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February 8, 2019

Advancing Public Policies for People with Mental Illness, Chemical Dependency or Developmental Disabilities   

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Francine Sinkoff, Editor
Behavioral health agencies in NY struggle

Northwell Health integrating AI software into EMRs at 15 hospitals

North country NYSARC chapters officially merge

For the first time in years, fatal opioid overdoses fall in Nassau and Suffolk

Suffolk Executive Bellone, Rockefeller Institute Host Substance Use and Opioid Forum on Long Island

Faith leaders are fighting the Bronx opioid crisis on the ground - NYC

New York-Presbyterian turns to data analytics to fight opioid misuse - NYC

Group fighting closure of mental health unit - Finger Lakes

Nearly Shuttered WNY Children's Psych Center Slated For $30 Million Upgrade

Cattaraugus County Deputies recognized for keeping cool with armed, mentally distraught veteran

Erie County fatal overdoses down since Opioid Epidemic Task Force's creation
How This Sundance Film Seeks to 'Fuel Outrage' About How People with Mental Illness are Treated

SALT LAKE CITY - The three largest providers of mental health care in America are the country's three largest jails.

Together, California's Los Angeles County Jail, Rikers Island in New York City and Harris County Jail in Texas house nearly 44,000 people, many of whom suffer from mental illnesses including schizophrenia, bipolar disorder and depression.

That's according to Kenneth Rosenberg, practicing psychiatrist and director of "Bedlam," a documentary that premiered last week at the Sundance Film Festival. The reason many mentally ill individuals end up in jail - or living on the streets or frequenting emergency rooms - is that they can't get access to long-term care, he said.

"Bedlam," titled after the notorious London psychiatric hospital founded in 1247, follows several men and women who suffer from mental illness as they seek treatment, navigate the criminal justice system and face life on the street. Rosenberg also tells the story of his sister, Merle, who was diagnosed with schizophrenia and subsequently institutionalized when she was 20 years old. Read more here.
To improve mental health treatments, scientists try to dissect the pieces that make them work

Computerized adaptive tests may offer alternative to other psychiatric exams

NAMI: How Seeking Mental Health Care Has Changed

Hepatitis C cases spiked after Oxycontin reformulated to deter opioid abuse

For the Mentally Troubled, a Pennsylvania Jail Offers 'High-Visibility' Cells

Screening for Social Problems

What 'Dope Sick' Really Feels Like

How telehealth can answer demand for behavioral health services

February 13, 10 - 11:30 am, OMH

Serving Safely: Enhancing Policing for Persons with Mental Illnesses and Developmental Disabilities
February 13, 2 - 3:30 pm, BJA/Vera Institute

'Stepping Up' Your Efforts to Reduce Mental Illness in Jails
February 14, 2 - 3:15 pm, NaCo

PSYCKES Train the Trainer
February 20, 10 - 11 am, OMH

What Do Providers Want to Know About Peer Support Services?
February 20, 11 am - 12:30 pm, Academy of Peer Services (APS)

Being Mindful about Adjunctive Therapies and Their Contributions to Treatment
February 20, 12 - 1 pm, Hazelden Betty Ford Foundation

Addiction Services 101 - The basics: Recovery Support Services, Medication Assisted Treatment, and Addiction Treatment
February 20, 1:30 - 2:30 pm, Corporation for Supportive Housing

Innovative Crisis Response Models
February 27, 2 - 3:30 pm, SAMHSA's GAINS Center

February 27, 3 - 4 pm, NAADAC



CLMHD Offices Closed
February 12

CLMHD Offices Closed 
February 18

Children & Families Committee Meeting
February 19: 11:30 am - 1 pm, GTM

Developmental Disabilities Committee Meeting
February 21: 1 - 2:30 pm, GTM

MARCH 2019

Executive Committee Call
March 6: 8 am

Regional Reps Call
March 13: 8 am

Children & Families Committee Meeting
March 19: 11:30 am - 1 pm, GTM

CLMHD Membership Call
March 20: 9 - 10:30 am, GTM

March 20: 3 - 4 pm, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
CLMHD Testifies at Joint Legislative Public Hearing on SFY2019-20 Mental Hygiene Budget Hearing 

On Thursday, February 7, Kelly Hansen, Executive Director of CLMHD, testified on behalf of the Conference at the 2019-2020 Joint Legislative Public Hearing on Mental Hygiene Budget in Albany. 

Please click here for video from the hearing. Click here for CLMHD's written testimony.
Governor Cuomo Announces More Than $7.5 Million Available to Expand Addiction Prevention, Treatment and Recovery Services in New York State

Governor Andrew M. Cuomo this week announced more than $7.5 million in funding is available to enhance addiction prevention, treatment and recovery services in New York State. The funding will be awarded through a series of Requests for Applications issued by the New York State Office of Alcoholism and Substance Abuse Services. 

"We are committed to fighting addiction and ensuring all New Yorkers have the resources and support they need for  recovery,"
Governor Cuomo said. "As we build on the progress we have made to combat this disease across the state, we will continue to fund these ongoing initiatives to promote a stronger and healthier New York State."

Read more here, including a list of funding opportunities which are available through this initiative.
Governor Cuomo Announces $204 Million in Funding to Strengthen and Preserve Access to High-Quality Health Care

Governor Andrew M. Cuomo this week announced $204 million to support 95 projects that will protect and transform New York State's health care system. This funding from the Statewide Health Care Facility Transformation Program will improve patient care through the development of high-quality medical facilities and programs serving the inpatient, primary care, mental health, substance use disorder and long-term care needs of communities throughout the State.

For more information about the 95 awarded providers, the specific funding awarded, and details about the awarded projects, click here.
Comptroller: NY Overdue to Address Gambling Addiction

New York's gaming landscape has radically evolved since the last time state officials took a comprehensive look at the need for problem gambling services in 2006.

In light of the developments over the past 13 years - including the expansion of electronic gambling at race tracks, the launch of four new commercial casinos, the availability of daily fantasy sports and the impending availability of sports gambling - state Comptroller Tom DiNapoli's office is recommending the state Office of Alcoholism and Substance Abuse Services undertake a needs assessment and social-impact study to determine the scope of problem gambling in New York.

The lack of an updated statewide review isn't due to any reluctance by OASAS, which is the agency responsible for administering and overseeing problem gambling treatment. The issue is money. Read more here.
Tackling the Opioid Crisis: What State Strategies Are Working?

Among the many issues  confronting new state governors and their administrations, the opioid crisis may be one of the most urgent and complex, and may leave the most devastating legacy. Opioids kill 130 Americans every day. For state policy makers, the ripple effect of the crisis reaches beyond health care systems to impact public safety and corrections, child protective services, and other state agencies and functions.

As part of National Academy for State Health Policy's (NASHP) work under a National Organizations of State and Local Officials cooperative agreement with the Health Resources and Services Administration, NASHP officials met with policy makers from a dozen states to talk about their challenges and most promising policy strategies to tackle the opioid crisis.

The group discussed and evaluated a range of policy approaches involving Medicaid, behavioral and public health departments, and governors' offices.  Read more here .
How Cities Are Expanding Opioid Use Disorder Treatment

On January 25, The Pew Charitable Trusts convened public health officials from Philadelphia, Pittsburgh, Cincinnati, and New York as well as providers from three Philadelphia care settings to share their insights and experiences related to 
medication-assisted treatment (MAT) for opioid use disorder.

More than 47,000 Americans died of opioid overdoses in 2017, and virtually no community has been spared from this public health crisis. Philadelphia alone recorded 1,217 accidental drug deaths that year-88 percent of which involved opioids.

In response, many communities are striving to make effective treatments more accessible. MAT, which combines Food and Drug Administration-approved medications with behavioral therapies, is considered the gold standard of care, as it is the most effective intervention to treat opioid use disorder (OUD).  Read more here.
New TA Tool: Screening for Adverse Childhood Experiences and Trauma

This new technical assistance tool from the Center for Health Care Strategies (CHCS) offers a variety of approaches for screening adults and children for adverse childhood experiences and trauma, including examples of screening protocols used at several provider practices that have embraced trauma-informed care. It outlines considerations for screening based in part on the experiences of sites participating in Advancing Trauma-Informed Care, an initiative led by CHCS and supported by the Robert Wood Johnson Foundation, which sought to understand how trauma-informed approaches can be practically implemented across the health care sector.
Defining 'Value' Is Key To Provider/ Health Plan Conversations

For the past year, in almost every meeting that I've attended that focused on provider reimbursement from health plans, the number one concern is the definition of "value." The question-if we are going to reimburse some organizations more than others for a particular service based on the "value" of that service, who defines "value" and how is it measured?

As a reminder, the "value equation" is quite simple-"performance" for the "cost." But while cost is easy to determine, defining "performance" is a continuing challenge in the health and human service field.
Where are we now? The big payers -
Medicare, Medicaid, and employers -
predominantly rely on either National Committee on Quality Health Assurance (NCQA) Healthcare Effectiveness Data Information Set (HEDIS) measures, or their own set of measures (like CMS STARS) to assess the quality of health plans and accountable care organizations (ACO). The health plans and ACOs-over 90%-are focused on improving those "big picture" payer metrics.

But one key question is whether those measures really work for consumers with complex conditions in general, and for behavioral health in particular. 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.