ACMHA 2005 Summit:Tracking the Tracking the TransformationTransformation

Small Group Recommendations

Special Thanks to…Special Thanks to…

Group 1 Areta Crowell, NMHA of Greater LA Kim Carter, Albuquerque, NM

Group 2 Tom Borneman, The Carter Center Mental

Health Program Paula Comunelli, Felton, CA

Group 3 Joyce Burland, NAMI Education, Training,

and Peer Support Center Nicki Glasser, Boston, MA

Special Thanks to…Special Thanks to…

Group 4 Eunice Hartman, Hartman and Associates

Group 5 Ann Brand, Transition Solutions Deborah Fickling, Santa Fe, NM Greg Teague, Tampa, FL

Group 6 Carole Farley Toombs, Strong Behavioral

Health Nick Ossorgin, Santa Fe, NM

Group 1 Group 1 RecommendationsRecommendations

Obtain all recommendations of the President’s New Freedom Commission Report

Ensure consumers, youth, and families drive the design and implementation of mental health recovery services

Define and operationalize “recovery” in terms of its processes and outcomes

Emphasize a continuum of recovery

Group 1 Group 1 RecommendationsRecommendations

Cultural competency and diversity

Build in ways to evaluate the transformation process and maintain accountability during the transformation process

Eliminate barriers of “Medical Necessity”-driven funding

Realign financial incentives with recovery transformation

Group 1 Group 1 RecommendationsRecommendations

De-stigmatize mental illness through direct contact, education, and legislation

Make this conference process consumer/family-driven

Group 2 Group 2 RecommendationsRecommendations

Adopt a public health approach to mental health

Promote integrated service delivery systems

Gauge audience, tailor messages, apply marketing principles, and select the most effective messenger to influence power

Group 2 Group 2 RecommendationsRecommendations

Closely monitor Medicaid and other funders and develop a strategy to partner

Challenge assumed constraints

Create an effective culture shift to achieve transformation

Group 3 Group 3 RecommendationsRecommendations

Change starts with a “Burning Platform”

Imagine the change you have decided upon

Anticipate resistance. Find the “champions of change”

Confront the Brutal Facts

Stay away from structure

Establish a rational funding system

Group 3 Group 3 RecommendationsRecommendations

Reach outside of the formal mental health world

Recognize that states are KEY to the transformation process

Involve people with psychiatric disabilities and their families at the most significant levels

Recognize that mental health staff in agencies are suffering too

Group 3 Group 3 RecommendationsRecommendations

Support states by having ACMHA track the transformation with web/teleconferencing

Increase diversity and inclusivity at the next Summit

Hold a “Success-Off” instead of a “Whine Off”

Commit to individual transformational work back home; poster board our progress at the next Summit.

Group 4 Group 4 RecommendationsRecommendations

Ensure voices of consumers are used in all ACMHA initiatives

Incorporate “natural allies” outside of the behavioral health arena

Determine what would an ideal health delivery system look like if we were no longer concerned about the influence of stigma

Group 4 Group 4 RecommendationsRecommendations

Promote discussion of the paradoxes between integration and parity using ACMHA as a forum

Develop a “Technical Assistance Center” for transformative initiatives through ACMHA

Develop a national plan that is more than vision

Include “Innovation and Transformation Skill Development” in ACMHA’s leadership agenda

Group 5 Group 5 RecommendationsRecommendations

Engage with healthcare

Use our strengths to collaborate

Educate, educate educate. Train, train, train everywhere.

All players accept responsibility for transformation

Form coalitions that work

Group 5 Group 5 RecommendationsRecommendations

Align business and financial models

Don’t stop with what we know; look outside

Be at the table in healthcare financing

Use technology to mobilize advocacy

Use NFC to focus decisions and judge financing proposals.

Group 6 Group 6 RecommendationsRecommendations

Adopt the IOM ten rules

Develop strategies to shift/share the power

Assess the shift of perception/perceptual change among consumers, families, and providers

Infuse the world with the recovery resiliency paradigm

Group 6 Group 6 RecommendationsRecommendations

Support the development of the evidence regarding outcomes with WRAP and other self-help tools

Develop inclusive strategies to overcome existing silos

Recommend active advocacy component

Make quality and outcome information available to consumers and family members

Group 6 Group 6 RecommendationsRecommendations

Develop strategies to eliminate mental health disparities

Develop strategies to promote social transformation

Increase consumer and family education to facilitate a control shift