Strategic Alignment. What is Strategic Alignment? Why Strategic Alignment vs. Strategic Plan?

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2 Strategic Alignment What is Strategic Alignment? County-wide, collective visioning and planning process to strengthen the counties efforts to promote the behavioral health of our residents. Why Strategic Alignment vs. Strategic Plan? Status of BH in the county: fragmented; multiple players; focused on deep-end populations; funded unevenly; reactive. Population Issues: Overall Mental health needs; Suicide; SRD; criminalization; bullying; DV; YRBS data; Environmental stressors; Growing cultural, linguistic and ethnic diversity. Funding issues: FFS; ACA challenges; Uninsured/ineligible; deep end focus and funding; multiple funding sources.

3 Why Strategic Alignment?

4 Why Strategic Alignment? Funding Fragmentation

5 Strategic Alignment Process SA process September - December, 2016 Three focus groups x three full day meetings Children, Adults, Seniors Membership was diverse: gender, age, ethnicity; providers; consumers; family members; somatic and BH providers; advocates; Other HHS Service Areas (CYF, A&D, PH, SNH, CA- MHI/P) Could not Invite Everybody! But Vetting materials back out to our group members and ongoing work to ensure the evolving process is responsive. Appreciative Inquiry focused on Strength s vs. deficits What s working well? Why is it working? What should a full BH system for MoCo look like? What do we need to do to get there? Where do we start?

6 Strategic Alignment Framework A Full Behavioral Health Continuum Across the Lifespan Promotion - Consists of strengthening the determinants of mental wellness: healthy communities, individual skill development, socialemotional competence, and strengthening an individual s ability to cope with adversity. E.g. parenting education, stress management/reduction classes, communication skills classes, community activities promoting inclusion; mindfulness, conflict resolution, etc. Prevention - specific strategies related to risk factors for one or more specific disorder, or problematic behaviors. e.g. antibullying, suicide/substance abuse prevention, delinquency, disconnection, etc. Treatment Assessment, diagnosis, and intervention to address defined mental illness or SRD s. Psychiatric services, therapy, case management, psychoed, detox, addictions treatment, inpatient, residential and crisis services etc. Recovery Support for regaining and maintaining quality of life following an episode of MI/SUD Peer recovery support, housing, vocational supports, crisis planning, relapse prevention,

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8 Cross-Cutting Goals

9 Cross-Cutting Goals

10 Cross-Cutting Goals

11 Cross-Cutting Goals

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18 Next Steps Changes in State, Local, Organizational Policy HIAP that includes attention to promoting Behavioral Health Advocacy for policies and funding for the full continuum of services Expand the Capacity of the System With health promotion as a goal Engage the broader service community Expand SBIRT/ACES etc. in healthcare settings Funding Realign existing funding Align grantmaking with identified priorities Identify new and emerging funding to support the full continuum

19 Strategic Alignment Ongoing Work Printing and dissemination of final report Disseminate and share with HHS, State, Council, exec, providers Reconvene interested stakeholders to address priority actions steps over the next two years. Strengthen partnerships and engagement around implementation of priorities. Review of existing Dept. (BHCS) funding and State plan to align with Strategic Alignment priorities Annual evaluation of progress and continued validity of priorities

20 Strategic Alignment Recommended Priorities Child and Adolescents Promotion: Identify current SEL and resiliency programs in MCPS for targeted expansion establish training institute Prevention: Identify early ID practices for suicide, trauma, SRD. Engage with MCPS in joint identification effort. E.g. ACE promote/expand use. Treatment: Expand STP pipeline diversion efforts for youth Recovery: Expand Clubhouse Model to serve county high schools; create options for school-based interventions

21 Strategic Alignment Recommended Priorities Adults Promotion: Develop culturally and community specific targeted resources for wellness promotion - e.g. exercise, meditation; mindfulness; breathing and stretch/yoga. Prevention: Launch a Suicide and OD/substance abuse prevention campaign for SRD: e.g. expand BeThe1; substance integrate SRD prevention campaign across the County - OIT Treatment: Fully Implement Nexus BH initiative; STEER; MHC Recovery: Increase formal/structured use of Peer Recovery Coaches;

22 Strategic Alignment Recommended Priorities Seniors Promotion: Identify and publicize existing intergenerational bonding programs; increase use of seniors in volunteer clearinghouse; align with the Age Friendly Initiatives. Prevention: Implement MHFA for seniors training; develop early warning network for BH crisis support; use the Villages program. Treatment: develop peer counseling programs; engage with universities to increase workforce diversity and focus on geriatric psychiatry. Recovery: Establish peer counseling programs; Senior friendly AA/NA groups at senior centers;

23 Strategic Alignment Works in Progress Leadership for Adaptive Change in Suicide Prevention Bethe One.org ; PSAS; shelter signs; website MCPS collaboration on Signs of Suicide implementation Overdose/Addictions Intervention Team (OIT) Community forums; STEER expansion; Narcan training; PSAs; data sharing; EMT OD response collaborations; Healthy Montgomery Working with Collab Council on InfoMontgomery improvements Alignment with Nexus and HOPE Act to bring Hospitals into the OIT BHCS alignment with Age Friendly initiative to implement MHFA for Seniors.