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May 16,  2019

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

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Francine Sinkoff, Editor
Schenectady County to start jail-treatment program

Upstate N.Y. Agency Promotes Code Green Training for Mental Health - Orange County

Access Opens Mental Health, Substance Use Urgent Care - Orange County

Bon Secours Celebrates 25th Anniversary Of Mental Health Unit During Mental Health Month - Westchester County

Governor Cuomo Announces Opening of $47 Million Affordable and Supportive Housing Development in the Bronx - NYC

Erie County medical center builds new trauma, emergency hub to match patient growth
How Healthcare Organizations Are Fusing Primary Care and Behavioral Health
Human brain is made of multi-colored wooden blocks. Creative medical or business concept.  
Despite the correlation between physical and mental health, primary care and behavioral health have long been siloed within the world of medicine. Now, however, there's an increasing push to integrate the two concepts, particularly as some patients are heading to their primary care doctor's office for mental health-related visits.

How are healthcare providers finding ways to integrate behavioral health into the care continuum? To find out, we talked to two health systems serving different patient populations. One in New York is integrating technology into the workflow, while a Kentucky-based organization has a model involving a behavioral health consultant and primary care physician working together.

About four years ago, Montefiore Health System  in New  York received a grant from the CMS Innovation Center to develop a financially sustainable way to integrate behavioral care and primary care. Read more here .

As the Opioid Crisis Peaks, Meth and Cocaine Deaths Explode

Preventing Farmer Suicides through Helplines and Farm Visits

These Psychiatrists Bring Mental Health Care to Those Who Need It the Most - California

Telemental Health Study Finds Value in a Hybrid Telehealth Platform - Mississippi

What Are the Top Medicaid Trends to Watch?
May 21, 3 - 4 pm, Manatt Health

Best Practices in Reentry: The Assess, Plan, Identify, Coordinate (APIC) Model
May 22, 12:30 - 2 pm, SAMHSA's GAINS Center

Considerations for Service Provision to Young Adults Early in Their Recovery
May 22, 1 - 2 pm, Transitions ACR

Addressing Medication Complexity Through Innovative Community-Based Strategies and Partnerships
May 22, 1:30 - 2:30 pm, Center for Health Care Strategies, Inc.

PSYCKES Access and Implementation
May 23, 12 - 1 pm, OMH

Giving Mental Illness A Voice: Patient Perspectives On Self-Disclosure & Stigma
May 23, 12 - 1 pm, PsychU

Using PSYCKES Quality Indicator Reports
May 29, 10 - 11 am, OMH

Effective Programs and Partnerships for Early Diversion
May 30, 2 - 3:30 pm, SAMHSA's GAINS Center

PSYCKES Mobile App for iPhones & iPads
June 5, 10 - 11 am, OMH

Revisiting Cognitive Deficits In Bipolar Disorder
June 11, 12 - 1 pm, PsychU

Navigating Medication Assisted Treatment (MAT)
June 12, 2 - 3:30 pm, Corporation for Supportive Housing

Changing Minds: Implementing Harm Reduction
June 12, 3 - 4 pm, NAADAC

Enable Access to Client-Level Data in PSYCKES
June 13, 3 - 4 pm, OMH

Using PSYCKES for Clinicians
June 20, 3 - 4:30 pm, OMH

Using PSYCKES Recipient Search
June 25, 10 - 11 am, OMH

Cognitive Functioning & Neuroprotection In Schizophrenia
June 26, 12 - 1 pm, PsychU


MAY 2019

Children & Families Committee Meeting
May 21: 11:30 am - 1 pm, GTM

CLMHD BH Portal Webinar: Other Resources - OMH Statistics and Reports (1 of 2)
May 22: 12 - 12:30 pm, GTM

Mental Hygiene Planning Committee Meeting
May 23: 1 - 3 pm, GTM

CLMHD Offices Closed - Memorial Day
May 27

JUNE 2019

CLMHD Executive Committee Call
June 5: 8 am, GTM

CLMHD BH Portal Webinar: Other Resources - OMH Statistics and Reports (2 of 2)
June 12: 12 - 12:30 pm, GTM

CLMHD Agency Day - OASAS
June 13: 10 am - 12 pm
1450 Western Ave., Albany

CLMHD Agency Day - OMH
June 13:  1 - 3 pm
44 Holland Ave., Albany

Children & Families Committee Meeting
June 18: 11:30 am - 1 pm, GTM

CLMHD BH Portal Webinar: Other Resources - OASAS Client Data System
June 26: 12 - 12:30 pm, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
How Medicaid Agencies Tackle the Social Determinants of Health

State Medicaid programs are successfully deploying programs to address the social determinants of health, but concerns about sustainable funding and community  health partnerships loom large, according to new research  published  in Health Affairs.

"State Medicaid programs are uniquely positioned to support activities that address patients' social needs," the researchers said. "Under current Medicaid regulations, all states have the option to pay health care organizations to connect patients with basic social supports, such as food or housing resources."

In addition to the general structure of Medicaid contracts, 1115 waivers and other value-based care initiatives are giving state agencies the flexibility to cover social programs that drive  population health.

But although Medicaid programs certainly have the ability and intent to address the SDOH, there is no clear path to that end. Efforts to address the SDOH are nascent, with only a few state agencies serving as an example for creating social programming. Read more here.

Request for Public Comment: Value Based Payment Roadmap Updates

The Department of Health is in the process of updating the NYS Value Based Payment (VBP) Roadmap for submission to the Centers of Medicare and Medicaid Services (CMS). This notice is to seek public comment on the proposed updates to the VBP Roadmap pertaining to the following topic areas:  
  • Social Determinants of Health
  • Managed Long-Term Care
  • Federally Qualified Health Centers (FQHCs)
  • Children's VBP Arrangement
  • Quality Measures and Network Integration
Please review the redlined version of the NYS VBP Roadmap and submit feedback on the proposed updates to by 5 pm on Tuesday, May 28th, 2019.
The June 2018 edition of the CMS-approved NYS
VBP  Roadmap has been posted on the VBP Resource Library , where the approval letter from CMS is also available.
Please send questions to
Behavioral Care Agencies to Form Management Services Organization

Manhattan-based Coordinated Behavioral Care has partnered with Coordinated Behavioral Health Services in the Hudson Valley to form a management services  organization to support community providers across the state.

CBC is a nonprofit that operates both a citywide independent practice association and a health home. CBHS is made up of nonprofit behavioral health and disability service  providers that serve seven counties in the Hudson Valley region.

The 50-50 venture-Innovative Management Solutions NY, or IMSNY-initially will offer a  data warehouse and business information behavioral health providers can use to better  aggregate data, focus more on population health and identify high-risk patients, said Dr. Jorge Petit, CEO of CBC. Read more here .
NY Senate Approves Measure Aimed at Battling Opioid Crisis

New York's Democrat-controlled state Senate approved legislation Monday that would require addiction treatment providers to contact predesignated loved ones when someone undergoing treatment shows potentially life-threatening behavior, such as relapse.

The bill's sponsor, Democratic Sen. Pete Harckham, of Westchester County, said his measure is aimed at preventing fatal overdoses by people in addiction treatment who may show signs of drug use relapse, including failing toxicology screenings or missing multiple appointments with counselors.

"Those are red-flag signs," he said at a state Capitol news conference before the vote. "Today with fentanyl as dangerous as it is, we don't get chances." Read more here.
NYS OASAS Launches Campaign to Help Teens and Young Adults Get Out of Difficult Situations Involving Alcohol and Drugs
NYS OASAS this week announced the launch of the "Develop a Plan" campaign, which encourages adults to develop a plan with teens and young adults to get out of dangerous situations involving drugs or alcohol. It also encourages adults to talk to young people about not using alcohol and drugs, since peer pressure can be challenging and being prepared with a plan can help. The launch of the campaign coincides with prom and graduation season, as well as National Prevention Week.

The "Develop a Plan" campaign includes radio spots in English and Spanish that will be played statewide throughout the spring and summer, as well as posters and social media content. Read more here.
Treating the Trauma Behind Addiction

Joe Polish, a marketing expert who's battled addiction, says addressing its root cause is key to getting sober.

Politicians, health care workers and others in recent years have called for a change in approach toward addiction, from condemning it as a lifestyle choice to treating it as a disease.

But as the opioid epidemic and other issues of substance misuse continue to wreak havoc in the
United States,  Joe Polish - a marketing entrepreneur recovering from multiple addictions himself - says he sees addiction instead as an attempt by people "to deal with pain."

"If you want to understand why many people are addicts, even people that get, you know, hooked on drugs from pharmaceuticals, a lot of it can be traced back to childhood experiences and trauma - not all, but most of it," says Polish, 51.

The founder of addiction resource hub  Genius Recovery and the entrepreneur-focused Genius 
Network says he hopes to change the global conversation around addiction to one that treats those suffering from it "with compassion instead of judgment."  He also aims to "find the best forms of treatment that have efficacy, and share those with the world in the form of education," he says. Read more here .
NYS Braces For New Campaign to Support Investments in Human Services Sector

Observing New York state's nonprofit human services employees have been unaddressed for more than a decade, the state's behavioral health provider community and mental health advocates are waging an all-out attack to convince the state legislature and the governor to invest in across-the-board increases for the field.
The state's budget was signed in April, at which time Gov. Andrew Cuomo and the state legislature approved only a portion of the cost-of- living adjustment (COLA) increase for the human services workforce.
Technically, the COLA has been in statute for the last 10 years, but it was only fully funded the first year, explained Liebman, adding that every year since then it has been deferred. "This past budget was the first time the sector has rallied together in support of a COLA," Liebman said. Liebman said he and other advocates are speaking with "one voice" about the need for a COLA based on the consumer price index of 2.9 percent. Read more here.
HRSA Awards $24 Million to 120 Rural Organizations for Opioid Response

This week, the Health Resources and Services Administration's Federal Office of Rural Health Policy awarded $24 million for the second round of Rural Communities Opioid Response Program (RCORP) planning grants. Recipients across 40 states will receive $200,000 for one year to formalize partnerships with local stakeholders, conduct needs assessments, and develop plans to implement and sustain substance use disorder (SUD), including opioid use disorder (OUD), prevention, treatment, and recovery interventions.

"RCORP-Planning is part of a multi-year initiative by HRSA to support treatment for and prevention of SUD/OUD," said HRSA Administrator George Sigounas, MS, Ph.D. "The goal is to reduce the morbidity and mortality of the diseases in high-risk rural communities."

For FY19, in addition to the RCORP-Planning awards, HRSA anticipates awarding 75 RCORP-Implementation grants and 11 RCORP-MAT Expansion grants that will focus on enhancing SUD/OUD service delivery in rural communities. Additionally, HRSA is awarding four cooperative agreements to include one for evaluation activities,  and three Rural Centers of Excellence on Substance Use Disorders. 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.