Governor’s Regional Task Force Meetings ROUND 13 JUNE 2014
Welcome & Introductions 1
Background 2010 Systemic Review and Analysis of State’s behavioral health system began. West Virginia Comprehensive Substance Abuse Strategic Action Plan Documents WV Bureau for Behavioral Health and Health Facilities Sept 2011 Report on West Virginia's Comprehensive Substance Abuse Strategic Action Plan developed and released Sept 2011 Behavioral Health in West Virginia – A State Epidemiological Profile released Sept 2011 Executive Order 5 ‐ 11, which created the Governor’s Advisory Council on Substance Abuse and established six (6) Regional Substance Abuse Task Forces to cover all parts of West Virginia. 2011 ‐ 2014Each of the six (6) Substance Abuse Regional Task Forces have met 12 times across the state of West Virginia. http://wvsubstancefree.org/task_forces.php The Governor’s Advisory Council on Substance Abuse has met six (6) times and released annual Progress Report and Recommendations. 2012 SB437 passed WV Legislature; $7.5 million allocated by Governor Tomblin for Prevention, Early Intervention, Treatment and Recovery. 2
The Regional Task Forces Round 13 of RTF meetings. Meeting format changes each round based prior evaluations, input/action needed. RTF Goals: 1. Identify priorities and strategies that can be addressed at the grass ‐ roots level 2. Identify priorities and issues that are “bigger than us” 3
The Regional Task Forces Governor’s Office WVDHHR Bureau for Governor’s Advisory Council Behavior on Substance (GACSA) Health and Health Facilities Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Task Force Task Force Task Force Task Force Task Force Task Force 4
What’s New? Important? Next? BEHAVIORAL HEALTH PROFILES (STATE & COUNTY) JRI IMPLEMENTATION PLAN & FUNDING AWARDED MEDICAID EXPANSION & BLOCK GRANT CHANGES PHYSICIAN ENGAGEMENT DR. IRA CHASNOFF ‐ STATEWIDE SUBSTANCE USE IN PREGNANCY STRATEGIC PLANNING WV PARTNERSHIPS FOR SUCCESS KICK OFF (COMMUNITY NORMS) BOOTS ON THE GROUND: BUILDING BRIDGES TO TREATMENT AND RECOVERY ‐ CAMP DAWSON, KINGWOOD ‐ SEPT. 23 ‐ 24, 2014 2 ND INTEGRATED BEHAVIORAL HEALTH CONFERENCE ANNOUNCED ‐ CHARLESTON CIVIC CENTER SEPT. 21 ‐ 25, 2015 5
Large Group Exercise IT’S YOUR TURN 1. SPECIAL EVENTS 2. INITIATIVES 3. CONCERNS 6
Behavioral Health Integration ‐‐ FOCUS • The increased morbidity and mortality rate of people with serious mental health and substance use problems is unacceptable. • Nearly 60% of individuals with bipolar disorder and 52% of persons with schizophrenia have a co ‐ occurring substance use disorder. • Approximately 41% of individuals with an alcohol use disorder and 60% of individuals with a drug use disorder have a co ‐ occurring mood disorder. • Substance use increases the risk for hypertension (x2), congestive heart failure (x9), and pneumonia (x12) • The major causes for disability in the U.S. are changing from medical to social and behaviorally ‐ related conditions, increasingly involving complications such as substance abuse, violence, and poor mental health. Integration of Mental Health, Substance Use and Primary Care Services, Volume 1, 2011 The West Virginia University Center for Excellence in Disabilities , 2013 SAMHSA ‐ HRSA Center for Integrated Health Solutions 2011 7
Accountability, Oversight and Technical Assistance • 13 COMPREHENSIVE BEHAVIORAL HEALTH PROVIDERS • 6 REGIONAL PREVENTION ORGANIZATIONS & 55 COALITIONS • 13 CHILDREN’S CLINICAL OUTREACH SERVICES LIAISONS • OTHER LOCAL PRIVATE/NON PROFIT PROVIDERS ‐ ( RECOVERY RESIDENCES, COMMUNITY ENGAGEMENT, PEER AND FAMILY SUPPORT, Moms & Babies) 8
Essential Services PROVISION OF MAIN AND/OR SATELLITE OFFICES TO BE LOCATED IN EACH OF THE COUNTIES COMPRISING THE CENTER’S CATCHMENT AREA. THESE OFFICES SHOULD PROVIDE FOR FULLTIME STAFFING. AT A MINIMUM, EACH OF THE OFFICES MUST PROVIDE FOR THE FOLLOWING SERVICES / SUPPORTS: • Assessment • Outpatient services (with referral for IOS as may be assessed/needed) • Information and Referral capacity • Medication Management (in person or via telehealth) 9
Bureau Focus BUILD COMPREHENSIVE SYSTEMS OF CARE AND SUPPORT ACCESSIBLE TO RESIDENTS IN ALL REGIONS OF WEST VIRGINIA, REGARDLESS OF LOCATION, POPULATION BASE OR HISTORY THAT HAS STEERED THE EVOLUTION OF REGIONAL CAPACITY DIRECT THE LIMITED FUNDING AVAILABLE TO SUPPORT STATEWIDE SYSTEMS WHILE FOCUSING INTENSELY ON OUTCOMES
Early Preventi Intervent on ion Treatment Recovery Div. on Alcoholism and Drug Other MISC: Abuse: State and Federal Health Out of Support DUI Programs FY15 Primary Promotio Engagem Community Intensive Acute Home Recovery Services Safety & Preventio n and ent Outpatien Medication Support Support Intensive Residenti Support (Habilitati Treatmen n Wellness Services t Services Services Services Services Services al Services on) t Region One X ‐ IS, Co ‐ Occurring Healthways, Inc. Adult X ‐ X ‐ IS, Co ‐ Residenti Occurring al LT, X ‐ Adult Youth X ‐ D ‐ CSU Men X Northwood Health Systems, Inc. X ‐ JRI X ‐ CES, JRI X ‐ IS, JRI 2 X ‐ Oxford House Recovery Residenc e Lv. II X ‐ Regional X ‐ IS, Co ‐ Youth Service System, Inc X ‐ SPF ‐ Occurring PFS X ‐ RYSC Youth X ‐ Recovery Residenc e Lv. II X ‐ Recovery YWCA ‐ Wheeling Residenc e Lv. II, JRI X ‐ Peer 11 Coach, JRI
Issues & Priority Populations ‐ REDUCTION IN ALL SUBSTANCE USE/ABUSE ‐ EARLY SCREENING FOR SUBSTANCE USE IN PREGNANCY & CONSISTENT INTERVENTIONS STATEWIDE ‐ CREATING A SEAMLESS CONTINUUM OF SERVICES FOR YOUTH AND YOUNG ADULTS ‐ NAVIGATION AND ACCESS TO ALL SYSTEMS OF CARE ‐ CONSISTENT TRAUMA INFORMED SERVICES IN ALL REGIONS ‐ DECREASING BARRIERS TO SERVING VETERANS ‐ PHYSICIAN ENGAGEMENT IN BEST PRACTICE FOR SERVING INDIVIDUALS EXPERIENCING BEHAVIORAL HEALTH DISORDERS 17
Group Exercise PERCEPTION ? REALITY? Response 18
Strategic Plan Implementation Results GOAL 1: IMPLEMENT AN INTEGRATED APPROACH FOR THE COLLECTION ANALYSIS, INTERPRETATION AND USE OF DATA TO INFORM PLANNING, ALLOCATION AND MONITORING OF THE SUBSTANCE ABUSE DELIVERY SYSTEM. STRATEGY EXAMPLES: STATE AND COUNTY PROFILES, TASK FORCE MEETINGS, TOWN HALL MEETINGS, SCHOOL SURVEYS 19
Strategic Plan Implementation GOAL 2: BUILD THE CAPACITY AND COMPETENCIES OF THE WV’S SUBSTANCE ABUSE WORKFORCE AND OTHERS TO EFFECTIVELY PLAN, IMPLEMENT AND SUSTAIN COMPREHENSIVE CULTURALLY RELEVANT SERVICES. STRATEGY EXAMPLES: PROMOTING CERTIFICATION, DRUG FREE WORKFORCE, EDUCATION FOR PARTNERS SUCH AS PHYSICIANS AND EDUCATORS, CONFERENCES AND LEARNING OPPORTUNITIES 20
Strategic Plan Implementation GOAL 3: INCREASE ACCESS TO EFFECTIVE SUBSTANCE ABUSE PREVENTION, EARLY IDENTIFICATION, TREATMENT AND RECOVERY MANAGEMENT THAT IS HIGH ‐ QUALITY AND PERSON ‐ CENTERED. STRATEGY EXAMPLES: PREVENTION COALITIONS, EVIDENCE BASED PROGRAMS IMPLEMENTED, SBIRT, TELEHEALTH, TREATMENT AND RECOVERY SERVICES EXPANDED, COMMUNITY VOICE IN PLANNING 21
Strategic Plan Implementation GOAL 4: MANAGE RESOURCES EFFECTIVELY BY PROMOTING GOOD STEWARDSHIP AND FURTHER DEVELOPMENT OF THE WEST VIRGINIA SUBSTANCE ABUSE SERVICE DELIVERY SYSTEM. STRATEGY EXAMPLES: QUALIFIED STAFF TO PROVIDE TECHNICAL ASSISTANCE, PROMOTING ENROLLMENT INTO MEDICAID EXPANSION, EXPAND FEDERAL, STATE AND COMMUNITY PARTNERSHIPS, WRITE AND RECEIVE NEW GRANT FUNDING 22
Navigating the Continuum • PARTNERSHIPS • RESOURCES http://wvsubstancefree.org/ http://www.dhhr.wv.gov/bhhf/Pages/default.aspx 23
Small Group Activity 1. Review the Substance Abuse Strategic Action Plan RTF Implementation Survey Results. 2. (Yellow sheet) For each goal, discuss and mark whether the survey result was Perception (P) or Reality (R). Formulate your group’s response to the issue/result. Record response in the right column. 24
EVALUATION & WRAP UP 25
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