Missouri Mental Health Commission

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• Missouri Mental Health Commission
• December 11, 2008

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• Vision
• Personal experience
• Contemporary best practice
• Leadership
• Central Office
• District Level
• Regional Offices
• Communication
• Change creates conflict

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From Crisis to Prevention

• System
• Waiting list-Emergency Resource allocation
• Individuals
• Reactive interventions Skill building,
  engagement, enrichment,
• and improved quality of
• life

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From Provider Driven to Self-Direction

• System
• Fund providers for Funds directed by the
• beds and slots individuals for outcomes
• Individuals
• Limited number of Increase the number of
• individuals self-directing individuals
  self-directing
• their supports and
• services

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From Congregate Care to Flexible Individualized
Supports

• System
• Segregated facility Integrated, inclusive
• based services community based
• services
• Individuals
• Sheltered workshops Competitive and
• day habilitation supported jobs
• in the community

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From Compliance to Outcomes

• System
• Gotcha Mentality Implement quality
  enhancement outcome measures
• Provider training and technical
• assistance
• Formal recognition of exemplary
• consumer and provider outcomes
• Individuals
• Limited feedback from Individuals
  satisfaction,
• participation of individuals continuous
  feedback

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From Regional Service Delivery to Local
Service Delivery

• System
• State operated service Local service
  coordination
• coordination
• Limited joint funding by Expanded joint funding
  by SB40
• SB40 DDD DDD
• Individuals
• Rigid and slow to respond More responsive to
  individual
• to current and emerging needs and local needs
• Improved consistency, efficiency and
  accountability of service
• delivery

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Habilitation Centers

• System
• Long-term care Crisis stabilization
• Custodial Active treatment
• Resource for community
• contract providers and
• individuals
• Individuals
• Segregated Integration inclusion
• No admissions Short-term to meet acute
• medical and behavioral needs

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Division Director
Deputy Director
Missouri Planning Council on Developmental
Disabilities
Central District Administrator
Eastern District Administrator
Western District Administrator
Director of Administrative Services
Director of DD Systems Transformation Grant
Director of Quality Assurance
Deputy Director of Habilitation Services
Central Missouri, Kirksville, Rolla, Sikeston,
and Poplar Bluff Regional Directors
Hannibal and St. Louis Regional Directors
Albany, Joplin, Kansas City, and Springfield
Regional Directors
Director of Federal Programs Unit
Director of Licensure and Certification
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Regional Office
Regional Director
Consumer Relations (Asst. Director)
Business Administration (Fiscal Admin. Mgr.)
Provider Relations
Quality Assurance
Clinical
Transition Employment Support
Coordination Intake / Eligibility Placement
Coordinator Habilitation Center Transition
Coordinator Self Directed Services In-Home
Support Team Education Coordinator Inquires/Invest
igations
Human Resources Accounting Fiscal Monitoring
Contracts Provider Technical Assistance Provider
Development Resource Allocation Provider
Monitoring Compliance
Behavioral Analysis Occupational Therapy Physical
Therapy Speech Therapy Nursing Dietitian
Monitoring Tracking Trending Reporting Self-Advoca
te Human Rights Committee
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