Mark Hurst, M.D., Medical Director

Transcription

1 Mark Hurst, M.D., Medical Director

2 Mission: The mission of the Ohio Department of Mental Health and Addiction Services (OhioMHAS) is to provide statewide leadership of a high-quality mental health and addiction prevention, treatment and recovery system that is effective and valued by all Ohioans.

3 Provide clinical leadership to OhioMHAS in serving individuals of all ages, families and communities impacted by mental illness or addiction

4 Serve as a resource, collaborator and partner to the field State and private hospitals Community providers Other human services agencies and departments Public officials Advocacy groups Academic departments Trade associations Most importantly, patients, families, and others directly and indirectly affected by mental illness and/or substance use problems

5 ODMH ODADAS

6 Ohio Dept. of Mental Health Ohio Dept. of Alcohol and Drug Addiction Services SFY 13 Budget = $555.5 million all funds, not including Medicaid Employees = 2,391 with 215 in Central Office Locations include 6 Regional Psychiatric Hospitals SFY 13 Budget = $103.2 million all funds, not including Medicaid Employees = 100 with 81 in Central Office Includes OASIS treatment unit at Pickaway Correctional

7 Most are done in collaboration with other state partner departments and agencies Almost all are done in collaboration with boards, agencies, nursing facilities, hospitals and/or others Many involve across the lifespan issues and approaches

8 The Ohio Psychotropic Medication Nursing Facility Quality Improvement Project State Partners: Department of Aging Ohio Department of Medicaid Goal: reduce use of antipsychotics in NFs by 15% 100 Ohio nursing facilities elected to participate Methods: Webinar mostly Content: Medication reduction strategies, alternatives to medication, etc.

9

10 Budget initiative of Ohio MHAS Works with ODM HOME Choice Purpose: fill gaps in available resources for individuals with mental illness in institutions who wish to live in community

11 Provides funding to meet the needs of the individual in areas such as: Housing Home furnishings Home accessibility Arrears (one-time back payment of rent, utilities, etc.) Non-clinical, non-medicaid support services such as independent living skills training and peer support. Community placements 72 total 13 > 60 y.o.

12

13 Ohio Plan for Suicide Prevention (Ohio Suicide Prevention Foundation) Push suicide prevention upstream through the lifecycle Foster the use of public health approaches for suicide prevention Strengthen local coalitions Enhance professional education and development Prioritize work with the military Increase use of social media, technology, and targeted communications to advance social marketing

14 As part of Governor s Cabinet Opiate Action Team, collaborated with other state departments, boards, agencies, professional organizations and others to develop opiate prescribing guidelines Focus is to assure that pain is effectively managed, while limiting the adverse effects of pain medication including: Adverse drug reactions Risk of toxicity Addiction

15 Developmental Disabilities Mental Health and Addiction Services 15

16 Prevalence of Trauma Exposure to trauma is widespread Trauma can occur at any age Trauma can affect individuals from all walks of life 16

17 Cost of Trauma Trauma is a major driver of medical illness, including cardiac disease and cancer Addressing trauma can positively impact the physical, behavioral, social and economic health of Ohio and Ohioans 17

18 ACE Score and Health Risk As the ACE score increases, risk for these health problems increases in a strong and graded fashion: Alcoholism and alcohol abuse Chronic obstructive pulmonary disease (COPD) Depression Hallucinations Fetal death Health-related quality of life Illicit drug use Ischemic heart disease (IHD) Liver disease Risk for intimate partner violence Multiple sexual partners Sexually transmitted diseases (STDs) Smoking Suicide attempts Unintended pregnancies Early initiation of smoking Early initiation of sexual activity Adolescent pregnancy HIV 18

19

20 1/6 teens has used a prescription drug to get high/change mood Most common source of abused opiates in teens: family members and friends Children who learn about drug-related risks at home are 50% less likely to use drugs than those who do not

21 Talk frequently Show interest Be careful what you say Be careful how you say it Know the facts about drugs/tobacco and alcohol Be respectful and genuine They talk, you listen Scare tactics don t work Control your emotions Take advantage of teachable moments

22 Also focuses on limiting supply/opportunity Monitor meds Secure meds Discard old meds

23 Building resiliency and developing refusal skills in teens Collaboration with other partners Peers Schools Other adults Medical professionals Athletics Law enforcement

24 Thanks for listening to me