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April 19 , 2019

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

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Francine Sinkoff, Editor
Rockland to Hold Narcan Training at County Legislative Chambers

Nonprofit offers scholarships for training to screen for substance abuse - NYC

HHS Gives Four States Funds to Drastically Cut Opioid Deaths

HHS on Thursday said it will give four states more than $350 million to reduce opioid deaths by 40% over three years.

Kentucky, Massachusetts, New York and Ohio will participate in a study that could serve as a blueprint for other states on how to curb the opioid epidemic, HHS officials said. The study aims to coordinate efforts to prevent and treat opioid addiction in schools, the criminal justice system and other parts of the community.

The study is part of a long-term initiative at the National Institutes of Health called Helping to End Addiction Long-term, or HEAL, which aims to coordinate efforts across HHS' various agencies to combat the opioid crisis. Read more here. Read more here.

"In Case You Missed It" - CLMHD 
Recaps Key Information Issued by the State
The Conference has published the March edition of "In Case You Missed It (ICYMI)," a one-stop-shop highlighting key information released by our state partners. ICYMI provides a clear, concise recap of significant state guidance, regulations, and resources from OMH, DOH, OASAS, and OPWDD, as well as links to access documents and materials of importance.

Click here to read the latest issue.

Effective Implementation of RNR in Treatment Court Settings
April 22, 1:30 - 3 pm, SAMHSA's GAINS Center

The Opioid Crisis: Perspectives From Addiction Specialists In Primary Care & Psychiatry
April 23, 12 - 1 pm, PsychU

PSYCKES Mobile App for iPhones & iPads
April 23, 2 - 3 pm, OMH

Value-Based Purchasing/Managed Care: A Thorny Rose by Any Name...
April 25, 1 - 2 pm, OPEN MINDS

Meeting the Needs of Individuals with Substance Use Disorders: Strategies for Reentry From Jail
April 25, 2 - 3:15 pm, National Association of Counties

Enable Access to Client-Level Data in PSYCKES
April 30, 11 am - 12 pm, OMH

Benefits & Challenges of Smartphone Use in Mental Health
May 1, 12 - 1 pm, PsychU

Stepping Up: Three Steps to Identifying and Collecting Data on People with Mental Illnesses in Your Jail
May 2, 2 - 3:15 pm, National Association of Counties

Key Transitions: Supporting the Behavioral Health of Women Veterans
May 7, 1:30 - 2:30 pm, National Council for Behavioral Health

Blurred Lines: The Convergence of Gaming and Gambling
May 8, 3 - 4 pm, NAADAC

Using PSYCKES Recipient Search
May 9, 2 - 3 pm, OMH

National & State Behavioral Health Systems: Changes On The Horizon
May 14, 12 - 1 pm, PsychU

Using PSYCKES for Clinicians
May 14, 1 - 2:30 pm, OMH


APRIL 2019

CLMHD BH Portal Webinar: Juvenile Justice
April 24: 12 - 12:30 pm, GTM

CLMHD Spring Full Membership Meeting
April 29 - 30, Holiday Inn, Saratoga Springs

MAY 2019

CLMHD BH Portal Webinar: Other Resources - County Health Rankings
May 8: 12 - 12:30 pm, GTM

AOT Coordinators Call
May 10: 10 am, GTM

Children & Families Committee Meeting
May 21: 11:30 am - 1 pm, GTM

CLMHD BH Portal Webinar: Other Resources - OMH Statistics and Reports (1 of 2)
May 22: 12 - 12:30 pm, GTM

Mental Hygiene Planning Committee Meeting
May 23: 1 - 3 pm, GTM

CLMHD Offices Closed - Memorial Day
May 27

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
Northwell Health Opens Emergency Telepsychiatry Hub, Reducing ER Wait Times
Telepsych: The new telepsychiatry hub will provide remote, around-the-clock consultations for mental health patients in crisis coming to the health system's emergency departments (ED) throughout New York City, Long Island and Westchester County.
Northwell Health will be opening an Emergency 
Telepsychiatry Hub that provides remote, around-the-clock consultations for mental health patients in crisis coming to the health system's emergency departments (ED) throughout  New York CityLong Island and Westchester County. 

Telepsychiatry is an innovative, secure, online videoconferencing platform that connects patients with psychiatrists where and when they need them most.  Located at Northwell's  Lenox Health 
Greenwich Village in  Manhattan , the new 770-square-foot telepsychiatry center features nine video-equipped workstations staffed by members of a 35-employee team that includes 23 psychiatrists and nine master's-level behavioral health clinicians. 

Having this telehealth resource in place has already resulted in a 90 percent decrease in wait times for ED patients who need to see a psychiatrist - to an average of 45 minutes. Read more here.
New Long Island Partnership Aims to Close Opioid Addiction Treatment Gap

A new partnership on Long Island hopes to help fix the opioid addiction crisis by providing overdose patients with immediate transportation and admission into residential treatment programs from the emergency room. 

Nassau County District Attorney Madeline Singas announced the collaboration between the DA's Office, Northwell Health, Nassau University Medical Center and Maryhaven's New Hope Crisis Center aimed at helping close the deadly treatment gap. 

As part of the three-pronged strategy against the heroin crisis -- which includes enforcement, education and treatment -- Singas has negotiated a unique and medically approved treatment program. 

Staff from Maryhaven's New Hope Stabilization/ Crisis Center began a pilot program Monday with Northwell-LIJ and Nassau University Medical Center, in which New Hope staff are on call to respond directly to the hospital emergency rooms to work with the hospital staff to counsel patients and immediately transport them to New Hope to begin treatment. Read more here.
North Country Health Care Projects Win Funding

More than $539,000 has been awarded to North Country health care programs through the AHI Performing Provider System.

Innovation funding will support the implementation of four projects involving 24 regional organizations.

"Each of the awarded innovation fund projects in the Plattsburgh area aligns with the overarching DSRIP (Delivery System Reform Incentive Payment program) goal of improving population health and creating an integrated delivery system," said Eric Burton, CEO of the Adirondack Health Institute.

"This is the fourth round of funding the AHI PPS has made available to partners. For this round, we placed an emphasis on supporting projects involving multiple organizations from a wide array of sectors working closely to positively impact community health."  Read more here .
Number of New York State Primary Care Providers Adopting Coordinated Care Model Soars

The number of primary care providers in New York State adopting a high-performing, health care delivery model known as the patient-centered medical home (PCMH) rose by more than 35 percent between May 2017 and May 2018, a dramatic increase in the rate of growth over prior years, according to a United Hospital Fund report released today. 

Over the past eight years the number of clinicians working in PCMH practices has increased at an average rate of roughly 15 percent a year, from 3,400 clinicians in 2011 to more than 9,000 at the end of May 2018. The recent growth coincides with the Delivery System Reform Incentive Payment (DSRIP) program, the state's Medicaid reform initiative, which provided incentives for  health systems to help practices to adopt the National Committee for Quality Assurance's (NCQA) PCMH model, in which all or most of a patient's health care needs are coordinated through a primary care physician. Read more here.
Governor Cuomo Announces Comprehensive Agenda to Combat K-2

Governor Andrew M. Cuomo this week announced a comprehensive statewide plan to combat synthetic cannabinoids, also known as K-2. This multi-agency agenda includes wide-ranging prevention, education, treatment, and community engagement efforts, building upon the Governor's commitment to add dozens of synthetic cannabinoids to the state's controlled substances list. These new initiatives will help remove these substances from circulation, raise awareness on the dangers of K-2, and provide additional guidance to healthcare providers on effective treatment and recovery services.  Read more here .
Statewide Webinar - Community Health Access to Addiction and Mental Healthcare Project (CHAMP)

The Regional Planning Consortiums, in partnership with the Community Health Access to Addiction and Mental Healthcare Project (CHAMP), is hosting a webinar on Thursday, May 9 from 10:30 - 11:30 am to provide an overview of the program. 

Click HERE to register.

Presenters: Stephanie Campbell, CHAMP Project Director, OASAS and Lynn Goldberg, Project Specialist, CHAMP, NYS Council for Community Behavioral Healthcare

Please contact RPC Coordinator - Peter Griffiths with any questions at  or by phone
at 518-424-1014.
Growth in Rural Hospital ED Visits Outpacing Urban Visits

Rural hospital emergency departments are increasingly serving as safety-net centers, treating a larger proportion of Medicaid or uninsured patients, new research confirms.

The nationwide analysis of trends among urban and rural hospitals found that from 2005 through 2016, the visit rate at rural emergency departments (EDs) increased by more than 50%, outpacing a more modest increase among urban hospitals.

In 2016, there were 1.5 rural ED visits for every one urban ED visit, the data found.

The findings, derived from National Hospital Ambulatory Medical Care Survey  data, are published online in JAMA Network Open .

Rural hospitals are struggling financially throughout the nation, and closing at an alarming rate in certain regions. In Tennessee, for example, at least 10 rural hospitals have closed since 2012, creating "healthcare deserts" throughout rural areas of the state. Read more here.
The Child Mental Health Gap-More Prevalence, Less Treatment, More Opportunity?

Recently, we've seen a lot of focus in the health and human service field on the child mental health treatment gap. This treatment gap is the result of a few factors.

First, there is an increase in prevalence in mental and developmental issues among children and youth. The rate of adolescents who reported experiencing symptoms of major depressive disorder increased by 52% between 2005 and 2017. Among young adults ages 18 to 25, the rate of those reporting symptoms of major depression increased by 63% from 2009 to 2017. And between 1997 and 2016, the prevalence of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents increased from 6.1% to 10.2% in the U.S. 

Then, there is the access issue. 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.