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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