2015 Fall Conference AgendaOctober 25, 2015

1:30pm MACMHB 9 Hole Golf Scramble - 1:30pm (shot-gun start)- Wolverine Golf Course, Grand Traverse Resort - $35 per person (9 holes and a cart)- Call 800-748-0303 ext. 6470 for tee times to reserve your spot. (No shows will be billed.)

4:00pm – 6:00pm Earlybird Registration for MACMHB Fall Conference4:00am – 6:00pm The Traveling Art Show

The art show was developed as part of an anti-stigma campaign to help de-stigmatize mental illness, developmental disabilities and addictive disorders by showcasing the multidimensionality of the artists and to highlight the recovery potential of art. Since its first appearance at MACMHB’s 2007 Fall Conference, the Traveling Art Show has been making appearances all across the State of Michigan. The last day you can place your bid on the art show is Monday at 5:00pm. Lucky winners will be announced Tuesday morning.

6:00pm MACMHB Members: Executive Board Meeting

7:15pm – 9:15pm Retirement Reception: Join us for a casual farewell reception for Michael Vizena, former Executive Director, MACMHB- 17th Floor of the Grand Traverse Resort

Fall Conference Goals and Objectives: Learning objectives for each educational activity are identified within the body of the brochure. The following overarching goals have been established for this conference: To address the impact of current local, state and federal policy and planning issues related to healthcare reform including a focus on local

initiatives being used to assist people with enrollment in the Healthcare Exchange and Healthy Michigan programs. To provide examples of local pathways to implementing improved healthcare outcomes through such as: local initiatives/arrangements

between CMHs, PIHPs, provider organizations and physical healthcare providers such as FQHCs/Rural Health Centers/Hospitals/Medicaid health plans/Primary care physicians.

To have increased understanding of the ways in which continuous quality improvement in evidence-based, best and promising practices can improve outcomes and performance measures.

To increase participants’ awareness, knowledge, and skills, related to mental illness, developmental disability and substance use disorders. To focus on trauma informed care for all populations.

Continuing Education Credits: Social Workers: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 11/10/13-11/10/16. Social workers should contact their regulatory board to determine course approval. Social Workers participating in the full conference (10/26/15-10/27/15) may receive a maximum of 8 clock hours. Course Delivery Method: Conference.Substance Abuse Professionals: MACMHB is approved by Michigan Certification Board for Addiction Professionals (MCBAP). MACMHB maintains the responsibility for the program & content. Substance Abuse Professionals participating in the full conference (10/26/15-10/27/15) may receive a maximum of 8.5 Specific contact hours or 7 General contact hours.Certificate Awarded: At the conclusion of this conference, turn in your Verification of Attendance form to the MACMHB Staff to be approved. You will turn in the top sheet & retain the bottom sheet which serves as your certificate of participation. No other certificate will be given.Who Should Attend: We bring together board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors from Michigan CMHSPs and Provider Agencies. This educational opportunity is intended for publicly & privately funded providers at all levels of practice (beginning, intermediate &/or advanced).Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at 517-374-6848 or through our webpage at www.macmhb.org for resolution.

October 26, 20157:15am – 5:15pm Conference Registration and Exhibits Open7:15am – 5:00pm The Traveling Art Show

The art show was developed as part of an anti-stigma campaign to help de-stigmatize mental illness, developmental disabilities and addictive disorders by showcasing the multidimensionality of the artists and to highlight the recovery potential of art. Since its first appearance at MACMHB’s 2007 Fall Conference, the Traveling Art Show has been making appearances all across the State of Michigan. The last showing will be today until 5:00pm. Today is the last day you can place your bid on the art show pieces. Lucky winners will be announced tomorrow morning.

7:15am – 8:15am Breakfast Activities (full breakfast buffet will be served until 8:15am)Regional Breakfast Meetings Provider Alliance Breakfast MeetingNon-Member and Staff Networking Breakfast

8:25am – 8:45am Conference Welcome

David LaLumia Outstanding Professional Service Award: Michael Vizena, Former Executive Director, Michigan Association of CMH Boards

8:45am – 9:45am Plenary Session: State Legislative Panel - Key Policy Issues Facing Michigan Does NOT Qualify for CEUs Tim Skubick, Senior Capitol Correspondent, WKAR’s “Off the Record” Senator Curtis Hertel Jr. (D–Meridian Twp), Minority Vice Chair, Senate Health Policy Committee Senator Jim Marleau (R–Lake Orion), Chairman, Senate Appropriations Subcommittee on Health &

Human Services Representative Rob VerHeulen (R–Walker), Chairman, House Appropriations Subcommittee on

Health & Human ServicesA great opportunity to hear directly from state lawmakers on the key policy issues facing the State of Michigan. Where does Michigan stand on implementation of Medicaid expansion? What are some of the legislative proposals that will impact the CMH system? What are the other hot button issues the Legislature will address in the upcoming year?

9:45am – 10:15am Exhibitor-Sponsored Refreshment BreakConcurrent Workshops

10:15am – 11:45am 1. Medication Assisted Treatment for Opioid Use Disorders: Guidelines, Implementation and Outcomes Qualifies for 1.5 CE hours for Social Workers and Specific for Substance Abuse Contact hours

Lisa Miller, State Opioid Treatment Authority/Recovery Oriented Systems of Care Specialist, MI Department of Health and Human Services, Office of Recovery Oriented Systems of Care

R. Corey Waller, MD, MS, Substance Use Disorder Medical Director, Lakeshore Regional Partners Mark A. Witte, MSW, LMSW, Director of Substance Abuse Services, Lakeshore Regional PartnersThis workshop will provide clinicians and administrators with the information necessary to successfully transition from current opioid use disorder treatment standards to the new guidelines supported by science. This information will lead clinicians and administrators through a process of understanding the need for new medication assisted treatment guidelines, priorities/highlights of the new guidelines, expectations for implementation of the new guidelines and outcome measures to be utilized in conjunction with services provided as part of the new guidelines. Participants will be able to: 1. Summarize the basic principles of contemporary medication assisted treatment for persons with opiate use disorders; 2. Describe the rationale for the development of new medication assisted opioid use disorder treatment guidelines; 3. Apply the new guidelines within their organizations, including the standards, pathways for medication and behavioral health therapies for opioid use disorders; 4. List appropriate outcome measures for medication assisted treatment of opioid use disorders; and 5. Identify the process for obtaining technical assistance during the implementation process for the new medication assisted treatment guidelines.

2. Rapid Cycle Innovation Incubator & Demonstration Project Discussion Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

David L. Beck, EdD, LPC, Chief Executive Officer, AuSable Valley CMH Authority Sydney Larsen, MA, LPC, CADC, Program Director for Adult Intensive Services, AuSable Valley CMH

AuthorityMichigan’s behavioral health service providers have continuously been on the cutting edge of innovation. Implementing innovative practices has made Michigan a leader in the behavioral health field. It is through a continued commitment to innovation that consumers will have the opportunity to benefit from the best treatments in support of their recovery. With the current emphasis in Michigan on achieving meaningful levels of integrated care, it is more important now than ever that providers develop methods that produce better care and better health outcomes, all at a better cost. The Rapid Cycle Innovation Incubator affords rural providers the opportunity to design, develop and demonstrate alternative treatment approaches that offer the potential to better meet the needs of consumers while simultaneously addressing the evolving demands of the integrated care landscape. The session provides an opportunity for participants to learn more about the Rapid Cycle Innovation Incubator and learn of one potential demonstration project being considered by MDHHS. The demonstration treatment model presentation will focus on: 1. The treatment need being addressed by the model; 2. The features of the program model to be implemented, 3. The outcomes measures and methods to be employed; and 4. The cost benefit to be realized. Participants will be able to:1. Understand the role of innovation in meeting Triple Aim objectives; 2. Compare alternative treatment methods to achieve similar or enhanced clinical outcomes; 3. Examine the potential cost benefits related to alternative treatment methods serving the same clinical population; and 4. Discuss how innovation may produce better population health outcomes for those with multiple chronic conditions.3. The New FOIA Requirements

Does NOT Qualify for CEUs David G. Stoker, JD, Partner, Cohl, Stoker & Toskey, PCThis workshop will focus on discussion of the recent amendments to the Freedom of Information Act in Michigan adopted by the Michigan legislature and now in effect. Significant changes relate to fees charged by public bodies for public records; new requirements for receipt, processing, and denial of requests; and changes in the appeal process. These new requirements now also require established written policies and a policy summary, and a standard detailed itemized fee form. The workshop will include sample potential forms and policies to meet these requirements.4. Boardworks Pilot: Children’s Services

Qualifies for 1.5 CE hours for Social Workers Kim Batsche-McKenzie, LMSW, Manager, Programs for Children with Serious Emotional Disturbance,

Division of Services to Children and Families, MI Department of Health and Human Services Constance Conklin, LMSW, Executive Director, Livingston County CMH Amy Shears, Statewide Parent Support Partner Coordinator, Association for Children's Mental HealthThis presentation will provide an introduction to Children and Families Services provided by the CMH system. This presentation will cover the following areas: a. the key issues and requirements of children and family services that should be provided across the state; b. population served: Children with serious emotional disturbance and intellectual/developmental disabilities; c. System of Care framework; d. how to access services; e. service array; f. funding for services; g. current advocacy and policy issues; and h. outcomes and evaluation. A question and answer session will also be incorporated into the workshop. Participants will be able to: 1. Identify at least three key issues regarding children’s mental health; 2. Develop an understanding of the array of services offered to children and families through the CMH system; and 3. Learn at least three key statistics and outcome areas regarding children’s mental health.

5. Strategies and Therapeutic Techniques to Help Women Successfully Heal from Trauma Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

Tracy Purnell, MA, LPC, NCC, BA, Executive Director of Quality and Compliance, Team Wellness Center Arnise Parker-Walker, BA, MA, LPC, Clinical Therapist, Joyce Alexander & AssociatesWhile current research and clinical experience indicate a high incidence of traumatic events in women’s lives, clinicians often struggle with providing effective treatment. This workshop is based on current research that indicates 5 out of 10 women experience a traumatic event and the presenter’s years of professional caregiving with working with women with a history of traumatic experiences. The skills and principles of this workshop are derived from empirical work and clinical practice of J. Eric Gentry, PhD, an internationally recognized leader in the field of traumatology. The workshop includes interactive exercises that demonstrate techniques that clinicians can use to help clients develop coping skills, as well as emotional wellness. In addition, the presenters will discuss the characteristics and tasks they found necessary to help individuals heal and live fulfilling lives. Participants will be able to: 1. Examine what makes trauma traumatic in women; 2. Define specific therapeutic techniques and skills to treat trauma symptoms; and 3. Demonstrate and practice skills and techniques to help women heal. 6. The Role of Board Members in the Rights Protection Process

Qualifies for 1.5 CE hours for Social Workers Andrew Silver, BA, Director of Education and Training, Office of Recipient Rights, MI Department of

Health and Human ServicesThis workshop will cover the role of the CMHSP Board as it relates to the Rights Protection Process. Attendees will learn how the Board relates to the Recipient Rights Advisory Committee, to the selection of the Recipient Rights Director and its role in the Recipient Rights Appeals Committee. The session will review the rights of recipients as enumerated in the Mental Health Code, discuss the role of rights in the protection of consumers, training requirements for agency staff, confidentiality issues, the Recipient Rights Annual Report and how the Board can use this tool for process improvement. Participants will be able to: 1. Understand their role as Board Members in the Rights Complaint Process; 2. Identify at least 2 factors that explain the relationship of the Board to the Recipient Rights Advisory Committee; and 3. Participate in and react proactively to the review of the Annual Recipient Rights Report.7. Medicaid ASD Expansion Discussion: Closed Meeting for PIHP and CMH Autism Coordinators

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Brie Elssasser, MSEd, BCBA, Autism Behavioral and Transition Specialist, MI Department of Health and

Human Services, MI Department of Health and Human Services Lisa Grost, MHSA, PAPHS, Autism Administrator, MI Department of Health and Human Services Morgan VanDenBerg, MA, BCBA, Autism Behavioral Specialist, MI Department of Health and Human

ServicesThe agenda will highlight MDHHS expansion updates, communication with providers, utilization management, coordination, and work force capacity. Facilitators will walk through, step-by-step, the new state plan service for children with ASD under 21 from eligibility, including tools and qualified providers to ABA service delivery. Participants will be able to: 1. Describe two tools that will be utilized for determination of eligibility; 2. Identify three levels of qualified providers for behavioral health treatment (BHT) services including ABA; and 3. Discuss three key components of assessing medical necessity for BHT including ABA.8. Game Changing Legislations – People Can Work, Have Medicaid and Grow Resources and Assets

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Joe Longcor, BBA, Specialist, Supported Employment, Behavioral Health & Developmental Disabilities

Administration, MI Department of Health and Human ServicesThis interactive workshop will focus on both: Michigan Public Act 0518 amending the Michigan Freedom to Work/Medicaid Buy-in (FTW) that expands eligibility for FTW allowing more individuals the opportunity to have significant work, become or remain Medicaid eligible, and potentially not have a spend down (if eligible and remaining eligible), And the Federal ABLE Act allowing individuals to REMAIN Medicaid Eligible and save up to $14,000 a year - up to $100,000 total (in addition to their historical $2,000 asset/resource limit)Participants will be able to: 1. Identify persons eligible for both the newly amended Freedom to Work/Medicaid Buy-in (FTW) and the Achieving a Better Life Experience (ABLE) Act; 2. Recognize the significant role FTW may play in allowing working individuals to avoid spend down; and 3. Determine key questions to relate to asking to be in either FTW or to open an ABLE account.

11:45am – 12:30pm Networking Lunch - Co-sponsored by HomeLife, Inc.

Board Member Longevity Award Recognition

12:30pm – 1:30pm Plenary Session: Key Issues Update from MI Department of Health and Human Services Qualifies for 1 CE hour for Social Workers

Lynda Zeller, MA, Deputy Director, Behavioral Health and Developmental Disabilities, Administration, MI Department of Health and Human Services

Ms. Zeller will provide updates on key issues within the Department of Health and Human Services and the Behavioral Health and Developmental Disabilities Administration. She will provide updates on state and federal activities including selected MDHHS strategic priorities, the federal Excellence in Mental Health Act planning grant application, Home and Community-Based Services rule implementation, and other recovery oriented, integrated, and transformational efforts. Participants will be able to: 1. List at least two key goals DHHS BHDDA plans to achieve in the coming year; and 2. Restate two or more projects driven by federal opportunity, law or rule.

1:30pm – 3:00pm Concurrent Workshops9. It's Time To Talk About Segregation

Does NOT Qualify for CEUs Annette Downey, BS, Executive Director, Community Living ServicesThe type of supports people are asking for is changing, and the funding and regulations for support arrangements are also changing. Now is the time for service providers to start adapting their service array to provide the supports that people want and need to achieve community based outcomes. "Getting great services" is obviously not the ultimate goal for people with disabilities. . . "GETTING A GREAT LIFE" is.10. The Standard Consent Form: The Statewide Effort to Improve the Sharing of Behavioral Health

Information Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

Leslie Asman, BA, JD, Medicaid Health Legal Specialist, Office of Legal Affairs and FOIA, MI Department of Health and Human Services

Phillip Kurdunowicz, BA, Health Information Analyst, Office of Health Policy and Innovation, MI Department of Health and Human Services

Carrie Waggoner, BA, JD, Privacy Specialist, Office of Legal Affairs and FOIA, MI Department of Health and Human Services

Information sharing is a crucial component of improving the coordination of services and supports for individuals with behavioral health needs. At the same time, sensitive health information such as substance use disorder records must be safeguarded in order to protect the privacy of individuals. In order to improve the sharing of behavioral health information while protecting the privacy of individuals, the Michigan Legislature passed Public Act 129 of 2014: this law authorizes the Michigan Department of Health and Human Services to develop and implement a Standard Consent Form for behavioral health information. The Department published the first version of the form on January 1, 2015. During the presentation, the Department will provide an overview of the form and implementation process and identify ways that the form can be used to improve information sharing and care coordination. Participants will be able to:1. Summarize the main laws and regulations that affect the sharing of behavioral health information in Michigan; 2. Understand the purpose and history behind the effort to develop a statewide Standard Consent Form; and 3. Identify ways that the Standard Consent Form and associated educational documents could be used to facilitate the consent process and information sharing.11. The ART of Impact: Self Advocacy for People with Disabilities

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Donna Meltzer, BS, Chief Executive Officer, National Association of Councils on Developmental

Disabilities Dan Ohler, MA, Vice President, State Government Programs, OPTUMPeople with intellectual and/or other developmental disabilities are frequently seen as powerless members of our society. While the self-advocacy movement for people with disabilities can be traced back the civil rights movement of the 60s, in many respects it is still in its infancy. But the power of self-advocacy is growing, especially given the passage of ‘Rosa’s Law’, signed by President Obama that saw a self-advocate lead the way to removal of the ‘R’ word from federal statute. The National Association of Councils on Developmental Disabilities has taken a leadership role in self-advocacy through creation of a Self-Advocate Leadership Circle in 2014 and in 2015, in partnership with OPTUM, the creation of a self-advocate E-book. Join us in this session to learn about these exciting new developments in self-advocacy. Participants will be able to: 1. Have an understanding of the history of self-advocacy in the United States; 2. Gain an appreciation of the importance of self-advocacy; and 3. Develop an awareness of new tools available to advance self-advocacy.12. Medicaid Spend Down/Deductible

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Deb Hemgesberg, LMSW, Certified Benefits Counselor, Project Manager in Service to People with DD

Diagnoses, Northeast Michigan CMH AuthorityDeb will discuss a disturbing trend that is happening in the northern part of Michigan (which has a relatively small population), that is very likely taking place all over Michigan in areas where the population is larger. We

know that CMH boards can’t serve people without Medicaid on a long term basis. This has grave consequences for our elders who may or may not have family support available to look out and advocate for them when the system fails them. People with intellectual/developmental disabilities are being incorrectly placed into spenddown/deductible Medicaid programs when a parent dies, instead of being correctly placed into a Disabled Adult Child category of Medicaid. We will discuss trends, possible fixes in the works and solutions that we have accessed. The presenter will also update us on Freedom to Work policy changes. Participants will be able to: 1. Identify the process with how people may be put into spend down/deductible situation; 2. Identify concrete steps to resolving erroneous spend down/deductible classification; 3. Realize the importance to proactively researching in our own boards/regions how this is impacting the service for an aging population with DD; and 4. Understand the new FTW-Policy changes and how to access this MA program.13. Paradigm Shift from Medication Assisted Treatment to Medication Assisted Recovery

Qualifies for 1.5 CE hours for Social Workers and Specific for Substance Abuse Contact hours Katherine Blakley, ABD, MA, MBA, CADC-M, CCS-M, CPS-M, President, Laying the Foundation Training

InstituteThe role of the addiction counselor is not limited to therapeutic interventions but includes instruction. Clinicians shift to learning theory after CBT will improve outcomes. Bloom’s Taxonomy and the gradual release of responsibility model that includes collaborative learning with peers can be applied to medication assisted programs and behavioral health care organizations to improve outcomes. Participants will be able to: 1. Distinguish between medication assisted treatment and medication assisted recovery; 2. Learn why learning theory is essential to improving treatment and recovery; and 3. Learn how the application of learning theory will improve treatment and recovery outcomes.14. Boardworks 2.0 Foundations: Public Policy

Does NOT Qualify for CEUs Nick Lawson, Board Member, Gratiot County CMH Services Michael Vizena, Former CEO, Michigan Association of CMH BoardsIn this workshop you will explore the historical origins (particularly related to Michigan), contemporary perspective and the probable future of the public policy driven community system. Participants will be able to: 1. Identify at least 3 key events in the evolution of the Michigan Mental Health Code and federal statutes; 2. List a minimum of 2 key areas of the consumer movement; 3. Name at least 2 key areas of the community system; and 4. Recall at least 2 current and near future critical public policy expectations.15. Michigan Autism Spectrum Disorder Program Update

Qualifies for 1.5 CE hours for Social Workers Brie Elsasser, MSEd, BCBA, Autism Behavioral and Transition Specialist, MI Department of Health and

Human Services Lisa Grost, MHSA, PAPHS, Autism Administrator, MI Department of Health and Human Services Morgan VanDenBerg, MA, BCBA, Autism Behavioral Specialist, MI Department of Health and Human

ServicesThe growing prevalence of individuals with Autism Spectrum Disorder (ASD) has increased the demand for effective supports, resources, and services to address each child’s individual needs in the public Community Mental Health system. There are a wide range of challenges for children and adolescents with autism and their families, including transportation, peer relationships, behavioral and language barriers, and inclusion throughout their community and educational systems. Michigan continues to strive to be a leader in opportunities, services, and supports for individuals with Autism Spectrum Disorder. The presenters will emphasize the importance of system collaboration and coordination and provide updates on provider capacity for Behavioral Health Treatment, including ABA in the Medicaid system. Participants will be able to: 1. Identify three current Medicaid and MIChild services in Michigan for individuals with developmental disabilities, including Autism Spectrum Disorder (ASD); 2. List two initiatives in Michigan to increase access to early intervention and evidence based supports for children with DD and ASD; and 3. Describe two ASD supports and family resources available in Michigan across service systems and potential points of collaboration.16. Youth Peer Support: Ready, Go, Set…Coming to a Community Near You!

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Kim Batsche-McKenzie, LMSW, Manager of Programs for Children with Serious Emotional Disturbance,

MI Department of Health and Human Services,Division of Mental Health Services to Children and Families

Kristina Dristy, Youth Peer Support Statewide Coordinator, Association for Children’s Mental Health Sara Reynolds, Youth Peer Support Lead Trainer, Association for Children’s Mental HealthYouth Peer Support is a NEW Medicaid service designed to support youth involved in the PIHP/CMHSP system with a serious emotional disturbance. The goals of Youth Peer Support include supporting youth empowerment, assisting youth in developing skills to improve their overall functioning and quality of life, and working collaboratively with others involved in delivering the youth’s care. Youth Peer Support Services are provided by trained youth peer support specialists, one-on-one or in a group, for youth with serious emotional disturbance who are resolving conflicts, enhancing skills to improve their overall functioning, integrating with community, school and family and/or transitioning into adulthood. Youth Peer Support Specialists must have lived experience navigating behavioral health systems and must participate in and complete the approved

MDHHS training curriculum. MDHHS is kicking off the initial training for the Youth Peer Support Service in November 2015. Organizational and Agency readiness for this service will be reviewed during the presentation. Participants will be able to: 1. Identify the Youth Peer Support Medicaid Service; 2. Define the role of the Youth Peer Support Specialist; 3. Identify about the hiring and training process for this new service; and 4. Learn about other peer related Medicaid services in Michigan.

3:00pm – 3:30pm Exhibitor Refreshment Break3:30pm – 5:00pm Concurrent Workshops

17. Update on Implementing the Home and Community-Based Services Rule in Michigan Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

Belinda Hawks, BS, MPA, Manager, Federal Compliance, Behavioral Health and Developmental Disabilities Administration, MI Department of Health and Human Services

Phillip Kurdunowicz, BA, Health Information Analyst, Office of Health Policy and Innovation, MI Department of Health and Human Services

In 2014, the Centers for Medicare and Medicaid Services promulgated a new rule regarding Home and Community-Based Services within Medicaid Waiver programs. The new rule requires residential and non-residential settings to meet a set of characteristics in order to be considered home and community-based under a Medicaid waiver. The Michigan Department of Health and Human Services is currently implementing a statewide transition plan for bringing all waiver settings in Michigan into compliance with the rule. The Department would like to provide an update to stakeholders on this process and identify opportunities and strategies for achieving compliance with this rule. Participants will be able to: 1. Understand where the Michigan Department of Health and Human Services is currently in the implementation process for the Home and Community-Based Services rule; 2. Use the knowledge gained from this session to understand how and when their organizations or agencies will be affected by this rule; and 3. Discuss opportunities and strategies for coming into compliance with the rule and improving the delivery of home and community-based services in residential and non-residential settings.18. Innovative Programs for ASD Professionals

Qualifies for 1.5 CE hours for Social Workers Krista M. Clancy, MS, LLP, BCBA, Director of Behavioral Services, University Pediatricians Autism

Center Nicole Dwyer, MA, LPC, Autism Spectrum Disorder Program Specialist, Detroit Wayne Mental Health

AuthorityThe ABA benefit for ASD has numerous implications for training staff and community members. Due to the current deficit of trained providers in relation to both diagnosing and treating those with ASD in the state of Michigan, developing a workforce of qualified staff is challenging, and ABA providers have to be creative in how to best utilize a limited number of staff with the expertise to provide quality training opportunities. This presentation will discuss training programs used to address this issue. We will focus on each staffing level within the ASD benefit as well as a project geared at practice improvement that has been put into place to increase capacity. We will also discuss the impact these trainings have had on the community and what still needs to be done to meet the needs of the population we serve. Participants will be able to: 1. Identify three training programs developed to address ASD workforce capacity; 2. List two initiatives geared to improve staff training practices for ASD professionals; and 3. Describe two outcomes from these trainings and the impact for Detroit Wayne Mental Health Authority ASD community.

19. Six Key Elements for Reducing Restrictive Strategies for Those with Complex Needs Qualifies for 1.5 CE hours for Social Workers

Kym Juntti, BBL, Director, Center for Positive Living Supports, Macomb Oakland Regional Center, Inc.Supporting individuals with complex emotional needs and the care givers that support them can be expensive and often time’s strategies are ineffective in brining long term success. By examining factors that affect the formation of positive relationships we can build a foundation of support for those we serve and those who serve. We will examine common barriers to achieving long term success and 6 Key Elements in creating supports that reduce costs and increase positive outcomes.20. CareConnect360 Overview and Training

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Beth Friar, BS, MA, Training Developer, Optum Jim McEvoy, BS, Web Development Team Lead, OptumThe CareConnect360 tool has been enhanced recently to better achieve Integrated Care objectives. CareConnect360 provides actionable consumer-level information for case managers, nurses and physicians, and population health information for CMH/PIHP admin staff. On a consumer level you can view ER visits and inpatient stays, as well as recently filled prescriptions. CMH and PIHP quality management and utilization review staff can use the tool to quickly see lists of high ED utilizers, consumers with 3+ chronic conditions, and recently deceased consumers. Do you have questions on how this tool can assist you in delivering Integrated Care to your consumers? Are you interested in learning more about how this tool will be changing in the coming months? Come to this presentation, get trained, give us your feedback for improving this tool. Participants will be able to: 1. Deliver Integrated Care through utilization of the CareConnect360 tool; 2. Improve the ability to coordinate care for high risk consumers/patients through utilization of the tool; and 3. Recall and use the new features available in CareConnect360.21. How Can I Help My Customers With The Social Security Disability Case?

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Brice Edmonds, Professional Relations Officer, Social Security AdministrationYou will grasp a better understanding of the Social Security Disability application process and what personal information SSA will need. You will learn how you can assist your customers with the completion of all the important paperwork needed. You will learn how to access and use the Social Security Disability (BLUE) book. Participants will be able to: 1. Explain the Social Security Disability Insurance (SSDI) and the Supplemental Security Income (SSI) programs; 2. Understand the disability definition, filling date, onset date, and substantial gainful activity (SGA); and 3. Assist your customers through the disability process which includes completing all the forms sent to them and if needed, attending any ordered Consultative Evaluations.22. Early Intervention for First Episode Psychosis: Applying Research to Clinical Practice

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Angela L Pinheiro, MD, JD, Medical Director, Community Mental Health for Central MichiganEarly Intervention for First Episode Psychosis (FEP) has been a prominent focus of recent NIMH research. The RAISE (Recovery After Initial Schizophrenia Episode) trial showed significant benefits to those participating in the two year early intervention program. Consumers were much more apt to remain on medications, to return to school or work and to have a better quality of life than those who received treatment as usual. Long term results of such interventions, however, are not as clear. This presentation will discuss the current status of the field and identify the essential components necessary to start an Early Intervention program in a CMH setting. Possible models will be explored. Cost and funding issues will also be discussed. Participants will be able to: 1.Critically examine the research on Early Intervention, recognizing the benefits as well as the limitations of such intervention; 2. Understand the impact of pathways to care and the importance of reducing the duration of untreated psychosis; 3. Identify the required components of a successful First Episode Clinic; and 4. Explore cost variables and possible funding models.23. Supporting Parents Individual Needs (SPIN) Cross-Systems Collaboration

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Linda Cobb McClain, PhD, LMSW, Life Choices Director, Neighborhood Services Organization Jessica Holmes, LMSW, Children’s Service Supervisor, Neighborhood Services OrganizationOur Ways SPIN (Supporting Parents Individualized Needs) program coordinates parenting skills services with other providers such as foster care, family preservation, Infant Mental Health, or Head Start programs when working with a parent that has intellectual/developmental disabilities. As professionals we need to maximize resources to increase supports for parents with Intellectual Disabilities, thus creating more comprehensive service plans and delivery of these services. As professionals we can improve the outcomes for children with a parent who is intellectually/developmentally challenged and ensure that services are not duplicated. Participants will be able to: 1. Identify two strategic collaborative methods professionals can execute when working with parents that have an Intellectual Disability (ID); 2. Learn how to support parents with ID with multiple providers in the home; and 3. Understand how to best support families with ID to maximize services and enhance healthy, happy homes.

October 27, 20157:30am – 12:00pm Conference Registration and Exhibits Open

7:30am – 9:00am Group Breakfast

Member Assembly Meeting (everyone is invited to attend)

Boardworks Certification Recognition

Hal Madden Outstanding Service Award: Steffan Taub, Oakland County CMH Authority9:00am – 10:00am Plenary Session: “Unstoppable: Change Your Thoughts, Change Your Life”

Qualifies for 1 CE Related for Substance Abuse Contact hour Stuart Ellis-Myers, President, Uniquely Speaking, Inc.

What would you do if, out of the blue, your life turned upside down? What if you went from being a happy, healthy, normal child and suddenly became an anxious, depressed, twitchy mess of devastating proportion? This is exactly what happened to Stuart Ellis-Myers. At the age of eight, Stuart began to develop one of the most misunderstood mental illnesses of our time . . . Tourette’s Syndrome. Faced with the prospect of a lifetime of frustration, isolation, and shame – the typical reaction to this condition – Stuart instead chose to make his life into something remarkable. One of the most gifted and inspiring public speakers, Stuart has used the life lessons learned through years of battling this often emotionally crippling disorder to help countless others overcome their own challenges and fears. His insight and humanity have enabled him to share his own, often painful, experiences in such a way as to offer a real, usable, methodology for overcoming the many pitfalls of modern life. The countless physical and psychological manifestations of the high stress lives we all lead are made clearer to understand and easier to bear through his simple and effective system of positive change. It has worked for him. It can work for you. Told with total candor and charming wit, this is a story of inspiration and achievement with which virtually anyone can identify with. It takes you from a damaged, dysfunctional childhood in Britain, to a forced fantasy of a life in Vancouver; from the brutal bullying of his youth, to the betrayal and abandonment on the part of his first wife; from the day he finally learned that his “problem” had a name, to the night he stood on his balcony inches from stepping off into the seductive oblivion of suicide; Stuart holds nothing back. This is the story of a man who refused to accept other people’s “truths”. It is the story of a man who chose to, not only survive but become UNSTOPPABLE. So, if Stuart can overcome the ravages of Tourette’s Syndrome, and all of the disabling mental conditions that so often accompany it, and become remarkably successful in both his keynote speaker career and his personal life . . . what is holding any of us back from achieving our dreams?

10:00am – 10:30am Exhibitor-Sponsored Refreshment Break

10:30am – 12:00pm Concurrent Workshops24. What’s Going On In Lansing – Legislative Update

Does NOT Qualify for CEUs Alan Bolter, Associate Director, Michigan Association of CMH BoardsHear the latest goings on in the Michigan Legislature. What impact will the FY17 budget have on the public funded mental health system and what are the legislative priorities moving through the House and Senate? This workshop will provide an update on the latest legislation impacting the CMH system as well as reviewing the potential impacts on the FY17 DHHS budget and what to expect the rest of the year.25. Children’s Behavioral Action Team (CBAT): Developing Successful Community-Based Services

with Complex Children & Adolescents for Transition from Hospital to Community Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

Kim Batsche-McKenzie, LMSW, Manager of Programs for Children with Serious Emotional Disturbance, MI Department of Health and Human Services, Division of Mental Health Services to Children and Families

Kimberly Hinton, LMSW, ACSW, Assistant Director, Children’s Behavioral Health, The Guidance Center Dr. George Mellos, Director, Hawthorn Center Tracy Wyman, LMSW, Director, Children & Youth Services, The Guidance CenterThe Guidance Center has been selected by the Michigan Department of Health and Human Services (MDHHS) as the recipient of a grant to create and implement a Children's Behavioral Action Team (CBAT). The CBAT is responsible for developing successful community-based services and treatment which will allow children/youth in residential placements to return home to their families, or to the most family-like setting. The target population of the CBAT project includes 25 children/youth ages 5 to 18 that reside in the State of Michigan. These youth reside in Hawthorn Center and present with any and/or all of the following challenges: multiple hospitalizations and failed community placements; extensive trauma histories; Fetal Alcohol Spectrum Disorder; Serious Emotional Disturbance (SED); Primary SED with Secondary Intellectual/Developmental Disabilities; as well as other behavioral and physical health needs. CBAT works in conjunction with a state-level CBAT Leadership Team, Hawthorn Center administration and staff, multiple

community providers (Prepaid Inpatient Health Plans [PIHPs]/Community Mental Health Services Programs [CMHSPs], Department of Human Services, schools, courts, primary care and other physical health providers, etc.) as well as families/guardians and the children/youth themselves to create unique, individualized community living arrangements and plans for treatment, supports and services to successfully maintain these youth in the community. Participants will be able to: 1. Recognize the need for complex aftercare of high end hospital users; 2. Discuss the importance of discharge planning and multi-system collaboration; and 3. Illustrate how CBAT addresses ecological barriers that impact successful transitions back into the community.26. Understanding the Alphabet Soup of Medicare Value-Based Incentive Programs

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Cindy Buege, BS, Technology Project Manager, Michigan Public Health InstituteCould your organization cope with a 9% decrease in your Medicare payments? That is the potential reality for many CMHs as a result of the Medicare Access and CHIP Reauthorization Act (MACRA) signed on April 16th of this year. CMHs can no longer afford to hide their heads in the sand and hope that the transition from a fee-for-service payment system to a value-based payment system won’t have an effect on their organizations. This presentation will provide an overview of the various incentive programs including PQRS, VBPM, MU, MIPS and APMs and examine the potential financial impact to your organization’s revenue cycle. The presenter will discuss four necessary steps in preparing for value-based payment systems as Medicare expects 90% of all payments to be tied to quality by 2018 and by 2020 75% of commercial plans will be based on some form of value based reimbursement. Participants will be able to: 1. Explain the four major Medicare value-based incentive programs and be able to describe the timeline of payment adjustments or incentive payments; 2. Identify the impact of the Medicare value-based incentive systems on their organization’s revenue cycle; 3. Describe the eligible providers within their organization for the various programs; and 4. List planning goals to prepare for the Medicare value-based programs.27. An Update on Research Data Collected in Michigan CMHs: 24-Month Patient Outcomes and

Preliminary Data on Two Implementation Projects Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours

Julia Kyle, LMSW, Clinical and Training Supervisor, University of Michigan, Department of Psychiatry Celeste Liebrecht, University of Michigan, Department of PsychiatryThe Recovery-Oriented Collaborative Care (ROCC) study is a randomized controlled implementation study that compared the effectiveness of two implementation strategies designed to improve the uptake of a collaborative care model for bipolar disorder in community-based clinics. 384 individuals were enrolled from CMH and safety-net primary care clinics in Michigan and Colorado. Individuals enrolled at sites receiving a more intensive implementation strategy have higher physical health-related quality of life and were more likely to have depression remission at 12-months. At 24-months, these differences between sites were no longer significant. Fidelity to the intervention remained significant between the two implementation strategies. The Adaptive Implementation of Effective Programs Trial (ADEPT) is a quality improvement implementation project that has begun in Michigan and Colorado community-based clinics to further study implementation strategies. Information regarding project design, enrollment, and early organizational data on this project will be presented. Participants will be able to: 1. Define implementation research and understand its implications in CMH; 2. Summarize two implementation strategies that can be used to disseminate evidence-based practice into CMH; and 3. Interpret how data collected by researchers can be used to inform clinical practice.28. Expanding State and Local Partnerships to Improve Mental Health Support for Kids

Qualifies for 1.5 CE hours for Social Workers and Related for Substance Abuse Contact hours Shawn Cannarile, Med, SSHS State Coordinator, MI Department of Education Lisa Coney, Project Manager, Saginaw Public Schools Shad Fish, Project Manager, Houghton Lake Community Schools Elizabeth Newell, EdS, LPC, CTS, SSHS & Project Aware Mental Health Coordinator, MI Department of

Health and Human Services Linda Schneider, MSA, Director of Clinical Services, Saginaw County Community Mental Health Authority Deborah Swan, Project Manager, EAA/Detroit Melissa Trout, LMSW, Child and Family Supervisor, Northern Lakes CMH Authority Crystal Palmer, LMSW, Director, Children's Initiatives, Detroit Wayne Mental Health AuthorityThe Safe Schools / Healthy Students (SS/HS) initiative serves to expand the partnership at the state level between The Michigan Department of Education (MDE), The Michigan Department of Health and Human Services (DHHS), local school districts and community mental health departments at the local level; to increase access to and create and sustain a local and state partnership infrastructure that promotes and supports social/emotional and physical well-being, and strengthens academic potential for all children in Michigan, from birth to 18. Participants will be able to: 1. Explain the scope of school based mental health services within the school setting; 2. Define the term community based “referral” utilized within the three pilot Safe Schools / Healthy Students (SS/HS) districts; and 3. Recognize Evidence Based Interventions and Best Practices that support behavioral health for children within the SS/HS districts.29. Innovative Local and National Efforts on Keeping Our Clients Alive: A How to on Integrating

Opioid Overdose Prevention Into Your Treatment Practice Qualifies for 1.5 CE hours for Social Workers and Specific for Substance Abuse Contact hours

Stephen Alsum, BS, Executive Director, The Grand Rapids Red Project

As mortality from overdose continues to increase both nationally and in the state of Michigan, innovative evidence-based strategies have been developed to address it, with limited implementation and access. Substance Abuse Mental Health Services Administration (SAMHSA) recently released an overdose toolkit and block grant funds can be used to support overdose prevention efforts in at risk populations. Recent legislative change in Michigan has made it easier than ever to provide effective overdose prevention programming and to equip clients, their friends and family members with the tools and information they need to stay alive. Overdose is a community health issue literally killing our clients and it is time for us to come together as a recovery community to address it. Participants will be able to: 1. Describe at risk populations for overdose and identify individual consumers at risk for overdose; 2. Identify core components of successful overdose prevention strategies aimed at reducing fatality in their client base; 3. Discuss key developments on a state and national level that support overdose prevention efforts; and 4. Define the steps needed to implement overdose prevention activities at their agency.30. Tourette’s Revealed!

Qualifies for 1.5 CE Related for Substance Abuse Contact hours Stuart Ellis-Myers, President, Uniquely Speaking, Inc.Stuart Ellis-Myers has lived with Tourette’s for over forty years. Who better than a guy who uncontrollably twitches, shrieks and grunts to give you a reality based understanding on this bizarre and commonly misunderstood rare neurological disorder. Although characterized by verbal and physical tics, newly diagnosed children and adults usually present with additional disorders such as ADHD, OCD, Bipolar, sleep/mood disorders and sensory integration disorders. The academic and social impact of TS will be discussed along with immediately usable insights and actions all proven to help people living with Tourette’s and those that support them.31. Boardworks 2.0 Foundations: Intended Beneficiary Command

Qualifies for 1.5 CE Related for Substance Abuse Contact hours Malkia Maisha Newman, Consumer Board Member, Oakland County CMH Authority; Member of

Community Network Services Anti-Stigma TeamIn this workshop you will focus on the public policy expectations of intended beneficiaries from the community system. Participants will be able to: 1. Describe the relationship between the Board and community and individual beneficiaries; 2. Identify at least 3 opportunities and/or strategies for promoting and supporting individual beneficiaries in leadership, administrative, management and in the provision of supports, services, care and treatment; 3. Identify at least 3 opportunities and/or strategies for promoting and supporting community and individual beneficiaries in community system assessment, evaluation, planning, implementation management, monitoring and improvement efforts; and 4. Identify at least 2 opportunities and/or strategies for promoting and supporting individual beneficiaries choice as an informed, responsible and prudent purchaser.

12:00pm – 2:00pm Networking Lunch- Co-Sponsored by Wellplace Michigan

Partners in Excellence Award: Greg Toutant, Great Lakes Recovery Systems

Plenary Session: “Integrating Care for Substance Use Disorders into Mainstream Medicine – Why and How?”

Qualifies for 1 CE hour for Social Workers and Specific for Substance Abuse Contact hour Thomas McLellan, PhD, Chairman of the Board, Treatment Research Institute

There are three good reasons to fully integrate substance use care into mainstream medicine: 1) to improve general medical care; 2) to save money; and 3) to end discrimination and resulting stigma. The larger question is how to accomplish this. What kind of motivation and incentives are needed to move policy-makers and practitioners to make the necessary changes? Some lessons from the United States experience will be used to illustrate major points. Integrating care for substance use disorders into mainstream medicine will improve general medical care and save money. Dr. McLellan will direct attention to the middle section of the pyramid where heavy drinking or use of other drugs produce drug x drug interactions, increased risk for breast cancer, prescription opioid overdose, and interference with commonly prescribed medications. In a primary care setting, roughly 20 percent of patients have significant substance use; in emergency rooms, the figure is 50 to 70 percent. A study of nine emergency rooms in Washington State compared patients who received a quick screening for alcohol and other substance use to patients who received the same screening plus a brief five-to-ten minute intervention. A year later, the study showed that the use of screening and brief intervention (SBI) saved the state an average of $4,000 per patient during the following year. Under the Affordable Care Act, the full spectrum of substance use disorder services will be covered. This includes prevention, brief intervention, medications, and specialty care. Coverage will be fully comparable to coverage for diabetes treatment. But there remains considerable resistance by doctors and insurance companies. Beyond the previously discussed benefits to mainstream healthcare from finally integrating substance use disorders – this will go a long way toward ending the outright segregation and discrimination with attendant loss of healthcare rights that is currently present. Dr. McLellan will discuss how contemporary treatment of diabetes might look if it had to be developed under the now 40 year old set of discriminatory and segregated financing and regulatory constraints that addiction has had to deal with.

2:00pm Conference Adjourns