1 / 9

DMH Strategic Plan

DMH Strategic Plan. Mark Stringer Director, Division of Alcohol & Drug Abuse Acting Director, Division of Comprehensive Psychiatric Services. Missouri Law. The mission of the Department of Mental Health is established in State law ( RSMo 630.020):

loren
Download Presentation

DMH Strategic Plan

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. DMH Strategic Plan Mark Stringer Director, Division of Alcohol & Drug Abuse Acting Director, Division of Comprehensive Psychiatric Services

  2. Missouri Law The mission of the Department of Mental Health is established in State law (RSMo 630.020): The department shall seek to do the following for the citizens of this state: Reduce the incidence and prevalence of mental disorders, developmental disabilities and alcohol or drug abuse through primary, secondary and tertiary prevention; Maintain and enhance intellectual, interpersonal and functional skills of individuals affected by mental disorders, developmental disabilities or alcohol or drug abuse by operating, funding and licensing modern treatment and habilitation programs provided in the least restrictive environment possible; Improve public understanding of and attitudes toward mental disorders, developmental disabilities and alcohol and drug abuse. The department shall make necessary orders, policies and procedures for the government administration, discipline and management of its facilities, programs and operations.

  3. Vision Statements SAMHSA Vision: “A life in the community for everyone.” DMH Vision: “Missourians receiving mental health services will have the opportunity to pursue their dreams and live their lives as valued members of their communities.”

  4. DMH Priorities 2007-2012 Strategic Themes  The Department of Mental Health set the following key strategic themes as the foundation for its strategic plan over five years: • “Do No Harm.” • Strong Consumer/Family Voice. • Medical and Behavioral Service Integration. • Missouri Child Mental Health Leadership. • Data-Based Decision-Making. • Strong Local DMH Service Systems. • Mental Health Workforce and Leadership Development for the Future. • Life and Work in the Community for Everyone

  5. ISSUE: Merger of ADA and CPS “Integration possibilities are. . .being examined closely at the State level by the Department of Mental Health (DMH). In late 2009, DMH announced that it was appointing Mark Stringer as interim director of the Comprehensive Psychiatric Services Division (CPS), while continuing his role as the Director of the Division of Alcohol and Drug Abuse (ADA). This 24-month appointment is designed to explore the feasibility and appropriateness of uniting the current Divisions of ADA and CPS into a single division.“ -- from -- Pathways to Progress: Transforming the Behavioral Health System The Eastern Region Behavioral Health Initiative Community Report 2006-2010

  6. ISSUE: Inpatient Redesign In April 2010, Dr. Schafer announced the following changes in response to the state’s budget crisis: • Close remaining acute care beds and ER services in state operated facilities at St. Louis MPC (ER, 2 acute units) and Farmington SMMHC (ER, 3 acute units); • Use the resulting empty bed capacity created at St. Louis and Farmington to accept over 180 new transfers from Fulton State Hospital (FSH), reducing the size of FSH from 471 to 292 beds; • Move 120 VBG consumers into community settings, most with enhanced services; • Save $12M in GR as a result of these changes and downsizing Fulton State Hospital. Return $7M of the savings back to GR. Keep $5M in savings for the East and SE regions to partially offset the loss of ER and acute care services.

  7. OTHER ISSUES • LIMITED ACCESS:  Each year the Department of Mental Health (DMH) proudly serves over 170,000 Missourians with mental illness, developmental disabilities, and addictions.  It strives to be the safety net for the state’s most vulnerable citizens and their families.  Even so, too many citizens cannot access DMH services.  Each of the Department’s three operating divisions has long waiting lists for services and supports, and every name on a waiting list is a potential tragedy. • POOR PROVIDER REIMBURSEMENT RATES:  Contracted community provider reimbursement rates have lagged far behind inflation.Providers struggle to meet costs for food, fuel, insurance, and proper staffing. • INSUFFICIENT WORKFORCE:  Missouri’s mental health workforce is critically low. There are not enough mental health professionals or direct care staff to fill positions in state-run facilities or contracted community agencies. High turnover rates at all levels, from physicians to food service workers, threaten the safety of consumers and staff alike.  Most critical is the nursing shortage in state psychiatric facilities, where the RN vacancy rate is 20% (compared to 3.9% for Missouri hospitals in general) and the turnover rate 30% (compared to 12.6% in other hospitals).

  8. OTHER ISSUES • SURVIVING THE NEXT TWO YEARS OF BUDGET CUTS • PREPARING FOR HEALTH CARE REFORM • PLANNING FOR NEW FULTON STATE HOSPITAL

  9. Final Thought • As we, the leaders, deal with tomorrow, our task is not to try to make perfect plans. Our task is to create organizations that are sufficiently flexible and versatile that they can take our imperfect plans and make them work in execution. That is the essential character of the learning organization. • Gordon R. Sullivan & Michael V. Harper

More Related