Navigating New Pathways in

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Navigating New Pathways in Addressing Substance
Abuse and Mental Health Challenges Investing
in Mental Health Transformation
7th Annual Dr. Lonnie E. Mitchell National HBCU
Substance Abuse Conference April 20, 2005
A. Kathryn Power, M.Ed., Director Center for
Mental Health Services
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Chamique Holdsclaw
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Mental Health and Addictive Disorders are on the
Rise

• The top 3 leading causes of disability worldwide
  are behavioral disorders.
• (The World Health Report 2001Mental
  Health New Understanding, New Hope)
• One in five Americans44 million adults and 14
  million childrenlive with mental disorders.
• Nearly 16 million people have a substance use
  disorder alone.
• In 2002, there were 4 million adults with a
  serious mental illness and addictive disorder.

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Achieving the Promise
Transforming Mental Health Care in America

• Mental health services must actively facilitate
  recovery.
• A call for system transformation.
• The goal Hope for a full life in the community.
• Services and supports are consumer/child/family
  centered.
• Focus of care must increase illness
  self-management and build resilience.

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Transformation Is
a continuous process, without endmeant to
create or anticipate the future identifies,
leverages, and even creates new underlying
principles for the way things are
done identifies and leverages new sources of
power once the process is begun, a profoundly
different organization emerges, including
changes in structure, culture, policy, and
programs.
Retired Vice Admiral Arthur Cebrowski, Special
Assistant for Transformation, U.S. Department
of Defense
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Recovery Is

• A process, sometimes lifelong, through which a
  person achieves independence, self-esteem, and a
  meaningful life in the community.
• For some individuals, recovery implies the
  reduction or complete remission of symptoms.
• For others, recovery is the ability to live a
  fulfilling and productive life despite a
  disorder.

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Transformation Goals
Goal 1 Americans understand that mental health
is essential to overall health. Goal 2 Mental
health care is consumer and family driven. Goal
3 Disparities in mental health services are
eliminated. Goal 4 Early mental health
screening, assessment, and referral to services
are common practice. Goal 5 Excellent mental
health care is delivered and research is
accelerated. Goal 6 Technology is used to
access mental health care and information.
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Americans Understand That Mental Health Is
Essential to Overall Health
Goal 1
Recommendations 1.1 Advance and implement a
national campaign to reduce the stigma of seeking
care and a national strategy for suicide
prevention 1.2 Address mental health with the
same urgency as physical health
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Disparities in Mental Health Services are
Eliminated.
Goal 3

• Recommendations
• 3.1 Improve access to quality care that is
  culturally competent
• 3.2 Improve access to quality care in rural and
  geographically remote areas

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Workforce Development Initiatives

• SAMHSA/NAFEO internships for HBCU students
• Minority Fellowship Program
• HBCU National Resource Center

For more information, visit

• www.samhsa.gov

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Goal 5
Excellent Mental Health Care Is Delivered and
Research Is Accelerated

• Recommendations
• 5.1 Accelerate research to promote recovery and
  resilience and, ultimately, to cure and prevent
  mental illnesses
• 5.2 Advance evidence-based practices (EBPs)
  using dissemination and demonstration projects
  and create a public-private partnership to guide
  their implementation
• 5.3 Improve and expand the workforce providing
  evidence-based mental health services and
  supports
• 5.4 Develop the knowledge base for
• Eliminating mental health disparities
• Assessing long-term effects of medications
• Reducing the impact of trauma
• Improving acute care

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Evidence-Based Practices Implementation Resource
Kits

• Illness Management Recovery
• Medication Management Approaches in Psychiatry
• Assertive Community Treatment
• Family Psychoeducation
• Supported Employment
• Co-occurring Disorders Integrated Dual
  Disorders Treatment

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Mental Health System Transformation
A new start in behavioral health... New
opportunities to move forward, together!
7th Annual Dr. Lonnie E. Mitchell National HBCU
Substance Abuse Conference
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