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June 7,  2019

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

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Francine Sinkoff, Editor
St. Lawrence County Chemical Dependency Services adding case aide to help addicts

Liberty Resources Announces Groundbreaking Ceremony for New Integrated Health Center in Fulton - Oswego County

Symposium to tackle New York marijuana legalization's impact on public health - Cattaraugus County

Chautauqua County Hosts Annual Hope and Healing Conference

Downward Trend in Number of Opioid-Related Deaths in WNY
Classifying Autism Based on Co-Occurring Disorders May Be Beneficial - RPI Study

Men More Likely Than Women to Face Substance Use Disorders and Mental Illness

'Mental Health Parity' Is Still An Elusive Goal In U.S. Insurance Coverage

A New Approach to Addiction Treatment

San Francisco proposes nation's first universal mental health care system
Youth and Family Peer Advocates Training & Credentialing Opportunities 

The Parent Empowerment Program (PEP) is a training program that introduces new Family Peer Advocates (FPAs) to their role and to the skills they will need to effectively engage and empower parents. This training is a combination of online modules, a 2-day, in-person training and 12 coaching calls.  Completion of the  PEP  training is a requirement for the Family Peer Advocate Professional Credential. Registration is open for additional Level 2 in-person trainings statewide.

Registration forms and more information about the  PEP   training and FPA Credential can be found on the FTNYS website under the 

The Youth Peer Advocate Training introduces new Youth Peer Advocates (YPAs) to their role and to the skills they will need to effectively engage and empower young people. This training includes online modules, a 2-day in-person training, and a series of coaching phone calls. Completion of the YPA training is a requirement for the Youth Peer Advocate Professional Credential. We are excited to announce that registration for the Level 2 in-person training is now open in several regions.  Registration forms and more information about the YPA training and YPA Credential can be found on the YOUTH POWER! website under the Workforce Development tab

Revisiting Cognitive Deficits In Bipolar Disorder
June 11, 12 - 1 pm, PsychU

Improving Access To Behavioral Health Care For Rural Consumers - How Telepsychiatry Is Closing The Gap
June 11, 1 - 2:30 pm, Genoa Healthcare

Navigating Medication Assisted Treatment (MAT)
June 12, 2 - 3:30 pm, Corporation for Supportive Housing

Changing Minds: Implementing Harm Reduction
June 12, 3 - 4 pm, NAADAC

Considering the Whole Person: Contexts for LGBTQ People of Color Mental and Behavioral Health Treatment
June 12, 3 - 4:30 pm, National Council for Behavioral Health

Enable Access to Client-Level Data in PSYCKES
June 13, 3 - 4 pm, OMH

The Role of the Criminal Justice System in Reducing the Duration of Untreated Psychosis
June 18, 2 - 3:30 pm, SAMHSA's GAINS Center

Revisiting Cognitive Deficits In Bipolar Disorder
June 19, 12 - 1 pm, PsychU

Best Practices in Family Treatment Drug Courts Webinar
June 20, 2 - 3:30 pm, SAMHSA's GAINS Center

Innovative Programming and Partnering for People Experiencing Opioid Addiction
June 20, 2:30 - 4 pm, Corporation for Supportive Housing

Using PSYCKES for Clinicians
June 20, 3 - 4:30 pm, OMH

Using PSYCKES Recipient Search
June 25, 10 - 11 am, OMH

Aligning Care Delivery to Emerging Payment Models
June 25, 1 - 2 pm, AHA Center for Health Innovation

How Can Medicaid and CHIP Support Children's Emotional Health?
June 26, 2 - 3 pm, Manatt Health

Cognitive Functioning & Neuroprotection In Schizophrenia
June 26, 12 - 1 pm, PsychU


JUNE 2019

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

CLMHD Agency Day - OASAS
June 13: 10 am - 12 pm
1450 Western Ave., Albany

CLMHD Agency Day - OMH
June 13:  1 - 3 pm
44 Holland Ave., Albany

Children & Families Committee Meeting
June 18: 11:30 am - 1 pm, GTM

CLMHD BH Portal Webinar: Other Resources - OASAS Client Data System
June 26: 12 - 12:30 pm, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
NYSAC News Magazine Features County Children's Single Point of Access (CSPOA)
Click here to read the Spring/Summer 2019 edition of NYSAC News, which highlights the County Children's Single Point of Access (CSPOA) program, a vital community resource to assist children and families with complex needs in navigating and coordinating the process for obtaining care.
NYC Emergency Departments to Use New Overdose-Prevention Protocol

Thirty-one hospital emergency departments across the five boroughs have agreed to implement the Health Department's  non-fatal overdose guidance amid the ongoing opioid epidemic.

The guidance is designed to prevent overdoses and calls for emergency clinicians to provide education, including risk-reduction strategies; offer naloxone, a medication to reverse an opioid overdose; and recommend ongoing care, such as m edication-assisted treatment.

In particular, the guidance calls for patients to be asked what type of ongoing care they may be interested in, whether that be sterile syringes or medication-assisted treatment such as buprenorphine and methadone. Read more here.
NY Times: 'Become My Mom Again': What It's Like to Grow Up Amid the Opioid Crisis

PORTSMOUTH, Ohio - Layla Kegg's mother, back home after three weeks who knows where, says she's done with heroin, ready for rehab and wants to be part of her daughter's life. But Layla has heard all of this before and doesn't believe a single word.

Layla's trust was broken long ago, after years of watching her mother cycle in and out of addiction and rehab. And now this latest discovery: "I found a needle in your purse the other day," says Layla, seated at her grandmother's kitchen table, her arms crossed. "And Mamaw found two more in the dryer."

A pause, and then a fitful tumble of excuses from her mom: she doesn't know why the needles were there; they were only syringes, actually, and not needles; she was keeping them for a friend.

Layla, 17, rolls her eyes and sighs.

"It's almost like you want me to be using," her mother pleads tearfully, in a voice children more often use with their parents. "Everything I do is never going to be good enough, so what's the point."

Five days later, Layla's mother, Nikki Horr, is gone again. Read more here.

Addiction Advocates Call to Remove Federal Insurance Barriers to Treatment

Rather than supporting legislation to remove federal restrictions on health care providers' ability to prescribe buprenorphine to treat substance-use disorder, the Coalition of Medication-Assisted Treatment Providers and Advocates of New York State, or COMPA, is calling for greater reimbursement and the removal of insurance barriers.

A bipartisan bill introduced earlier this month in the House of Representatives would eliminate the requirement that providers apply for a separate waiver through the Drug Enforcement Administration to prescribe buprenorphine to treat substance-use disorder. "The additional waiver requirement," a fact sheet on the bill states, "reflects a longstanding stigma around substance-use treatment and sends a message to the medical community that they lack the knowledge or ability to effectively treat a patient with substance-use disorder." The bill's lead sponsor is Rep. Paul Tonko, a Democrat representing New York's 20th congressional district, which includes Albany. Read more here.
The Moving Medicaid Addiction Treatment Market

A lot has changed in addiction treatment policy and coverage over the past year-both at the federal and state levels. What are the major factors executive teams should be paying attention to?

First at the federal level. A year ago Congress approved an omnibus spending bill that built on the 21st Century Cures Act and appropriated $3.3 billion to address the opioid and mental health crisis in fiscal year 2018. This funding was allocated to multiple federal departments for program grants, research, drug monitoring programs, and mental health programming.

Then last October the Substance Use Disorder Prevention That Promotes Opioid Recovery & Treatment For Patients & Communities Act (SUPPORT Act) was signed into law, and includes a provision that directs the Centers for Medicare & Medicaid Services (CMS) to end the Medicaid exclusion on addiction treatment at IMDs. Starting this year, state Medicaid programs will have the option under a state plan amendment (SPA) to cover care in certain IMDs through 2023. Read more here.
'Social Workers of Last Resort': Police Adopt New Training Techniques

More than 200 police recruits in black uniforms and tight haircuts turn in unison, marching toward the flagpole on a sunny May morning at the Washington State training center next to SeaTac Airport. Before they say the Pledge of Allegiance, they drop to the concrete and deliver 20 pushups in front of onlooking command staff - just a small slice of the 10,000 reps they'll do over the next 90 days.

But this isn't the bit of basic police training that most in the Washington State Criminal Justice Training Commission leadership are focused on now. By early June, leaders need to create a new set of rules for training officers statewide on de-escalation techniques, mandated by a state ballot initiative and legislation that passed by wide margins in the past six months.

Those de-escalation techniques can prevent potentially deadly interactions between police and residents. One group this especially will help is people with mental illness. Read more here.
Study: Link Between Treatment Programs and Reduced Jail, Recidivism - Higher Education

A five-year study by the Center for Behavioral Health and Justice at Wayne State University's School of Social Work found that diverting individuals with mental health disorders into treatment programs rather than simply jailing them significantly reduces the jail population and reduces the chances of recidivism.

The two-phase study, recently released by the state of Michigan, is based on research conducted between 2014 and this year. Titled "Mental Health Across the Criminal Legal Continuum: A Summary of Five Years of Research in Ten Counties," the study examines the impact of a series of pilot intervention programs and improved jail-diversion efforts in several Michigan counties and calls for greater investment in mental health and drug treatment statewide.

The study found that 54% of all individuals booked into jails in the target counties reported some variation of a substance abuse problem, 45% described themselves as housing insecure, 42% said they recently were incarcerated and 34% had some indication of mental illness. Read more here.

Additional article of interest: Mentally Ill and Languishing in Jail
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.