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April 12 , 2019

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

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Francine Sinkoff, Editor
Ellis Medicine to offer region's first 'autism-friendly' ER - Schenectady County

Outpatient drug treatment center formally opens in Schenectady's Hamilton Hill

FDNY overdose mapping helps nurses with clinical intervention - NYC

New Website Designed to Enhance Availability of Addiction Services on Staten Island - NYC

Pace University Launches Ph.D. in Clinical Psychology - NYC

Cornell to implement innovative approach to student mental health services - Tompkins County

Fentanyl state of emergency update - Broome County

Study: More children, teens seeking mental health help at emergency rooms - Monroe County

Onondaga County to use $2M State grant to prevent, reduce tobacco use in three counties
Funding Opportunity:
Comprehensive Opioid Abuse Site-Based Program

The U.S. Department of Justice (DOJ), Office of Justice Programs (OJP), Bureau of Justice
Assistance (BJA) is seeking applications to plan and implement comprehensive programs in
response to the growing opioid epidemic. 

The Comprehensive Opioid Abuse Site-based Program provides grants to governments to expand opioid abuse prevention and education efforts while also promoting treatment, recovery, and partnership models involving first responders and providing for the needs of crime victims and their families.

The program has 3 grant categories with specific eligibility and activity requirements:
  • Category 1 - Locally Driven Responses to the Opioid Epidemic
  • Category 2 - Statewide Implementation, Enhancement, and Evaluation Projects
  • Category 3 -Harold Rogers Prescription Drug Monitoring Program (PDMP) Implementation and Enhancement Projects
Click here for more information.

Drugs? Pets? Couples? Unlike Most Homeless Shelters, This One Will Take You No Matter What

Statewide Workforce Webinar - Using the HRSA Loan Repayment Program 

The Regional Planning Consortiums (RPC), in partnership with Health Resources and Services Administration (HRSA), is hosting a webinar on Tuesday, May 21st on the National Health Service Corps and Nurse Corps programs. This webinar will provide an overview of HRSA's loan repayment programs and how the program can be used as a health professional recruitment and retention tool for your clinic.

This webinar will cover the following:
  • What is the Health Resources and Services Administration (HRSA)?
  • Overview of Bureau of Health Workforce (BHW)
  • Description of the National Health Service Corps (NHSC)
  • Description of Nurse Corps
  • Q & A    
Please contactRPC Coordinator - Peter Griffiths with any questions at or by phone at 518-424-1014.

Using PSYCKES for Clinicians
April 17, 10 - 11:30 am, OMH

Addiction Services 101: What Is Your Agency's Overdose Plan?
April 17, 1:30 - 2:30 pm, Corporation for Supportive Housing

Meeting the Needs of Individuals with Substance Use Disorders: Strategies for Jails
April 18, 2- 3:15 pm, National Association of Counties

Effective Implementation of RNR in Treatment Court Settings
April 22, 1:30 - 3 pm, SAMHSA's GAINS Center

The Opioid Crisis: Perspectives From Addiction Specialists In Primary Care & Psychiatry
April 23, 12 - 1 pm, PsychU

PSYCKES Mobile App for iPhones & iPads
April 23, 2 - 3 pm, OMH

Value-Based Purchasing/Managed Care: A Thorny Rose by Any Name...
April 25, 1 - 2 pm, OPEN MINDS

Meeting the Needs of Individuals with Substance Use Disorders: Strategies for Reentry From Jail
April 25, 2 - 3:15 pm, National Association of Counties

Enable Access to Client-Level Data in PSYCKES
April 30, 11 am - 12 pm, OMH

Benefits & Challenges of Smartphone Use in Mental Health
May 1, 12 - 1 pm, PsychU

Stepping Up: Three Steps to Identifying and Collecting Data on People with Mental Illnesses in Your Jail
May 2, 2 - 3:15 pm, National Association of Counties

Blurred Lines: The Convergence of Gaming and Gambling
May 8, 3 - 4 pm, NAADAC

National & State Behavioral Health Systems: Changes On The Horizon
May 14, 12 - 1 pm, PsychU


APRIL 2019

Children & Families Committee Meeting
April 16: 11:30 am - 1 pm, GTM

Developmental Disabilities Committee Meeting
April 18: 1 - 2:30 pm, GTM

CLMHD BH Portal Webinar: Juvenile Justice
April 24: 12 - 12:30 pm, GTM

CLMHD Spring Full Membership Meeting
April 29 - 30, Holiday Inn, Saratoga Springs

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
Amid Epidemic, New York Urges Feds to Deregulate Addiction Medicine
Protestors, representing those who have died from an overdose, lay down to block Washington Ave. outside the Medicaid Office on Monday, April 8, 2019, in Albany, N.Y. Members of Vocal-NY, End Overdoes New York, and Truth Pharm were calling for universal access to medication-assisted treatment (MAT) to end the overdose crisis. The protestors were also highlighting the critical and persistent problems with Medicaid that hinder MAT access.    (Paul Buckowski/Times Union) Photo: Paul Buckowski, Albany Times Union / (Paul Buckowski/Times Union)
ALBANY - New York is leading a coalition of 22 states and territories that are calling on the federal government to immediately ease restrictions on physicians looking to prescribe buprenorphine, a medication that treats opioid addiction.

On the same day that advocates took to the streets of Albany for a "die-in" to protest escalating overdose deaths in New York, nearly two dozen state health officials including New York Health Commissioner Howard Zucker called on U.S. Health and Human Services Secretary Alex Azar to expand access to the medication in response to the opioid epidemic impacting their states and the nation as a whole. Read more here.
Citizen Advocates, St. Joseph's Team Up for Research - North Country

MALONE - Citizen Advocates and St. Joseph's Addiction Treatment and Recovery Centers have teamed up to conduct research focusing on the challenges faced by rural behavioral health providers and the individuals they serve.

Rural behavioral health providers serve a population of individuals and families that is uniquely vulnerable, and which often face hurdles connecting the people they support with the appropriate level of care or services. In many cases, the services some individuals and families require extend beyond a clinic or medical setting. Access to housing, reliable transportation, job training or food security can be obstacles for someone recovering from an addiction or mental health diagnosis. These challenges are more pronounced in areas like the North Country. Read more here.
New Statewide Online Training Program For Mental Health

The School Mental Health Resource & Training Center, an initiative of the Mental Health Association in New York State, Inc. (MHANYS), has launched a new self-paced online training program to further prepare educators, administrators and other school staff with an in-depth understanding of how to support the mental health of students. The online course outlines New York State's first-in-nation law requiring mental health instruction in all K-12 schools, and it explains how individual school personnel can do their part to help implement it.

The launch of the online training program follows an impactful first seven months for the School Mental Health Resource & Training Center. Already, more than 10,800 individual users have visited the Center's website/online learning space to gain information about the law and youth mental health. Read more here.

Additional article of interest:  The Crisis of Youth Mental Health
New York Foundation to Distribute $150 Million in Grants to Improve Health

The Mother Cabrini Foundation will be distributing up to $150 million in grants this year to organizations across New York State to "improve the health and well-being of vulnerable New Yorkers, bolster the health outcomes of diverse communities, eliminate barriers to care and bridge gaps in health services." The foundation was established last year as a result of the acquisition of Fidelis Care by Centene Corporation, and has assets of $3.2 billion. At the time, the foundation submitted a draft program guide to the Charities Bureau as part of its review of the transaction. They named a Board of Directors, but since then have had no visibility. Mother Cabrini recently launched a web site that names the executive staff, including Monsignor Gregory Mustaciuolo, formerly Vicar General and Chancellor of the Archdiocese of New York as CEO and Deborah Konopko, a former Pataki Administration official, as COO. For its 2019 funding priorities the foundation has identified a number of vulnerable populations: 
  • low income individuals and families;
  • older adults;
  • immigrants and migrant workers; * formerly incarcerated individuals;
  • persons with special needs;
  • veterans;
  • young children, pregnant women and new moms; and
  • youth and young adults
Further information about how to apply for grants will be available mid-April. Click here to learn more about the foundation.
Police-Mental Health Collaborations: A Framework for Implementing Effective Law Enforcement Responses for People Who Have Mental Health Needs

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Increasingly, law enforcement officers are called on to be the first, and often the only, responders to calls involving people who have mental health needs. To begin tackling that challenge, The Council of State Governments (CSG) Justice Center released a framework to help law enforcement agencies across the country better respond to the growing number of calls for service they receive involving this population.

This publication is intended to help jurisdictions advance comprehensive, agency-wide responses to people who have mental illnesses. Written primarily for law enforcement executives, and with support from the U.S. Justice Department's Bureau of Justice Assistance, the framework also highlights jurisdictions that have excelled in each area.
Use of Medication-Assisted Treatment in the Criminal Justice System

Use of Medication-Assisted Treatment in the Criminal Justice System
This guide focuses on using medication-assisted treatment for opioid use disorder in jails and prisons and during the reentry process when justice-involved persons return to the community. It provides an overview of policies and evidence-based practices that reduce the risk of overdose and relapse.
Opioid Treatment Programs Gear Up to Provide Suicide Care
Stateline April11
It's long been suspected that the nation's unprecedented drug overdose epidemic and sharply rising suicide rates are linked.

Now health researchers are finding concrete evidence that the two preventable causes of death - which are among the top 10 in the United States - are intrinsically related: People with an opioid addiction are at much higher risk for suicide than the rest of the population; and opioid use was a contributing factor in more than 40% of all suicide and overdose deaths in 2017, according to data from the U.S. Centers for Disease Control and Prevention.

Suicide prevention advocates have been pushing the addiction treatment community to address the substantial overlap by evaluating all patients for suicide risk and employi ng preventive techniques for those who need it.

In June, that's slated to happen. Read more here.
Where do mandated staffing ratios fit in value-based care? Do lower staffing ratios for clinical professionals improve the quality of care? The data isn't clear about the benefits of lower staffing ratios and there is a wide range of state-specific regulations related to clinical staffing ratios.Clinical practice patterns in the U.S. have always had great variance. Over the past 35 years, since The Dartmouth Atlas Study, research has documented great geographic variations in health care practices. These variances do not necessarily correlate with quality of care (see Improving Quality and Curbing Health Care Spending: Opportunities for the Congress and the Obama Administration). These issues are magnified for consumers with complex care conditions and chronic conditions-with often unstudied complications of comorbid conditions and unmet social support needs.

This variance, and how actual service delivery varies from clinical guidelines, has always been of concern to policymakers-because of the implications for quality of care and cost. Two recent changes in the health and human service delivery landscape are bringing new attention to clinical practice patterns and clinical guidelines. The first is the move to include financial risk in the reimbursement contracts of health plans, health systems, and provider organizations-particularly risk that is focused on reducing duplicative and unnecessary care delivery. The second is the addition of consumers with behavioral and cognitive conditions, and consumers with more complex social support needs, to these risk-based and value-based contracting models.

The challenge is one of incentives. 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.