Advancing Public Policies for People with Mental Illness, Chemical Dependency or Developmental Disabilities
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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.
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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.
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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.
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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
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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
CSPOA/DOH/OMH Call
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
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NYS OASAS Announces New York Chosen as One of Five States to Pilot National Rating System for Addiction Treatment Providers
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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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