transforming lives opportunities to serve people with co-occurring disorders through medicaid...

Transforming lives

Opportunities to Serve People with Co-Occurring Disorders through

MedicaidBehavioral Health Serivces

AdministrationJane Beyer – DSHS Asst. Secretary

Melodie Pazolt - DBHR

Washington State Department of Social & Health Services

Transforming lives

Legislative direction to improve outcomes

5732-1519 Steering Committee membership •Six workgroups were created. Two additional workgroups have produced recommendations in the areas of:•Workforce Development•Evidence Based Practices


Transforming lives

5732-1519 Outcomes• Workgroups are focused on combined areas of

performance measures:– Quality of Life– Health/Wellness, Utilization and Disparities– Criminal Justice and Forensic Patients– Employment, Education, Meaningful Activities,

and Housing• Washington State Institute for Public Policy

(WSIPP)– Inventory of Evidence-Based, Research-Based,

and Promisting Practices


Transforming lives

New Opportunities

• E2SSB 6312– Adult Behavioral Health System Taskforce• Regional Service Areas• Key issues for purchasing BH Services• Strategies to move toward full integration with

PHC• Contract Standards • Process to contract for BH services

– Option to include Peer support, supported employment and supportive housing services for mental health and chemical dependency treatment.

• Financial incentives for improved performanceWashington State Department of Social &

Health Services

Transforming lives

New Opportunities

• E2SHB 2572– State Innovation Plan in preparation for

Centers for Medicaid and Medicare Innovation Grant

– 2 Pilot projects for Communities of Health– Health extension program to disseminite

tools, training and resources to providers– Standard measures of health performance– Restructure Medicaid procurement


Transforming lives

BHSIA/DBHR’s efforts to address homelessness

• Permanent Options for Recovery Centered Housing (PORCH)

• Projects for Assistance in Transition from Homelessness – (PATH)

• Bringing Recovery into Diverse Groups through Engagement and Support (BRIDGES)

• Offender Re-Entry Community Support Program (ORCSP)

• Access to Recovery (ATR)• Oxford


Transforming lives

Mental Health Transformation Grant (2nd Round)

• 5 year grant from SAMHSA• Transformation through Evidence-

Based Practice• Government Performance

Accountability (GPRA)• Infrastructure Development,

Prevention & Mental Health Promotion


Transforming lives

Permanent Options for Recovery-Centered Housing (PORCH)• 2 sites within WA state (Pierce County

& Chelan/Douglas Counties)• Utilize Peer Support to provide

Evidence-Based Permanent Supportive Housing

• Utilize Illness Management & Recovery to measure recovery

• Partnerships with Housing System (Dept. of Commerce provided $300,000 in TBRA in C/D Counties)


Transforming lives

Goals• Serve 180 individuals over the course of 5

years• Integrate consumer and family member

input into services and systems• Integrate EBP Supp. Housing into Quality

Management Processes• Develop stronger connections between

MH & Homeless Systems of Care• Enhancement of Peer Certification to add

housing component


Transforming lives

Projects for Assistance in Transition From Homelessness (PATH)• The PATH program is administered by the

Center for Mental Health Services, a component of the Substance Abuse and Mental Health Services Administration (SAMHSA), within the U.S. Department of Health and Human Services.

• PATH programs provide outreach services to people who are experiencing mental illness and are experiencing homelessness or risk of homelessness.

Transforming lives

ORCSP• Offender Re-Entry Community Support Program

compensates RSN and other providers who contract with DSHS to provide additional support services to individuals transitioning from prisons who have a history of serious mental illness. The program funds up to $10,000 per participant per year for a maximum of five years.

• Pre-Release Planning is a component of the program involving multiple systems.

• The funds are often used to support individuals obtain/maintain housing and services to help them transition to the community and connect with services and supports.

Transforming lives

Access to RecoveryThe Access to Recovery (ATR) program is funded by the federal Substance Abuse and Mental Health Services Administration (SAMHSA). With support from SAMHSA, Washington State’s Division of Behavioral Health and Recovery is moving toward Recovery Oriented Systems of Care.

•Washington State ATR is administered with six county partners: Clark, King, Snohomish, Pierce, Yakima, and Spokane. The purpose of this three-year grant project is to provide recovery services to qualifying individuals and their families to help them become productive members of their community. This program is designed to help people reach recovery in body, mind, and heart.

•ATR is based on the knowledge that there are many pathways to recovery from substance use. The promise of this initiative - founded on a belief in individual choice - is ensuring that a full range of treatment options are available, including the transforming power of faith.

•Once a client is assessed and a recovery plan established, the client can choose any authorized recovery provider for each service identified. Funds for these services are reserved for this person/family member using a voucher.

Transforming lives

Oxford• An Oxford House is a live-in residence for

individuals in recovery from substance use disorders. An Oxford House describes a democratically self governed and self-supported drug-free home.

• The number of residents in an Oxford House may range from six to fifteen; there are houses for men, for women, as well as for women with children.

• DBHR provides a revolving loan for the development of new Oxford houses in WA State

• DBHR provides funds to support 6 FTE for outreach services associated with Oxford houses

• Oxford House currently has 229 provider sites in 21 counties in Washington State. Rent is established by each Oxford House.

Transforming lives

Bringing Recovery into Diverse Groups through Engagement and Support

(BRIDGES)

Cooperative Agreement to Benefit Homeless Individuals (CABHI) Grant funded by the Substance

Abuse Mental Health Services Administration (SAMHSA)

Transforming lives

• A plan to address Chronic Homelessness – Combine the Chronic Homeless Policy Academy with CABHI – BRIDGES project• Delivery of behavioral health housing

support services - Using modified PATH and PORCH model for a substance abuse treatment population targeting individuals who are chronically homeless

4 4 main objectives of the grant:

Transforming lives

Housing 3000: Chronic Homeless Policy Academy2013 - present


Date

Department of Social and Health Services

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Policy Academy Overview

The policy academy sponsored by SAMHSA provides assistance to four states with high rates of chronic homelessness: California, Washington, Louisiana and Georgia.

Each state receives support and coaching from a faculty team, led by federal staff, with access to technical assistance and planning tools.

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Housing 3000 – High Impact Chronic Homeless Solutions Intervention Subcommittee

Transforming lives

Activity Update:•SAMHSA is sponsoring ‘white paper’ funding for WLIHA & CSH•Implementation of CABHI/BRIDGES grant•Monthly conference calls re: putting strategies into action•Supplemental CABHI/BRIDGES grant from SAMHSA•3 Supportive Housing Pilots funded in DBHR budget – Transitioning from institutional settings

Housing 3000 – High Impact Chronic Homeless Solutions Intervention Subcommittee

Transforming lives

Photovoice Presentation


transforming lives opportunities to serve people with co-occurring disorders through medicaid...

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