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Comprehensive Mental Health Program Planning Update
May 2017
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Presentation Outline
• Benefits • Levels of Planning• Comprehensive Program Plan
Framework• Highlights from Fiscal Year 2017
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3Excerpt from presentation to Trustees in June 2016
Levels of Planning
• Much of the planning and action right now is occurring at the 10,000 and 5,000 ftlevels
Foundational Work
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5. Framework Development
4. Environmental Scan
2. Review of Advisory Board
Plans
3. Trust, Advisory Board, and DHSS
Discussions
Development of a proposed new framework for planning for a comprehensive program
Review of current and past planning and reform materials and activities
1. Review of Alaska Statutes
Interviews with Advisory Board executive directors
Trustee and staff working sessions DHSS leadership meetings
Alaska Commission on Aging State Plan FY16-19 Governor’s Council on Disabilities & Special
Education 5 Year Plan FY17-21 ADRD Roadmap December 2014 Alaska State Suicide Prevention Plan FY12-17 Alaska’s Mental Health Block Grant Plan
Department of Health and Social Services Alaska Mental Health Trust Authority Statutory Advisory Boards
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Defining the Mental Health ProgramAlaska Statute 47.30.056“The integrated comprehensive mental health program for which expenditures are made under this section; shall give priority in service delivery to persons who, as a result of a mental disorder or of a disorder identified in this section; may require or are at risk of hospitalization; or experience such major impairment of self-care, self-direction, or social and economic functioning that
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Last June, we spoke about how the meaning of comprehensive mental health program has likely evolved over time
they require continuing or intensive services.”
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
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Highlights from Fiscal Year 2017
Shared Vision for the Developmental Disabilities System
Alaskans share a vision of a flexible system in which each person directs their own supports, based on their strengths and abilities,
toward a meaningful life in their home, their job and their community. Our vision includes supported families, professional staff and services available throughout the state now and into the future.
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
Fiscal Analysis of All Funded Programs
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
Governor Walker signing SB 74 on June 21, 2016
Governor Walker signing the first bill into law from the 30th session to support
distribution of naloxoneMarch 21, 2017
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
1115 Demonstration ProjectPopulations* Key Strategies for WaiverPOPULATION #1(A): Children and adolescents ages 3-17 years at risk of out-of-home placement (and their families).
Decrease use of inpatient, Emergency Room, and residential services by intervening earlier, increasing step-up/step-down services in selected communities across Alaska, implementing service intensity tool/ASAM criteria to guide use of services, providing home-based family treatment interventions, and developing community-based supports to maintain family reunification and/or recovery, health and wellness.
Use of an Administrative Service Organization.
POPULATION #1(B): Children and adolescents ages 9-18 years in State Custody—OCS or DJJ (and their families).
POPULATION #1(C): Children and adolescents ages 9-18 who have received MH or SA residential services, including RPTC, within the past year (and their families).
POPULATION #2: Adults ages 19-64 years with MH, SA, or COD diagnoses using acute intensive services.
POPULATION #3: Adolescent, Young Adult, & Adult Medicaid beneficiaries ages 12 + years with a SUD Diagnosis.
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
*These are the initial proposed populations to be used by Milliman to examine the impact of the new services proposed for these populations and assess the cost neutrality of DHSS’ waiver application. The age groupings may change as we are able to determine cost impacts of the various proposals. Per Randall Burns 5/2/17
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
Workforce development has become an integral to behavioral health and long-term services and supports reform efforts.
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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Other System of Care InitiativesSenior and Disabilities Services Redesign
Health Care Services Redesign
Criminal Justice Reform
Other Reform Efforts
• Community First Choice waiver
• Medicaid Eligibility ProcessImprovements
• Criminal Justice Commission
Municipality-led Housing and Homelessness Efforts
• New IDD Supports Waiver
• Coordinated Care Demonstration Projects
• Targeted and Coordinated Reentry Planning
Emergency CareImprovement Initiative
• Dementia Care Initiative
• SB91 Integration • Assertive Community Treatment Team
Health Care Authority Feasibility Study
• HCBS Final Rule compliance
• Tribal Claiming Initiative
Prescription Drug Monitoring Program
• Reforming How People Access Long-Term Services and Supports
Governor’s Council-Led Autism, FASD,and DD Efforts
UA Strategic Pathways Behavioral Health Workforce Education and Training
• DD Systems Assessment
Opioid Task Force and Public Health Efforts
10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
COMPREHENSIVE MENTAL HEALTH PROGRAM PLAN
2015-2016 Family Guardian Survey
Next Up: 2017-2018 Adult Consumer Survey…18
10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
Major Outreach and Engagement Campaigns• Medicaid Redesign Key Partners• AK Health Reform • Medicaid Home and Community Based Services
(HCBS) Reform Community Forums• DD Systems Assessment• 1115 Waiver Development Teams• AMHB/ABADA-led 1115 Stakeholder Engagement• Health Information Technology Outreach and
Engagement
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10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM
In Summary…
• Planning for comprehensive program is a very dynamic process
• Many things have happened• Many things are underway• We are still climbing the peak• How we pull it all together
is our next challenge!
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Thank you!
10. Outreach & Engagement
2. Alaska Scorecard
3. RegionalProfiles/Needs
5. Fiscal Analysis
4. State Budget Bills
7. System of Care Plan
8. Technology & Data Plan
9. Quality Improvement1. Vision
6. Policy & Legislation
PLANNING FOR A COMPREHENSIVE MENTAL HEALTH PROGRAM