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Opportunities to Serve People with Co-Occurring Disorders through Medicaid Behavioral Health Serivces Administration Jane Beyer – DSHS Asst. Secretary Melodie Pazolt - DBHR Transforming lives Washington State Department of Social & Health Services Legislative direction to improve outcomes 5732-1519 Steering Committee membership • Six workgroups were created. Two additional workgroups have produced recommendations in the areas of: • Workforce Development • Evidence Based Practices Transforming lives Washington State Department of Social & Health Services 5732-1519 Outcomes • Workgroups are focused on combined areas of performance measures: – Quality of Life – Health/Wellness, Utilization and Disparities – Criminal Justice and Forensic Patients – Employment, Education, Meaningful Activities, and Housing • Washington State Institute for Public Policy (WSIPP) – Inventory of Evidence-Based, Research-Based, and Promisting Practices Transforming lives Washington State Department of Social & Health Services New Opportunities • E2SSB 6312 – Adult Behavioral Health System Taskforce • Regional Service Areas • Key issues for purchasing BH Services • Strategies to move toward full integration with PHC • Contract Standards • Process to contract for BH services – Option to include Peer support, supported employment and supportive housing services for mental health and chemical dependency treatment. • Financial incentives for improved performance Transforming lives Washington State Department of Social & Health Services New Opportunities • E2SHB 2572 – State Innovation Plan in preparation for Centers for Medicaid and Medicare Innovation Grant – 2 Pilot projects for Communities of Health – Health extension program to disseminite tools, training and resources to providers – Standard measures of health performance – Restructure Medicaid procurement Transforming lives Washington State Department of Social & Health Services BHSIA/DBHR’s efforts to address homelessness • Permanent Options for Recovery Centered Housing (PORCH) • Projects for Assistance in Transition from Homelessness – (PATH) • Bringing Recovery into Diverse Groups through Engagement and Support (BRIDGES) • Offender Re-Entry Community Support Program (ORCSP) • Access to Recovery (ATR) • Oxford Transforming lives Washington State Department of Social & Health Services Mental Health Transformation Grant (2nd Round) • 5 year grant from SAMHSA • Transformation through EvidenceBased Practice • Government Performance Accountability (GPRA) • Infrastructure Development, Prevention & Mental Health Promotion Transforming lives Washington State Department of Social & Health Services Permanent Options for RecoveryCentered Housing (PORCH) • 2 sites within WA state (Pierce County & Chelan/Douglas Counties) • Utilize Peer Support to provide Evidence-Based Permanent Supportive Housing • Utilize Illness Management & Recovery to measure recovery • Partnerships with Housing System (Dept. of Commerce provided $300,000 in TBRA in C/D Counties) Transforming lives Washington State Department of Social & Health Services Goals • Serve 180 individuals over the course of 5 years • Integrate consumer and family member input into services and systems • Integrate EBP Supp. Housing into Quality Management Processes • Develop stronger connections between MH & Homeless Systems of Care • Enhancement of Peer Certification to add housing component Transforming lives Washington State Department of Social & Health Services Projects for Assistance in Transition From Homelessness (PATH) • The PATH program is administered by the Center for Mental Health Services, a component of the Substance Abuse and Mental Health Services Administration (SAMHSA), within the U.S. Department of Health and Human Services. • PATH programs provide outreach services to people who are experiencing mental illness and are experiencing homelessness or risk of homelessness. Transforming lives ORCSP • Offender Re-Entry Community Support Program compensates RSN and other providers who contract with DSHS to provide additional support services to individuals transitioning from prisons who have a history of serious mental illness. The program funds up to $10,000 per participant per year for a maximum of five years. • Pre-Release Planning is a component of the program involving multiple systems. • The funds are often used to support individuals obtain/maintain housing and services to help them transition to the community and connect with services and supports. Transforming lives Access to Recovery The Access to Recovery (ATR) program is funded by the federal Substance Abuse and Mental Health Services Administration (SAMHSA). With support from SAMHSA, Washington State’s Division of Behavioral Health and Recovery is moving toward Recovery Oriented Systems of Care. •Washington State ATR is administered with six county partners: Clark, King, Snohomish, Pierce, Yakima, and Spokane. The purpose of this three-year grant project is to provide recovery services to qualifying individuals and their families to help them become productive members of their community. This program is designed to help people reach recovery in body, mind, and heart. •ATR is based on the knowledge that there are many pathways to recovery from substance use. The promise of this initiative - founded on a belief in individual choice - is ensuring that a full range of treatment options are available, including the transforming power of faith. •Once a client is assessed and a recovery plan established, the client can choose any authorized recovery provider for each service identified. Funds for these services are reserved for this person/family member using a voucher. Transforming lives Oxford • An Oxford House is a live-in residence for individuals in recovery from substance use disorders. An Oxford House describes a democratically self governed and self-supported drug-free home. • The number of residents in an Oxford House may range from six to fifteen; there are houses for men, for women, as well as for women with children. • DBHR provides a revolving loan for the development of new Oxford houses in WA State • DBHR provides funds to support 6 FTE for outreach services associated with Oxford houses • Oxford House currently has 229 provider sites in 21 counties in Washington State. Rent is established by each Oxford House. Transforming lives Bringing Recovery into Diverse Groups through Engagement and Support (BRIDGES) Transforming lives Cooperative Agreement to Benefit Homeless Individuals (CABHI) Grant funded by the Substance Abuse Mental Health Services Administration (SAMHSA) 4 main objectives of the grant: • A plan to address Chronic Homelessness – Combine the Chronic Homeless Policy Academy with CABHI – BRIDGES project • Delivery of behavioral health housing support services - Using modified PATH and PORCH model for a substance abuse treatment population targeting individuals who are chronically homeless Transforming lives Housing 3000: Chronic Homeless Policy Academy 2013 - present Date Transforming lives Department of Social and Health Washington StateServices Department of Social & Health Services Policy Academy Overview The policy academy sponsored by SAMHSA provides assistance to four states with high rates of chronic homelessness: California, Washington, Louisiana and Georgia. Each state receives support and coaching from a faculty team, led by federal staff, with access to technical assistance and planning tools. Transforming lives Housing 3000 – High Impact Chronic Homeless Solutions Intervention Subcommittee Federal Partners Federal Partners Federal Partners Federal Project Team Draft Strategic Plan - based on May 1st Workgroups will refine In-State Meeting Strategies/Action steps Based on SWOT, Team members Team Members Team Members Key Informant Interviews, Research, Team Members PA State Team Team members Team members Analysis Team members Workgroups will decide who else needs to be part of the action steps/what additional Infrastructure information is needed and be prepared to present draft action Needs Assessment, steps by August Data/information Service System Design Workforce Development Active Work Sufficient Housing Data Prevention Service Design Income & Employment Sufficient Groups = Housing. Transforming lives Housing 3000 – High Impact Chronic Homeless Solutions Intervention Subcommittee August Meeting: Additional Information through 4 Panel Presentations • Counties • State Agencies • Federal Partners Transforming lives Refining of Strategies/ Action Steps and ‘Asks’ from State PA Team /Workgroups October 16th 3nd In-State Meeting Finalize Draft Strategic Plan, Actions, Asks, Input Present Draft Strategic plan at October Joint Interagency Council on Homelessness & Gov. Advisory Council on Homelessness Final Draft Strategic Plan – Logic Model with Federal Partners (December) •Policy change recommendations •Pilot Project suggestions •Short Term Targeted CH solution recommendations Housing 3000 – High Impact Chronic Homeless Solutions Intervention Subcommittee Activity Update: •SAMHSA is sponsoring ‘white paper’ funding for WLIHA & CSH •Implementation of CABHI/BRIDGES grant •Monthly conference calls re: putting strategies into action •Supplemental CABHI/BRIDGES grant from SAMHSA •3 Supportive Housing Pilots funded in DBHR budget – Transitioning from institutional settings Transforming lives Photovoice Presentation Transforming lives Washington State Department of Social & Health Services