Michigan Association of COMMUNITY MENTAL HEALTH Boards

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1 January 24, 2014 FRIDAYFACTS - 5 pages Michigan Association of COMMUNITY MENTAL HEALTH Boards TO: FROM: RE: CMH Executive Directors Chairpersons and Delegates Provider Alliance Executive Board Michael Vizena, Executive Director Alan Bolter, Associate Director - Michigan Loses Former CMHSP Leader - LifeWays CMH Receives Third CARF Accreditation - RFP Released for FY14 Innovation Care Management Project - Legislative Update Mental Health and Wellness Commission Recommendations Unveiled - National Update Details Emerge about 2014 Substance Use and Mental Health Funding - MACMHB Meetings for January and February, 2014 Michigan Loses Former CMHSP Leader Richard Visingardi, former director of the Detroit Wayne, Oakland County, and Ionia CMH agencies, died last week from complications from a chronic health condition. In addition to his time as a CMH director in Michigan, Mr. Visingardi served as director of the North Carolina Department of Health and Human Services Division of Mental Health, Developmental Disabilities and Substance Abuse Services and director of the Community Mental Health division of the Michigan Department of Community Health s Mental Health Administration. In addition to his work with the Department and CMHs, Mr. Visingardi provided the vision, designed the structure, and was a principal author of much of the content of MACMHB s BoardWorks 2.0; the current board member training program for CMH board members. Tom Watkins, CEO of the Detroit Wayne Mental Health Authority, said Rich had a deep passion for quality care and engaging and listening to the people we serve. He will be missed by his family, friends and many in the mental health community. He was someone I have known most of my professional career and could always count on to do right by people we serve. He always put service above self. Jim Dehem, CEO of Community Living Services, said He always stood for social justice and the dignity of people with disabilities. 1

2 Tammy Quillan, CEO of Montcalm Center for Behavioral Health, said His contributions to the CMH system were significant, as were the many lives he impacted through his work and friendships. MACMHB has been advised that the family will arrange a memorial service in the coming weeks. We will keep members posted as we learn details. LifeWays CMH Receives Third CARF Accreditation LifeWays Community Mental Health is proud to announce it recently received its Three-Year CARF Accreditation. LifeWays has been CARF Accredited since Chief Executive Officer, Maribeth Leonard, is proud of her organization s hard work. "We take our CARF accreditation very seriously because it provides for high-quality service standards and best practices. I appreciate how hard our agency worked to achieve this status." LifeWays CMH served over 6,900 consumers in 2013 and operates in the Jackson and Hillsdale County. Congratulations to the board, leadership team, and staff at LifeWays! RFP Released for FY14 Innovation Care Management Project The Michigan Department of Community Health (MDCH) is seeking a vendor who has experience successfully transitioning individuals out of institutions into communities to provide training, consultation, and hands-on technical assistance to community providers through the creation and implementation of a Children's Behavioral Action Team (C-BAT.) Applications must be submitted by February 14, 2014 at 3:00 pm to be eligible for consideration. The grant award will be announced by February 28, This is a one year demonstration project with grant funds in the amount of $750,000 available for the April1, 2014 to March 31, 2015 period. The target population that will be the focus of the C-BAT includes 25 children/youth ages 9 to 18 identified by the Department who have had multiple hospitalizations and are not in a stable community placement who present with any and/or all of the following challenges: extensive trauma histories; Fetal Alcohol Spectrum Disorder; Serious Emotional Disturbance (SED); Primary SED with Secondary Intellectual/Developmental Disabilities; as well as other behavioral and physical health needs. The C-BAT will work in conjunction with an MDCH Project Coordinator, an MDCH Monitoring Team, Hawthorn Center staff, multiple community providers (Prepaid Inpatient Health Plans (PIHPs)/Community Mental Health Services Programs (CMHSPs), Department of Human Services, schools, courts, primary care and other physical health providers, etc.) as well as families/guardians and the youth themselves to create unique, individualized community placements and plans for treatment, supports and services to successfully maintain these youth in the community. For more information and to respond to the RFP, go to: 2

3 LEGISLATIVE UPDATE Mental Health and Wellness Commission Recommendations Unveiled On Tuesday, the Mental Health and Wellness Commission released the recommendations they believe are necessary to improve both the lives of and the outcomes for individuals and families living with mental illnesses, developmental disabilities and substance use disorders in our state. The Commission was co-chaired by Lt. Gov. Brian Calley and Michigan Department of Community Health (MDCH) Director James Haveman, and included state Sen. Rebekah Warren, state Sen. Bruce Caswell, state Rep. Matt Lori, and state Rep. Phil Cavanagh, all who unanimously agreed upon the nearly 60 recommendations addressed in the report. The call for change focuses around ideas of removing barriers, eliminating stigma, streamlining procedures to assist healthcare providers and governments and helping our most vulnerable residents. The Commission s recommendations were constructed around three overarching goals: 1. Advancing more opportunities for independence and self-determination for persons living with a mental illness, substance use disorder or developmental disability. 2. Better access to high quality, coordinated and consistent service and care between agencies, service providers and across geographical boundaries. 3. Measuring outcomes and establishing meaningful metrics to evaluate the effectiveness of services provided and to assess the progress of goals set by the individual, state, locals and service providers. Some of the recommendations include: - Statewide screening for youth that assess possible emotional disturbances. - Identify gaps in coding that prevent integrated behavioral and physical health care for citizens and reimburse providers appropriately. - Develop a "Medicaid Crosswalk" that shows Michigan Medicaid state plan amendments and waiver services. The Crosswalk will identify any gaps that exist for supports and treatments that are medically and chronically necessary. - Appropriate resources for a common case management structure across Community Mental Health systems, the Department of Human Services, and Juvenile Justice for children involved in multiple systems and for those classified as high-risk. - Partner with advocacy organizations across the state and Community Mental Health Service Programs to implement stigma reduction campaigns that will be promoted in various traditional and social media outlets across the state. - Develop a Pure Michigan marketing strategy to highlight opportunities for families 3

4 living with disabilities. - Create a "best practices" in mental health services for students. - Expand the number of sites incorporating the Pathways to Potential model and ensure that each site includes access to employment and training services for students with a mental illness, substance use disorder or developmental disability. - Direct DCH and the Michigan State Housing Development Authority to provide 500 new housing units over the next three years. - Explicitly enumerate mental health care as an allowable expense under the Michigan Veteran Trust Fund. - Revise Executive Order to extend the life of the Mental Health and Wellness Commission through 2015 in an effort to monitor and aid the implementation of recommendations contained within this report and to thoroughly review additional mental health areas that were not adequately addressed in this report. To access the full report go to: NATIONAL UPDATE Details Emerge about 2014 Substance Use and Mental Health Funding Late last week, President Obama signed the fiscal year 2014 budget into law. Included in the budget bill were a number of important priorities for substance use and mental healthcare, a rare victory in a congressional session that has seen major cuts to discretionary spending. Overall, the Substance Abuse and Mental Health Services received $3.6 billion for 2014, including $62 million from the health reform law s Prevention and Public Health Fund. Additional details about the line items in the SAMHSA budget have emerged from the conference committee report which accompanies the budget bill. Among this year s successes were: Substance Abuse Prevention and Treatment Block Grant. $1.8 billion was allocated to the SAPT block grant, an increase of $19 million vs. fiscal year 2012.* Importantly, the bill reverses prior HHS practice of using the block grant as a source for the evaluation tap a percentage of funding that is automatically set aside for agencywide evaluation activities. This results in nearly $80 million of funding that will now go towards programmatic activities instead of to the tap. Community Mental Health Services Block Grant. The Mental Health Block Grant received $484 million, an increase of $24 million over fiscal year 2012.* Like the SAPT block grant, it is exempted from the evaluation tap, resulting in additional funding now available for programmatic activities. The 5% increase is to be used for evidence-based programs that address the needs of individuals with early serious mental illness, including psychotic disorders. 4

5 Mental Health First Aid. The budget provides $15 million for a new grant program to provide MHFA training to police officers, first responders, judges, social workers and the staff of college and university counseling centers, among others. This initiative was included in the President s Now is the Time recommendations in the wake of the tragic shooting in Newtown, CT. Primary-Behavioral Health Care Integration. The PBHCI grant program received $50 million, an increase of $19 million over FY 2013 and the highest allocation of SAMHSA funds in the program s five-year history (in prior years, the Prevention Fund has also been used to support PBHCI). The Screening, Brief Intervention, and Referral to Treatment program which provides support to grantees implementing SBIRT with individuals experiencing or at risk for substance abuse disorders received a substantial cut in The budget funds SBIRT at $47 million, a decrease of about $6 million vs. FY The budget includes level funding for: Youth Violence Prevention: $23.2 million National Child Traumatic Stress Network: $46 million Homelessness prevention programs: $30.8 million American Indian/Alaska Native suicide prevention: $2.9 million Project LAUNCH: $34.6 million The delayed enactment of the FY 2014 budget has pushed back the date by which President Obama will release his 2015 budget requests. Traditionally, the President s budget is released on the first Monday of February. Obama announced today that his FY 2015 proposals will be released March 4. MACMHB Meetings for January and February, 2014 (all meetings are at the MACMHB offices unless otherwise indicated) January 27 th, 10:00 a.m. - Provider Alliance Meeting February 10 th, 4:00 p.m. PAC Committee (at Winter Conference, Best Western Lansing) February 10 th, 6:00 p.m. - Executive Board (at Winter Conference) February 12 th, 7:45 a.m. - Provider Alliance (at Winter Conference) February 18 th, 10:30 a.m. - Budget & Finance Committee Have a Great Weekend! 5