Creating a World Class Holistic Behavioral Healthcare System in Harris County
Appreciative Inquiry Summit
June 16-17 2005
Creating Community Support
Mental Health Association began by:Identifying Appreciative Inquiry as the
right processContracting with Case Western Reserve
Univ., School of Business and MgmtSecuring FundingCreating Design Team to create
consensus and plan
Design Team Members:
Mr. Ian Aitken, President and CEO, The Menninger ClinicMr. Domingo Barrios, Grant Officer, Houston Endowment, Inc.Dr. David Buck, President and Chief Medical Officer, Healthcare for the HomelessDr. John Burrus, Chief of Psychiatry, Ben Taub HospitalMr. Jack Callahan, Mental Ilness Advocate, Advocacy Inc.Dr. Ron Cookston, Director, Gateway to CareDr. Avrim Fishkind, Medical Director, Neuropsychiatric CenterMrs. Carolyn Hamilton, President, NAMI West HoustonMs. Nicole Lievsay, Director of Juvenile Justice and Behavioral Health Initiatives, Harris
County Judge Robert Eckels' OfficeMr. Anthony Love, President & CEO, Coalition for the Homeless of Houston/Harris
County, Inc.Dr. Curtis Mooney, President & CEO, DePelchin Children's CenterDr. Lois Moore, Chief Administrator, Harris County Psychiatric CenterDr. William Schnapp, Associate Professor, UT Mental Science InstituteDr. Steven Schnee, Executive Director, MHMRAMs. Betsy Schwartz, Executive Director, MHAMr. Mel Taylor, President & CEO, The Council on Alcohol and Drugs - HoustonMr. Stephen L. Williams, Director, Houston Department of Health and Human Services
What is Appreciative Inquiry
Appreciative Inquiry is search for the best in people organizations,
and relevant world around them. systematic discovery of what gives “life” to a
living system when it is most effective involves the art and practice of asking
questions that strengthen a system’s capacity to apprehend and anticipate potential.
What makes AI work:
Assembling the right stakeholders for an extended time period;
Asking positive questions the focus on strengths of the current and past and dream for the future;
Building consensus throughout the process;
Turning Goals into Action Plan
Moving Forward: World Class Behavioral Healthcare in Harris County
enhancing consumer-focused care; optimizing service integration; forging collaborative partnerships.
Behavioral Healthcare Summit Stakeholders Included
Judges and Law Enforcement School Superintendents and Teachers Mental Health & Substance Abuse Consumers and
Families Hospital and Service Providers: Administrators and
Frontline Staff Physicians, MH professionals Private Foundation Leaders Elected Officials and Staff Clergy and Zip Code Ministries Neighborhood Clinic Staff
Outcome of Summit: Ten Goals
Pooled/Integrated Funds Outcome Based
Services Timely, Seamless,
Integrated Services & Eligibility
Universal Medical Records & Internet Resource Database
Neighborhood Based Service Delivery
Co-location of Behavioral & Physical Healthcare
Prevention & Early Intervention
Community Education Public Policy: Parity &
Funding for Public Services
Summit Evaluation
Please describe what you liked best about the Summit:
2%12%
18%
2%66%
commitment
positive nature
process
ten groups
variety of people
Integrated/Pooled Funds
We have created a pool of coordinated and/or integrated funds that provide fair and equitable distribution of health, mental health, and substance abuse services for Greater Houston.
Sources include: public, private, business, faith-based and other funds. The pool is based on a complete and on-going inventory of needs and resources.
Outcome Based Services
Outcomes relate to program development, continuous quality improvement and current evidenced-based practice.
Measurements include program volume, utilization, and clinical outcomes that are risk and severity adjusted.
Outcomes improve as a result of RFP usage and subsequent competition.
Timely, Seamless, Integrated Services and Eligibility
Response is timely & culturally competent & addresses consumer holistic needs.
System provides easy access, reduces duplication & expedites intervention.
Collaborative model based on integrated funding, accountability, and accessibility.
Universal Medical Records & Internet Resource Database
Based upon a comprehensive, holistic, free database of medical records and community resources.
Internet access database matching consumer needs with resource availability.
Public Policy: Parity and Public Funding
Public policy addresses local, state, and federal issues;
Ensures equal insurance coverage between health and mental health/substance abuse treatment;
Guarantees services are available and affordable to all residents.
Launch a public education campaign to create public policy agenda.
Neighborhood Based Services
More people are accessing and benefiting from services that are readily available in the homes, schools, faith-based organizations and neighborhood centers.
Communities have input into service provisions.
Co-Location of Behavioral & Physical Healthcare
Fully integrated medical & behavioral model that is a series of sites where prevention, assessment, treatment, medication, and referrals are available within 30 minutes of travel.
Safe and attractive system IT systems for information and referrals.
Community based model features multiple shared training opportunities.
Prevention & Early Intervention
We have a prevention-based delivery model.
By education and support, we put children first.
Behavioral health is integrated into primary care.
Prevention and appropriate intervention occurs at all stages of human development.
Community Education
All residents understand mental illness and substance abuse as treatable;
Family and consumer support are provided;
Community is empowered to seek services without stigma;
Early intervention is embraced.