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Community Services Boards 101 May 20, 2013. Jason Bearden, CEO Highland Rivers Health Laurie Wilburn-Bailey, Clinical Director Advantage Behavioral Health Systems David Wallace, Director, Residential Services New Horizons Community Service Board. Georgia’s Behavioral Health System.
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Community Services Boards 101 May 20, 2013
Jason Bearden, CEO Highland Rivers Health Laurie Wilburn-Bailey, Clinical Director Advantage Behavioral Health Systems David Wallace, Director, Residential Services New Horizons Community Service Board
Georgia’s Behavioral Health System Picture of Central State Hospital circa 1915 “State Asylum for the Insane” The state mental health authority has historically had the responsibility for overseeing and providing services for adults with serious mental illnesses and children with serious emotional disturbances. In the state of Georgia, mental health and addiction services are administered by the same agency, the Department of Behavioral Health and Developmental Disabilities (DBHDD).
Georgia’s Behavioral Health System Picture of Central State Hospital circa 2013 “State Asylum for the Insane” Recovery Based When we say Whole Health, we are referring to a treatment approach that focuses on the care of the whole person, body, mind, spirit, community, and their interactions with society. Recovery is a self-directed journey where it is the person’s choice of what will make their life meaningful and what supports will help them reach their full potential.
Georgia’s Behavioral Health System Silos = Failed Model Traditional supports require the client to navigate complex and disjointed silos of support.
Community Services Boards Provide Coordination and Linkage to Comprehensive Treatment, Recovery and Supportive Services
A Vital Linkage Georgia’s Criminal Justice and Behavioral Health System Good Outcomes for Georgia & People with Disabilities
Community Services Boards What is a CSB? Unduplicated Person Served (2010) • As found in the OCGA § 37-2-6, CSBs are: • Created to provide mental health, developmental disabilities, and addictive diseases services • Authorized to provide health, recovery, housing, or other supportive services; • Public agencies; • Public corporations and instrumentalities of the State of Georgia; and • Created for nonprofit and public purposes to exercise essential governmental functions.
Community Services Boards Specialty Behavioral Health Services Provider Continuum of Care
Community Services Boards Specialty Behavioral Health Services Provider Target Population & Access • Who can you refer to us? • Adults with Serious and Persistent Mental Illness • (i.e., Major Depressive Disorder, Schizophrenia, and Bi-Polar) • Adults and Youth with Addictive Disease • Children and Adolescents with Social and Emotional Disturbances • How do I access you? • Direct Referral Line in each CSB (i.e., 1-800 access number ) • Georgia and Crisis Access Line
How are Services Funded? Veterans Affairs Mcaid/Mcare HUD Primary Care Vocational Rehab. Commercial Child Welfare Criminal Justice Gov’t Funds Blending and braiding of fund sources is required to provide comprehensive recovery based services. The Triple Aim of Healthcare is the perpetual goal Cost Effective, Patient Satisfaction & Quality Services Behavioral Health is uniquely positioned to blend & braid funding streams together to strengthen the overall system of care.
How are Services Funded? National Funding Snapshot State CSB Funding Snapshot 22% 78% 10% 90% U.S Department of Health and Human Services. National Expenditures for Mental Health Services and Substance Abuse Treatment
Georgia’s Funding Challenge Per Capita Mental Health Expenses
Georgia’s Funding Challenge Per Capita Mental Health Expenses
How Do We Achieve the Holy Grail of Diversionary Court Systems? Accountability Court & Community Service Board Create complimentary treatment systems. Avoid creating parallel treatment systems. Capitalize on evidence based treatment systems practiced within CSBs Utilize Community Service Board as your public mental health authority to leverage federal and state dollars that other providers cannot bring to bear. Partner with your local Community Service Board that has the ability to bridge system gaps and coordinate services.
Partner with Community Services Boards Provide Coordination and Linkage to Meet Community Comprehensive Treatment, Recovery and Support Needs