Creating a World Class Holistic Behavioral Healthcare System in Harris County

1. Creating a World Class Holistic Behavioral Healthcare System in Harris County Appreciative Inquiry Summit June 16-17 2005

2. 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

3. 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

4. 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.

5. 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

6. Moving Forward: World Class Behavioral Healthcare in Harris County • enhancing consumer-focused care; • optimizing service integration; • forging collaborative partnerships.

7. 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

8. 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

9. Summit Evaluation

10. Summit Evaluation

11. 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.

12. 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.

13. 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.

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. 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.

20. 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.