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February 1, 2019

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

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Francine Sinkoff, Editor
Health data nonprofits agree to merger - Central NY, Southern Tier & Hudson Valley Regions

Schoharie County joins LEAD policing program

Neighborhood Center mulls next step after zoning board denies appeal - Herkimer County

'Grey Death' heroin found again at Albany County Jail

Staten Island's new strategy to combat opioid crisis

New York City Tries to Link Nexus of Doctors Serving the Homeless

Full college experience offered for people with developmental disabilities - NYC

New at Home Opioid Dissolving Packet - Schuyler County

Health care is the biggest employer in WNY. Here are six trends for 2019.

Opioid Response Task Force to launch in Erie County
ODMAP Peer Response Partnership to Begin Pilot in Jamestown

There's a new effort underway in Chautauqua County to respond to non-fatal overdose events with support and resources for recovery.

A true collaborative effort has led to the development of a program which will connect people who have experienced an overdose with a peer from the Mental Health Association within 48 hours. The project began in Jamestown this week. If the program is successful, County officials hope to expand efforts to all of Chautauqua County.

Over the past year, the Chautauqua County Department of Health and Human Services (CCDHHS) has been working to engage law enforcement and emergency responders in a program that provides real-time surveillance and mapping of known and suspected overdose events.

The Overdose Detection Mapping Application Program (ODMAP) was developed and is operated by the Washington/Baltimore High Intensity Drug Trafficking Area (HIDTA) Program. Read more here.
Addiction or Mental Illness: Which Should You Treat First?

Opioid Lawsuits Are Headed to Trial. Here's Why the Stakes Are Getting Uglier.

Common test for mental health understanding is biased, study finds

Fighting the Stigma of Mental Illness Through Music

Steep Climb In Benzodiazepine Prescribing By Primary Care Doctors

Postpartum Psychosis Is Real, Rare And Dangerous

Got Anger? Try Naming It To Tame It

The Real Reason Record Numbers of College Students Are Seeking Mental Health Treatment

Child and Adolescent Suicide and Self Harm: Treatment and Prevention

One percent of US teenagers are using flakka -- but it could be more

Critical new clues about what goes awry in autistic brains

The future of psychiatry promises to be digital, from apps that track your mood to smartphone therapy
Opioid Money Has Helped, But States Want More

More than a decade into an opioid overdose epidemic that's costing the nation at least 
$78 billion a year , emergency federal dollars have kindled local victories. But state and local officials say they need sustainable funding for what they expect to be a long-term struggle to provide effective treatment for legions of people addicted to opioids.

Many officials are counting on settlements in civil cases against the drugmakers and distributors that state and local governments blame for the epidemic. Other states are considering an annual assessment against drug companies or a tax on painkillers. 

In the meantime, frontline practitioners in the opioid epidemic say that the infusion of federal money over the past two years, and the possibility of as much as $8 billion more over the next five years under a law enacted in October, has saved thousands of lives and is starting to change the hearts and minds of traditional addiction treatment providers who have long opposed the use of evidence-based medications to treat addiction.

But to continue prevention and overdose rescue efforts, while ensuring that opioid addiction treatment is available to the 2 million Americans who need it, states will require a steady stream of funding that most state officials say they can't count on the federal government to deliver. Read more here.
Stigma, Reimbursement Remain Barriers to Better Care for Mental Health

Poor reimbursement, workforce shortages, and lax government oversight of mental health parity laws limit access and integration of behavioral health, according to a  new report from the Bipartisan Policy Center (BPC).

But of all the barriers to accessing quality and affordable mental health services, stigma may be the most powerful, said Patrick Kennedy, founder of the Kennedy Forum, a mental health and substance abuse advocacy organization.

"If this were any other disease, we'd be running towards the problem, not away from it," he said during a panel discussion on integrating mental and behavioral health into clinical care, hosted Thursday by the BPC.

Authors of the new report said their ideas were to be taken as "policy options" or a "starting point for discussion" rather than as a specific set of recommendations. Kennedy noted that similar reports have been ignored and are now just "sitting on shelves."  Read more here .

February 5, 1 - 2 pm, RTI International

Online course, then on-site from February 6 - 8, 2019 in Rochester

Using PSYCKES Recipient Search
February 6, 10 - 11 am, OMH

Partnering to Address Behavioral Health: A Deep Dive into Hospital/Health System Partnerships with Community Behavioral Health
February 6, 3:30 - 4:30 pm, American Hospital Association

Treatment Plan Collaboration: Understanding & Incorporating Caregiver, Peer Support, & Clinician Perspectives
February 7, 12 - 1 pm, PsychU

PSYCKES Access and Implementation
February 7, 3 - 4 pm, OMH

Using PSYCKES for Clinicians
February 13, 10 - 11:30 am, OMH

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

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 Mentoring Workshop
February 5: 12 - 5 pm
41 State Street, Suite 505, Albany

Agency Meeting - OASAS
February 6: 10 am - 12 pm
1450 Western Ave., Albany

Agency Meeting - OMH
February 6: 1 - 3 pm
44 Holland Ave., Albany

AOT Coordinators Meeting
February 8: 10 - 11:30 am, GTM

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

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
NYSAC Hosts Marijuana Panel For County Delegates
NYSAC Pot Panel
As New York state lawmakers consider legalizing recreational marijuana, county delegates gathered in Albany Tuesday to discuss the challenges and opportunities legal pot may bring.

A New York State Association of Counties panel included representatives from a marijuana dispensary and a hemp farm, and took a look at what New York can learn from the policies of marijuana-friendly states like Massachusetts. New York lawmakers are considering Democratic Governor Andrew Cuomo's proposal to legalize and tax recreational marijuana for those 21 and older.

Christine DeLarosa is the CEO and co-owner of The People's Dispensary in Oakland and Portland. She was introduced to the cannabis industry after a near-fatal pulmonary embolism and lupus diagnosis in 2010. DeLarosa says she spent years treating her pain with 11 synthetic drugs and opioids, and credits CBD as a successful medical alternative. Read more here.
CLMHD Publishes Analysis of 2019-2020 Executive Budget

Governor Cuomo released the 2019-2020 Executive Budget proposal on Tuesday, January 15, 2019.  CLMHD staff reviewed the proposal and  compiled highlights
related to  mental hygiene. 

Click  here  to read CLMHD's overview of the Executive Budget.
NYS OMH Grant Opportunity: $12.5 Million in Funding to Expand Supportive Housing for Homeless Individuals With Mental Illness

The New York State Office of Mental Health (OMH) has  issued two new Requests for Proposals(RFP) that will provide up to $12.5 million in annual funding for the operation of 500 units of supportive housing for homeless individuals statewide.

The RFPs are funded by the Empire State Supportive Housing Initiative (ESSHI), a component of Governor Andrew Cuomo's 
historic $20 billion five-year  plan for the creation and/or preservation of at least 6,000 supportive housing units and over 100,000 affordable units. The RFP awards will utilize uncommitted funding from the first two rounds of ESSHI grants.

The 500 scattered-site supportive housing units created through these RFPs will be targeted to homeless individuals who are living with mental illness. Half of the units will be dedicated specifically for individuals with mental illness leaving the prison system. 
Funding awarded under these RFPs may be used to provide rental assistance and services to eligible target populations to ensure their housing stability. Read more here.
NYS OASAS Awards Nearly $5 Million Dollars to Recruit Vital Personnel to Asisst New Yorkers Seeking Addiction Treatment Services

The New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) 
this week announced the award of nearly $5 million in funding, which will assist OASAS-certified providers in hiring nurse practitioners and Certified Recovery Peer Advocates (CRPAs) to help New Yorkers in need of addiction services. Providers were awarded one-time funding of $40,000 per peer advocate position, and $25,000 per nurse practitioner position.

Certified Peer Recovery Advocates are individuals who hold an OASAS-approved certification and provide peer support services. The advocates are either in recovery themselves, or have a close family member in recovery, and work to help patients develop recovery plans and learn effective coping habits. 

Nurse practitioners (NPs) treat patients attempting to break their addiction to drugs, alcohol or other addictive substances. They may diagnose, treat, and prescribe for a patient's condition that falls within their specialty area of practice. Within OASAS settings, their responsibilities may include: acute care, adult health, family health, psychiatry, and women's health.  Read more here.

Additional article of interest: Bringing Peer Support To Scale In Service Delivery
New York Receives SAMHSA Funds - State Registries for Mental Health Crisis Intervention Beds

The Substance Abuse and Mental Health Services Administration and National Association of State Mental Health Program Directors are working to create a registry of crisis intervention beds for people with serious mental illness, SAMHSA  announced  last week.  Twenty-
three states - including NY -  have received $150,000 each from SAMHSA to establish or expand their registry programs as part of the initiative, intended to help emergency departments and clinicians find available beds when needed. 

"All too often individuals experiencing a psychiatric crisis have long delays in obtaining appropriate services," said Health and Human Services Assistant Secretary for Mental Health and Substance Use Elinore McCance-Katz, M.D. "These delays result in serious consequences, including long waits at home, in emergency departments, or in jails for necessary services to become available. Reducing these delays is a top priority for SAMHSA." 
New York State Releases DSRIP Stories of Meaningful Change in Patient Health

The New York State Department of Health has released a compendium of stories highlighting transformative care through New York´s Delivery System Reform Incentive Payment Program, or DSRIP. 

DSRIP: Stories of Meaningful Change in Patient Health highlights fifteen examples of healthcare transformation throughout New York. From culturally competent care coordination, to healthy food, to convenient locations for health care screenings and patient education, the compendium of stories personifies DSRIP and PPS across the state.
New York Proposes Expanded Telehealth in the Mental Health Setting

On January 23, 2019, the New York State Office of Mental Health published draft amendments to its Part 596 regulations expanding the use of telehealth to deliver mental health services in the regulated mental health system. The OMH draft regulations, which implement 2018 statutory changes, are available  here and here.

The draft regulations seek to expand opportunities for the delivery of and access to mental health services via telehealth - redesignated as "telemental health" rather than "telepsychiatry" - in the OMH-licensed setting. OMH's draft regulations would:
  • Expand individuals eligible to deliver telehealth mental health services to include psychologists, mental health counselors, and social workers, in addition to psychiatrists and nurse practitioners;
  • Expand eligible settings to include the patient's place of residence or other temporary location within or outside New York, in addition to OMH-licensed sites; Read more here.
Additional article of interest:  How Is Telepsychiatry Revolutionizing Care
In Focus: Collecting and Analyzing Baseline Data

Stepping Up partners designed to help counties collect and analyze baseline data on the prevalence of people in their jails who have serious mental illnesses (SMI), specifically along the recommended four key measures: (1) the number of people booked into jail who have SMI; (2) their average length of stay in jail; (3) the percentage of people with SMI who are connected to treatment; and (4) their recidivism rates. Once collected, these baseline data allow county leaders to identify the system improvements and programs needed to reduce the number of people in jail who have SMI and provide benchmarks against which progress can be measured.  Read more here .
Issue Brief: State Strategies for Establishing Connections to Health Care for Justice-Involved Populations - The Central Role of Medicaid

With many states expanding Medicaid eligibility, individuals leaving jail or prison are now often able to enroll in health coverage upon release. It is increasingly clear, however, that coverage alone is insufficient to address the often complex health and social needs of people who cycle between costly hospital and jail stays.

This issue brief first discusses the impact of Medicaid expansion on coverage and then describes the latest developments in comprehensive primary care delivery models for people leaving jail or prison and the role that Medicaid can play in financing and supporting such models. The models are designed to improve health outcomes and reduce unnecessary costs associated with people cycling in and out of hospitals, homelessness, and jails. Often they are part of broader efforts in Medicaid to better manage the cost of high-cost, high-risk individuals. The opioid epidemic has added urgency to this work, spurring states to design better care delivery for people with substance use disorders.
Necessity Is the Mother of Invention: Emergency Psychiatry's Era of Innovation

Emergency department (ED) visits for psychiatric complaints are increasingly common. The 1% to 3% of ED patients who screen positive for suicidal ideation comprise a population at heightened risk of completing suicide. While emergency psychiatric presentations are often associated with serious mental illness, patients of all acuity levels present in this setting. The most common psychiatric presentations in the ED are for anxiety, depression, or stress reactions.

Providing treatment to these patients in the ED introduces complexity of care that emergency psychiatrists are attempting to address with a mix of service delivery models. This article discusses the peculiarities of emergency psychiatric practice and reviews innovations in models of care delivery designed to overcome the challenges of this subspecialty. 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.