There

1
Theres No Turning Back
2
Have Made Progress

• MN MHAG Initiative 2006 2007
• ARMHS, ACT, CTSS, Crisis Teams, School-linked
  grants, Respite Care, CBHH, etc.
• Evidence-practices such as IMR, IDDT, IPS
• MH Parity
• 2013 Year of Childrens Mental Health

3
Facing Barriers

• DHS viewing all disabilities the same
• Workforce shortage
• People with mental illnesses viewed as violent
• Push for places or beds to put people
• Lack of intensive services, especially for first
  episodes, covered by insurance

4
Potential Positive Impacts

• Health Care Exchange MNSure
• MA Expansion MNCare changes
• Shift of county dollars to supportive services
  not treatment
• Attitudes shifting, MakeItOk Campaign. IOOV,
  community conversations

5
Potential Positive Impacts

• RAISE study, new interest in first episode
• Integration of MH, SA, physical health
• Behavioral health homes
• Olmstead Plan
• Housing

6
Moving Forward Not Backward
7
Continuing to Make Progress

• 2013 Legislative Session Banner Year for
  Childrens Mental Health!
• Response to Sandy Hook
• Collaboration among all parties
• 12 bills 27 provisions
• A true Mental Health Movement

8
Continuing to Make Progress

• ARMHS w parenting skills
• Maternal Depression educate professionals
• Home visiting program expanded to moms with
  mental illnesses
• Case management transition plan and extension to
  age 21

9
Continuing to Make Progress

• Intensive treatment in foster care for up to age
  20, assess for trauma
• MH First Aid Training for Youth
• Student support services report
• Crisis services increase of 1.5 M
• Rate increases for MH providers

10
Continuing to Make Progress

• School-linked mental health grants 50 then 100
  increase - 7.434M increase
• Text message crisis line 1.25 M
• Mental Health education
• Safe School Levy increase and can be used for
  co-locating

11
Continuing to Make Progress

• Workforce shortages addressed
• MH Behavioral Aide Certification
• Family Peer Specialists
• Foreign Trained licensure program
• MH Workforce Summit
• MERC funding expanded to psychologists, clinical
  social workers

12
Continuing to Make Progress

• Changes to MA
• Autism Early Intensive Intervention Benefit
• Clinical care consultation
• Family psychoeducation services
• In-reach
• Mental Health Service Plan development
• Psychologists can provide consultation

13
Continuing to Make Progress

• People w Schizoaffective added to CM
• Changes to IRTS to specialize
• Primary care to do SBIRT
• EE-SMI additional 1M
• Workers Comp PTSD
• Bridges funding increase 400,000

14
Continuing to Make Progress

• Advance Practice Nurses practice independently
• NEMT protected transport
• Bonding bill for St Peter
• Competency exams and commitment exams can be done
  at the same time

15
Continuing to Make Progress

• 2014 Session moved us forward
• Online training on the commitment act
• Crisis teams earlier intervention and
  co-occurring disorder
• Funding to reduce use of prone restraints
• Money for uninsured children w mental illness

16
2015 Session
17
2015 Years for Mental Health

• Immediate crisis
• Health promotion and prevention
• Clinical service infrastructure
• Community supports
• Workforce recommendations

18
Immediate Crisis

• Childrens residential PRTF
• Vulnerability of intensive services, especially
  rate structure

19
Health Promotion Prevention

• Embed MH professionals in natural settings
  child care, youth shelters, etc.
• Expand intergenerational pilot
• Focus on early episode of psychosis
• Encourage smoking cessation programs

20
Clinical Infrastructure

• Address rate issues EBP enhanced rates, reform
  rates for CM, use quality measures
• Eliminate host county contracts for ARMHS
• Expand service eligibility to SMI not just SPMI

21
Clinical Infrastructure

• Determine need for expansion and benefits for
  ICRS
• Expand school-linked mental health
• Uniform standards for crisis teams, more crisis
  mobile and homes, and one crisis line and texting
• Upgrade CMH Centers

22
Community Supports

• Expand housing support services
• Expand IPS
• Open CFSS
• Expand peer specialists
• Develop MH standards for waivers
• Expand respite grants

23
Community Supports

• Determine community services to divert admissions
  to AMRTC, expedite discharges, increase
  flexibility
• Address transportation issues (day treatment and
  protected transport)

24
Community Supports

• Enact recommendations from MID report
• Automatic reviews every 3 years
• Review barriers to progress
• Increase resources and treatment
• Ensure representation

25
Summer/Fall Planning Process

• DHS Mental Health Reform Group (Advocates,
  Providers, Counties, Health Plans, etc.)
• DHS Working Groups Criminal Justice Payment
  Rates
• Workforce Summit
• DHS Regional Roundtables

26
Workforce Summit

• Some Key Recommendations
• Increase Psychiatry Resident Slots
• Create Common Supervision Certificate
• Expand Education options in Greater MN
• Provide Mental Health Career information in
  public schools
• Improve and measure cultural competence

27
MHLN/NAMI

• Bridges housing - 1.4 million
• Supported housing
• Day treatment
• MH Parity, Plans and MH benefit set
• MA for clubhouses
• Alternative DAs for culturally specific groups

28
MHLN/NAMI

• FACT teams, expand youth teams
• GRH reform
• Criminal justice reforms CIT training, SROs,
  medications in jail, etc.
• NEMT
• Suicide data

29
We make the road by walking Antonio Machado
30

• Never doubt that a small group of thoughtful,
  committed citizens can change the world indeed,
  it's the only thing that ever has.
• Margaret Mead

31
There is No Turning Back

• Not returning to the institutions
• We believe in recovery and resiliency
• Everyone brings something to the table
• Equity and equality are important
• Just because what we have isnt fully working
  doesnt mean what we had before worked better

32
Moving Forward

• Change laws and Attitudes
• Still more to do
• Collaborate with NAMI
• Join the movement
• Educate public officials
• Sign up for and respond to Action Alerts

33

• The true meaning of life is to plant trees under
  whose shade you do not expect to sit

34

• NAMI Minnesota
• 800 Transfer Road, Suite 31
• St. Paul, MN 55114
• 651-645-2948
• 1-888-NAMI-HELPS
• www.namihelps.org