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Kathy Craft, Alaska Department of Health & Social Services Kathryn_Craft@health.state.ak.us

Olmstead Coordinators 3 rd Annual Training Institute Achieving the Promise Transforming Mental Health Care in America Achieving Community Integration: Sustaining Progress and Strengthening Partnerships September 24, 2003. Kathy Craft, Alaska Department of Health & Social Services

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Kathy Craft, Alaska Department of Health & Social Services Kathryn_Craft@health.state.ak.us

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  1. Olmstead Coordinators3rd Annual Training InstituteAchieving the PromiseTransforming Mental Health Care in AmericaAchieving Community Integration: Sustaining Progress and Strengthening Partnerships September 24, 2003 Kathy Craft, Alaska Department of Health & Social Services Kathryn_Craft@health.state.ak.us

  2. Transforming Mental Health Care for People with Co-occurring Disorders The Alaskan Experience

  3. Catalysts for Alaska’s Changes • Community Mental Health Alaska Replacement Project – CMH / ARP • Department of Health and Social Service, Alaska Mental Health Board & Governor’s Advisory Board on Alcoholism and Drug Abuse Integration Project

  4. CMH / ARP 24 hour single point of entry – Psych ER Enhanced crisis respite for stabilization, evaluation and assessment Enhanced detox and residential services Integration Project Establish working definition of integrated MH & SA disorder Inventory best practices Address philosophical and practical issues www.abada.com/pdf/itfinal.pdf Project Components

  5. Integration Results • Mental Health Court • Jail Diversion Services • Decriminalization Position • Office of Integrated Housing • Mobile Crisis Team • Crisis Intervention Training for Law Enforcement

  6. Governor’s Executive Order • Division of Alcoholism and Drug Abuse to merge with the mental health component of the Division of Mental Health and Developmental Disabilities to begin the new • Division of Behavioral Health

  7. Internal Integration Team • Vision, Mission & Values • Functional Structure: Administration Policy Planning & Analysis Data / IT Program Integrity Programs and Services

  8. External Integration Team • MOA (handout) • Statewide Workgroups http://bhstakeholders.infoinsights.com Communication Outcomes Screening/Assessment/Continuum of Care Licensing/Certification/Workforce Development Provider Network/Collaboration Financing Statutory & Regulatory Changes

  9. Sustainability(its not all about money) • Consensus or Charter Document (handout) • Include key stakeholders Other departments – Law, Labor, Education, Corrections…. Planning Boards or Councils Consumers, Family Members & Advocates Providers

  10. Sustainability Be open and honest about the paradigm shift. • Discuss turf issues • Talk over personal biases

  11. Challenges(remember to create incentives) • Licensing / Certification and Accreditation • Provider dual diagnosis capability (handout) • Barriers (ToT handout) • Program Standards • Modify Medicaid regulations • Revise grant regulations • MIS

  12. Integrated Screening Process Alaska Screening Tool for Dual Diagnosis, Traumatic Brain Injury (TBI) & Fetal Alcohol Spectrum Disorder (FASD) (handout)

  13. Client Status Review & Follow Up Integrated CSR & Follow Up (handout)

  14. Train the TrainersChange Agents • Screening, Assessment and Treatment Processes • Cultural Competence • AKAIMS – Information System • Billing Methodologies • Trainer Becomes a Critical Community Resource

  15. AKAIMSAlaska Automated Information Management System CSAT’s Web Infrastructure for Treatment Services (WITS)

  16. AKAIMS • Co-occurring web-based data collection Prevalence Screening Services Treatment Outcomes • On-line Release of Information

  17. Alaska Resources • Division of Behavioral Health http://www.hss.state.ak.us/dbh/providers/providerwebs.htm • AKAIMS / WITS - Wade Martin Phone 301-517-8078 MARTINW1@WESTAT.com

  18. The End Kathy Craft, DHSS Departmental Coordination Manager Kathryn_Craft@health.state.ak.us Phone 907-451-2017

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