BEHAVIORAL HEALTH AND DISABILITIES

UPDATE

Renata J. HenryDeputy Director for Behavioral Health and DisabilitiesMaryland Department of Health and Mental Hygiene

Presented toMaryland State Drug and Alcohol Abuse CouncilApril 21, 2010

BHD CURRENT INITIATIVES

Impact of Health Reform on BHD Contract with University of Maryland Internal workgroup with MH, SA DD, Medicaid

Primary Care and Behavioral Health Integration Partnership with the Community Health

Resources Commission and Mid-Atlantic Association to improve BH services in FQHC’s

INITIATIVES contd…

Eliminating Disparities in Behavioral Health Convene a steering committee to implement an

action plan to review data, training, and policies

Co-Occurring Supervisors Academy 13 month in depth training for clinicians in the

screening, assessment, treatment and support of adults with co-occurring mental illness, substance use disorders, and/or cognitive disorders

LEGISLATIVE SESSION SUMMARY

Codification of State Drug and Alcohol Council

GAMBLING SERVICES

Solicitation for prevalence study, awareness and prevention

Integrate treatment gambling into the current system of care.

Training on best practices for the behavioral health field

Develop self-identified list of providers Tie into existing hot-line(s)

DELEGATE HAMMEN WORKGROUP

Input from stakeholders on “ideal system” Impact of health reform on addiction services Analysis of how other state financing

systems are structured Summary of previous work in Maryland

regarding integration and co-occurring Schedule summer meetings

PARITY

Mental Health Parity and Addiction Equity Act Key dates: October 2008 and April 5, 2010 Prohibits group health plans that currently

offer coverage for MH/SU from providing those benefits in a more restrictive was than other medical and surgical procedures covered by the plan

www.ahpnet.com

SAMHSA STRATEGIC INITIATIVES

Violence and Trauma Military Families Housing and

Homelessness Jobs and Economy Prevention of SA and MI Health Insurance Reform

Implementation

Health Information Technology

Behavioral Health Workforce

Data and Outcomes Public Awareness and

Support

5 KEY GOALS FOR BEHAVIORAL HEALTH AND DISABILITIES

1. Consumer is a partner in service decisions

2. Identify and eliminate disparities

3. Promote health and wellness

4. Promote excellence in care

5. Ensure quality and efficiency in management and administration

A VISION FOR MARYLAND

Integrated quality system of care A full range of services available Linkages to service are seamless to the

consumer Recognition that co-occurring and co-morbid

conditions are the norm Improved health, wellness, and quality of life

is the goal

SIX AIMS OF QUALITY

Safe Effective Patient-centered Timely Efficient Equitable

ACHIEVING THE VISION:LEADERSHIP

Collaborative leadership at all levels is a necessary ingredient in the development and implementation of integrated services

Leadership brings the stakeholders together and initiates the dialogue.

Initiate the planning and develop methods to overcome barriers at various system levels

KEY EMERGING ISSUES

Health care reform and implications for behavioral health

Data management and use for planning, decision making, and accountability

Financial restructuring Partnership with criminal justice system to

break the cycle and improve re-entry Implementation of ROSC

THANK YOU!!