State of hawaii
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State of Hawaii. Role of Psychiatrists in Mental Health Transformation. Consent Decree. Leadership moved system from Medical Model to Recovery Model (2002-2005) Recovery became policy

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State of hawaii

State of Hawaii

Role of Psychiatrists in Mental Health Transformation


Consent decree

Consent Decree

  • Leadership moved system from Medical Model to Recovery Model (2002-2005)

  • Recovery became policy

  • Psychiatrist identified as the leader of the Recovery Team, along with Consumer and Case Manager (at a minimum)

  • Annual Evidence Based Practice Conference addressed one EBP


Transition period

Transition Period

  • 2006: Still under US DOJ Consent Decree

  • Implemented system-wide training program and conference with visiting experts in Recovery Model and Recovery Planning

  • All psychiatrists and case managers and consumer advocates were trained

  • DVDs made

  • Recovery Planning Teams became active


Transition period1

Transition Period

  • Recovery Planning Team included psychiatrists and met monthly for 2006

  • Policy was set and reviewed by Statewide Medical Executive Committee (SMEC)

  • Standing agenda item at SMEC for 2006

  • Performance Improvement Site Monitoring included Recovery Plans, Planning, and interviews with consumers about the role of their psychiatrist in the plan


Psychiatric access collaboration

Psychiatric Access Collaboration

  • Grew from recognition of psychiatric access shortages, especially in rural areas

  • Developed broad coalition centered around psychiatric workforce

  • Developed funding and hiring models for rural health clinics

  • Developed schedule of visiting psychiatrists

  • Supported Telemedicine


Transformation grant 2007

Transformation Grant-2007

  • Grant Director is a psychiatrist

  • Four psychiatrists are on Transformation Working Group (TWG, Steering Group)

  • Psychiatrists are on Subgroups

  • Psychiatrists were included in Agenda setting and planning for the grant implementation

  • Liaison with Psychiatry Guild Groups (adult and child)


Transformation in the near future

Transformation in the near future

  • Continued activity in the Transformation Grant

  • Quality Improvement activity based on results of site monitoring from Performance Improvement

  • Professional/Consumer councils have this as a regular agenda item

  • Statewide Medical Executives have it as a regular agenda item


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