Building on Our Strengths June 17, 2011

1. Building on Our Strengths June 17, 2011 Valerie Vicari Western Area Director Office of Mental Health & Substance Abuse Services

2. Challenges are what make life interesting. Overcoming them is what makes life meaningful. Regional Stakeholder Meeting Allegheny, Beaver, Washington, Lawrence, Greene

3. THANK YOU!!! • Regional Steering Committee • Presented the Mayview Closure Experience at each 2011 Service Area Plan Meeting (Norristown, Danville, Wernersville, Warren, Clarks Summit, Torrance). • Allegheny Health Choices, Inc (AHCI) led the presentation with PSAN. • The message of hope and recovery was shared statewide.

4. Recovery is a Reality • We have made considerable progress in transforming the behavioral health system • There is still much to do – we must continue our momentum • We can build on our strengths and learn new ways to succeed • Innovation • Evidence-based programs • Look with “new eyes” at today’s reality

5. Some Recent Accomplishments…

6. Allentown State Hospital Closure • ASH closure completed December 14, 2010 • 108 CHIPP discharges • Over $12.5M allocated to the community to develop services and supports • Additional 11 discharges for individuals with dual diagnosis; funding transferred to ODP for waiver matching

7. Allentown State Hospital Closure • Transfer CSPs were developed for those transferred • CSPs significantly increase success for consumers as they proceed on their recovery journey • Lehigh, Northampton, Carbon/Monroe/Pike counties - Enhanced infrastructure to support the individuals discharged or diverted from state hospital • Examples: Extended Acute Care beds, CTT development and ACT services

8. Pennsylvania’s Olmstead Plan • Reflects the Commonwealth’s decision to end the unnecessary institutionalization of adults who have a serious and persistent mental illness • The goal is to return all persons who are being served in a state hospital bed to their communities • Requests funds to support the reduction of civil bed capacity by 90 persons each Fiscal Year • Resources will be allocated to the counties • Community Support Planning process will drive service development

9. PA’s Olmstead Plan cont’d - • Each County to develop a Comprehensive Service Area Integration Plan by 6/30/2012 • Based on CSPs and reflective of Environmental Scan • Must address at minimum – • Housing • Non-residential services and supports • How special needs will be met, including substance abuse, physical health, TBI, limited English proficiency, etc.

10. PA’s Olmstead Plan cont’d - • Each County to create Housing options to reduce reliance on congregate settings of 16 or more beds • Personal Care Home Integration Plan by 6/30/2012 • Each County to create a comprehensive funding strategy that supports these plans by 6/30/2012

11. Current Events

12. Governor’s Recommended Budget FY 2011-12

13. Governor’s Recommended BudgetFY 2011-12 Mental Health Services Appropriations • CHIPPs funded in FY 2010-11 for 6 months are annualized. This includes 30 CHIPPs at Norristown. • Increase of $1.5 M for individuals discharged from Allentown State Hospital who need high-end, costly services. • Includes the transfer of $2.45 M for 6 months to ODP for 35 individuals to move from State Hospitals to the waiver program. • Includes the transfer of funds to ODP for 7 individuals currently residing in the community to move to the waiver program.

14. Governor’s Recommended BudgetFY 2011-12 Mental Health Services Appropriations • $4.95 M for discharge of 90 individuals for 6 months from NSH as part of the Fred L Litigation • Does not include a cost of living adjustment Special Pharmaceutical Benefit Package (SPBP) • Increase from $2.346 M to $3.618 M

15. Governor’s Recommended BudgetFY 2011-12 Drug and Alcohol • Act 152 funding is maintained at $14,727,107 • Total includes reduction of $1.5 M that occurred in September 2010 • Funds have been moved to capitation for FY 2011-12 • State funds -$12.857 M • Federal funds -$1.870 M

16. Governor’s Recommended BudgetFY 2011-12 HealthChoices • Carve out is still in place • Savings of $29.025 M • Revisions to provider performance incentives (P4P) • Limitations on reinvestment funds • Utilization of evidence-based services for children and youth • Offset by the transfer of the non-hospital residential drug and alcohol treatment services previously funded through the MA outpatient appropriation

17. Act 152 • Funds will be managed within the HC-BH Program • Builds on experience with expedited enrollment pilot program • Utilizes existing assessment and service authorization process – will be transparent for recipients • Funds will be used to cover rate adjustments due to increased non-hospital detox and rehabilitation services

18. Opportunities That Support Transformation “Promoting Self-Sufficiency through Sensible Reforms”

19. Certified Peer Specialists • PA leads the nation in the number of Certified Peer Specialists who have been trained and employed • PA is the first state to secure civil service status for Certified Peer positions • We all benefit from the growth of CPS!

20. CPS Trainees – Reduced Entitlements and Service Use

21. CPS Trainees –Working More or Looking for Work

22. DPW Budget Goals • Get spending under control • Embark on a long-term, multi-year strategy to reduce costs • Change the mindset on public assistance to promote personal independence and individual empowerment

23. Cost Containment Initiatives • Care management that focuses on personal responsibility, prevention and wellness strategies • More efforts to deter fraud and abuse and to recover costs • Initiatives to encourage more home- and community-based care

24. Changing the Mindset • See public assistance as a temporary safety net, not a long-term restraint • Empower recipients to make decisions that lead to self-sufficiency • Promote welfare to work strategies

25. Thank You