The Power of Partnerships in today’s changing health care landscape

1. The Power of Partnershipsin today’s changing health care landscape Rebecca Glathar, NAMI Utah Angela Kimball, Oregon Health Authority Delia Rochon, Intermountain Healthcare Change the FRAME Summit NAMI Annual Convention San Antonio, Texas June 27, 2013

2. Why is health care changing? Everyone wants to achieve the Triple Aim goals:

3. What is changing? • New models of financing • New models of delivering care

4. Why is this important to NAMI? • When financing and delivery changes, it changes who gets money and who makes decisions

6. What can NAMI do? Leverage your strengths as: • Educator • Supporter • Connector • Navigator • Advocate

7. Behavioral Health Program for the Uninsured Access NAMI National Conference June 26, 2013

8. Treatment Works but Inaccessible for Many

9. The Challenge in Utah • ∼101,657 adults and children in Utah are in need of, but not receiving, mental health treatment services • ∼45,085 individuals were served by the public mental health system, or less than 31% of the current need • ∼ 16,454 individuals were served by the public substance abuse system, or less than 17%, working at capacity Utah Division of Substance Abuse and Mental Health 2011 Annual Report

10. Uninsured people with mental illness in Utah • 52% receive no treatment at all • 48% ER visits, community clinics Utah Division of Substance Abuse and Mental Health 2009 Annual Report

11. Interventions Health Promotion Universal Prevention Selective Prevention Early Detection/ Intervention Treatment Wellness Recovery Crisis Intervention / Emergent Care Home School Community Organization Primary Care Clinic Outpatient Mental Health Day Treatment Residential Facility Inpatient Unit Emergency Room Settings

12. Key Stakeholders • Intermountain Healthcare Community Benefit • NAMI • Family Counseling Center • Cornerstone Outpatient Services • Volunteers of America – Detoxification Services • 4th Street Clinic – Homeless Outpatient Services • Salt Lake County Human Services

13. Understanding the Challenge • Navigating the system – knowing where to go for help • Timely access to treatment • Fragmented system of care

14. Salt Lake Valley Demonstration Program Increase timely access to appropriate care for the uninsured • Patient advocate in Hospital • Meet with patient to review discharge instructions • Make appointments for treatment/other essential services • Follow patient until connected with services • Timely access to treatment • Follow up appointments within seven days • Integrated services in a coordinated network • Partnership to increase access to services • Funding to provide a comprehensive spectrum of services

15. NAMI’s Role • Patient Advocate • Education Classes • Support from mentors

16. Interventions Health Promotion Universal Prevention Selective Prevention Early Detection/ Intervention Treatment Wellness Recovery Toward Continuum of Care Family Counseling VMH Cornerstone VOA NAMI USARA Over 20 Agencies Neighborhood Clinic 4th Street Clinic Home School Community Organization Primary Care Clinic Outpatient Mental Health Day Treatment Residential Facility Inpatient Unit Coordinated Network Settings

17. Improved Access to Appropriate Services % of referrals with scheduled appointment or already in treatment

18. Timelier Access to OutpatientPsychiatric Services Average days until first available appointment - outpatient psychiatric services provider

19. Better Engagement in OutpatientPsychiatric Services Average number of sessions attended at outpatient psychiatric services provider

20. Reduced ED Visits and Admissions # of ED or inpatient unit admissions among patients who attended at least one session at O/P psychiatric services provider

21. Integrated Services in a Community Network Before the program Family Counseling VMH Cornerstone VOA NAMI USARA 4th Street Clinic Other Services Silo System

22. Integrated Services in a Community Network After the program Counseling Medication Day Treatment Detox Services Support Groups PCP Wellness Community System of Care

23. The power of partnerships The Utah collaboration is mutually beneficial; it helps people living with mental illness, it promotes NAMI and it adds value for community partners

24. The power of partnerships NAMI Utah’s collaboration with Intermountain builds on NAMI’s strengths as an: • Educator • Supporter • Connector • Navigator • Advocate

25. Make your own opportunities…