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Olmstead Coordinators 3 rd Annual Training Institute Achieving the Promise Transforming Mental Health Care in America Achieving Community Integration: Sustaining Progress and Strengthening Partnerships September 24, 2003. Kathy Craft, Alaska Department of Health & Social Services

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kathy craft alaska department of health social services kathryn craft@health state ak us

Olmstead Coordinators3rd Annual Training InstituteAchieving the PromiseTransforming Mental Health Care in AmericaAchieving Community Integration: Sustaining Progress and Strengthening Partnerships September 24, 2003

Kathy Craft, Alaska

Department of Health & Social Services

Kathryn_Craft@health.state.ak.us

catalysts for alaska s changes
Catalysts for Alaska’s Changes
  • Community Mental Health Alaska Replacement Project – CMH / ARP
  • Department of Health and Social Service, Alaska Mental Health Board & Governor’s Advisory Board on Alcoholism and Drug Abuse Integration Project
project components
CMH / ARP

24 hour single point of entry – Psych ER

Enhanced crisis respite for stabilization, evaluation and assessment

Enhanced detox and residential services

Integration Project

Establish working definition of integrated MH & SA disorder

Inventory best practices

Address philosophical and practical issues

www.abada.com/pdf/itfinal.pdf

Project Components
integration results
Integration Results
  • Mental Health Court
  • Jail Diversion Services
  • Decriminalization Position
  • Office of Integrated Housing
  • Mobile Crisis Team
  • Crisis Intervention Training for Law Enforcement
governor s executive order
Governor’s Executive Order
  • Division of Alcoholism and Drug Abuse to merge with the mental health component of the Division of Mental Health and Developmental Disabilities to begin the new
  • Division of Behavioral Health
internal integration team
Internal Integration Team
  • Vision, Mission & Values
  • Functional Structure:

Administration

Policy Planning & Analysis

Data / IT

Program Integrity

Programs and Services

external integration team
External Integration Team
  • MOA (handout)
  • Statewide Workgroups

http://bhstakeholders.infoinsights.com

Communication

Outcomes

Screening/Assessment/Continuum of Care

Licensing/Certification/Workforce Development

Provider Network/Collaboration

Financing

Statutory & Regulatory Changes

sustainability its not all about money
Sustainability(its not all about money)
  • Consensus or Charter Document (handout)
  • Include key stakeholders

Other departments – Law, Labor, Education, Corrections….

Planning Boards or Councils

Consumers, Family Members & Advocates

Providers

sustainability
Sustainability

Be open and honest about the paradigm shift.

  • Discuss turf issues
  • Talk over personal biases
challenges remember to create incentives
Challenges(remember to create incentives)
  • Licensing / Certification and Accreditation
  • Provider dual diagnosis capability (handout)
  • Barriers (ToT handout)
  • Program Standards
  • Modify Medicaid regulations
  • Revise grant regulations
  • MIS
integrated screening process

Integrated Screening Process

Alaska Screening Tool for Dual Diagnosis, Traumatic Brain Injury (TBI) & Fetal Alcohol Spectrum Disorder (FASD)

(handout)

client status review follow up

Client Status Review & Follow Up

Integrated CSR & Follow Up (handout)

train the trainers change agents
Train the TrainersChange Agents
  • Screening, Assessment and Treatment Processes
  • Cultural Competence
  • AKAIMS – Information System
  • Billing Methodologies
  • Trainer Becomes a Critical Community Resource
akaims alaska automated information management system

AKAIMSAlaska Automated Information Management System

CSAT’s Web Infrastructure for Treatment Services (WITS)

akaims
AKAIMS
  • Co-occurring web-based data collection

Prevalence

Screening

Services

Treatment Outcomes

  • On-line Release of Information
alaska resources
Alaska Resources
  • Division of Behavioral Health

http://www.hss.state.ak.us/dbh/providers/providerwebs.htm

  • AKAIMS / WITS - Wade Martin

Phone 301-517-8078

MARTINW1@WESTAT.com

the end

The End

Kathy Craft, DHSS

Departmental Coordination Manager

Kathryn_Craft@health.state.ak.us

Phone 907-451-2017