comprehensive mental health program planning update€¦ · coordinated reentry planning: emergency...

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

SEA

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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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2. Alaska Scorecard


5. Fiscal Analysis







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2. Alaska Scorecard


5. Fiscal Analysis







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2. Alaska Scorecard


5. Fiscal Analysis







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2. Alaska Scorecard


5. Fiscal Analysis







Fiscal Analysis of All Funded Programs

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2. Alaska Scorecard


5. Fiscal Analysis







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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2. Alaska Scorecard


5. Fiscal Analysis







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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2. Alaska Scorecard


5. Fiscal Analysis






*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


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2. Alaska Scorecard


5. Fiscal Analysis






Workforce development has become an integral to behavioral health and long-term services and supports reform efforts.


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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


2. Alaska Scorecard


5. Fiscal Analysis







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2. Alaska Scorecard


5. Fiscal Analysis







COMPREHENSIVE MENTAL HEALTH PROGRAM PLAN

2015-2016 Family Guardian Survey

Next Up: 2017-2018 Adult Consumer Survey…18


2. Alaska Scorecard


5. Fiscal Analysis






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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2. Alaska Scorecard


5. Fiscal Analysis







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!


2. Alaska Scorecard


5. Fiscal Analysis







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