mhc etbhn oct 15 2015 (2)
TRANSCRIPT
Sonja Gaines, Associate CommissionerOffice of Mental Health CoordinationHealth and Human Services Commission
October 15, 2015
Texas Mental Health Moving
in the Right Direction: A
Year in Review
1
Office of Mental Health CoordinationOffice of Mental Health Coordination (MHC) created by the 83rd Regular
Session:
• Provides broad oversight-public mental health policy in Texas
• Coordinating the policy and delivery of mental health services
throughout the State of Texas.
• The office of MHC shall consult and coordinate with other state
agencies, local governments and other entities to ensure a strategic,
statewide approach to mental health.
Vision: To ensure that Texas has a unified approach to the delivery of
behavioral health services that allows all Texans to have access to care
at the right time and place.
Texas Mental Health
Moving in the Right Direction
2
A Year in Review: MH Coordination3
Cross Agency Mental Health Liaison Workgroups
Representation across all state agencies that impact mental health- meet
monthly to improve cross agency coordination, collaboration, reduce duplication
and improve efficiency and replicate best practices.
Texas Education Agency: Established a cross agency workgroup to address the
Behavioral Health needs of school aged children. Outcomes are Mental Health
First Aid training by TEA, expansion of the anti-stigma community conversations toseveral regional education centers across Texas.
MH First Aid Training Initiative: 2000 staff trained across Commission, 28 new
trainers trained cross agency to expand MHFA statewide. Currently developing a
reporting structure for all HHS System agencies to quantify outcomes as well as a
timeline for 2016 trainings.
Immigration and Refugee Affairs - to address current barriers to identifying and
addressing the mental health needs of refugees in Texas. Current activities involvestrengthening community collaborations and developing a brief, uniform MH
screening to be used at intake.
Continued A Year in Review
SB58 Carve-in: Moved TCM and MH Rehabilitation to Managed Care
model focused on integrated care
DSRIP Projects through the 1115 Waiver -Approximately 400 projects focus
on behavioral health across Texas; focus on rapid access to care, Peer
services ,telemedicine, concentrated efforts to support unique populations
such as IDD, enhanced integrated health projects, SUD and MH
MH Awareness Campaign-Provided consultation and recommended
direction related to the Mental Health Awareness Campaign, instrumental
in solicitation of stakeholder feedback and the utilization of Texas 2-1-1 as
the identified call center for the initiative, facilitated expansion across
agencies.
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Agency Focused BH Initiatives:
• DFPS: CANS Assessment, staffing, improved agency collaboration
• DARS: MHFA-more than 1000 trained, awareness and relations
• DADS: Crisis Services Implementation
• DSHS: MH Campaign, MHFA, 84th Session - $200 Million, NorthSTAR transition, Performance
Measures; New Co-occurring MH/Substance Abuse Planning federal grant; new early
childhood grant focused on social-emotional development strategies
• Medicaid: MDCD Medical Policy,SB58,MH Excellence Grant, Re-Enrollment, Peer Services
• Social Services: Refugee Program , 211 Support and enhancements, CRCG- MH training
• TEA: USAC Group, MHFA, MH Campaign
• TJJD: Data Project, MHFA, troubleshoot, webinars, training
• Texas Veterans Commission: Staff Training, Veteran Grant
• University of Texas - The Institute for Excellence in Mental Health: System of Care
Framework implementation for children’s mental health
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SG Coordination Matrix (SGCM)
PopulationsJuvenile
JusticeVeteran
Foster
Child
Legally
BlindRefugee Homeless
Goal Re-Entry Community
IntegrationPermanency
Independent
Living
Obtain
Employment
Safe and
Affordable
Housing
Barriers Untreated
MH/SUD
Singular
Focused
Programs
Lack of cross
agency
coordination
Staff lack
training, tools &
expectations
Challenged
Business
Relations
Drivers FundingPerformance
Expectations
Contract
Agreements
Available
Resources
Service
Connections
Additional
Complexities
English Prophecy/
CulturePhysical Disability Economics Transportation Geography
Uncoordinated
Care
Inpatient,
Criminal Justice,
Suspension
Economic Impact Long waitlists Co-Morbidity Confusing
What Does Effective Coordinated
Care Look Like?Coordinated care is the fusing and linking of key aspects
of care and support systems to address a common and
compelling need.
• Should be seamless to individual
• Use of technologies, peers and stakeholders
• Leveraging of funding and resources
• Culturally and Linguistically responsive
• It is intentional and well thought out
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Texas Mental Health
Moving in the Right Direction
2015 HHS Cross Systems Summit
Resources you
can use today8
9http://mentalhealthtx.org/
Mental Health Texas Website: Offer a one-stop
web based resource point
for Texas residents in need
of immediate mental
health information and
resources to find basic
mental health information
and direction.
http://www.hhsc.state.tx.us/hhsc_projects/omh/docs/cabhi.pdf 10
2015 Cross Agency BH Initiatives: Inventory of cross-agency MH
Initiatives to address gaps,
reduce duplication and establish
cross agency reporting.
http://www.hhsc.state.tx.us/hhsc_
projects/omh/docs/cabhi.pdf
Texas Veterans Phone App
• March 2014, HHSC launched a free mobile application designed to be used by veterans, active duty personnel, military families, and service providers for quick portable access to crisis lines, online resources, personal connections with local/regional veterans, and assistance with services.
• Offers access to: Veterans Crisis Line, Hotline for Women Veterans, Connect with Texas Veterans, Texas Veterans Hotline, and the Texas Veterans Portal.
Texas Veterans Portal (TVP)
• A resource for veterans, their families, and survivors: the Texas Veterans
Commission (TVC) manages the website, which includes helpful
information from many government agencies regarding assistance,
services, and benefits.
• HHSC coordinates with TVC to ensure that all state agency websites
include the portal.
• HHSC is working with county governments to include the portal in their
websites.
HHS Veterans Services and Initiatives:
Connecting Veterans to Resources11
84th Legislative BH Impact: Update on HHS SB 200: HHSC Consolidation Bill
• Mental health & substance abuse services consolidated into HHSC by 9/1/16
• State Hospitals consolidated into HHSC by 9/1/17
• ECI moves to TWC-9/1/16
• DSHS will retain public health functions
BH Advisory Committees Transformation
• SB 200 directed the Executive Commissioner to establish in rule, advisory
committees to consider issues and solicit public input
o Across major areas of HHS System
o Including behavioral health
• DSHS Sunset Commission report directed HHS to establish an
Enterprise-wide behavioral health advisory committee
• SB 200 and SB 277 abolished in statute certain advisory
committees
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Approved Statewide Behavioral Health
• HB 1, Art. 9, Section 10.04, 84th Legislative Regular Session created the
Statewide Behavioral Health Strategic Plan and Coordinated Expenditures
with the purpose of a detailed plan to coordinate these programs and
services to eliminate redundancy, utilize best practices in contracting
standards, perpetuate identified, successful models for mental health and substance abuse treatment, ensure optimal service delivery, and identify
and collect comparable data on results and effectiveness.
Texas Veterans Initiative, SB 55• The 84th Texas Legislature passed Senate Bill 55, by Senator Nelson, to
establish a pilot program and a grant program at HHSC, to support
veterans and their family’s mental health through grant projects around
Texas.
• Appropriated $20 million for 2016-17 to HHSC to enhance community
mental health services and treatment to veterans and their families.
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• MH Excellence Grant – selection of sites
• 1115 Waiver renewal
• YES Waiver Expansion - including the use of wraparound as an
intensive care coordination approach
• Medicaid Re-enrollment requirements
Touching on Managed Care :
• SB58-Medicaid Medical Policy Changes
• Review/changes in performance measures - Sunset language14
Community Center Impacts
• The strategic planning process will result in better
coordination and collaboration across state agencies
• Increase in BH focused policy changes across state agencies
• Improved data that outlines the need to focus on enhanced BH
services across systems
• Improved coordination across agencies and stakeholders to
address BH needs-distribution of resources and ID gaps
• Focus on Integrated Health across disciplines
• Changes in leadership at the state level
• The Vision starting to become a reality!
• Moving towards a unified approach to BH services across
state agencies that allows all Texans to gain access to care
at the right time and place.
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Future Predictions