Transforming Mental Health Care Together

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Maryland Mental Hygiene Administration Annual
Conference Baltimore, MD May 9, 2006
Transforming Mental Health Care Together
A. Kathryn Power, Director Center for Mental
Health Services
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Maryland 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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Maryland 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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Maryland 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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Maryland 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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Maryland 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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Achieving 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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Federal 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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Recovery is a
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Fundamental Concepts of Recovery

• Self direction
• Individualized and person-centered
• Empowerment
• Holistic
• Non-linear
• Strengths-based
• Peer support
• Respect
• Responsibility
• Hope

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Step 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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Step 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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Step 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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Step 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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Step 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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TransformationAn 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.
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Step 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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SAMHSAs 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

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Once 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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