Mental Health Redesign & Implementation Task Force

1. Mental Health Redesign &Implementation Task Force Summary Report – Phase One Pete Carlson & Paula Lucey – Co-Chairs Milwaukee County Board of Supervisors Health and Human Needs Committee January 25, 2012

2. Person-Centered Care Beth Ann Burazin & Peter Hoeffel Continuum of Care Mary Neubauer & Lee Carroll Community Linkages Kristina Finnel & Jim Mathy Workforce Leonor Rosas & Scott Gelzer Quality Karen Avery & Henry Kunath Action Teams Mental Health Redesign &Implementation Task Force

3. Person-Centered CareVision & Recommendations • Incorporate principles of person-centered recovery and trauma-informed care • Policies/procedures; training; services at all levels • Independent living and informed choice • Recovery in least restrictive settings • Consumers welcomed as full collaborative partners, experts in their own lives • Utilize peer expertise more fully • Aid consumer navigation between levels, access points • Increase participation and satisfaction

4. Person-Centered CareVision & Recommendations • Community-wide education • Ensure public accessibility and accuracy of information on prevention, early signs and symptoms, and the spectrum of available services • Conduct outreach • Reduce stigma and promote recovery in the community • Expand application of Comprehensive, Continuous, Integrated System of Care • Co-occurring conditions are expectation, not exception • Collaboration with existing MC3 Steering Committee, Drs. Minkoff and Cline

5. Continuum of CareVision & Recommendations • Expand & sustain community-based services • Increase availability and accessibility of outpatient services (e.g., counseling, medication) • Apply evidence-based practices • Geographically diverse access points • Responsible downsizing and discharge • Adequate community services/supports for MI/DD • Planning & follow-up for IP discharges to community • Collaboration among stakeholders to reduce unnecessary admissions and facilitate timely discharge

6. Continuum of CareVision & Recommendations • Enhance crisis services and reduce EDs • Expand mobile crisis services • Further develop alternative crisis services such as Crisis Resource Center • Collaborate with law enforcement and other systems on CIT/CIP training

7. Community LinkagesVision & Recommendations • Support and expand crisis resources • Mobile crisis team(s) – collaborate with law enforcement • Community Intervention Specialist • Improve discharge planning • Establish a clearinghouse of current, accurate, accessible information about resources related to behavioral health • Community Intervention Specialist

8. Community LinkagesVision & Recommendations • Expand supportive housing options • “Blended management” • Maximize public dollars and attract additional gap financing dollars • Downsize the number of CBRF beds; develop “step-down” • Increase the use of peer support • Incorporate Peer Specialists at all levels • Educate treatment teams on Peer Specialist role • Expand effective community-based peer support models

9. Community LinkagesVision & Recommendations • Increase community-based services for those with developmental disabilities • Responsible downsizing at Hilltop • Enhance 24-hour crisis stabilization services, and increase crisis respite bed capacity • Decrease barriers with Family Care • Streamline procedures to facilitate timely FC enrollment and quick resolution to inappropriate disenrollment • Explore funding options to develop accessible housing alternatives for FC-eligible individuals

10. WorkforceVision & Recommendations • Build diverse workforce, beginning with hiring & recruitment • Maintain quality workforce  Professional development & retention incentives • Improve hiring procedures to align with consumer & provider needs • Expand consumer-operated services • Utilize peer support throughout system • Expand Peer Specialist training & certification programs • Ensure consistency & high quality through regular training and evaluation • Upgrade compensation to align with expanded role

11. WorkforceVision & Recommendations • Partner with higher education to improve preparation • Promote behavioral health as a career path • Prepare licensed professionals for interdisciplinary teams • Provide clinical experience hours to students • Update curricula to align with recovery principles, EBPs • Inform educators on workforce supply/demand trends • Enhance availability, training and use of Translators/interpreters

12. WorkforceVision & Recommendations • Seek to build and maintain cultural competency • Reinforce person-centered & trauma-informed care in educational preparation and worksite training • Emphasize a culture of ongoing learning • Create a standard set of skill requirements to work in behavioral health • Ensure that providers maintain standard skills • Provide or broker cross-training in mental health and disabilities at all levels of care • Promote community engagement in WF planning & implementation

13. QualityVision & Recommendations • Develop QA/QI Steering Committee • Establish system-wide performance and outcomes indicators and goals • Service Utilization • Inpatient; Crisis; Outpatient; Case management; Benefits counseling and advocacy; Peer support; Employment services  • System Monitoring • Consumer satisfaction; Quality of life; Emergency detentions; Discharge planning; Person-centered planning and recovery orientation; Cultural competency; Trauma-informed care; Evidence-based practices

14. QualityVision & Recommendations • Support the use of evidence-based practices • Commit adequate resources to QA/QI process • Development management information system to collect & report common data elements • QA/QI performance evaluation when reviewing contract proposals for adult community services

15. Mental Health Redesign &Implementation Task Force Summit Tuesday, February 14, 2012 American Serb Hall