search for the best in people organizations,
and relevant world around them.
 systematic discovery of what gives “life” to a
living system when it is most effective
 involves the art and practice of asking
questions that strengthen a system’s capacity
to apprehend and anticipate potential.
What makes AI work:
Assembling the right stakeholders for an
extended time period;
 Asking positive questions the focus on
strengths of the current and past and
dream for the future;
 Building consensus throughout the
process;
 Turning Goals into Action Plan
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Moving Forward: World Class Behavioral
Healthcare in Harris County
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enhancing consumer-focused care;
optimizing service integration;
forging collaborative partnerships.
Behavioral Healthcare Summit
Stakeholders Included

Judges and Law Enforcement
 School Superintendents and Teachers
 Mental Health & Substance Abuse Consumers and
Families
 Hospital and Service Providers: Administrators and
Frontline Staff
 Physicians, MH professionals
 Private Foundation Leaders
 Elected Officials and Staff
 Clergy and Zip Code Ministries
 Neighborhood Clinic Staff
Outcome of Summit: Ten Goals
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Pooled/Integrated Funds
Outcome Based
Services
Timely, Seamless,
Integrated Services &
Eligibility
Universal Medical
Records & Internet
Resource Database
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Neighborhood Based
Service Delivery
Co-location of
Behavioral & Physical
Healthcare
Prevention & Early
Intervention
Community Education
Public Policy: Parity &
Funding for Public
Services
Summit Evaluation
Please describe what you liked best about the Summit:
2%
12%
commitment
positive nature
18%
process
ten groups
variety of people
66%
2%
Summit Evaluation
Summit Value
0% 5%
15%
little
minor
39%
moderate
significant
great
41%
Integrated/Pooled Funds
We have created a pool of coordinated
and/or integrated funds that provide fair
and equitable distribution of health,
mental health, and substance abuse
services for Greater Houston.
Sources include: public, private, business,
faith-based and other funds. The pool is
based on a complete and on-going
inventory of needs and resources.
Outcome Based Services
Outcomes relate to program
development, continuous quality
improvement and current evidencedbased practice.
 Measurements include program volume,
utilization, and clinical outcomes that are
risk and severity adjusted.
 Outcomes improve as a result of RFP
usage and subsequent competition.
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Timely, Seamless, Integrated
Services and Eligibility
Response is timely & culturally
competent & addresses consumer
holistic needs.
 System provides easy access, reduces
duplication & expedites intervention.
 Collaborative model based on integrated
funding, accountability, and accessibility.
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Universal Medical Records &
Internet Resource Database
Based upon a comprehensive, holistic,
free database of medical records and
community resources.
 Internet access database matching
consumer needs with resource
availability.
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Public Policy: Parity and Public
Funding
Public policy addresses local, state, and
federal issues;
 Ensures equal insurance coverage
between health and mental
health/substance abuse treatment;
 Guarantees services are available and
affordable to all residents.
 Launch a public education campaign to
create public policy agenda.
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Neighborhood Based Services
More people are accessing and
benefiting from services that are readily
available in the homes, schools, faithbased organizations and neighborhood
centers.
 Communities have input into service
provisions.
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Co-Location of Behavioral &
Physical Healthcare
Fully integrated medical & behavioral
model that is a series of sites where
prevention, assessment, treatment,
medication, and referrals are available
within 30 minutes of travel.
 Safe and attractive system IT systems
for information and referrals.
 Community based model features
multiple shared training opportunities.
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Prevention & Early Intervention
We have a prevention-based delivery
model.
 By education and support, we put
children first.
 Behavioral health is integrated into
primary care.
 Prevention and appropriate intervention
occurs at all stages of human
development.
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Community Education
All residents understand mental illness
and substance abuse as treatable;
 Family and consumer support are
provided;
 Community is empowered to seek
services without stigma;
 Early intervention is embraced.
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Where to go from here?
Link results with your recommendations
 Continue work of Summit work groups
with leadership from Design Team and
ideally members of this Committee
 Benchmark: Summit recommendations
linked with existing or new community
initiatives.
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