July 19-21, 2009 Hyatt Regency St. Louis Riverfront St. Louis, Missouri
Trauma and Recovery
Tonier Cain, Technical Assistance Lead for the National Center for Trauma Informed Care (NCTIC), NASMHPD Office of Technical Assistance, Alexandria, Virginia
Ms. Cain shares her personal experience moving through multiple systems of care. She will talk about how easy it is for providers to re-traumatize an individual, and the difference it makes when trauma issues are addressed.
SAMHSA’s CMHS Funded Harvard/NASMHPD Program for Executive Leadership in State Mental Health Administration, “How to Mainstream Behavioral Health into Health Policy”
Steven A. Schroeder, M.D., Distinguished Professor of Health and Health Care Department of Medicine; Director, Smoking Cessation Leadership Center, University of California San Francisco
The speaker will draw on personal and policy experience to review why behavioral health is unduly isolated. He will then suggest a set of attitudes and actions that could integrate behavioral health into mainstream health policy.
In-SHAPE: Improved Health Status Through Social Inclusion for Persons with Severe Mental Illness
Kenneth Jue, M.S.S.A., Chief Executive Officer, Monadnock Family Services, Keene, New Hampshire
Stephen J. Bartels, M.D., M.S., Professor of Psychiatry at Dartmouth Medical School; Director of the Aging Services Research Program and Director of the Behavioral Health Policy Institute at the NH-Dartmouth Psychiatry Research Center; Medical Director of the State of New Hampshire Division of Behavioral Health.
Initiated in 2003, In-SHAPE is a lifespan enhancing wellness program targeted for persons with severe mental illness. Presenters will discuss its basic underlying tenets, including social inclusion, leveraging of community partnerships and resources, person-centeredness, and the model of health mentor supported health promotion. Additionally, presenters will provide a description of the results of outcome studies and ongoing, federally funded research on effectiveness and implementation.
Larry Fricks, Vice President, Depression and Bipolar Support Alliance, Chicago, Illinois
Peer Support Whole Health promotes peer-supported, self-directed whole health that is Medicaid billable and emerging in new state system transformation grants funded by SAMHSA through NASMHPD. This session will highlight this new approach of trained peers promoting sustainable change in health behaviors of other peers to address preventable medical conditions and risk factors contributing to early death and promote holistic recovery.
The Joint Commission: CMS and State Hospital Accreditation
Michael F. Hogan, Ph.D., Commissioner, New York State Office of Mental Health (Moderator)
Paul Schyve, M.D., Senior Vice President, The Joint Commission, Oakbrook Terrace, Illinois
State psychiatric hospitals are critical components of the continuum of care required to meet the mental and physical health needs of those served by state systems. By focusing on evidence-based standards and the use of techniques of robust process improvement, the Joint Commission's goal is to help these hospitals — and other accredited organizations — achieve high reliability with respect to the safety and quality of care they provide. For state hospitals subject to the Medicare Conditions of Participation, the Commission has integrated the Conditions into the accreditation standards, and is in active discussion with the Centers for Medicare and Medicaid Services to revise or reinterpret those Conditions that create barriers to high quality, safe patient care.
Olmstead and CRIPA: Redefining the Standard of Care
Robert Bernstein, Ph.D., Executive Director, Judge David L. Bazelon Center for Mental Health Law, Washington, D.C.
This session will review key requirements of the Olmstead decision and the Civil Rights of Institutionalized Persons Act (CRIPA) as they relate to state hospitals and state mental health departments. In addition, it will examine some commonplace factors that signal patterns of non-compliance with these requirements and that place systems at risk of legal action.
Preparing Your Direct Care Staff to Work in a Changing System of Care: A Workforce Core Competencies Curriculum
Kevin Ann Huckshorn, R.N., M.S.N., Director, Division of Substance Abuse and Mental Health, Delaware Health and Social Services; Former Director, NASMHPD Office of Technical Assistance
Pat Shea, M.S.W., M.A., Deputy Director, NASMHPD Office of Technical Assistance, Alexandria, Virginia
This session provides an overview of a curriculum that NASMHPD has developed to support the training of direct care staff working in in-patient and community residential adult mental health treatment settings. The impetus for creating these training modules was to provide the public mental health field with tools for communicating with direct care staff a “shared understanding” of the key components, competencies, and principles of a transformed mental health system. The presenters cover the background of this effort, a discussion of the modules that are included within the curriculum, as well as information on how states and facilities might use these materials.
Briefing on Developing National Core Competencies for State Hospital Superintendents: Removing the Mystery of Effective Leadership
Kevin Ann Huckshorn, R.N., M.S.N., Director, Division of Substance Abuse and Mental Health, Delaware Health and Social Services; Former Director, NASMHPD Office of Technical Assistance
Frank A. Ghinassi, Ph.D., Vice President, Quality and Performance Improvement, Western Psychiatric Institute and Clinic University of Pittsburgh Medical Center; Assistant Professor in Psychiatry, University of Pittsburgh School of Medicine
Bob Quam, M.A., C.B.H.E., Hospital Administrator, GEO Care/TCFTC
The emerging mental health system is focused on providing recovery/resiliency-oriented services as its sole and compelling goal. In order to support states in their efforts to improve and enhance their systems, a group of national experts was convened this spring to identify and articulate a set of competencies, roles, responsibilities, tasks, skills, and attributes of State Hospital Superintendants that collectively serve to promote recovery and foster resilience. The presenters will offer an overview of this experts meeting, a discussion of the eight core competencies that were identified, and information on a resource kit of materials that was developed as a result of the meeting that is publicly available to support such efforts. There will be time for Q & A with the audience.
Missouri’s Multimodal Approach to Integrating Behavioral Health and Primary Care
Joseph Parks, M.D., Chair, Medical Directors Council; Director, Comprehensive Psychiatric Services, Department of Mental Health, State of Missouri
Missouri is using a 3 pronged approach to integrating Primary Care and Behavioral Healthcare: CMHC as a HealthCare Home utilizing electronic health records and MH case management,
co-location of MH and PCP services at both CMHCs and FQHCs, and Disease management for pre-diabetic SMI persons. This session will give a brief overview of each approach. Presenters and subsequent panel discussion will include leadership from Missouri's SMHA, Medicaid agency, Coalition of Community Mental Health Centers, and Primary Care Association representing FQHCs.
Mental Health Services for People Who Are Deaf or Hard of Hearing
Candice Tate, Ph.D., President and CEO, National Coalition on Mental Health and Deaf Individuals
This presentation will give state mental health program directors a comprehensive look at the unique mental health and substance abuse issues of deaf and hard of hearing populations from a systems perspective. Dr. Candice Tate, a profoundly deaf psychologist, and President and CEO of the National Coalition on Mental Health and Deaf Individuals (NCMHDI) will present background and demographics of deaf and hard of hearing populations and associated epidemiology statistics. The presentation will end with a discussion on available resources and key action steps.
Building Consensus for Transformation: A PBS/Fred Friendly Seminars Initiative,“Minds on the Edge”
Richard Kilberg, President, Fred Friendly Seminars, Columbia School of Journalism
Minds On The Edge: Facing Mental Illness, a Fred Friendly Seminar premiering this fall on PBS, can be a compelling media tool to engage targeted constituencies, as well as the larger public, in constructive conversation about how to improve support and treatment for people with severe mental illness. Mr. Kilberg will show excerpts of the program and describe events taking place around the country that are models of civic and professional engagement.
