Transcript Mental Health Transformation Working Group

Mental Health
Transformation
Working Group
September 9, 2011
Agenda Overview
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Welcome and Call to Order
Review and Approval of Minutes
TWG Agency Updates
Health and Behavioral Health Report Update
Adolescent Health Promotion
Consumer Voice Update
Break
Supported Housing Policy Academy
Returning Veterans and their Families
Sustainability Plans
Open Discussion
Public Comments
Welcome
• Dr. David Lakey, DSHS
– Call to Order
– Opening Remarks
– Review and Approval of Minutes
Agency Updates
• Agency Representatives
– TWG Agency Updates on Behavioral
Health Initiatives
Health & Behavioral Health Report
• Luanne Southern, DSHS, Ricky
Garcia, HHSC
– Integration of Health and Behavioral
Health Services Workgroup, Report to the
81st Texas Legislature
– www.hhsc.state.tx.us/reports/2010/Integ
rationReport_73010.pdf
Report Recommendations I
• Create a State Healthcare Integration
Leadership Council.
• Create and support a focus on
healthcare integration in Texas.
• Support local healthcare integration
planning.
• Address systemic barriers to
healthcare integration.
• Encourage adoption of confidential
health information technology and
information sharing.
Report Recommendations II
• Develop systems for meaningful and
functional outcome measurement and
tracking.
• Support routine health and behavioral
health screening during patient
assessments.
• Develop policies to address training,
continuing education and workforce
needs.
• Implement integration efforts as part
of federal health reform requirements.
Adolescent Health Promotion
• Rachel Samsel, DSHS
Partnership for
Texas Youth
Thriving by 25
What
are
my
Where
Am
normal?
do
Am
Who
IIloveable?
amI fit
I? in?
strengths?
Disrespectful
Daydreamer
Nothing but trouble
Crazy
Lazy
Irresponsible
Unmotivated
Self-absorbed
Unrealistic
Angry
Weird
Just a teenager
Hormonal
PROSPER Partnership
• PROmoting School-community-university
Partnerships to Enhance Resilience
• The purpose is to cultivate community-based
leadership for the widespread delivery of
evidence-based prevention and youth
development programs.
• Partners include Land Grant Universities,
public education, health, and communities
Key Informant Interviews
• TAMU Agrilife conducted interviews
– Juvenile Justice
– Health (mental health, substance abuse,
adolescent health)
– Education
– Other prevention and youth development
specialists
a consistent framework
to address prevention
was needed
a common lens for
understanding youth
was necessary; and
a need for convergence
between state and local
efforts to promote
positive youth
development was
critical
Key Findings
Mental
Health
Juvenile
Justice
Substance
Abuse
Adolescent
Health
Education
YOUTH
Positive
Youth
Develop
-ment
Child
Welfare
Academia
Children’s
Policy
Between
52.1%
Suicidal
2009
of Texas
ideation
andhigh
2011,
and
school
Texas
high
students
suicide
school
attempts
feelstudents
like they
among
report
don’t
significant
Texas
matter
highto
increases
school
people
students
in their
herion,
have
meth,
significantly
community
ecstasy, increased
steroids,
(YRBS, 2011)
prescription
since
drugs,
2009.& IV drugs.
(YRBS,
(YRBS,2011)
2011)
Families
and Communities
Youth
are:
Policies and Programs
are:
are supportive of
Healthy
building:
Supportive
Happy
Safe
Lawful
Strong
Character
Literate
Connected
Competence
Competent
Caring
Confidence
Responsive
Confident
Connections, and
Accessible…
Connected
Caring…
to young people
Caring
young people
Vision
Create a common positive
youth lens
Training
Messaging
Building the
“Business Case”
for young people
Disrespectful
Daydreamer
Nothing but trouble
Crazy
Lazy
Irresponsible
Unmotivated
Self-absorbed
Unrealistic
Angry
Weird
Just a teenager
Hormonal
Connected to others Supported
A part of something
Creative
bigger
Caring
Competent
Exploring
Of Good
Character
responsible
Talented
Optimistic
Confident
Driven
Hormonal
A Successful
person
Just a Young
teenager
Questions???
Rachel Samsel, MSSW
State Adolescent Health Coordinator
Dept. of State Health Services
[email protected]
(512) 776-2133
www.dshs.state.tx.us/adolescent
Consumer Voice Update
• Overview
• Texas Catalyst for Empowerment
–
Tammy Heinz
• Via Hope Update
–
Dennis Bach, Via Hope
TWG Meeting
September 9, 2011
Dennis H Bach, Program Director
Texas Catalyst
for Empowerment
 “Finding Our Voice” Consumer Conference.
 August 8-10, 2011 in Austin.
 Attendance Goal: 85 participants.
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Texans with lived experience with mental illness
Consumers from all 39 LMHA areas.
Consumer operated service providers.
Certified Peer Specialists.
 Workshops on recovery, advocacy, and empowerment.
Consumer Engagement
 TCE Developed a Consumer Statement.
 Statement of what consumers want from Texas
mental health system.
 Adopted during August conference
 Will participate on panel with assistant commissioner
at Recovery in Practice Conference on 9/12.
 More information at
www.mytce.org .
Consumer Operated Service Providers
Defined as:
 Orgs or groups that are administratively and
financially controlled by mental health consumers.
 Fundamental component--peer support.
 Not simply mental health services delivered by
consumers—independent, peer-run organizations.
- Campbell, 2008
COSPs Funded by DSHS
 Agape Center
 Advocates of Abilene
 Austin Area Mental
Health Consumers
 Depression Connection
 Prosumers International
 River City Advocacy
 Cherokee Center
UT Center for Social Work Research
COSP Needs Assessment
UT-Center for Social Work Research conducted needs
assessment to:
 Identify organizational capacity-building needs as
reported by COSPs and LMHAs.
 Determine how COSPs can expand & sustain in Texas.
 Understand LMHA – COSP models.
Via Hope Technical Assistance:
COSP Institute
Strengthen programs, partnerships, leadership and
sustainability of COSPs in Texas through training,
technical assistance and consultation.
COSP Institute 2011
 Texas Association of Non-Profit Organizations (TANO).
 June meeting of organizations’ leadership.
 Onsite technical assistance visits.
 Via Hope/TANO Initial findings/recommendations.
 Organizations need a lot of help.
 Should continue working with COSPs for next two years.
 Two parallel tracks


Leadership and Organizational Development
Program Fidelity
COSP Institute 2012
 Build and promote COSP leadership.
 Build sustainability.
 Expand capacity to provide services and increase.
knowledge in content areas.
 Expand alliances with one another.
 Strengthen partnerships with LMHAs and other
community organizations.
Youth Advocacy Retreat
 University of Houston, August 5-7, 2011.
 24 participants aged 15 to 24.
 Fun/Bonding; workshops; art show.
 Learned youth advocacy skills and began creating a
vision and framework for a youth advocacy network.
 A picture is worth a thousand words……
Texas Recovery in Practice
 September 12-13; Crowne Plaza Hotel
 Approximately 150 registered.
 Recognize accomplishments of Recovery Focused
Learning Community.
 Transition to next phase of system transformation
efforts.
 Introduce Recovery Institute.
Agenda Highlights
 Opening Keynote: Larry Davidson, PhD, Yale Univ.
 Keeping our Eyes on the Prize: Transforming to a
Consumer and Family Driven System of Care.
 A Dialogue With Members of the Texas Recovery
Community.
 Asst. Commissioner Mike Maples, TCE, four other
consumer/family voice organizations.
 Recovery Focused Learning Community in Review.
 Networking Reception.
Agenda Highlights
 Storyboard Reception featuring RFLC Teams.
 Janis Tondora, PsyD, Yale University.
 Person Centered Planning: From Theory to Practice.
 Introduction of Recovery Institute.
 Panel featuring Pat Nemec and RFLC Teams.
 The Wisdom of Experience: Achieving the Promise of
Peer Workers.
Recovery Institute
 Begins in fiscal year 2012.
 Successor to Learning Community; same principles.
 Promote and assist fundamental system change to a
recovery focus.
 Create organizational environments that facilitate use
of peer supports; promote consumer and family voice.
 Offer technical assistance for local initiatives.
 Multiple, escalating levels of involvement.
Recovery Institute
 Level One
 Periodic Webinars, our and others.
 “Recovery Reads” Book Club.
 Entry level, open to anyone. No commitment.
 Level Two
 Regional Recovery Seminars.
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
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Three 1-2 day seminars for local organizational leadership.
Expert faculty.
No long term commitment.
Recovery Institute
 Level Three.
 Continued engagement of current RFLC teams.

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Monthly conference calls; individual coaching calls.
Technical assistance as requested.
 Designed for organizations that want to continue
working on recovery orientation, but not quite ready to
apply for next two levels.
Recovery Institute
 Level Four
 Program incubation.
 By application; up to five organizations.
 On site training, technical assistance, coaching.



David Stayner and Associates.
Take organization’s recovery orientation to the next level.
Further develop use of peer specialists.
 More intensive effort; executive sponsor, change team.
Recovery Institute
 Level Five.
 Person Centered Recovery Planning (PCRP)


By application; two organizations initially, then expand.
Ideally, one hospital and one Center.
 On site training, technical assistance.

Janis Tondora, Yale.
 DSHS stakeholder involvement.
 Start of long term effort for widespread adoption of
PCRP.
Break
• Upcoming Agenda Items….
– Supported Housing Policy Academy
– Returning Veterans and their Families
– Sustainability Plans
• TWG/MHPAC transition to BH Policy Advisory
Committee
• December Meeting
– Open Discussion
– Public Comments
Supported Housing Policy Academy
• Kate Moore, TDHCA
–
Upcoming one day summit
Returning Veterans and their Families
• Sam Shore
Sustainability Plans
• All TWG members
–
–
TWG/MHPAC transition to Behavioral
Health Policy Advisory Committee
December Meeting
Discussion
• TWG Members
• Public Comment
Meeting Conclusion
• Dr. David Lakey, DSHS/ Sam Shore,
DSHS
– Closing Comments