Colorado Behavioral Health Task Force July 1, 2019 1
Zoom housekeeping Please • Mute your phone, microphone, and speakers on your computer/device • Turn off the zoom video feature • Enter your name/organization in the chat box feature for attendance • For small group work, we will be breaking you out into virtual groups • Indicate your interest to share thoughts with the group or submit questions via the chat box feature 2
Objectives for the Day: 1. Welcome and introduce members of the BHTF 2. Grounding/level-setting for the work ahead for the BHTF Review the role of the BHTF • Provide historical narrative of how BHTF came to be • Determine how we would like to work together • 3. Define a vision for the BHTF 4. Define accountability for the BHTF 3
Welcome Michelle Barnes Executive Director, Colorado Department of Human Services Chair, Behavioral Health Task Force 4
Conduct, analyze, and disseminate research to inform policy development and implementation Provide technical, adaptive, and leadership assistance for integrating care across health and health systems Convene stakeholders and decision makers to improve health and healthcare together Partner with communities, state and federal agencies, and foundations to catalyze action Synthesize and apply evidence to policy to bridge the gap between what we know and what we do 5
Let’s get to know one another. Hello, my name is…. What is your name? Who are you representing? What brought you to the work of the BHTF? 6
Break 7
What We Know 8
What do we mean by “Behavioral Health?” Refers to an individual’s mental and emotional well-being development and actions that affect his/her overall wellness Behavioral Health problems and disorders include substance disorders, serious psychological distress, suicidal ideation, and other mental health disorders Problems ranging from unhealthy stress or subclinical conditions to diagnosable and treatable diseases are included 9
Colorado continues to struggle with behavioral health challenges. Almost 12 percent of Coloradans report poor mental health, according to the 2017 Colorado Health Access Survey, up from about 10 percent in 2015. Colorado ranks 43 rd of the 50 states plus the District of Columbia on a 2018 mental health index from Mental Health America, based on 15 measures. About one of 13 Coloradans (7.6 percent) did not get needed mental health services in 2017 . An estimated half million Coloradans are dependent on alcohol or have used illicit drugs. Source: A Way Forward: How Colorado’s Behavioral Health Leaders Can Address Colorado’s Most Pressing Needs. Colorado Health Institute. April 2018. 10
There are three subcommittees supporting the work of the Task Force. Task Force Children’s Long-Term Safety Net Behavioral Health Competency 11
We can build from the work that has been started in regards to children’s behavioral health. Based on the 2018 State of Mental Health in America Report for children and youth specifically, Colorado currently ranks 48th in the country when analyzing several indicators including the prevalence of mental illness and access to care. Among the most disturbing statistics is that suicide is the leading cause of death among Coloradoans between 10 and 24 years old. Over 30 sources of previously documented needs and recommendations related to reforming and strengthening Colorado’s behavioral health services and supports for children and youth have been reviewed and studied. Goals around governance; finance; quality improvement; care coordination; service array; and access, screening and assessment offer a starting point. Source: Roadmap to Colorado’s Behavioral Health System for Children, Youth and Families: 4-Year Strategic Plan. Partners for Children’s Mental Health. 2018. 12
The Safety Net Subcommittee will focus on ensuring that services and supports are in place. Provide locally responsive recommendations, including legislative recommendations, to Identify what behavioral health address behavioral health provider services each community must licensing and regulations, housing, have access to in each region of transportation, workforce and any the state other barriers that curb access to care Set forth criteria and processes, in collaboration with behavioral health providers, for when the Develop a funding model to ensure needs of an individual referred to a the viability of the safety net system safety net provider exceed the treatment capacity or clinical expertise of that provider 13
The L/T Competency Subcommittee’s recommend- dations must align with the Consent Decree. Colorado has seen a 592% increase in the number of court orders for competency evaluations since 2000. Colorado has seen a 1251% increase in the number of individuals referred for competency restoration services. Three areas that directly impact the availability of inpatient beds for competency evaluations and restoration treatment: The number of court orders for inpatient competency 01 evaluations and restoration treatment. 01 The time frame, or length of stay, from admission to 02 discharge for restoration treatment. 03 02 03 The number of inpatient beds available. 14
Let’s recap. We know that the system is not working for everyone. We need to stay focused on solutions in a realistic timeline. We have been given some clear direction. There is a foundation of work from which we can build. 15
Other current data will inform our work. Legislative Review Financial Analysis Community Input Ongoing review of Reports & Best Practices 16
Group Discussion In reading the articles and from what you know: What did you learn that influences how you think about our work? What wasn’t mentioned that surprised you? 17
BHTF Communications 18
Working together: This is hard for lots of reasons. We have different Some of us wear perspectives. multiple hats. Business models could Some of us have be effected. history. 19
Are these group agreements the right ones for this Task Force? Tough on Ideas, Soft Acknowledge Your Step Forward/Step Charitable on People: Role: Identify what Back: Everyone Assumptions: We are Be curious. hat you are wearing. participates. all trying to do good work. Use words Start and end on Stay solution- thoughtfully: time. oriented. Be respectful. 20
Parking Lot Process 21
Vision for BHTF A comprehensive behavioral health system that meets the behavioral health needs of all Coloradans in the right place at the right time to achieve equitable behavioral health outcomes. Provides a continuum of Coordinates care, from Provides criminal justice health services in a systems, Puts the promotion and culturally and Integrates Financially consumer at human prevention to services linguistically sustainable the center services, treatment and specific health and recovery manner education across the lifespan 22
Visioning 1. Can you see yourself and/or the work that is important to you reflected in this vision statement? 2. If no, what is missing? 3. Are there elements within this vision statement that do not reflect the work of the BHTF from your perspective? 4. Are there ways that you would rephrase the statement to simplify the message? 5. Are there additional vital elements to operationalize the vision statement? 6. How would you prioritize these vital elements? 23
Break/Multi-vote 24
Accountability 1. What will success look like for the BHTF? 2. How will the BHTF hold itself accountable to the work defined by the vision statement? 3. How will the BHTF measure progress towards its goals? 25
Public Comments 26
Next steps: NEXT WEEK 8/7/19 u Notes will be u Next BHTF meeting circulated. u 2:30-4:30pm; u Opportunity for location TBD, please optional online watch your email anonymous for details survey. 27
Run the table Two words that describe your experience today. 28
Thank you for your time and commitment. 29
Recommend
More recommend
