Mental Health Transformation Working Group

1. Mental Health Transformation Working Group September 9, 2011

2. Agenda Overview • Welcome and Call to Order • Review and Approval of Minutes • TWG Agency Updates • Health and Behavioral Health Report Update • Adolescent Health Promotion • Consumer Voice Update • Break • Supported Housing Policy Academy • Returning Veterans and their Families • Sustainability Plans • Open Discussion • Public Comments

3. Welcome • Dr. David Lakey, DSHS • Call to Order • Opening Remarks • Review and Approval of Minutes

4. Agency Updates • Agency Representatives • TWG Agency Updates on Behavioral Health Initiatives

5. Health & Behavioral Health Report • Luanne Southern, DSHS, Ricky Garcia, HHSC • Integration of Health and Behavioral Health Services Workgroup, Report to the 81st Texas Legislature • www.hhsc.state.tx.us/reports/2010/IntegrationReport_73010.pdf

6. Report Recommendations I • Create a State Healthcare Integration Leadership Council. • Create and support a focus on healthcare integration in Texas. • Support local healthcare integration planning. • Address systemic barriers to healthcare integration. • Encourage adoption of confidential health information technology and information sharing.

7. Report Recommendations II • Develop systems for meaningful and functional outcome measurement and tracking. • Support routine health and behavioral health screening during patient assessments. • Develop policies to address training, continuing education and workforce needs. • Implement integration efforts as part of federal health reform requirements.

8. Adolescent Health Promotion • Rachel Samsel, DSHS

9. Partnership forTexas Youth Thriving by 25

10. What are my strengths? Where do I fit in? Am I normal? Am I loveable? Who am I?

11. Disrespectful Daydreamer Nothing but trouble Crazy Lazy Irresponsible Unmotivated Self-absorbed Unrealistic Angry Weird Hormonal Just a teenager

13. PROSPER Partnership PROmoting School-community-university Partnerships to Enhance Resilience The purpose is to cultivate community-based leadership for the widespread delivery of evidence-based prevention and youth development programs. Partners include Land Grant Universities, public education, health, and communities

14. Key Informant Interviews • TAMU Agrilife conducted interviews • Juvenile Justice • Health (mental health, substance abuse, adolescent health) • Education • Other prevention and youth development specialists

15. a consistent framework to address prevention was needed a common lens for understanding youth was necessary; and a need for convergence between state and local efforts to promote positive youth development was critical Key Findings

18. Between 2009 and 2011, Texas high school students report significant increases in herion, meth, ecstasy, steroids, prescription drugs, & IV drugs.   (YRBS, 2011) 52.1% of Texas high school students feel like they don’t matter to people in their community (YRBS, 2011) Suicidal ideation and suicide attempts among Texas high school students have significantly increased since 2009. (YRBS, 2011)

19. Vision Families and Communities are: Supportive Safe Strong Connected Caring Responsive Accessible… to young people Youth are: Healthy Happy Lawful Literate Competent Confident Connected Caring Policies and Programs are supportive of building: Character Competence Confidence Connections, and Caring… young people

20. Create a common positive youth lens Training Messaging Building the “Business Case” for young people

21. Disrespectful Daydreamer Nothing but trouble Crazy Lazy Irresponsible Unmotivated Self-absorbed Unrealistic Angry Weird Hormonal Just a teenager

22. Supported Connected to others A part of something bigger Creative Caring Competent Of Good Character Exploring responsible Talented Optimistic Confident Driven Hormonal Just a teenager A Successful Young person

23. Questions??? Rachel Samsel, MSSW State Adolescent Health Coordinator Dept. of State Health Services rachel.samsel@dshs.state.tx.us (512) 776-2133 www.dshs.state.tx.us/adolescent

24. Consumer Voice Update • Overview • Texas Catalyst for Empowerment • Tammy Heinz • Via Hope Update • Dennis Bach, Via Hope

25. TWG Meeting September 9, 2011 Dennis H Bach, Program Director

26. Consumer Engagement

27. Texas Catalystfor Empowerment • “Finding Our Voice” Consumer Conference. • August 8-10, 2011 in Austin. • Attendance Goal: 85 participants. • Texans with lived experience with mental illness • Consumers from all 39 LMHA areas. • Consumer operated service providers. • Certified Peer Specialists. • Workshops on recovery, advocacy, and empowerment.

28. Consumer Engagement • TCE Developed a Consumer Statement. • Statement of what consumers want from Texas mental health system. • Adopted during August conference • Will participate on panel with assistant commissioner at Recovery in Practice Conference on 9/12. • More information at www.mytce.org .

29. Consumer Operated Service Providers (COSPs)

30. Consumer Operated Service Providers Defined as: • Orgs or groups that are administratively and financially controlled by mental health consumers. • Fundamental component--peer support. • Not simply mental health services delivered by consumers—independent, peer-run organizations. - Campbell, 2008

31. COSPs Funded by DSHS UT Center for Social Work Research • Agape Center • Advocates of Abilene • Austin Area Mental Health Consumers • Depression Connection • Prosumers International • River City Advocacy • Cherokee Center

32. COSP Needs Assessment UT-Center for Social Work Research conducted needs assessment to: Identify organizational capacity-building needs as reported by COSPs and LMHAs. Determine how COSPs can expand & sustain in Texas. Understand LMHA – COSP models.

33. Via Hope Technical Assistance: COSP Institute Strengthen programs, partnerships, leadership and sustainability of COSPs in Texas through training, technical assistance and consultation.

34. COSP Institute 2011 • Texas Association of Non-Profit Organizations (TANO). • June meeting of organizations’ leadership. • Onsite technical assistance visits. • Via Hope/TANO Initial findings/recommendations. • Organizations need a lot of help. • Should continue working with COSPs for next two years. • Two parallel tracks • Leadership and Organizational Development • Program Fidelity

35. COSP Institute 2012 Build and promote COSP leadership. Build sustainability. Expand capacity to provide services and increase. knowledge in content areas. Expand alliances with one another. Strengthen partnerships with LMHAs and other community organizations.

36. Youth Advocacy Retreat“Stand Up, Speak Out”

37. Youth Advocacy Retreat • University of Houston, August 5-7, 2011. • 24 participants aged 15 to 24. • Fun/Bonding; workshops; art show. • Learned youth advocacy skills and began creating a vision and framework for a youth advocacy network. • A picture is worth a thousand words……

42. Recovery Focus Learning Community ConferenceTexas Recovery in Practice

43. Texas Recovery in Practice September 12-13; Crowne Plaza Hotel Approximately 150 registered. Recognize accomplishments of Recovery Focused Learning Community. Transition to next phase of system transformation efforts. Introduce Recovery Institute.

44. Agenda Highlights • Opening Keynote: Larry Davidson, PhD, Yale Univ. • Keeping our Eyes on the Prize: Transforming to a Consumer and Family Driven System of Care. • A Dialogue With Members of the Texas Recovery Community. • Asst. Commissioner Mike Maples, TCE, four other consumer/family voice organizations. • Recovery Focused Learning Community in Review. • Networking Reception.

45. Agenda Highlights • Storyboard Reception featuring RFLC Teams. • Janis Tondora, PsyD, Yale University. • Person Centered Planning: From Theory to Practice. • Introduction of Recovery Institute. • Panel featuring Pat Nemec and RFLC Teams. • The Wisdom of Experience: Achieving the Promise of Peer Workers.

46. FY’2012Recovery Institute

47. Recovery Institute • Begins in fiscal year 2012. • Successor to Learning Community; same principles. • Promote and assist fundamental system change to a recovery focus. • Create organizational environments that facilitate use of peer supports; promote consumer and family voice. • Offer technical assistance for local initiatives. • Multiple, escalating levels of involvement.

48. Recovery Institute • Level One • Periodic Webinars, our and others. • “Recovery Reads” Book Club. • Entry level, open to anyone. No commitment. • Level Two • Regional Recovery Seminars. • Three 1-2 day seminars for local organizational leadership. • Expert faculty. • No long term commitment.

49. Recovery Institute • Level Three. • Continued engagement of current RFLC teams. • Monthly conference calls; individual coaching calls. • Technical assistance as requested. • Designed for organizations that want to continue working on recovery orientation, but not quite ready to apply for next two levels.

50. Recovery Institute • Level Four • Program incubation. • By application; up to five organizations. • On site training, technical assistance, coaching. • David Stayner and Associates. • Take organization’s recovery orientation to the next level. • Further develop use of peer specialists. • More intensive effort; executive sponsor, change team.