Advancing Puglic Policies for people with Mental Illness, Substance Use Disorder and/or Intellectual/Developmental Disabilities
|
|
 |
|
Seneca County Community Counseling Achieves Long-Term Mission Just in Time
Social distancing comes with a lot of challenges. People are social creatures, so they crave interaction. During a pandemic like the one impacting most of the globe - Governor Andrew Cuomo called on mental health professionals across New York to create 'networks' for the community to leverage.
How does that happen, though, in a world where social interaction is strongly discouraged - if not outright banned?
Margaret Morse, Director of Community Services for Seneca County says the timing of this pandemic flowed with a long-term mission that Seneca's merged mental health and substance abuse clinic had been working toward. Read more
here.
|
Academy of Peer Services Virtual Learning Community
Statewide resources for peer support and supervision. Click
here to view information which is updated daily.
|
UPCOMING EVENTS &
TRAININGS
April 7, 12 - 1 pm, PsychU
April 7, 1 - 2:30 pm, Mental Health Technology Transfer Center Network
April 8, 12 - 1 pm, PsychU
A Framework for Performance Measurement in Mental Health Crisis Services Webinar
April 20, 12 - 1 pm, PsychU
Integrating Peer Support to Expand the Workforce for Individuals with Behavioral Health Challenges - Part 2
April 20, 1:30 - 2:30 pm, SAMHSA's GAINS Center
April 29, 1 - 2 pm, LexisNexis Risk Solutions - Health Care
|
|
 |
|

|
Children & Families Committee Meeting
April 21: 11:30 am - 1 pm, GTM
MAY 2020
Executive Committee Meeting
Developmental Disabilities Committee Meeting
Children & Families Committee Meeting
May 19: 11:30 am - 1 pm, GTM
CLMHD Full Membership Call
May 20: 9 - 11:30 am, GTM
CLMHD Office Closed - Memorial Day
May 25
Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422
|
|
|
NYSAC Special Bulletin - NYS Budget
NYSAC is still processing everything and as of writing this report, the Medicaid negotiations remain open.
Some initial highlights:
The Budget contains a provision granting the State Budget Director broad authority to unilaterally reduce reimbursements to local governments based on available state revenue, reported monthly.
According to the language, if the Financial Plan is out of balance by more than one percent (about $1 billion) during any measurement period, the budget director can adjust all appropriations, including capital and operating aid.
For counties, this means the state will make cuts across the board, including reimbursement to counties for the range of programs we fund and provide at the local level, if revenues fall below this threshold. Read more here.
|
|
 |
|
A Pandemic Lesson on Treating the Mentally Ill
A floridly psychotic person with no insight into his mental illness, homeless on the streets of Miami without soap or sanitizer, contracts COVID-19. Is that grounds for involuntary commitment - and if so, where, for how long, and can it include forced medication? This was an issue one of us, Miami-Dade County Judge Steve Leifman, just faced in a call from a local official. It brought home a stark reality: Of all the population groups in the United States vulnerable to the coronavirus pandemic, those with serious mental illness (SMI) are especially at risk, and we have a system utterly unprepared to deal with it.
An
estimated 45% of those who are homeless have a mental illness; a quarter have one defined as serious. Read more
here.
|
|
 |
|
|
 |
|
Mobilizing Project ECHO to Build Provider Capacity in Response to COVID-19
 As Congress and the Department of Health and Human Services place increasing emphasis on the role of telehealth in the COVID-19 response, the predominant focus has been on provider-to-patient interactions. This is both necessary and important, but telehealth strategies can also enable critical provider capacity-building efforts that support rapid evolution of clinical protocols for testing and treatment.
Telementoring - virtual collaborative learning and capacity building for providers - typically includes a multidisciplinary team of experts at one end and multiple teams of on-the-ground providers, often in rural and underserved communities, on the other end.
An Existing Telementoring Infrastructure
Real-time, regular communications channels between medical experts, public health officials, and front-line community providers ensures that information is flowing - in both directions - to share emerging learning and the most-current protocols for response. Project ECHO, launched in 2003 by the University of New Mexico's School of Medicine, is a virtual telementoring model with more than 240 hubs- typically academic medical centers - operating in 48 states and reaching nearly 70,000 community providers. During this current crisis, it is absolutely critical that states and communities have opportunities to leverage existing national networks, like
Project ECHO, particularly to reach rural and underserved communities around the country. Read more
here.
|
|
 |
|
How Behavioral Health Care Rules Are Evolving For COVID-19
As the COVID-19 crisis deepens, the U.S. medical system is facing significant uncertainty and is at risk of being overwhelmed. To promote social distancing, protect vulnerable populations, and relieve the pressure on in-person medical services, government and private payors are rapidly implementing various strategies to enable health care providers to continue to care for patients and manage significant increases in demand during the public health emergency.
During this time of significant uncertainty, social unrest and isolation, the need for behavioral health services is likely to increase as individuals with mental health and substance use disorders, or SUDs, are particularly vulnerable and in need of continued and potentially enhanced levels of treatment.
In-person addiction treatment services are being halted at a time when they may be most needed in order to provide support and avoid relapse during times of increased stress due to social isolation, economic stress and unemployment. In addition, behavioral health patients may face challenges obtaining new or continued prescriptions for much needed medications, including controlled substances. Read more here.
|
|
 |
|
What Changes Are Shaping Opioid Treatment Programs During the COVID-19 Pandemic?
With the
coronavirus (COVID-19) pandemic reaching exponential gains, it would be irresponsible to not align with the recommendations of limiting in-person interactions and practicing social distancing as much as feasible. However, this could prove to be challenging for patients with
opioid use disorder (OUD), especially for those on agonist maintenance. Prescriptions for such are limited in duration and, depending on the setting, may not be issued at all but rather administered daily at a facility.
Fortunately,
telemedicine and the reduction of medicolegal barriers surrounding controlled substance prescriptions have helped Office Based Opioid Treatment programs (OBOTs). A challenged remained for those patients who receive maintenance care (mostly methadone) from Opioid Treatment Programs (OTPs) in which they are required to present daily for administration. These patients would have increased exposure via public transportation, waiting rooms at the facility, and interactions with staff, nurses, and physicians. To complicate matters, patients may be part of the high risk group for COVID complications, ie, elderly, patients with medical comorbidities, immunocompromised patients, and pregnant women. Read more
here.
|
|
 |
|
|
 |
|
The Pandemic Emergency: Effects On Community-Based Organizations
When it comes to the current crisis, every health and human service organization is in a different position. Hospitals are swamped. Nursing homes and assisted living programs have enacted quarantines and other measures to prevent exposure. But where are community-based specialty provider organizations in this? It's tough out there.
A new survey of the members of the California Council of Community Behavioral Health Agencies (CBHA), found that the past few weeks have had a significant impact on consumers, the professionals who serve them, and the community-based provider organizations. I noted four key takeaways in the survey results:
Consumer health status 33% of respondents indicated that they have clients who are too sick to engage in treatment. However, many indicated that they are unsure what the reason for lack of engagement is for many of their clients and if it is COVID-19 related or not. Additionally, one agency indicated that they have lost contact with many of their clients who are experiencing homelessness. Read more
here.
|
|
|