Thank you GCI ConnectMD for your generous sponsorship of this session

2. Thank you GCI ConnectMD for your generous sponsorship of this session

3. Community Collaboration in Behavioral Health: Washington’s Mental Health System Chelene Whiteaker Director, Advocacy and Policy Washington State Hospital Association

4. What is the Public Mental Health System? • The public mental health system provides: • Mental health services for Medicaid enrollees; • Evaluation of people in severe crisis regardless of income or insurance status; • Administration of the Involuntary Treatment Act (involuntary commitment); • Longer term care at Eastern and Western State Hospitals.

5. Parts of the System Legislature Appropriates Funding Regional Support Networks Pend Oreille Stevens Outpatient Providers Community Hospitals/Evaluation and Treatment Centers Counties Eastern and Western State Hospitals

6. Regional Support Networks

7. Funding Sources Funding Sources for RSNs: • Federal/State Medicaid • State only (non-Medicaid) • County • Special contracts • Sales tax

8. Services Provided • Outpatient services for Medicaid enrollees • Non-Medicaid outpatient services are provided as resources allow: • Crisis services; • Some outpatient/residential services to priority populations. • Sales tax has been used to increase access in some counties • Inpatient hospitalizations

9. What’s the Problem?

10. The Perfect Storm…

11. Shortage Areas

12. System in Crisis? • Increasing demand for services • Decreasing dollars for services • Closure of mental health units in Eastern and Western State Hospitals • Shortage of providers

13. Community Hospital Mental Health Beds Source: Washington State Hospital Association Revelle/Whiteaker June 20, 2011