New Freedom Commission on Mental Health

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New Freedom Commission on Mental Health
New Freedom Initiative
Olmstead Decision
Americans with Disabilities Act (ADA)
Mental Health System Transformation Realizing
the Full Promise of the ADA
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We Are On the Threshold of Achieving the Promise
in America.
"Not since the Americans with Disabilities Act
and the Supreme Court's Olmstead v. L.C.
decision...has there been cause for such promise
and opportunity for full community participation
for all people with disabilities, including
those with psychiatric disabilities."
New Freedom Commission on Mental Health
Mental Health System Transformation Realizing
the Full Promise of the ADA
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Psychiatric Disabilities  A Public Health
Priority

• 450 million people worldwide have a mental
  illness.
• One in five Americans44 million adults and 14
  million childrenlive with mental disorders.
• The total economic cost of mental illness to the
  Nation exceeds 148 billion2.5 of the U.S. GNP.
• By 2020, disability from mental illness will
  increase by 50 globallya larger proportionate
  increase than that for cardiovascular disease.

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the Full Promise of the ADA
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Obstacles to Full Community Participation for
Persons with Mental Illnesses
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the Full Promise of the ADA
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The Presidents New Freedom Commission on Mental
Health framed its work around five principles
that seek to improve the lives of mental health
consumers.
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the Full Promise of the ADA
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Executive Order Principles
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the Full Promise of the ADA
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Executive Order Principles (continued)
from Executive Order 13263
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the Full Promise of the ADA
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Achieving the Promise
Transforming Mental Health Care in America
Called for a fundamental transformation of the
mental health system into one that is

• Evidence-based
• Recovery-focused
• Consumer and family driven

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the Full Promise of the ADA
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RecoveryA Critical Concept to Transformation

• The process by which people are able to live,
  work, learn, and participate fully in their
  communities
• The ability to live a fulfilling and productive
  life despite a disability
• A reduction or complete remission of symptoms
• The ability to make important decisions affecting
  ones own life

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the Full Promise of the ADA
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Transformation is
life altering the process of continuous
evolutionary change driven by the dynamic needs
of the enterprise imbedded in the
unpredictable and the impossible a way to
create something completely possible from the
perceived impossible
from Concepts of Transformation
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the Full Promise of the ADA
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In a Transformed Mental Health System

• Recovery will be the guiding principle
• The delivery of services will be culturally
  competent
• The stigma and discrimination that surround
  mental illnesses will be reduced or eliminated
• Technology will provide opportunities to improve
  mental health services in remote, underserved
  areas
• Mental health care will be consumer and family
  driven
• The use of evidence-based, state-of-the-art
  treatments and supports will be standard practice

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the Full Promise of the ADA
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The Federal Action Agenda  First Steps

• Provides a model and promotes shared
  responsibility for change at the State and local
  levels
• Features the five principles around which the New
  Freedom Commission on Mental Health framed its
  vision
• Describes the "state of success" for each
  principle
• Highlights current activities and proposes Year-1
  action steps for each principle

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the Full Promise of the ADA
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The Federal Partners Workgroup
Department of Health and Human Services
AoA HHS/OS HRSA ACF -
ASPE IHS AHRQ
- OCR NIH/NIDA CDC -
OD NIH/NIMH CMS - OPHS
SAMHSA
Other Partners Department of Agriculture ?
Department of Education ? Department of Defense
? Department of Housing and Urban Development ?
Department of Justice ? Department of Labor ?
Department of Transportation ? Department of
Veterans Affairs ? Social Security
Administration
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SAMHSA Activities to Advance the ADA, Olmstead,
and Mental Health Transformation

• Mental Health Transformation State Incentive
  Grant Program
• Ongoing support for the PAIMI Program
• Olmstead Planning and Implementation Grants
• National Institute on Disability Research and
  Rehabilitation Projects
• National Technical Assistance Centers on
  Consumer-Operated Services
• Statewide Consumer Network and Family Network
  Grants
• Mental Health Block Grant

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The States Respond States are using Block Grant
dollars as well as other Federal and State funds,
local resources, and private contributions to
transform their mental health service delivery
systems.
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Progress Toward Transformation

• Almost every State agency has adopted a recovery
  mission statement.
• 93 have initiatives for individualized,
  person-centered treatment plans.
• More than half of the State agencies are
  developing a Comprehensive State Mental Health
  Plan.
• 61 of State agencies already have public
  information campaigns.
• Every reporting State agency is implementing at
  least one adult evidence-based practice.
• 94 are measuring client-outcome measures. 

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Leadership The Key to Transforming the
Disabilities Landscape
To achieve the promise, we must

• Build momentum for change
• Make the change
• Sustain the change
• Ensure that people with disabilities are helping
  to lead the call

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