Building Stronger Behavioral Health Services in NDFraming Key Issues and Answers

March 25, 2014

WelcomeThank you for participatingwww.NDBehavioralHealth.com

Under Updates – Comprehensive Strategic PlanUnder Presentations – UND Medical School PowerPointFuture Plans for this website

Plan for the MorningFor those on the phone, going until about 9:30. Please

call again at 11:00 am.For those present, we plan to break into small groups

at 9:30 until 11:00 am to work on action plans.At 11:00 we will have reports from the small groups,

have an update from the State’s consultant, and discuss what is next.

HistoryPast legislative testimony and studies.Rapid growth within ND (Oil Boom).Strong economy brings new BH challenges.Concerns expressed by BH consumers,

advocates, providers, law enforcement, the courts, and others.

Numerous media stories.

HistorySection 1 of 2013 SB 2243

Calls for Study of Behavioral Health NeedsInterim Human Services Committee

RFP submitted for a consultant Schulte Consulting, LLC was recommended/selected

Independent Committee Previously FormedInitial Steering Committee members

Sen. Judy Lee Sen. Tim Mathern Rep. Kathy Hogan Rep. Pete Silbernagle John Vastag, BCBS of ND, formerly with Sanford Health Gary Wolsky/Joy Ryan, Village Family Services Rod St. Aubyn

HistorySecured funding for a BH retreat/website.Identified stakeholders that should be included

in the initial retreat. Consumers and Advocates Direct Care Providers Key System Partners (Law Enforcement, Schools,

Courts, Public Health, etc.) Public Sector (Governor’s Office, Legislators, and

Human Service Representatives, Native American Representatives)

Meant to be a resource for the consultant (time/financial constraint).

HistoryHeld a very successful retreat on February 6th-7th with

the representative stakeholders.Today is a continuation of our February 6-7 Retreat

and to expand stakeholder participation.We have made great progress to date, but we have a

lot more to accomplish.To date we have:

Identified Behavioral Health ChallengesIdentified BH successful programs and servicesIdentified possible solutionsCompiled all of this information into a proposed

Strategic Plan with Initiatives and Goals.

Purposes/GoalsIdentify the BH challenges faced in NDIdentify the priority/urgency of each of these

challenges.Get a consensus of the solutions and action plans.Advocate these solutions to the Consultant,

Legislative Interim Human Services Committee, other policy makers, to other stakeholders, and to the public.

Monitor actions to develop and implement the identified solutions.

Participate in follow-up meetings to update/revise the new BH Plan in the future.

Purposes/GoalsYou represent your area of expertise. We ask

that you update and educate your fellow professionals.

Establish a BH Model that can be duplicated and modified by other states.

But most importantly, create a BH system that serves ND citizens in a timely and cost efficient manner.

Adult Mental HealthStrategic Initiative 1: Increase accessibility to

behavioral health services through a more consistent, coordinated and transparent system of care Goal 1.1 Identify core services available in all regions of

the state including public and private providers. Have a consistent public sector delivery system that is routinely monitored based on public data.

Goal 1.2 Identify and inform consumers/partners of available services

Goal 1.3 Strengthen relationships between providers Goal 1.4 Expand and train workforce and key partners Goal 1.5 Develop crisis response system with

accountability standardsGoal 1.6 Improve Discharge Planning and Coordination Goal 1.7 Expand Case Management

Adult Mental HealthStrategic Initiative 2 Identify and

address changes in Rules/NDCC/Licensing issuesGoal 2.1 Review and Revise commitment

procedures/processes Goal 2.2 Review Licensing requirement for

various mental health/LAC professionalsGoal 2.3 Revise the NDCC to permit Law

Enforcement to access behavioral health information to assure public safety

CHILDREN AND ADOLESCENT MENTAL HEALTH

Strategic Initiative 1: Increase accessibility to specialized behavioral health services through a more consistent, coordinated and transparent system of care Goal 1.1 Identify core services available in all regions of

the state including public and private providers. Have a consistent public sector delivery system that is routinely monitored based on public data.

Goal 1.2 Expand residential treatment services Goal 1.3 Expand home and community based services

for children/adolescentsGoal 1.4 Expand Case Management Goal 1.5 Expand and train workforce and key partners

CHILDREN AND ADOLESCENT MENTAL HEALTH

Strategic Initiative 2: Expand availability of behavioral health services within the schools Goal 2.1 Expand onsite behavioral health

services within the schools

CHILDREN AND ADOLESCENT MENTAL HEALTH

Strategic Initiative 3: Establish early childhood behavioral health screening and assessment Goal 3.1 Establish consistent early childhood

behavioral health screening, assessment and treatment to be available for all pre-school children.

ADULT AND ADOLESCENT SUBSTANCE ABUSE

Strategic Initiative 1: Increase accessibility to specialized behavioral health services through a more consistent, coordinated and transparent system of care Goal 1.1 Identify core services available in all regions

of the state including public and private providers. To have a consistent public sector delivery system that is routinely monitored based on public data.

Goal 1.2 Expand Medical and Social detoxification resources

Goal 1.3 Identify funding structures both public and private that support a comprehensive system of care.

Goal 1.4 Expand and train workforce and key partners

ADULT AND ADOLESCENT SUBSTANCE ABUSE

Strategic Initiative 2: Inform the public of the risks of substance abuse through education and media efforts to reduce abuse Goal 2.1 Develop a major public information

campaign and primary prevention initiative.

QuestionsComments

orSuggestions

Recess the CallersWe will soon begin the small group sessions.Please call back at 11:00 to hear the reports

from each group and to also hear about our future plans.

“Ground Rules”Use allotted time judiciously Participate

• Be Specific – Use examples, explain your reasons• Be Respectful and Courteous• Everyone is an expert and expected to contribute• Disagree if you do, but appropriately and

respectfullyListen, Listen, ListenBe Open-MindedAgree to donate time and efforts to pursue our

goals.

Breakout SessionsWe want the stakeholders to start the process

of developing action plans.Each Small Group will identify action plans for

their group and the facilitator will report on their work beginning at 11:00 am.

The stakeholders will breakout into small groups for:Adult Mental Health ServicesChildren’s Mental Health ServicesSubstance Abuse Services

Breakout SessionBreakout Groups should consider 3 core questions.

Are there issues or suggestions/recommendations under the goals that should be added? (10 minutes)

Brainstorm action plans in each area (60 minutes)Prioritize action steps for each goal area (20

minutes)Facilitators be prepared to present your groups

ideas.We will come back at 11:00 am for those reports.

Breakout Groups

Breakout Group Reports

Comments by Renee SchulteSchulte Consulting, LLC

What’s Next?The Action Plans will be compiled and posted on our

website.The Steering Committee has a meeting with the

Governor this afternoon.We will be reporting our progress to the Human

Services Committee at their next meeting, tentatively scheduled for April 9th.

Renee Schulte and Elle will be completing their stakeholder visits around the state and completing their report early this summer. Hopefully, our recommendations will become a part of their report.

MomentumWe have made significant progress.Like the cliché, this is a marathon and not a

sprint.Solutions will not happen all at once.Some make take state funding, others may only

take collaboration.Success takes everyone’s commitment and help.This requires continuous review and refinement.Like a large locomotive, we have the momentum

and nothing is going to stop us now.

Thank you for your participation and your

involvement!!!

Let’s Get Our Locomotive Moving!!!!