Westchester County Department of Community Mental Health Annual Meeting White Plains, NY May 18, 200

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Westchester County Department of Community
Mental HealthAnnual MeetingWhite Plains,
NYMay 18, 2009

• A. Kathryn Power, M.Ed.
• Director, Center for Mental Health Services

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The CMHS Organization
Office of the Director Director, A. Kathryn
Power, M.Ed. Deputy Director, Anna Marsh, Ph.D.
Office of Consumer Affairs Associate Director
Paolo del Vecchio, MSW
Office of Program Analysis and Coordination Dire
ctor Elizabeth Lopez, PhD
Office of Medical Affairs Associate Director
Kenneth S. Thompson, MD
Division of Prevention, Traumatic Stress, and
Special Programs Director Anne Mathews-Younes,
Ed.D.
Division of Service and Systems
Improvement Director Fran Randolph, D. P.H.
Division of State and Community Systems
Development Director Joyce T. Berry, Ph.D., J.D.
Branch Chiefs Dana Taylor, PsyD Maria Dinger,
M.S., R.N ONeal Walker, Ph.D.
Branch Chiefs Jeff Buck, PhD John Morrow, PhD
Branch Chiefs Gary Blau, PhD (Acting) Mattie
Cheek, PhD Neal Brown, MPA
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CMHS At A Glance

• Mental Health/Mental Illness
• Recovery Promotion/Prevention/Treatment/Supports/
  Services
• Transformation Health Care Reform Economic
  Recovery
• Public Health Approach
• Sentinel Reports Surgeon General (science), New
  Freedom Commission (policy), Institute of
  Medicine (service)
• Person Centered Care
• Key Partnerships Consumer Families, States,
  Tribes, Federal Partners, Professional
  Organizations and the Private Sector

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Global Burden of Disease
The top 3 leading causes of disability worldwide
are behavioral disorders.
The World Health Report 2001 Mental Health
New Understanding, New Hope
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Mental Health Continuum
Positive Mental Health Mental Health
Problem Mental Disorder High-level capacity of
the Disruption in interactions Medically
diagnosable illness individual, group,
and between individual, group,, that results in
significant environment to interact and
environment, impairment of cognitive, to promote
well-being, producing a diminished affective, or
relational abilities optimal development,
and state of positive mental health use of mental
abilities
Mental Health Status Continuum Mental Health
Care Continuum
Enhancing Health Primary Prevention Early
Recognition Treatment and Promoting
optimum Addressing risk factors and
Intervention Rehabilitation mental health,
e.g., job vulnerable groups, Detecting a
problem Interventions to satisfaction,
resilience, e.g., coping skills for or illness
at an early reduce symptoms of self-esteem,
people who are stage and increasing an illness,
diminish and social skills, improving unemployed,
home visits access to effective disability, and
improve access to income for families
experiencing treatment quality of
life separation or divorce
Source Scanlon, K., Williams, M., Raphael,
B. (1997). Mental Health Promotion in NSW
Conceptual framework for developing initiatives.
NSW Health Department, Sydney, Australia, p.9
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Recovery Consensus Statement
Mental health recovery is a journey of healing
and transformation enabling a person with a
mental health problem to live a meaningful life
in a community of his or her choice while
striving to achieve his or her full potential.
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Defining Transformation
a continuous process, without endmeant to
create or anticipate the future identifies,
leverages, and even creates new underlying
principles for the way things are
done identifies and leverages new sources of
power once the process is begun, a profoundly
different organization emerges, including
changes in structure, culture, policy, and
programs
Retired Vice Admiral Arthur Cebrowski, Special
Assistant for Transformation, U.S. Department
of Defense
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Mental Health Transformation
Transformation calls for a public health approach
to mental illnesses.
The public health approach is a community
approach to preventing and treating illnesses.
Its premise is that caring for the health of an
individual protects the community, whilein
turncaring for the health of a community
protects the individualwith society at large
reaping the overall rewards. The public health
model is also based on data, experiences, and
best practice approaches.
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What is a Public Health Approach? Essential
Public Health Services
The Mission of Public health is to fulfill
societys interest in assuring conditions in
which people can be healthy. (IOM) 1988
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Public Health Themes for Mental Health

• Population based organized, interdisciplinary,
  scientific data drives decisions
• Promotion of mental health and prevention of
  challenges or illness. Interventions to improve
  and enhance the quality of life.
• Engages the whole community to assure the optimal
  physical and mental health of children and
  families.
• Promotes social and emotional well-being and the
  optimal mental health for all
• Creates supportive and nurturing environments

• Develops skills and knowledge
• Promotes mental health and prevents and
  intervenes early in the pathways to mental
  illness
• Comprehensive, evidence based, integrated,
• Seeks to eliminate disparities
• Cross systems and multi-disciplinary

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New Directions in Public Health

• Increased focus on health and mental health
  promotion as well as prevention
• Moving towards a national effort to improve
  overall population health and, where possible, to
  eliminate disparities in health in the United
  States
• Shift from an individual to a population-based
  approach in practice, research, policy, and
  community engagement.
• Examining the status of the governmental public
  health infrastructure and what needs to be
  improved, including its interface with the health
  care delivery system.
• Expanding partnerships and enhancing the roles
  non-government actors, such as families, youth,
  faith based organizations, education, academia,
  business, local communities and the media
• Promoting the value and belief that each of us
  has a role in creating a healthy nation.
• Providing education, guidance and support to
  public health policy-makers and practitioners,
  business and community leaders, health advocates,
  educators and journalists.

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Why Health Reform?

• Health Reform Is Essential Rather Than Optional
• Cost Is Making Us Uncompetitive
• Cost Growth Is Unsustainable
• Quality and Outcomes Are Worse Than Other
  Countries
• Accountability and Financing Are Structured To Do
  More Rather Than Better

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Why Mental Health Is Integral To Health Reform

• Mental Health Is Essential For Health and Cost
  Control
• Roughly half of Americans will have a mental
  health disorder in their lifetime
• 30 of the burden of disease is attributable to
  mental health and substance use conditions
• Person with depression and chronic physical
  health condition cost 1.7 times to treat
• 25-50 increased cost to treat physical health
  conditions when mental health and substance use
  conditions are not adequately treated

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Draft Principles For Health Reform

• Articulate National Health Wellness Plan for
  All Americans.
• Universal Coverage of Health Insurance.
• Coordination and Integration of Physical Health,
  Mental Health, and Substance Use Condition Care.
• Provide Full Range of Prevention, Early
  Intervention, Treatment, and Recovery Services.
• 5. Implement National Quality Standards and Means
  to Measure and Monitor Results As Well As Assure
  Accountability.
• Invest In Results Align Payment to Most
  Appropriate Treatment, Use of Evidence Based
  Approaches, and to Outcomes.
• Strengthen and Expand the Workforce to Address
  Unmet Needs and Health Disparities.

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• Web Address
• http//www.samhsa.gov/
• Contact Info
• Kathryn.power_at_samhsa.hhs.gov
• (240) -276-1310
• Questions?