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RI Department of Behavioral Healthcare, Development Disabilities & Hospitals

RI Department of Behavioral Healthcare, Development Disabilities & Hospitals. RI Community-Academic Partnership (RICAP) in Behavioral Health March 26, 2019. BHDDH Vision.

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RI Department of Behavioral Healthcare, Development Disabilities & Hospitals

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  1. RI Department of Behavioral Healthcare, Development Disabilities & Hospitals RI Community-Academic Partnership (RICAP) in Behavioral Health March 26, 2019

  2. BHDDH Vision To be a leader in the development of innovative, evidence based programs that improve care delivery, strengthen the service delivery network and best serve those who use the system. In collaboration with our community partners, to be champions of the people we serve, addressing their needs in a timely, efficient and effective manner.

  3. BHDDH Populations Served Annually Mental Health ~31,000 Hospital ~350 MH I/DD H SUD Intellectual/Developmental Disabilities ~4,000 Based on calendar year 2017 data Substance Use Disorders ~17,000 Behavioral Health

  4. BHDDH’s Statutory Authority Federal Designation as the Single State Authority for Substance Use Disorders and Adult Mental Health BHDDH has the charge to implement the general powers and duties of the RI Mental Health Law • 40.1.5-3 General powers and duties of the state department of mental health and hospitals • 40.1-1-13-Powers and Duties of the office • 40.1-5.4-4-Powers and Duties of director of Behavioral Healthcare, Developmental Disabilities and Hospitals • 40.1-5.4-5- Purposes • 40.1-5-4-1-Mental Health Services • 40.1-8.5-7-Powers and duties of director

  5. How Services are Delivered and Funded • BHDDH licenses 33 behavioral healthcare treatment providers in 148 locations throughout the state. Most of these providers rely heavily on Medicaid to fund client care. • BHDDH manages over 360 grant-funded contracts for prevention, treatment and recovery support services BH I/DD Hospital Direct Service provision Community Provider Oversight

  6. Continuum of Care Source: National Research Council and Institute of Medicine. (2009). Preventing mental, emotional, and behavioral disorders among young people: Progress and possibilities (O’Connell, M. E., Boat, T., & Warner, K. E., Eds.) Washington, DC: National Academies Press, p.67.

  7. Services Delivered Promotion and Prevention Information Dissemination Community-Based Processes Prevention Education Alternative Activities Environmental Approaches Student Assistance Services Treatment and Support Services for Adults General Outpatient Services Integrated Health Homes Supported Housing ServicesSubstance Use Residential Services (280 Beds) 35 MHPRR ( 415 Beds) Outpatient Detoxification Services Case Management Services Medical Detoxification Services Assertive Community Treatment Opioid Treatment Programs (17 locations) Intensive Outpatient Services Recovery Support Peer Services Recovery Housing Recovery Community Centers (4) Employment and Educational Support

  8. CMHC Catchment are Consistent with Prevention Regions and collaborate with HEZs 1 4 3 2 7 5 8 6

  9. Access, Quality and SafetyMental Health & Substance Use Disorders

  10. Behavioral Health LINKHotline and Triage Center • Opened 11/14/18 • Mental health or substance use crisis • Emergency Department Diversion • 18 years or older • 24/7 access (call, walk-in, drop-off) • Services • Crisis management and stabilization, psychiatric consultation, clinical assessment, peer support, mobile crisis response, care management, emergency medication prescribing, skilled nursing • System navigation, connections to treatment and recovery support, connections to recovery housing, continued engagement and connection to follow-up services,

  11. Four Strategies

  12. Five New Core Principles for Plan Refresh • Integrating Data to Inform Crisis Response • Meeting, Engaging and Serving Diverse Communities • Changing Negative Public Attitudes on Addiction • Universal Incorporation of Harm-Reduction • Confronting the Social Determinants of Health

  13. State Opioid Response Grant ( RI SOR) • Reduce the number of Overdose related deaths and adverse events for individuals 18 years of age or older • Increase access to treatment and reduce unmet needs through the provision of prevention, treatment and recovery activities • Support a comprehensive response using epidemiological data in the planning process • Collect data via the GPRA and other internal measures to help identify any gaps in the continuum of care and inform future expansion

  14. Grants Screening, Brief Interventions and Referral to Treatment (SBIRT) Medication Assisted Treatment (MAT) Cooperative Agreement to Benefit Homeless Individuals Healthy Transitions Strategic Prevention Framework Partnerships for Success (PFS) 1 & 2 State Youth Treatment Implementation Grant Combined Mental Health and Substance Abuse Prevention and Treatment Block Grant Projects for Assistance and Transition from Homelessness (PATH) Promoting Integration of Primary and Behavioral Healthcare (PIPBHC)

  15. How can I make a difference?

  16. Thank You! Contact information: Rebecca.Boss@BHDDH.RI.Gov 401-462-2339

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