Title: Transforming Mental Health Care Together
1Maryland Mental Hygiene Administration Annual
Conference Baltimore, MD May 9, 2006
Transforming Mental Health Care Together
A. Kathryn Power, Director Center for Mental
Health Services
2Maryland and Other Transformation SIG Awardees
Demonstrated
- A very active and invested Governor and dynamic
leaders in pertinent government agencies
Transforming Mental Health Care Together
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3Maryland and Other Transformation SIG Awardees
Demonstrated
- A very active and invested Governor and dynamic
leaders in pertinent government agencies - Activities built on existing strengths and the
leveraging of other grant monies to enhance SIG
funds
Transforming Mental Health Care Together
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4Maryland and Other Transformation SIG Awardees
Demonstrated
- A very active and invested Governor and dynamic
leaders in pertinent government agencies - Activities built on existing strengths and the
leveraging of other grant monies to enhance SIG
funds - A strategy for sustainability and the expansion
of services
Transforming Mental Health Care Together
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5Maryland and Other Transformation SIG Awardees
Demonstrated
- A very active and invested Governor and dynamic
leaders in pertinent government agencies - Activities built on existing strengths and the
leveraging of other grant monies to enhance SIG
funds - A strategy for sustainability and the expansion
of services - Consumers and families who are active in and
central to the process -
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6Maryland and Other Transformation SIG Awardees
Demonstrated
- A very active and invested Governor and dynamic
leaders in pertinent government agencies - Activities built on existing strengths and the
leveraging of other grant monies to enhance SIG
funds - A strategy for sustainability and the expansion
of services - Consumers and families who are active in and
central to the process - Collaboration across agencies, with the private
sector, and within communities.
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7Achieving the Promise
Transforming Mental Health Care in America
a future when mental illnesses can be prevented
or cured, a future when mental illnesses are
detected early, and a future when everyone with a
mental illness at any stage of life has access to
effective treatment and supportsessentials for
living, working, learning, and participating
fully in the community. New Freedom
Commission on Mental Health
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8Federal Partners Workgroup
Department of Health and Human
Services AoA NIH/NIDA ACF NIH/NIMH
AHRQ HHS/OS CDC - ASPE CMS - OCR
HRSA - OD IHS - OPHS SAMHSA
Other Partners Department of Agriculture Departmen
t of Education Department of Defense Department
of Housing and Urban Development Department of
Justice Department of Labor Department of
Transportation Department of Veterans
Affairs Equal Employment Opportunity Commission
Social Security Administration
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9Recovery is a
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10Fundamental Concepts of Recovery
- Self direction
- Individualized and person-centered
- Empowerment
- Holistic
- Non-linear
- Strengths-based
- Peer support
- Respect
- Responsibility
- Hope
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11Step 1 ? Engage
- Engage all stakeholders in a collaborative effort
to create a recovery focus. - Do providers, consumers, and others believe
recovery from severe mental illnesses is
possible? - Do providers actively collaborate and build
relationships with community providers, such as
schools, businesses, faith-based organizations,
and landlords?
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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12Step 2 ? Empower
- Let consumers and their families take the lead.
Have them share their vision of recovery. - Are consumers included in advisory boards,
planning and quality management committees, and
research planning groups? - Do consumer decisions substantially affect the
overall program design and operation? -
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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13Step 3 ? Enlighten
- Bring in evidence-based practices.
- Does treatment include practices proven effective
in - Illness management and recovery?
- Medication management?
- Supported employment?
- Family psychoeducation?
- Assertive community treatment?
- Integrated treatment for co-occurring disorders?
- Are providers encouraged and funded to build
their own expertise?
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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14Step 4 ? Expand
- View each person holistically and not as a
categorical disability. - Do treatment plans and goals reflect expectations
of growth and development? - Do treatment plans and goals reflect meaningful
community roles - Employment?
- Reconnecting with family?
- Giving back to others?
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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15Step 5 ? Embrace
- Embrace change?commit to transformation goals
over time. - Do providers actively collaborate and build
relationships with other social service agencies
(e.g., child welfare and justice)? - Do providers actively engage in mental health
advocacy and stigma reduction activities?
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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16TransformationAn Ongoing Process
A few big jumps New rule sets that leverage new
ideas.
- A series of many exploratory medium jumps
- Pushing the boundaries of core competencies,
trying to create something new within the
existing paradigm.
Continuous small steps A focus on core
missions, improving what the system is already
doing.
17Step 6 ? Experience Learn from it!
- Monitor outcomes. Use the results to guide
further improvements. - Is treatment focused on improving lives as well
as on treating illnesses? - Do consumers demonstrate progress in quality of
life areas such as - Stability of living situations?
- Employment?
- Social connectedness?
- Decreased involvement with the judicial system?
- Decreased substance abuse?
Questions adapted from A Recovery-Based Program
Inventory, Mark Ragins, M.D. (2005)
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18SAMHSAs National Outcome Measures (NOMs)
- Abstaining from drug use and alcohol abuse,
decreasing symptoms of mental illness, and
improving functioning - Getting/keeping a job, staying in school
- Decreasing criminal justice involvement
- Finding safe and stable living conditions
- Improving social connectedness to others in the
community - Increasing access to services
- Reduced use of psychiatric inpatient beds
- Improving client perception of care
- Increasing the use of evidence-based practices
- Maintaining cost effectiveness
19Once we have started to think together, we must
act together
Each and every member of a community is
accountable and has a shared responsibility to
contribute
Community is an amazing gathering place, a
wishing well for our thoughts, our hopes, our
fears, and our dreams.
From Common Good Common Ground Building
Commitment and Community
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