1 / 28

Where the Heck are We Going?: Prevention's Emerging Road Map

Where the Heck are We Going?: Prevention's Emerging Road Map. Carlos A. O. Pavao, MPA Southeast Regional CAPT October 7, 2011 . What is the Purpose of the CAPT?. To strengthen the capacity of States, Tribes, Jurisdictions, and other CSAP grantees.

dom
Download Presentation

Where the Heck are We Going?: Prevention's Emerging Road Map

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Where the Heck are We Going?: Prevention's Emerging Road Map Carlos A. O. Pavao, MPA Southeast Regional CAPT October 7, 2011

  2. What is the Purpose of the CAPT? To strengthen the capacity of States, Tribes, Jurisdictions, and other CSAP grantees. To strengthen the knowledge, skills, and expertise of the prevention workforce to implement the SPF and related accountability systems for measuring performance

  3. An Integrated CAPT System The CAPT combines centralized core capacity to ensure overall program direction, management efficiency, and consistency with a decentralized regional network system—Regional Resource Teams—located in each of the five National Prevention Network regions.

  4. CAPT Regions NE AK WA WA CENTRAL MT ME MN ME ND MT WI OR MN NY VT SD NH OR WI NY MA Northern Mariana Islands SD ID PA IA RI MI MI CT WY WY IN PA OH IA NE NJ DE NV IN NV OH IL IL NE Guam UT UT MD VA WV WV KS Marshall Islands CA District of Columbia CO CO VA NC KS KY KY MO MO NC OK SC TN Palau TN AR AZ AZ GA MS OK SC NM NM AR SE AL GA MS Micronesia Puerto Rico TX TX LA LA Hawaii FL FL AmericanSamoa WEST US Virgin Islands SW Designates tribal grantee

  5. SAMHSA’s Strategic Prevention Framework

  6. Learning Objectives • As a result of participating in this workshop participants will be able to: • Outline the key concepts of the Institute of Medicine's report, Preventing Mental, Emotional and Behavioral Disorders Among Young People, and its implications for prevention practice. • Describe the eight SAMHSA Strategic Initiatives, their prevention implications, and their relationship to prevention of substance abuse

  7. Learning Objectives (cont’d) • As a result of participating in this workshop participants will be able to: • Provide a brief description/overview of Affordable Care Act and its implications for prevention

  8. 2009 Institute of Medicine Report

  9. 2009 Institute of Medicine Report • Scope of Prevention redefined (include health promotion) • MEB (mental, emotional, and behavioral disorders) encompasses mental illness, substance abuse and associated problems and behaviors • Neuroscience and Prevention Collaborations (the testing of hypotheses across disciplines) • Collaboration Across Agencies (opportunities for cross-disciplinary and multi-agency research to streamline funding and reflect a comprehensive developmental approach)

  10. 2009 Institute of Medicine Report • Focus on Implementation and Dissemination (moved from efficacy to effectiveness trials and studies of implementation approaches) • Community Relevance (develop partnerships to evaluate interventions). • Inclusion of analysis of costs and cost effectiveness/cost benefit

  11. Prevention of Mental, Emotional, and Behavioral (MEB) Disorders/Problems • MEB includes DSM-IV diagnosable mental illness and substance abuse and problems associated with them (such as violence, aggression, and antisocial behavior). • More than ½ of adults reporting MEB disorders during their lifetime report onset occurred in childhood or adolescence. • 14-20% of young people report with MEB disorders in any given year

  12. Prevention - Interventions that occur prior to the onset of a disorder that are intended to prevent or reduce risk for the disorder.

  13. SAMHSA’s Strategic Initiatives http://store.samhsa.gov/shin/content//SMA11-4629/01-FullDocument.pdf

  14. SAMHSA’s Strategic Initiatives • Prevention of Substance Abuse and Mental Illness • Trauma and Justice • Military Families • Recovery Support • Health Reform • Health Information Technology • Data, Outcomes, and Quality • Public Awareness and Support Leading Change: A Plan for SAMHSA’s Roles and Actions 2011-2014 http://store.samhsa.gov/shin/content//SMA11-4629/01-FullDocument.pdf

  15. SAMHSA’s SSIs • Align with HHS Strategic Plan: (1) improving the Nation’s behavioral health, (2) transform health care in America, and (3) achieve excellence in operations. • Public Health Approach (population level - achieve nationwide improvements in health)

  16. SAMHSA’s SSIs continued… • Accountability - Evidence Based (improve practices / demonstrate change - reduce the impact of mental and substance use disorders on America’s communities) • Diversity - address the disparities in access, quality, and outcomes of care for vulnerable populations that historically have been underserved or inappropriately served.

  17. SAMHSA’s SSIs http://store.samhsa.gov/shin/content//SMA11-4629/01-FullDocument.pdf

  18. Affordable Care Act • Signed March 23, 2010 • The Affordable Care Act (ACA) expands coverage of preventive services both within private health insurance plans and within Medicare and Medicaid, so more people can benefit from these services.

  19. Preventive Services: What's Covered Under the Affordable Care Act? • As of September 23, 2010, the health reform law requires new private health insurance plans to fully cover the costs of 45 recommended preventive services. • As of January 1, 2011, the new law will also require coverage for a new annual wellness visit under Medicare and eliminates cost sharing for recommended preventive services covered by Medicare. • Additionally, the new law gives state Medicaid programs financial incentives to cover preventive services for adults and supports initiatives to improve public understanding of the benefits of lifetime preventive services.

  20. Opening New Doors • What does all this mean for prevention?

  21. What does this mean forSubstance Abuse Prevention (SSI) • Need to develop a behavioral health workforce focused on the prevention of substance abuse and mental illness and the promotion of health and wellness. • Need for all to adopt evidence-based practices; deliver health education related to prevention. • Build capacity to support the development of Prevention Prepared Communities (PPCs)

  22. What does this mean for Substance Abuse Prevention? • How can we position ourselves to take advantage of the opportunities presented by the Affordable Care Act and the growing evidence base behind prevention? • Affordable Care Act is also putting a heavy focus on prevention and promotion activitiesat the community, State, Territorial, and Tribal levels. What opportunities might this open for those of us at the state and local levels?

  23. Major Trends We can Prepare for… • Health Care Reform (Selective and Indicated Interventions) • Reduced Resources (Funding) • Linkages to Primary Care • “Medical Home” Model of Service Delivery • Electronic Records • Fee for Service Delivery System/Client Pays

  24. Major Trends (cont’d) • Focus on Behavioral Health Care • Prevention Across All Behavioral Issues • Recovery Oriented Systems of Care (Completing the Circle of Care) • Systems Linkages by Necessity

  25. Resources – Must Read

  26. Resources – Continued

  27. Resources – Continued 1994 IOM Report

  28. For more information Carlos A. O. Pavão, MPA SAMHSA CSAP's Southeast RegionCAPT 160 Clairemont Avenue, Suite 200 Decatur, GA 30030 Tel: 678-954-5823 Email: cpavao@edc.org

More Related