Valerie Vicari Western Area Director

Office of Mental Health & Substance Abuse Services

Regional Stakeholder Meeting Allegheny, Beaver, Washington,

Lawrence, Greene

Regional Steering Committee

◦ Presented the Mayview Closure Experience at each 2011 Service Area Plan Meeting (Norristown, Danville, Wernersville, Warren, Clarks Summit, Torrance).

◦ Allegheny Health Choices, Inc (AHCI) led the presentation with PSAN.

◦ The message of hope and recovery was shared statewide.

We have made considerable progress in transforming the behavioral health system

There is still much to do – we must continue our momentum

We can build on our strengths and learn new ways to succeed◦ Innovation◦ Evidence-based programs◦ Look with “new eyes” at today’s reality

Allentown State Hospital Closure

◦ ASH closure completed December 14, 2010

◦ 108 CHIPP discharges

◦ Over $12.5M allocated to the community to develop services and supports

◦ Additional 11 discharges for individuals with dual diagnosis; funding transferred to ODP for waiver matching

Allentown State Hospital Closure

◦Transfer CSPs were developed for those transferred

◦ CSPs significantly increase success for consumers as they proceed on their recovery journey

◦ Lehigh, Northampton, Carbon/Monroe/Pike counties - Enhanced infrastructure to support the individuals discharged or diverted from state hospital Examples: Extended Acute Care beds, CTT

development and ACT services

Reflects the Commonwealth’s decision to end the unnecessary institutionalization of adults who have a serious and persistent mental illness

The goal is to return all persons who are being served in a state hospital bed to their communities ◦ Requests funds to support the reduction of civil bed

capacity by 90 persons each Fiscal Year

◦ Resources will be allocated to the counties

◦ Community Support Planning process will drive service development

Each County to develop a Comprehensive Service Area Integration Plan by 6/30/2012

◦ Based on CSPs and reflective of Environmental Scan

◦ Must address at minimum – Housing Non-residential services and supports How special needs will be met, including substance

abuse, physical health, TBI, limited English proficiency, etc.

Each County to create Housing options to reduce reliance on congregate settings of 16 or more beds ◦ Personal Care Home Integration Plan by

6/30/2012

Each County to create a comprehensive funding strategy that supports these plans by 6/30/2012

Governor’s Recommended Budget

FY 2011-12

Mental Health Services Appropriations

CHIPPs funded in FY 2010-11 for 6 months are annualized. This includes 30 CHIPPs at Norristown.

  Increase of $1.5 M for individuals discharged from Allentown

State Hospital who need high-end, costly services.  Includes the transfer of $2.45 M for 6 months to ODP for 35

individuals to move from State Hospitals to the waiver program.

  Includes the transfer of funds to ODP for 7 individuals

currently residing in the community to move to the waiver program.

Mental Health Services Appropriations $4.95 M for discharge of 90 individuals for 6 months from

NSH as part of the Fred L Litigation Does not include a cost of living adjustment

Special Pharmaceutical Benefit Package (SPBP)

Increase from $2.346 M to $3.618 M

Drug and Alcohol 

  Act 152 funding is maintained at

$14,727,107 ◦ Total includes reduction of $1.5 M that occurred in

September 2010 ◦ Funds have been moved to capitation for FY 2011-

12 State funds -$12.857 M Federal funds -$1.870 M

HealthChoices Carve out is still in place

Savings of $29.025 M◦ Revisions to provider performance incentives (P4P) ◦ Limitations on reinvestment funds ◦ Utilization of evidence-based services for children and

youth ◦ Offset by the transfer of the non-hospital residential

drug and alcohol treatment services previously funded through the MA outpatient appropriation

 

Funds will be managed within the HC-BH Program

Builds on experience with expedited enrollment pilot program

Utilizes existing assessment and service authorization process – will be transparent for recipients

Funds will be used to cover rate adjustments due to increased non-hospital detox and rehabilitation services

“Promoting Self-Sufficiency through Sensible Reforms”

◦PA leads the nation in the number of Certified Peer Specialists who have been trained and employed

◦PA is the first state to secure civil service status for Certified Peer positions

◦We all benefit from the growth of CPS!

42%47%

52%

0%

10%

20%

30%

40%

50%

60%

Reduced publicassistance

Decreasedhospitalizations

Decreasedcrisis/ER services

Yes

3%16%

83%

63%

0%10%20%30%40%50%60%70%80%90%

Working full- orpart-time

Unemployed andnot looking for

work

Before Training

After Training

Get spending under control

Embark on a long-term, multi-year strategy to reduce costs

Change the mindset on public assistance to promote personal independence and individual empowerment

Care management that focuses on personal responsibility, prevention and wellness strategies

More efforts to deter fraud and abuse and to recover costs

Initiatives to encourage more home- and community-based care

See public assistance as a temporary safety net, not a long-term restraint

Empower recipients to make decisions that lead to self-sufficiency

Promote welfare to work strategies