Funding Opportunity: Law Enforcement and Behavioral Health Partnerships for Early Diversion (Early Diversion Grants)
Funder: Substance Abuse & Mental Health Services Administration (SAMHSA)
Award Details: Up to $330,000 per year for up to 5 years
Number of Awards: Up to 8 awards
Target Population: Adults with a serious mental illness (SMI) or a co-occurring disorder (COD) in need of early diversion services. Special consideration will be given to applicants proposing to support early diversion services for veterans.
Eligibility: A state; a political subdivision of a state; and Indian tribes and tribal organizations. At a minimum, the required partners must be the criminal justice system, mental health and substance use treatment and recovery systems. Examples of additional key stakeholders could include consumers and their families, social welfare agencies, and the judiciary and corrections system.
Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422
New York State Expanding Program to Help Individuals with Disabilities Find Employment
The New York State Employment First Commission, created by Governor Andrew M. Cuomo and chaired by the New York State Office of Mental Health, has announced new resources to help increase employment opportunities for individuals with disabilities.
The new program, called the "Employment First Benefits Advisory System," will provide advice on financial assistance and work incentives for individuals with disabilities who are working or seeking work.
Dr. Ann Sullivan, Commissioner of the Office of Mental Health said, "Governor Cuomo's Employment First initiative has helped individuals with physical and behavioral health conditions find meaningful employment and make a valuable contribution to their community. For a person with a disability, employment increases quality of life and self-esteem. For a business, hiring a person with a disability creates a more diverse workforce and increases the talent pool of job candidates. Here in New York, we believe that it is essential to provide everyone with a fair opportunity to work and succeed." Read more
Final Medicaid Model Contract with Behavioral Health Provisions Approved and Posted to NYSDOH Website
New York State (NYS) has provided Medicaid Managed Care Organizations with specific legal requirements and accompanying guidance regarding the process of entering into agreements with providers of these services that address the following:
Promoting financial stability through payment and claiming requirements
Supporting access to and removing barriers to mental health treatment and recovery services; and
Ensuring Medicaid Managed Care plans establish adequate behavioral health provider networks.
NYS has received approval from CMS to incorporate these behavioral health specific legal requirements into the Medicaid Managed Care Model Contract.
Click here to view the new version of the model contract, as amended 10/1/15.
Tax Law Could Deliver Billion-Dollar Blow to Social Services
State and local governments rely on nonprofits to deliver most social services, from housing to substance abuse treatment to early childhood education. Now those nonprofits, and their government partners, are concerned that the new tax law passed in December could indirectly slash their funding.
"Nonprofit organizations are an essential part of the health and human services system in this country," says Candy Hill, a senior director at the American Public Human Services Association. "Anything that weakens their capacity to be a full partner with government has the potential to weaken the entire system."
In 2010, government agencies had about 200,000 contracts or grants with about 33,000 human service nonprofits across the country. For nonprofits at large, government contracts and grants represent about a third of all funding, the second largest revenue source after fees for service. Charitable giving is the next biggest source, representing 12% of nonprofits' funding.
Where Multiple Modes Of Medication-Assisted Treatment Are Available
The opioid epidemic has touched nearly every corner of the United States. Public health officials, lawmakers, and others have recommended a vast scale-up in the capacity of substance abuse treatment in response, especially evidence-backed medication-assisted treatment (MAT).
There are currently three drugs used for the treatment of opioid use disorder (OUD): methadone, buprenorphine, and naltrexone. While all three are demonstrated to be effective in treating OUD, not all drugs are appropriate for all patients. For instance, naltrexone requires patients to undergo a minimum seven- to 10-day detoxification before initiation, which may not be right for patients who need to begin treatment immediately. Similarly, some patients are averse to taking opioid agonist drugs as part of treatment and may therefore prefer the use of naltrexone, an opioid antagonist.
As such, it is not only imperative that treatment facilities and providers offer MAT, but also that multiple treatment options be made available to increase treatment uptake and success. Read more
Walmart Launches Groundbreaking Disposal Solution to Aid in Fight Against Opioid Abuse and Misuse
In an effort to help curb abuse and misuse, Walmart is launching a first-of-its kind opioid disposal solution - available at no cost - in all company pharmacies.* Known as DisposeRx, the small packet contains ingredients that, according to the manufacturer, when emptied into a pill bottle with warm water, ultimately enable patients to responsibly dispose of leftover medications in their trash.
Alcohol-Related ER Visits Soar, Especially Among Women
Most Americans drink safely and in moderation. But a steady annual increase in trips made to emergency rooms as a result of drinking alcohol added up to 61 percent more visits in 2014 compared with 2006, according to a study
published this month in the journal Alcoholism: Clinical and Experimental Research.
Visits to hospital emergency rooms for alcohol-related issues rose rapidly over a nine-year period, though it's unclear why.
The increase is alarming but also a bit mysterious to neuroscientist Aaron White, one of the study's authors, in part because the same nine-year period showed a mere 2 percent increase in per capita alcohol consumption overall, and an 8 percent increase in the number of emergency room visits for any reason. Read more
Underused Weapon In the War on Addiction
Numbers tell part of the story of the nation's opioid crisis. The CDC says 91 Americans die daily from opioid overdoses, which have killed more than 300,000 since 2000-and the death rate is rising.
But to John Machata, MD, of Wickford, R.I., some of the numbers have faces. He remembers the call he got not long ago about a former patient he hadn't seen in a year, a fisherman who had lost his insurance and couldn't stick with his drug rehab program. The call was from the coroner; Machata's patient was in the morgue.
Doctors say opioid use disorder patients divide roughly half-and-half between recreational drug users who got into trouble and patients who were given an opioid pain-relief prescription (in many cases during the 1990s heyday of the "pain is the fifth vital sign" gospel) and became addicted. The former group often has chosen heroin; the latter group often ends up on heroin because it's cheaper and easier to get than oxycodone or whatever other pain-relief opioid got them hooked. Of course, a tailspin awaits the untreated addict of either origin, no matter how well-born, well-educated or well-intentioned. That's why any tool that even hints it could help this patient population more, or reduce its death toll, is a very big deal.
Machata is a primary care dinosaur, a solo doc who lacks not only a secretary and a nurse but even a biller. Still, on the treatment of opioid use disorder in primary care, his perspective is up-to-the-minute. He's been at the game for a decade, and he's convinced that many lives could be saved if the nation made wider use of buprenorphine.
Read more here.
The Conference of Local Mental Hygiene Directors advances public policies and awareness for people with mental illness, chemical dependency and developmental disabilities. We are a statewide membership organization that consists of the Commissioner/ Director of each of the state's 57 county mental hygiene departments and the mental hygiene department of the City of New York.