Jason Bearden, CEO Highland Rivers Health

Laurie Wilburn-Bailey, Clinical DirectorAdvantage Behavioral Health Systems

David Wallace, Director, Residential ServicesNew Horizons Community Service Board

The state mental health authority has historically had the responsibility for overseeing and providing services for adults with

serious mental illnesses and children with serious

emotional disturbances.

In the state of Georgia, mental health and addiction services are administered by

the same agency, the Department of Behavioral Health and Developmental

Disabilities (DBHDD).

Picture of Central State Hospital circa 1915

“State Asylum for the Insane”

Picture of Central State Hospital circa 2013

“State Asylum for the Insane”

When we say Whole Health, we are referring to a treatment approach that focuses on the care of the whole person, body, mind, spirit, community, and their interactions with society. Recovery is a self-directed journey where it is the person’s choice of what will make their life meaningful and what supports will help them reach their full potential.

When we say Whole Health, we are referring to a treatment approach that focuses on the care of the whole person, body, mind, spirit, community, and their interactions with society. Recovery is a self-directed journey where it is the person’s choice of what will make their life meaningful and what supports will help them reach their full potential.

Recovery Based

Recovery Based

Silos = Failed ModelTraditional supports require the client to navigate complex

and disjointed silos of support.

Provide Coordination and Linkage to Comprehensive Treatment, Recovery and Supportive Services

Georgia’s Criminal Justice and Behavioral Health System

Good Outcomes for

Georgia & People with Disabilities

What is a CSB?

As found in the OCGA § 37-2-6, CSBs are:

(1)Created to provide mental health, developmental disabilities, and addictive diseases services

(2)Authorized to provide health, recovery, housing, or other supportive services;

(3)Public agencies;

(4)Public corporations and instrumentalities of the State of Georgia; and

(5)Created for nonprofit and public purposes to exercise essential governmental functions.

Service category Persons served

Adult mental health and addictive diseases

~ 135,000

Child and adolescent mental health and addictive diseases

~ 31,000

Developmental disabilities

~ 7,000

Unduplicated Person Served (2010)

Specialty Behavioral

Health Services Provider

Continuum of Care

Specialty Behavioral Health Services Provider Target Population & Access

Who can you refer to us? Adults with Serious and Persistent Mental Illness

(i.e., Major Depressive Disorder, Schizophrenia, and Bi-Polar)

Adults and Youth with Addictive Disease Children and Adolescents with Social and

Emotional Disturbances

How do I access you? Direct Referral Line in each CSB (i.e., 1-800 access

number ) Georgia and Crisis Access Line

Veterans Affairs

Veterans Affairs

Commercial Commercial

Mcaid/McareMcaid/Mcare

Child Welfare

Child Welfare

HUDHUD Primary CarePrimary Care

Blending and braiding of fund sources is required to provide comprehensive recovery based services.

The Triple Aim of Healthcare is the perpetual goalCost Effective, Patient Satisfaction & Quality Services

Behavioral Health is uniquely positioned to blend & braid funding streams together to strengthen the overall system of care.

Blending and braiding of fund sources is required to provide comprehensive recovery based services.

The Triple Aim of Healthcare is the perpetual goalCost Effective, Patient Satisfaction & Quality Services

Behavioral Health is uniquely positioned to blend & braid funding streams together to strengthen the overall system of care.

Vocational Rehab.

Vocational Rehab.

Gov’t FundsGov’t FundsCriminal Justice

Criminal Justice

$0

$20

$40

$60

$80

$100

$120

Mental Health Services Substance Use Services

in Bi

llions

Private

Public

U.S Department of Health and Human Services. National Expenditures for Mental Health Services and Substance Abuse Treatment

78%

22%

National Funding Snapshot State CSB Funding Snapshot

Payer % of total revenues

Medicaid 38.99%

Medicare 1.24%

State and federal contracts and grants

49.70%

Private Insurance 1.22%

County Contributions 1.57%

Other 7.28%

10%

90%

Per Capita Mental Health Expenses

Per Capita Mental Health Expenses

Accountability Court & Community Service Board

1. Create complimentary treatment systems. Avoid creating parallel treatment systems.

2. Capitalize on evidence based treatment systems practiced within CSBs

3. Utilize Community Service Board as your public mental health authority to leverage federal and state dollars that other providers cannot bring to bear.

4. Partner with your local Community Service Board that has the ability to bridge system gaps and coordinate services.

Provide Coordination and Linkage to Meet Community Comprehensive Treatment, Recovery and

Support Needs