Is it feasible to integrate Mental Health Promotion and Addiction Prevention within DMHA

1
Is it feasible to integrate Mental Health
Promotion and Addiction Prevention within DMHA?

• TWG
• December 2, 2008
• Update

2
Overview

• Part of TWG process
• CSAP providing TA support, Levy as consultant
• Major components
• Literature review
• Advisory Panel (Prevention subcommittee of
  Addictions Planning Council so anointed)
• Interviews with key informants
• Preparation review of recommendations

3
Participation Q. 1

• In five (5) words or fewer, what is the primary
  barrier to the integration of mental health
  promotion and addiction prevention within DMHA?

4
Participation Q. 2

• In five (5) words or fewer, what do you believe
  is another major barrier to the integration of
  mental health promotion and addiction
  prevention within DMHA?

5
Participation Q. 3

• In a few words, how might the primary barrier be
  addressed?

6
Participation Q. 4

• In a few more words, how might the other
  barrier be addressed?

7
Participation Q. 5

• What is a visual metaphor (this is an opportunity
  to be creative) to describe an ideal mental
  health and addiction system that runs the gamut
  from promotion and prevention to treatment and
  recovery?

8
Participation Qs. 69

• Please estimate your distribution of effort for
  Q. 6
• Describe briefly your primary role for Q.7
• Suggestions for people whom we should interview
  as part of the this project for Q. 8
• An, optionally, your name, title, and
  organization

9
Barriers responses 9 interviews, 3 barriers per
respondent

• Funding related 6
• Territoriality-provider system differences-narrown
  ess of perspective, cultural differences 11
• Leadership continuity, fragmentation at state
  level, bureaucracy 3
• Other stigma, how policies are written,
  education for constituents, capacity of service
  system

10
What one thing must be done to ensure successful
integration?

• Leadership Commitment from very top, e.g., Mitch
  Roob down CEOs say start thinking as treating
  people as whole, not MI or SA development of
  relationships among powers that be leadership
  from top down
• Workforce development Professionalize work force
  to integration, including treatment and
  prevention focus on evidence-based practices
  centrality of co-occurring disorders, probably
  70
• Other Funding, funding, funding
  perseverance-not achieved within a year or two,
  10-15 year project for how we train people and
  provide services, need to maintain focus.

11
Fini

• Any suggestions, contact
• Bob Levy
• 812-894-2120
• robertmlevy_at_verizon.net