ACMHA 2005 Summit: Tracking the Transformation

1. ACMHA 2005 Summit:Tracking the Transformation Small Group Recommendations

2. Special Thanks to… • Group 1 • Areta Crowell, NMHA of Greater LA • Kim Carter, Albuquerque, NM • Group 2 • Tom Borneman, The Carter Center Mental Health Program • Paula Comunelli, Felton, CA • Group 3 • Joyce Burland, NAMI Education, Training, and Peer Support Center • Nicki Glasser, Boston, MA

3. Special Thanks to… • Group 4 • Eunice Hartman, Hartman and Associates • Group 5 • Ann Brand, Transition Solutions • Deborah Fickling, Santa Fe, NM • Greg Teague, Tampa, FL • Group 6 • Carole Farley Toombs, Strong Behavioral Health • Nick Ossorgin, Santa Fe, NM

4. Group 1 Recommendations • Obtain all recommendations of the President’s New Freedom Commission Report • Ensure consumers, youth, and families drive the design and implementation of mental health recovery services • Define and operationalize “recovery” in terms of its processes and outcomes • Emphasize a continuum of recovery

5. Group 1 Recommendations • Cultural competency and diversity • Build in ways to evaluate the transformation process and maintain accountability during the transformation process • Eliminate barriers of “Medical Necessity”-driven funding • Realign financial incentives with recovery transformation

6. Group 1 Recommendations • De-stigmatize mental illness through direct contact, education, and legislation • Make this conference process consumer/family-driven

7. Group 2 Recommendations • Adopt a public health approach to mental health • Promote integrated service delivery systems • Gauge audience, tailor messages, apply marketing principles, and select the most effective messenger to influence power

8. Group 2 Recommendations • Closely monitor Medicaid and other funders and develop a strategy to partner • Challenge assumed constraints • Create an effective culture shift to achieve transformation

9. Group 3 Recommendations • Change starts with a “Burning Platform” • Imagine the change you have decided upon • Anticipate resistance. Find the “champions of change” • Confront the Brutal Facts • Stay away from structure • Establish a rational funding system

10. Group 3 Recommendations • Reach outside of the formal mental health world • Recognize that states are KEY to the transformation process • Involve people with psychiatric disabilities and their families at the most significant levels • Recognize that mental health staff in agencies are suffering too

11. Group 3 Recommendations • Support states by having ACMHA track the transformation with web/teleconferencing • Increase diversity and inclusivity at the next Summit • Hold a “Success-Off” instead of a “Whine Off” • Commit to individual transformational work back home; poster board our progress at the next Summit.

12. Group 4 Recommendations • Ensure voices of consumers are used in all ACMHA initiatives • Incorporate “natural allies” outside of the behavioral health arena • Determine what would an ideal health delivery system look like if we were no longer concerned about the influence of stigma

13. Group 4 Recommendations • Promote discussion of the paradoxes between integration and parity using ACMHA as a forum • Develop a “Technical Assistance Center” for transformative initiatives through ACMHA • Develop a national plan that is more than vision • Include “Innovation and Transformation Skill Development” in ACMHA’s leadership agenda

14. Group 5 Recommendations • Engage with healthcare • Use our strengths to collaborate • Educate, educate educate. Train, train, train everywhere. • All players accept responsibility for transformation • Form coalitions that work

15. Group 5 Recommendations • Align business and financial models • Don’t stop with what we know; look outside • Be at the table in healthcare financing • Use technology to mobilize advocacy • Use NFC to focus decisions and judge financing proposals.

16. Group 6 Recommendations • Adopt the IOM ten rules • Develop strategies to shift/share the power • Assess the shift of perception/perceptual change among consumers, families, and providers • Infuse the world with the recovery resiliency paradigm

17. Group 6 Recommendations • Support the development of the evidence regarding outcomes with WRAP and other self-help tools • Develop inclusive strategies to overcome existing silos • Recommend active advocacy component • Make quality and outcome information available to consumers and family members

18. Group 6 Recommendations • Develop strategies to eliminate mental health disparities • Develop strategies to promote social transformation • Increase consumer and family education to facilitate a control shift