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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

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creating a world class holistic behavioral healthcare system in harris county

Creating a World Class Holistic Behavioral Healthcare System in Harris County

Appreciative Inquiry Summit

June 16-17 2005

creating community support
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
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
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
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
moving forward world class behavioral healthcare in harris county
Moving Forward: World Class Behavioral Healthcare in Harris County
  • enhancing consumer-focused care;
  • optimizing service integration;
  • forging collaborative partnerships.
behavioral healthcare summit stakeholders included
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
Pooled/Integrated Funds

Outcome Based Services

Timely, Seamless, Integrated Services & Eligibility

Universal Medical Records & Internet Resource Database

Neighborhood Based Service Delivery

Co-location of Behavioral & Physical Healthcare

Prevention & Early Intervention

Community Education

Public Policy: Parity & Funding for Public Services

Outcome of Summit: Ten Goals
integrated pooled funds
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
Outcome Based Services
  • Outcomes relate to program development, continuous quality improvement and current evidenced-based 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.
timely seamless integrated services and eligibility
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.
universal medical records internet resource database
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.
public policy parity and public funding
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.
neighborhood based services
Neighborhood Based Services
  • More people are accessing and benefiting from services that are readily available in the homes, schools, faith-based organizations and neighborhood centers.
  • Communities have input into service provisions.
co location of behavioral physical healthcare
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.
prevention early intervention
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.
community education
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.
where to go from here
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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