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February 22, 2019

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

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Francine Sinkoff, Editor
New York State's largest health system publishes first-hand look at the growing opioid crisis

Rockland County To Sue Big Pharma Over Opioids

MIT, Staten Island PPS collaborate to address the opioid crisis - NYC

Binghamton University certified as opioid overdose prevention site - Broome County

Family & Children's Counseling Services change name, but not mission - Central NY

Two years of progress: Finding treatment - Seneca County

Niagara County appoints committee to review options on NYS' impending marijuana legalization

Nonprofit proposes rehab facility for former Niagara County Infirmary
Medical Clinic Planned for Brooklyn Homeless Shelter

Care for the Homeless, a federally qualified health center, is planning to open a medical clinic at a shelter for women in Brooklyn. 

The Manhattan-based nonprofit is seeking approval from the state for the more than $800,000 project at 91 Junius St. in northeastern Brownsville. According to a certificateof-need filing, the clinic will provide primary medical care, including podiatry, as well as substance-use services such as medication-assisted treatment for oxycodone dependence.

"Long waits at public hospitals and safety-net health centers often result in patients delaying accessing primary and preventive care services-which can then exacerbate existing medical conditions. As a result, a homeless person's health has often deteriorated to an acute state by the time they do seek health care," Care for the Homeless said in its filing. Read more here.
SAMHSA Opportunity: Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances

SAMHSA is accepting applications for Grants for Expansion and Sustainability of the Comprehensive CommunityMental Health Services for Children with Serious Emotional Disturbances (System of Care (SOC) Expansion and Sustainability Grants). The purpose of this program is to improve the mental health outcomes for children and youth (from birth through age 21) with serious emotional disturbance, and their families. This program will support the implementation, expansion, and integration of the SOC approach by creating sustainable infrastructure and services that are required as part of the Comprehensive Community Mental Health Services for Children and their Families Program (also known as the Children's Mental Health Initiative or CMHI).

SAMHSA plans to issue 6-24 grants of up to $3,000,000 per year for up to 4 years.

Indivior Launches Generic Version of Its Suboxone Opioid Drug

Two Crises In One: As Drug Use Rises, So Does Syphilis

Google Will Show Opioid Disposal Sites in Maps Searches

CMS Launches Podcast to Reach Stakeholders via Modern Platform

Should Mental Disorders Have Names?

Neuromelanin-Sensitive MRI Identified as a Potential Biomarker for Psychosis

The psychiatry field is buzzing with anticipation - and hesitation - about esketamine for depression

Colleges Expand Their Reach to Address Mental Health Issues

'Alarming' number of people received restricted fentanyl, study says

For patients with schizophrenia, some drug combinations may be more effective than others
Opportunities for Complex Care Programs to Address the Social Determinants of Health

In recognition of the underlying social, economic, and environmental factors that contribute to poor health outcomes, many complex care programs are incorporating strategies to address the social determinants of health (SDOH). This brief explores opportunities to better meet patients' social needs, including: (1) identifying patients' non-medical needs; (2) employing non-traditional workers; (3) partnering with community-based organizations and social service agencies; (4) testing new uses for technology to help address social needs; and (5) identifying sustainable funding to support non-medical services. 

February 27, 2 - 3:30 pm, SAMHSA's GAINS Center

February 27, 3 - 4 pm, NAADAC

Medicare Access and CHIP Reauthorization ACT of 2015 (MACRA) and NYS Value Based Payment Alignment
March 1, 10:30 am - 12 pm, NYS Office of Health Insurance Programs

March 1, 1 - 2:30 pm, Center for Health Care Strategies, Inc.

PSYCKES Mobile App for iPhones & iPads
March 7, 11 am - 12 pm, OMH

Using PSYCKES for Clinicians
March 14, 3 - 4 pm, OMH

Using PSYCKES Recipient Search
March 21, 1 - 2 pm, OMH

March 27, 1 - 2 pm, Manatt Health

Enable Access to Client-Level Data in PSYCKES
March 28, 2 - 3 pm, OMH



CLMHD BH Portal Webinar: PSYCKES Quality Indicators
February 27: 12 - 12:30 pm, GTM

MARCH 2019

Executive Committee Call
March 6: 8 am

Regional Reps Call
March 13: 8 am

CLMHD BH Portal Webinar: NYS OMH County Profiles
March 13, 12 - 12:30 pm, GTM

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

CLMHD BH Portal Webinar: OASAS Admissions
March 27, 12 - 12:30 pm, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
NYS OASAS Announces New York Chosen as One of Five States to Pilot National Rating System for Addiction Treatment Providers
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The NYS Office of Alcoholism and Substance Abuse Services (OASAS) this week announced that New York is one of five states selected to partner with Shatterproof, a national nonprofit organization dedicated to ending addiction, to develop and implement a rating system for addiction treatment programs. During the 24-month pilot program, OASAS will work with Shatterproof to align the rating system with ongoing initiatives in New York to improve the quality of addiction treatment by ensuring care is delivered using evidence-based best practices.

The Shatterproof Rating System pilot will launch in five states over two years with the goal of transforming the quality of addiction treatment based on eight core Principles of Care. Read more here.
Training More Therapists Breaks Logjam for Parents of Autistic Children

The window of opportunity to do the best for an autistic child can be narrow - by the time they've fallen far enough behind developmental benchmarks, the chance to get them proper therapy is fading. Adding in closing program eligibility only adds pressure, like the Henrico County, Va., Parent Infant Program, which  provides support services for children with developmental delays up to age 3.

"Most referrals we would get is for speech," said Bernita Sykes, an early intervention local system manager for the county. "A child would be two years old but he's not saying much, or they don't make sense, they're just repeating sounds. They might have high-level skills in some areas, but not foundational skills."

From there, the child would be referred for an evaluation, but qualified diagnosticians were in short supply, with wait times as long as six months.

"To see a developm ental pediatrician or someone who has the credentials to do that, the demand is so high and the resources are so low," Sykes said. "By the time they could see someone, they had aged out of the program before they could get in for a visit." Read more here.
Apply Now: Adult Drug Court Discretionary Grant Program

The U.S. Department of Justice's Bureau of Justice Assistance (BJA) is seeking applications to establish or enhance drug court services, to include coordination, management of drug court participants, and recovery support services.

This grant program provides financial and technical assistance to states, state courts, local courts, units of local government, and federally recognized Indian tribal governments to develop and implement drug courts and veterans treatment courts. BJA is accepting applications for FY 2019 grants to either establish new drug courts or enhance existing drug court programs using evidence-based principles and practices. 
The deadline to apply is Apr. 16.

New York Takes Another Stab at Opioid Tax

Gov. Andrew Cuomo is trying once again to tax the sale of opioids in New York, after a previous attempt was ruled unconstitutional last year by a federal judge.

In a  budget bill introduced Friday, the governor proposed an excise tax on opioid manufacturers and distributors based on the total morphine milligram equivalents they sell in the state as well as wholesale acquisition costs. But unlike previous legislation that forbid a tax from being passed down to purchasers and patients, the new law would allow just that.

"The economic incidence of the tax imposed by this article may be passed to a purchaser," the proposal reads.

John McDonald III, a state Assemblyman and owner of Marra's Pharmacy in Cohoes, anticipates that's exactly what will happen, and said pharmacies and consumers are the ones who will end up paying. Read more here.
Why the Rural Opioid Crisis Is Different From the Urban One

In 2017, opioid overdose deaths in the U.S. reached a record high. And mayors and local leaders across the country have been scrambling to figure out what's driving this precipitous rise of opioid mortality in the last two decades. Several theories have been aired, from aggressive Big Pharma marketing to anxiety among Baby Boomers. Unfortunately, no one-size-fits-all answer exist-how and why this public health problem manifests locally varies greatly across the U.S.

That's according to a  new working paper by Syracuse University sociologist Shannon Monnat and the Institute for New Economic Thinking (INET). It finds that one narrative that gained steam after the 2016 election-the notion of the modern opioid crisis as a disproportionately rural phenomenon that emerged outside of the cities where the "War on Drugs" has been raging for more than three decades-doesn't hold up. Instead, in both rural and urban communities, two key factors-economic distress and supply of opioids-predict the rate of opioid deaths. Read more here.
Farming Towns Shift Toward Training Community Members When it Comes to Mental Health

There are about 20 people in a basement conference room at the Wyoming County Agriculture and Business Center, sipping coffee and playing an introductory name game. Today, participants will learn to recognize the signs and symptoms of depression, suicidal thoughts and more in a course called Mental Health First Aid.

These people aren't mental health professionals.

They're agricultural workers, they're neighbors, and they just want to help. Read more here.
Online Training Aims to Help Educators Support Students' Mental Health

A new online training program in the state is now available to help educators better prepare in supporting student mental health.

The Mental Health Association in New York State provides the service for educators.

"This particular one is really geared to teachers and really provides just a basic understanding about mental health," said Glenn Liebman, CEO of the association.

This new online training program is called  Supporting the Mental Health and Wellness of Students. It's designed to deepen the understanding of this critical topic.  It includes learning how mental health troubles affect youth development and learning which signs, symptoms and risk factors that educators should look for. Read more here.
More States Say Doctors Must Offer Overdose Reversal Drug Along With Opioids

In a growing number of states, patients who get opioids for serious pain may leave their doctors' offices with a second prescription - for naloxone, a drug that can save their lives if they overdose on the powerful painkillers.

New state laws and regulations in California, Virginia, Arizona, Ohio, Washington, Vermont, and Rhode Island require physicians to "co-prescribe" or at least offer naloxone prescriptions when prescribing opioids to patients considered at high risk of overdosing. Patients can be considered at high risk if they need a large opioid dosage, take certain other drugs or have sleep apnea or a history of addiction.

Such co-prescribing mandates are emerging as the latest tactic in a war against an epidemic of prescription and illegal opioids that has claimed hundreds of thousands of lives over the past two decades. Read more here.
Your Organization Is Ready For VBR When...

About 58% of specialty provider organizations are getting some revenue from value-based reimbursement agreements, and 9.3% have 20% or more of their revenue coming from VBR-a big change . The health plan speakers at The 2019 OPEN MINDS Performance Management Institute all spoke about the push to increase VBR arrangements in both number and degree of risk sharing.

The question for most executive teams is, as VBR arrangements become more common and riskier (financially, speaking), how do you know if your organization is ready? 

OPEN MINDS Senior Associate John F. Talbot, Ph.D. recently s poke about the common domains in assessing VBR readiness-clinical management and clinical performance optimization, client access, financial management, technology reporting infrastructure, strategic alignment, a culture of innovation, and workforce adequacy. From a preparation perspective, these domains can be measured as part of pre-planning. 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.