NTAC'S Newsletter "networks"
Spring 1996 Issue...
"networks" is published quarterly by the National Technical Assistance Center
(NTAC) for State Mental Health Planning. The following are reprinted
articles from the Spring 1996 issue. To be added to the networks mailing list - contact Christine Diaz at 703/739-9333, ext. 30,
or e-mail Christine at: christine.diaz@nasmhpd.org. [Please include your name and return email address and/or telephone
number in the body of your message so we may respond to your inquiry].
Editor's Note: Managed care presents state mental health agencies
(SMHAs) with fundamental questions regarding their roles as service
provider, purchaser, regulator and advocate. In this interview,
we explore some of the challenges facing SMHAs with Colette Croze,
M.S.W., NASMHPD's Health Care Reform Specialist in Alexandria,
VA and John O'Brien, Senior Program Manager for the Technical
Assistance Collaborative in Boston, MA.
Let's start at the beginning: What is managed care?
O'Brien: Managed care is designed to be a system of services where
the most appropriate clinical care is provided in a cost efficient
manner. Treatment is individualized to meet client need; the level
of care and course of treatment are authorized and monitored to
meet changing client needs; and clinical outcomes provide valuable
direction for future service planning and cost efficiency. Managed
care is not focused solely on cost containment, nor is it simply
restricted access to services or providers.
Is managed care here to stay?
O'Brien: The administrative and provider changes that managed
care technology have generated will be with us for a long time.
State Mental Health Agencies (SMHAs) are more focused on becoming
a "value purchaser," knowing what they want to buy and doing it
in a smart way. SMHAs and providers need to be more accountable
for both costs and outcomes; that is, who is served and what services
are provided. Consumers are becoming better educated about how
to choose and evaluate available options.
Croze: While it's probably true that the only thing that's going
to significantly increase service access is more money, services
can be more efficiently delivered within management structures
that make the money currently in the system go further. Access
then becomes more even and predictable. Right now, some individuals
are intensively served while others simply receive crisis contact.
Modified private sector methods for utilization management and
informed consumer choice could lead to more predictable service
access.
Some say that managed care will squeeze available profits out
of the public mental health system and then disappear, leaving
the public system with less money to serve just as many consumers
as it did before.
Croze: Two key things are happening simultaneously that need to
be considered separately. Managed care technology moving into
the public mental health system is not necessarily the same as
for-profit providers moving in. The first can happen without the
second. With the entry of for-profit providers and behavioral
health care organizations into the system, the public payer enjoys
a whole new sense of competition. Even if some public mental health
systems adopt a policy of doing business only with non-profits,
I'm hopeful that they will see that they don't have to be as dependent
as they have been in the past on providers who may or may not
provide efficient and effective services.
O'Brien: The concern is based on previous experience with the
contractual relationships and the results of early managed care
initiatives. We're seeing a number of states and local mental
health agencies explore ways to reduce or eliminate the potential
for grandiose profit-making and reinvest some of those resources
in the community to expand access and equity among services.
So there is a growing appreciation of the ways states can redirect
resources through the contracting process?
O'Brien: Absolutely. Whoever was contracting with managed care
organizations drove the process, and that wasn't necessarily the
state mental health agency. With Medicaid agencies, cost containment
was first and foremost and reinvestment wasn't necessarily a priority.
Mental health authorities are becoming increasingly more savvy
about managing care for the dollars they control, developing managed
care plans for services purchased through general revenue dollars.
They want to become very aggressive in managing other payers'
funds, specifically Medicaid and now Medicare.
How successful have state mental authorities been in getting a
seat at the table where these kinds of changes are being discussed?
O'Brien: It's a mixed bag. In the past, Medicaid agencies have
forged ahead with some SMHAs at the table and some not at the
table. Now, SMHAs are beginning to develop managed care approaches
for mental health dollars. SMHAs need to produce an effective
managed care plan. At the least, they need to ensure that others
who are at the table don't cost shift to SMHAs when they aren't
as directly involved in the process as they'd like to be.
Croze: SMHAs have to earn a seat at the table. Their role as the
public mental health authority does not automatically give them
credibility and authority to be the principle public behavioral
health care purchaser. They need to show they have something to
offer in administering a public mental health benefit.
SMHAs earn a seat at the table by doing a lot of hard work inside
their agency and with stakeholders throughout the system. They
develop plans to confront issues that haven't been confronted
before, like the role of the state hospital or provider relationships
that have been seen by other key players, including state Medicaid
agencies, as overly protective.
What impact have consumers had on developments in managed care?
Croze: Increasingly, consumers and their families are letting
SMHAs know what they like about the current system so those components
can be preserved. They're also telling SMHAs much more clearly
what needs improvement.
An important vehicle that consumers have developed to exchange
knowledge and share information on managed care is the Consumer
Managed Care Network. This group recently completed work on a
"Platform for Action" that reflects the key aspects of a quality
managed care system that's responsive to consumer needs and concerns,
including: recovery-oriented values, protection of consumer rights,
and consumer involvement in all aspects of the managed care system.
What about the concern that services offered under a community
support model for persons with serious mental illness are not
typically offered by managed care organizations?
O'Brien: People look at what's traditionally been contracted for
through Medicaid agencies, which have not typically included those
services. As SMHAs have begun to develop their own managed care
plans, those services and supports have become important. Since
they're measurable, utilization and cost can be monitored and
they can be included in plans and purchased.
Croze: When you shift into an insurance mode of thinking, you
have to be sure to administer a mental health plan that can afford
the covered services for all beneficiaries when those services
are deemed to be medically or clinically necessary.
The public mental health system has many small pockets of discretionary
funding - for housing and supports, for vocational development,
for psychosocial support services - but we use them in a way that
doesn't make the full range of services available to all persons
in need. Making a relatively small amount of money available for
a small group of consumers doesn't fit with an insurance notion
of coverage. The benefit package must be available to all beneficiaries
in a behavioral health plan.
So what do we do to develop more inclusive benefit packages?
Croze: A managed care company does what the payer says. They'll
try to negotiate a contract that's in their interest, but once
the contract's signed, they are responsible to the entity providing
the money. In analyzing the effect of policies on the public behavioral
health system, we should realize that it's as much the choices
that the payer has made as it is the attitudes or practices of
the managed care partner.
John mentioned earlier that SMHAs want to be the primary public
mental health payer, managing Medicaid and Medicare's money along
with their own. To provide coverage for recipients of public services,
we have to acknowledge the wide array of people who are dependent
on public services. It isn't just persons with serious mental
illness or people who are uninsured, it's also people who are
underinsured, who in some parts of the country can consume 30-40%
of a community mental health center's service capacity. If the
SMHA wants to be the public policy expert on mental health, it
has to address the needs of all populations now dependent on the
public mental health system while maintaining a focus on people
with the most serious disabilities.
O'Brien: This clearly goes back to the issue of benefit packages
and eligibility. When they begin to think about developing a plan
and looking at the costs of that plan, states are in the position
of making some very difficult decisions about who's going to be
eligible to enroll in that plan. They may have to make the decision
that uninsured and underinsured individuals cannot be a priority.
What can states expect in the next few years with regard to their
role in managed care?
Croze: Under managed care, states have to decide if they're going
to make or buy a product or service. Some tough soul searching
must occur that may mean the state has to stop doing some things
it can't do as well as the private sector, in favor of those things
that it does as well or better. The state also has a responsibility
to protect the public interest which cannot be delegated.
O'Brien: And along with the "make or buy" decision, the decision
has to be made regarding those things that are done within the
state mental health agency and those things that are accomplished
elsewhere within state-operated services, but perhaps not within
the SMHA. Decisions to make or buy information services, to develop
provider networks and to provide inpatient services, for example,
have serious personnel implications if they are more efficiently
and effectively delivered by the private sector. The whole privatization
issue has to be on the states' radar screens over the next couple
of years.
How can states prepare to take the next steps toward managed care?
O'Brien: States have to be clear about what needs to be managed
better. They may say they want to move into managed care but some
aren't yet sure what they hope to accomplish and whether managed
care technology is the appropriate vehicle.
Can states be helped to frame the problems and questions they
want to address and then determine how managed care technology
can be helpful?
Croze: Absolutely. We have to increase technology transfer across
state and regional lines so that states can collectively address
issues rather than always solving problems on their own. Any last
ideas that you'd like to share?
O'Brien: Communication is critical in this work, not just in letting
people know what you're doing, but also being able to effectively
"sell" your ideas throughout the system: from Governor's Offices,
to legislatures, budget offices, Medicaid agencies, providers
and absolutely, consumers and families.
And, if it weren't already tough enough, timing of that communication
is critical. Done too soon, or waiting too long, can doom the
State's ability to pull off any movement into managed care. This
is part of the real challenge that states now face. We have our
work cut out for us.
Click here to download this article.
American Managed Behavioral Healthcare Association and National
Association of State Mental Health Program Directors. (1995).
"White Paper: Public Mental Health Systems, Medicaid Re-Structuring
and Managed Behavioral Healthcare." AMBHA/NASMHPD. (Contact NASMHPD at 703/739-9333).
Consumer Managed Care Network. (1996). "Platform for Action." Consumer Managed Care Network. (Contact Laura VanTosh at NASMHPD,
703/739-9333).
Croze, Colette. (1995). "Medicaid Managed Mental Health Care." The Center for Vulnerable Populations. (Contact NTAC at 703/739-9333).
Georgetown University Child Development Center, National Technical
Assistance Center for Children s Mental Health. (1995). "Profiles of Managed Care Activities of Participating States:
Implications for Children s Mental Health Services and Systems
of Care." Meeting Proceedings. (Contact Georgetown University Child TA
Center at 202/687-5000).
Koyanagi, Chris. (1995). "Managing Managed Care for Publicly Financed Mental Health Services." Bazelon Center for Mental Health Law. (Contact the Bazelon Center
at 202/467-5730).
Malloy, Michael. (1995). "Mental Illness and Managed Care: A Primer for Families and Consumers." National Alliance for the Mentally Ill. (Contact NAMI at 703/524-7600).
Murphy, Anne. (1995). "Formation of Networks, Corporate Affiliations and Joint Ventures
Among Mental Health and Substance Abuse Treatment Organizations." (Contact NTAC at 703/739-9333).
Pires, Sheila, et al. (1995). "Health Care Reform Tracking Project: Tracking State Health Care
Reforms as They Affect Children and Adolescents with Emotional
Disorders." University of South Florida, Research and Training Center for
Children s Mental Health. (Contact USF at 813/974-4433).
Stroul, Beth. (1996). "Managed Care and Children s Mental Health: Summary of the May
1995 State Managed Care Meeting." Georgetown University Child Development Center, National Technical
Assistance Center for Children s Mental Health. (Contact Georgetown
University Child TA Center at 202/687- 5000).
Click here to download this article.
The Center for Mental Health Services (CMHS) and the National
Association of State Mental Health Program Directors (NASMHPD)
have entered into a cooperative agreement to create a new National
Technical Assistance Center (NTAC) for State Mental Health Planning.
The award covers a three-year period from October 1, 1995 through
September 30, 1998.
NTAC's mission is to help bring about long-term improvements in
public mental health service systems, in partnership with State
Mental Health Agencies (SMHAs), consumers, family members and
State Planning Councils. Technical assistance, training and consultation
are being offered to all 55 states and territories to:
- Facilitate networking and communication.
- Serve as a clearinghouse for best practices and model programs.
- Collect and disseminate information on state activities in managed
care, performance-based outcome measures, and practice standards.
- Convene NTAC constituents, in-person and electronically, to examine
and create practical solutions to current problems.
NTAC will offer on-site training and technical assistance as well
as maintain a database of expert consultants, publications, and
reports on topics of special interest. NTAC will work to deliver
flexible, speedy and cutting-edge technical assistance; promote
service and system integration at state and local levels; support
consumer choice and independence; encourage accountability; develop
data-sensitive decision-making capabilities; and, respond to constantly
changing environmental needs.
NTAC's work is guided by a Steering Committee with representatives
from State Mental Health Agencies, CMHS, consumer and family member
organizations, the academic community and others. NTAC staff are
available to help constituents with their training and technical
assistance needs across the full range of management and clinical
areas faced by today's public mental health system.
Click here to download this article.
Richard Bast
Public Health Advisor
Division of State & Community Systems Development
Center for Mental Health Services
Rockville, MD
Paolo Delvecchio
Consumer Affairs Specialist
Center for Mental Health Services
Rockville, MD
Don Gilbert
Commissioner
Department of Mental Health & Mental Retardation
Austin, TX
David Granger
Manager of Evaluation & Quality Outcome Monitoring
Cuyahoga County Community Mental Health Board
Cleveland, OH
(American Assoc. of People of Color MH Consumers)
Carrol Hernandez, Ph.D.
Director
Mental Health Division
Department of Social & Health Services
Olympia, WA
Ronald Manderscheid, Ph.D.
Chief
Survey and Analysis Branch
Center for Mental Health Services
Rockville, MD
Pamela Marshall, J.D.
Private Consultant
Little Rock, AR
Sinikka McCabe
Director
Office of Mental Health
Dept. of Health and Social Services
Madison, WI
A. Kathryn Power
Director
Department of Mental Health, Mental Retardation and Hospitals
Cranston, RI
Teri J. Sanders
Statewide Family Advocate
MIKID
Flaggstaff, AZ
David Shern, Ph.D.
Dean
Florida Mental Health Institute
University of South Florida
Tampa, FL
Garrett Smith
Director of Consumer Advocacy
Mental Health & Developmental Disabilities Division
Department of Human Resources
Salem, OR
NASMHPD Staff:
Bruce D. Emery, MSW
Director
National Technical Assistance Center
for State Mental Health Planning
National Association of State Mental Health
Program Directors (NASMHPD)
66 Canal Center Plaza, Suite 302
Alexandria, VA 22314
PH: (703) 739-9333, x 28
FAX: (703) 548-9517
E-MAIL: bruce.emery@nasmhpd.org
Click here to download this article.
What's in a name? When it comes to the name of this newsletter,
quite a bit. The word "networks" captures the essence of the National Technical Assistance Center's (NTAC) mission as envisioned by the funders and planners of this new project.
We’ll work to bring together key players in the mental health
community--consumers, family members, state planning councils
and state mental health agencies--to target critical problems
and issues; to identify potential solutions; and to determine
what works best for you in the context of the unique circumstances
you face.
NTAC will accomplish its mission in a number of ways: by convening
individual state and regional meetings, national conferences and workshops; by coordinating teleconferences and forums on the internet;
and by supporting visits by constituents in neighboring states
to share ideas and learn what works well in other places.
NTAC will continuously assess mental health service management
and delivery trends so that we can respond with technical assistance that helps you meet those challenges. And, respond in a way that
maintains and advocates public service values. We are also developing
a comprehensive resource materials library--when you want to find
out how other sates have responded to the challenges you are facing--NTAC
will serve as a clearinghouse for concrete, practical solutions
developed by your colleagues and peers.
Each quarterly issue of networks will be organized around a theme of importance to you and will
include articles and other contributions actively solicited from
leaders in the field-- people with cutting-edge ideas and technology.
Your comments, advice or suggestions about this or future issues
of networks are welcomed.
Our premier issue focuses on managed care. The feature article,
"Managed Care and the Public Mental Health Sector," is a conversation
with two highly respected providers of technical assistance on
managed care. "NTAC Project Highlights" also described a number of current managed care-related technical
assistance projects designed to support sates and other constituents
at varying levels of managed care development.
NTAC's role of providing training and technical assistance to
help states improve their mental health services, planning, delivery
and evaluation is important to us and want to offer you the support
you need - let us know what you think.
-Bruce D. Emery, M.S.W.
Click here to download this article.
The provision of technical assistance (TA) to state mental health
authorities to improve the delivery of mental health services
is the core mission of the National Technical Assistance Center
(NTAC) for State Mental Health Planning. One critical aspect of
this mission is facilitating effective partnerships among consumers,
family members, state planning councils and state mental health
agencies. During the past several months, NTAC staff have engaged
in a number of TA activities focused on meeting its mission. Here
are a few highlights of those projects:
Requests for Applications. In early April, NTAC staff, guided by members of its Steering
Committee, disseminated a Request for Applications (RFA) containing guidelines, application requirements and selection
criteria for obtaining technical assistance through NTAC. The
RFA was sent to over 1,500 key stakeholders in state mental health
organizations, including mental health commissioners in each state
and territory, state consumer affairs liaisons, state chapters
of the National Alliance for the Mentally Ill, state planning
council members, and others. NTAC has received requests for technical
assistance from a number of states and is in the process of reviewing
and responding to these requests. Applications for technical assistance
are accepted on an ongoing basis and will be reviewed quarterly.
Performance Partnership Grants. NTAC has supported four meetings with the U.S. Department of
Health and Human Services (HHS) related to Performance Partnership
Grants (PPG s). These meetings were regionally-based (Portland,
OR, San Francisco, Chicago, and Philadelphia) drawing several
hundred representatives from the fields of health, mental health,
infectious diseases, substance abuse and chronic diseases. The
goal of these regional meetings has been to develop information
that will enhance the process of decision-making in public health
programs and eventually to develop objectives to guide states
in negotiating Performance Partnership Grants.
Given that PPG s in some form are likely to replace the current
Community Mental Health Services Block Grants, the ideas and recommendations
generated during these meetings are critical to identifying measurable
goals for the mental health field that will improve the quality
of life for adults with psychiatric disabilities and children
with serious emotional disturbance. NTAC sponsored a national
PPG meeting on May 17 to convene a small working group of state
mental health directors, consumers, federal representatives, and
NASMHPD staff who were involved in the regional PPG meetings.
This meeting focused on identifying lessons learned during the
regional meetigs and on developing a series of practical recommendations
to the National Academy of Sciences as it presents performance
measures to HHS this fall.
Identifying Best Practices in Housing. On January 24-25, 1996, NTAC co-sponsored the "Housing Experts
Workshop: Best Practices in a Changing Environment," with the
Homeless Programs Branch of the Center for Mental Health Services
(CMHS) and the National Resource Center on Homelessness and Mental
Illness. Thirty national experts in housing development and finance
were convened, including representatives from CMHS, the U.S. Department
of Housing and Urban Development, state mental health directors,
consumers, family members, advocates, service providers and technical
assistance centers to identify best practices in providing housing
to persons with psychiatric disabilities.
NTAC staff are now working on a "Housing Tool Kit" which will
provide practical tools and recommendations to help state mental
health authorities and state housing authorities increase access
to affordable and decent housing for persons with psychiatric
disabilities.
Performance Measures and Managed Care. The July meeting of state mental health commissioners convened by NASMHPD will include a pre-meeting institute, co-sponsored
by NTAC and the NASMHPD Research Institute, focused on performance
measures and managed care. The pre-meeting institute will assess
the experiences of state and county mental health authorities
with managed care to date to help identify the variety of performance
measures now used within the managed care environment.
State and County Managed Care. Mental health commissioners from several states have requested
that NTAC convene a focus group of representatives from states
with county-based mental health systems to examine their unique
issues and concerns as they consider entering into managed care
arrangements. As a first step, NTAC will host a focus group via
teleconference to identify key issues and to present these issues
to the full NASMHPD commissioners meeting in July.
Disaster/Crisis Counseling. On June 6-7, 1996, NTAC hosted a meeting with CMHS to examine
states recent experiences with presidentially-declared disasters
and to make recommendations for improving the provision of assistance
to states following disasters. Examples of recent disasters examined
include floods in the mid-west, the civil unrest in Los Angeles,
and the bombing in Oklahoma City. The work of more than 25 national
experts participating in the meeting will be guided by a report
assessing states disaster relief efforts and a survey of key informants
conducted by NTAC.
Click here to see a copy of NTAC s RFA for Technical Assistance. For information on how to obtain support for technical assistance,
call Bruce Emery at 703/739-9333, ext. 28, or e-mail Bruce at:
bruce.emery@nasmhpd.org.
Click here to download this page
As director of child and youth services for a state office of
mental health, I coordinate transition services for adolescents
with serious emotional disturbances. How can I locate a consultant
who can help to ensure that all the stakeholders are as involved
and as invested as they need to be?
NTAC maintains a consultant database of nationally recognized
experts representing a broad range of disciplines from such diverse
groups as federal, state and local governments, public and private
service providers, researchers and academics, as well as consumers,
families and advocates.
NTAC can provide the names of consultants who can assist you in
identifying and responding to core systems-level and service-level
issues in providing transition services to adolescents with serious
emotional disturbance. This information, in turn, can be used
in a variety of ways based on your individual needs. For example,
to facilitate a meeting of key stakeholders or to develop program
guidelines.
I am the consumer affairs liaison for a state mental health agency.
What technical assistance can NTAC provide in addressing issues
related to services for persons with co-occurring mental health
and substance use disorders in my state?
On an ad hoc basis, NTAC can help you locate key reference literature
and experts knowledgeable about co-occurring mental health and
substance use disorders. NTAC can also provide you with more formal
technical assistance around issues that support state mental health
agency system improvements in planning, delivering and/or evaluating
services.
Several key requirements for obtaining NTAC support for on-site
technical assistance include:
- approval of the state commissioner of mental health;
- broad-based participation of key stakeholders; and
- funding requests limited to a maximum of $5,000.
Click here to view NTAC's Request for Applications (RFA) and learn the requirements and selection criteria to qualify
for assistance. For more information regarding the consultant
database and/or NTAC technical assistance, call Emery at 703/739-9333,
ext. 28, or e-mail Bruce at bruce.emery@nasmhpd.org.
Click here to download this article.
The NASMHPD Research Institute (NRI), under contract to CMHS,
is currently compiling Fiscal Year 1995 data for the second cycle
of the State Mental Health Agency (SMHA) Profiling System. The
SMHA Profiling System provides a centrally maintained, computer-based
compilation of descriptive information about the organization,
funding, operation, services, policies, statutes, and clientele
of state mental health agencies.
The first cycle of the SMHA Profiling System tracked the SMHAs
involvement in managed care activities, including selected privatization
of their systems. In the second cycle of the Profiles, an entire
section of the policy component has been dedicated to compiling
information on managed care. This section includes questions on
Medicaid waivers, mental health carve outs, types of services
covered, the SMHA s role in the process, and more.
SMHA employees and the general public will be able to access these
managed care data through the Internet and the NRI bulletin board
system. SMHA employees may call the Research Institute to request
information and special analyses. The data are expected to be
available by Fall 1996.
For more information, contact Ted Lutterman at the NASMHPD Research
Institute at 703/739-9333, or click here to e-mail Ted - qted.lutterman@nasmhpd.org
Click here to reach NRI's Web Site
Click here to download this article.
In late March, the NASMHPD and NASMHPD Research Institute (NRI)
Boards of Directors met to shape program and budget plans for
FY 1996-97 and beyond. The Boards jointly reflected on program
and fiscal trends faced by many state mental health agencies (SMHAs),
reviewed Commissioners priorities for NASMHPD and NRI services,
and approved a FY 96-97 work plan for the two organizations that
included the goals of NASMHPD s new National Technical Assistance
Center (NTAC) for State Mental Health Planning.
The Boards indicated that although it is unrealistic for NASMHPD
and NTAC staff to provide the actual solutions to states management
and fiscal dilemmas, NTAC can play a unique and vital role as
a facilitator in working with senior SMHA managers to stimulate
dialogue and to promote collaborative problem-solving among the
states. Examples of issues that may be addressed include the closing
of state hospitals, state/county relationships, outcome indicators
for contract compliance, and culturally competent service delivery.
The NASMHPD Board emphasized the critical role that NTAC can and
should play in convening states through both national and smaller,
regional-based forums. The Boards also suggested that states consider
contributing both staff and fiscal resources to form joint technical
assistance enterprises to pursue specific interests where NTAC
would function as conveners.
Board members agreed that NTAC is a valuable new asset to the
states and to our associations.
Click here to download this article.
Summer 1996
July 17, Pre-meeting Institute, "A National Dialogue on Managed Care and Performance Measures
in Public Mental Health Systems," [Targeted to state and county mental health administrators involved
in development and evaluation of managed care systems or performance
measures],Chicago, IL. Call Bruce Emery at (703) 739-9333, ext.
28, or e-mail Bruce at: bruce.emery@nasmhpd.org.
Click here to download this article.
NTAC's Technical Assistance/Training
Other Mental Health-Related Conferences/Events
AVAILABLE NOW...
NTAC currently posts state-related mental health information on
the National Mental Health Knowledge Exchange Network (KEN) EBBS,
a project of SAMHSA s Center for Mental Health Services (CMHS).
Access to the EBBS service via modem is available 24-hours-per-day
by dialing: 1-800-790-CMHS (2647).
You can also contact KEN's web site at:
http://www.mentalhealth.org
COMING SOON...
NTAC is now developing electronically-based communication platforms
that will offer discussion forums and access to state-related
mental health information.
Interested parties with Internet access will be able to browse
NTAC s World Wide Web home page where they can learn of upcoming
conferences and events; download information on model programs,
policy statements, and legislative updates; send e-mail messages;
and link to other web sites...
For more information, e-mail: ntac@nasmhpd.org. [Please include your name and return mailing address, email
address and/or telephone number in the body of your message so
we may respond to your inquiry].
Click here to download this article.
"networks" is published quarterly by the National Technical Assistance Center
(NTAC) for State Mental Health Planning, and is supported under
cooperative agreement between the National Association of State
Mental Health Program Directors (NASMHPD) and the Center for Mental
Health Services, Substance Abuse and Mental Health Services Administration
(CMHS/SAMSHA).
Spring 1996 Issue -
Bruce D. Emery, M.S.W., director
Gail P. Hutchings, M.P.A., assistant director
Lynnette A. Banning, technical assistance associate / editor
Vera Hollen, research assistant
Rebecca Crocker, technical assistance support specialist / production
Christine Diaz, administrative assistant
Cited reproductions, comments, and suggestions are encouraged.
You may also be added to the mailing list for networks. Contact Christine Diaz at 703/739-9333, ext. 30, or send e-mail
to: christine.diaz@nasmhpd.org. [Please include your name and return mailing address, email address
and/or telephone number in the body of your message so we may
respond to your inquiry].
Click here to download this article.
Click here to download the entire Spring '96 Issue
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