Mental Health Block ck Grant Behavioral Health Division
MH MHBG BG P Purp rpos ose • (1) providing community mental health services for adults with a serious mental illness and children with a serious emotional disturbance; • (2) carrying out the plan submitted under section 300x–1(a) of this title by the State for the fiscal year involved; • (3) evaluating programs and services carried out under the plan; and • (4) planning, administration, and educational activities related to providing services under the plan.
Ta Targeted Populations • Adults with serious mental illnesses . Includes persons age 18 and older who have a diagnosable behavioral, mental, or emotional condition—as defined by the Psychiatric Association’s Diagnostic and Statistical Manual (DSM) of Mental Disorders . Their condition substantially interferes with, or limits, one or more major life activities, such as: • Basic daily living (for example, eating or dressing) • Instrumental living (for example, taking prescribed medications or getting around the community) • Participating in a family, school, or workplace • Children with serious emotional disturbances. Includes persons up to age 18 who have a diagnosable behavioral, mental, or emotional issue (as defined by the DSM). This condition results in a functional impairment that substantially interferes with, or limits, a child’s role or functioning in family, school, or community activities.
Re Reporting Re Requirements • State Agency Expenditure Reports - In this section states should provide information regarding expenditures for authorized activities and services for mental health. • Populations and Services Report - In this section states must provide specific information regarding the number of individuals served with MHBG funds . In addition states should provide specific information regarding the services these individuals received. • Performance Indicators and Accomplishments - In this section of the report states are required to complete the Performance Indicator tables . Performance indicators should be reported using the table format provided. The purpose of the performance indicator tables is to show progress made over time as measured by SAMHSA’s National Outcome Measures (NOMS) for mental health services including any state-selected performance indicators.
MH MHBG BG R Requireme ments • 10% set aside for First Episode Psychosis Programs • Behavioral Health Planning Council
MH MHBG BG A Awards 2016 2017 2018 2019 $879,581 $939,644 $1,260,569 Unknown 2018 YTD Expenditure $3,128.22
2017-2019 Biennium MHBG Funding* *funding approved by BHPC Budget Item Percentage of Total Partnerships Program (Human Service Center) 21% Peer Support 18% Prevention/Promotion Services 16% First Episode Psychosis Pilot Program 10% Consumer Advocacy Groups 9% Mental Health Criminal Justice Reform 7% Workforce Training 5% Administration 5% Early Intervention/Screening Pilot Program 3% Aging and Mental Health 3% Planning Council 3%
Utilizing the recommendations from the Behavioral Health Planning Council to “[confront] the stigma that prevents our North Dakota citizens from getting the care they need…[and] to improve access to behavioral healthcare and overall wellness for the citizens”, the HSRI report, and the North Dakota 20/20 Vision Goal Matrix the Behavioral Health Division suggests the following use of MHBG funds.
2017-2019 BHPC Program/ HSRI North Dakota Vision 20/20 Recommendation Service Recommendation Goal Matrix Recommendation 1: 1- Develop a All Proposed 12.2-Identify a standard set of data elements to collect from comprehensive Fund a contracted providers that aligns with state data systems and Budget implementation plan goals for the behavioral health system comprehensive Items approach to 13-Conduct ongoing, behavioral health system-wide data- with an driven monitoring of implementation of needs and access the full continuum of care model.
2017-2019 BHPC Program/ HSRI North Dakota Vision 20/20 Recommendation Service Recommendation Goal Matrix 2a: Fund peer Peer 7.6- Continue 6.9- Establish a formalized training and certification process for peer support specialists Support establishing support services 9.8-Include dedicated trainings and sessions at the State training/credentialing statewide with a Behavioral Health Conference related to peer-run programs for peer goal to ensure that organizations services any individual 11.3-Establish peer services as a reimbursed service in the 7.8- Support a robust receiving case Medicaid state plan peer workforce management has through training, access to peer professional support services. development, competitive wage
2017-2019 BHPC Program/ HSRI North Dakota Vision 20/20 Recommendation Service Recommendation Goal Matrix 2c: Expand crisis Suicide and 3.3 Ensure 1.6 Implement Zero Suicide statewide intervention services continuum of timely Crisis 2.10 Expand the implementation of activities to prevent including mobile crisis and accessible crisis Services the attempt and completion of suicide, including crisis units statewide, peer response services services supports within crisis 4.8 Promote timely 2.6 Expand telebehavioral health crisis services intervention services, linkage to statewide, including services for children and youth additional crisis community based 2.8, 2.9 Expand mobile crisis teams for adults in urban residential beds, and services following a areas statewide, establish teams for children and youth less reliance on crisis hospitals to perform these services.
2017-2019 BHPC Program / HSRI North Dakota Vision 20/20 Recommendation Recommendation Goal Matrix Service Recommendation 4: Consumer 10- Encourage and 9.2- Foster the development of community coalitions to advocate for wellness promotion and prevention in their communities Department of Human Advocacy support the efforts of 9.3- Review existing behavioral health related advisory boards and Services shall create Groups communities to committees to explore opportunities to increase the membership of opportunities to strengthen promote high-quality people with lived experience advocacy voices to assist in services Workforce/ 9.6- Include dedicated training and session at the State Behavioral Health making system change as 10.2 Strengthen Behavioral Conference related to advocacy skills and partnerships with advocacy identified in the Behavioral Advocacy Health communities Health Planning Report by Conference 10.4 Support 9.7- Forster connection to national advocacy movements by supporting Schulte Consulting July 22, travel and attendance at national conferences and at virtual advocacy Community Efforts to 2014. networks reduce stigma, discriminations, 9.8-Include dedicated trainings and sessions at the State Behavioral Health Conference related to peer-run organizations marginalization 9.10- Convene local communities to identify and share best practice about community-driven initiatives that reduce discrimination and marginalization of people with psychiatric disorders
2017-2019 BHPC Program HSRI North Dakota Vision 20/20 Recommendation Recommendation Goal Matrix Recommendation 9: Partnership 2.1 Prioritize and 4.3-Expand culturally-responsive, evidence-based, multi- implement evidence-based Program systemic therapy services for children and families Ensure Evidence- social and emotional involved in multiple systems wellness initiatives Based or promising 3- Ensure North Dakotans 4.4-Expand culturally-responsive, evidence-based practices are have timely access to wraparound services for children and families involved provided with high behavioral health services in multiple systems fidelity quality 4.2- Continue to shift funding toward evidence- 4.6-Expand in-home community supports for children, assurances. based and promising youth, and families, including family skills training and practices family peers 5.2- Expand targeted, proactive in-home supports for at-risk families
2017-2019 BHPC Program HSRI North Dakota Vision 20/20 Recommendation Recommendation Goal Matrix Recommendation 9: Evidence 2.1- Prioritize and 1.14- Expand evidence-based services for first-episode psychosis implement evidence-based Based Social Ensure Evidence- 2.5-Ensure Qualified Service Providers and HCBS Case managers social and emotional and Emotional who work with older adults and people with physical disabilities wellness initiatives Based or promising Wellness receive basic and ongoing trainings in behavioral health, 2.5- Expand evidence-based practices are Programs including confronting misperceptions about the population services for first-episode provided with high First Episode psychosis 3.2-Conduct review of behavioral health services to identify Psychosis fidelity quality 3- Ensure North Dakotans "legacy" services that are not sufficiently evidence-based have timely access to Aging and assurances. 3.3- Expand evidence-based team-based services such as behavioral health services Mental Health Assertive Community Treatment (ACT) 4.2- Continue to shift 3.15-Expand evidence-based supported education and funding toward evidence- based and promising employment practices
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