IDDT Program Certification rule Public input meeting December 8, 2011 Department of Human Services 540 Cedar Street, St. Paul, Minnesota 2370/2380

Transcription

1 IDDT Program Certification rule Public input meeting December 8, 2011 Department of Human Services 540 Cedar Street, St. Paul, Minnesota 2370/2380 Andersen Building 8:30 AM 12:00 noon

2 2 AGENDA 8:30 8:45 Welcome and Staff Introductions 8:45 9:15 Background 9:15 10:00 Screening discussion 10:00 10:15 Assistant Commissioner Remarks 10:15 10:30 Break 10:30 11:45 Small group discussions 11:45 12:00 Wrap-up 12:00 PM Adjourn

3 3 Introductions Adult Mental Health Division staff Alcohol and Drug Division staff Appeals and Regulations staff Children s Mental Health Division staff Licensing Division staff

4 4 Who is represented today? Advocacy Organizations Co-Occurring State Incentive Grant (COSIG) sites Health Plan representatives Higher Education Representatives Interested persons Licensing Boards Providers of chemical dependency services Providers of mental health services Tribal groups

5 5 Background 1. Housekeeping items 2. Role of workgroups 3. Structure of workgroup meetings 4. Workgroup schedule 5. Workgroup meeting minutes 6. IDDT rule website 7. Feedback loop

6 6 Background Role of workgroups: to provide input on the development of a rule describing Integrated Dual Disorders Treatment (IDDT) program certification standards, specifically regarding screening and assessment Structure of workgroup meetings: In-person discussions in small and large group size format

7 7 Workgroup schedule All meetings will be held at DHS Andersen building 540 Cedar Street, St. Paul, Minnesota Room 2370/2380 Date Time Topic Focus 12/8/2011 8:30 12:00 Screening and Assessment 1/20/2012 8:30 12:00 Admin. and Service Criteria 2/23/2012 8:30 12:00 Treatment Components 3/22/2012 8:30 12:00 Staff Qualifications 4/26/2012 8:30 12:00 Program Outcomes

8 8 Workgroup meeting minutes will be taken at each meeting and posted on the IDDT rule website Handouts from previous and future meetings can be found on the IDDT rule website The address for the IDDT rule website is: IDDT rule website contains the latest up-to-date information on the rule development process Feedback loop/opportunities for additional input: send comments to

9 9 Minnesota Statutes, INTEGRATED DUAL DIAGNOSIS TREATMENT. (a) The commissioner shall require individuals who perform chemical dependency assessments or mental health diagnostic assessments to use screening tools approved by the commissioner in order to identify whether an individual who is the subject of the assessment screens positive for co-occurring mental health or chemical dependency disorders. Screening for co-occurring disorders must begin no later than December 31, 2011 (emphasis added).

10 10 Cont. Minnesota Statutes, INTEGRATED DUAL DIAGNOSIS TREATMENT. (b) The commissioner shall adopt rules as necessary to implement this section. The commissioner shall ensure that the rules are effective on July 1, 2013, thereby establishing a certification process for integrated dual disorder treatment providers and a system through which individuals receive integrated dual diagnosis treatment if assessed as having both a substance use disorder and either a serious mental illness or emotional disturbance (emphasis added). (c) The commissioner shall apply for any federal waivers necessary to secure, to the extent allowed by law, federal financial participation for the provision of integrated dual diagnosis treatment to persons with co-occurring disorders.

11 11 How is a co-occurring disorder defined for purposes of the IDDT rule? Serious Mental Illness or Emotional Disturbance and Substance Use Disorder A certification rule will describe a continuum of care service system that includes a range of options in mental health and chemical addiction treatment areas

12 How will the IDDT rule support the needs of persons seeking treatment for a co-occurring disorder? 12

13 13 Dual Diagnosis Capability in Addiction Treatment (DDCAT) national website: Dual Diagnosis Capability in Mental Health Treatment (DDCMHT) national website:

14 14

15 15 Defining/clarifying use of terms for IDDT rule: screens/screening/assessment Screening determines the likelihood of a problem. Screening for a conditions is part of a decision-making process to determine whether further assessment of the screened-for condition is warranted Assessment is a process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations for addressing the problem or diagnosis

16 16 Precedent for Screening In 2009 mental health disorder screening questions were incorporated into the Consolidated Chemical Dependency Treatment Fund (CCDFT) uniform assessment tool (commonly referred to as a Rule 25 assessment). The screening questions are embedded within Dimension III; Emotional, Behavioral, Cognitive Conditions and Complications. See below for more information. Effective June 20, 2011 screening for substance use disorders became a required component of a diagnostic assessment for Medicaid payment. (Updated mental health clinical services administrative rule subpart.1).

17 17 Required characteristics of a screening tool: Reading level of no more than 9th grade. Easily administered and scored by a non-clinician. Tested in the general population and at the national level. Demonstrated adequate reliability and validity. Documented sensitivity of.70 and overall accuracy of.70. Predict a range of diagnosable mental health conditions such as affective disorders, anxiety disorders, personality disorders, psychoses, alcohol and drug related disorders.

18 18 Other preferred characteristics: The tool should be brief (taking no more than 10 minutes, or having 10 or fewer items per scale). The tool should have been widely used for both adults and adolescents. The tool should be available for use as a part of an interview or through self-report. The tool is recognized in the report Screening: Technical Assistance (TA) Report for the Co- Occurring State Incentive Grants (COSIGs). August 2007 update. Substance Abuse and Mental Health Services Administration: Co-Occurring Center for Excellence.

19 19 Presenters: Judith Eichman, Zumbro Valley Mental Health Center Dave Fruehling, Hiawatha Valley Mental Health Center Kara Haroldson/Pam VanCura, St. Joseph s Hospital

20 20 Small group discussions Please address the four questions on the worksheet; Leave completed worksheets on the tables or with any DHS staff member

21 21 Wrap-up Thank you for your participation Next meeting is January 20, 2012, to cover Administrative and Service Criteria Small workgroup discussions