Advancing Public Policies for people with Mental Illness, Substance Use Disorder and/or Intellectual/Developmental Disabilities
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Rochester Establishes New Crisis Intervention Unit Following Daniel Prude's Death
In another change following the death of Daniel Prude last March, the City of Rochester says it is moving its Family and Victims Services Office from the Rochester Police Department.
The city says the office will fall under the operations of the Department of Recreation and Youth Services and the newly-created Crisis Intervention Services Unit.
"Today, we take a major step toward implementing much-needed change and revamping the way we will respond to non-violent crisis situations," said Recreation and Youth Services Commissioner Daniele Lyman-Torres. "The goal of the new crisis intervention services unit is to create a non-law enforcement, comprehensive community response to all homicides, as well as to all calls involving mental health, domestic violence and other related crises."
The plan is to have paid social workers collaborate with Monroe County's Forensic Intervention Team (FIT) and Pathways to Peace. Read more here.
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PODCAST: Into Reimagining Mental Health & Policing
A crisis response team in Eugene, Oregon has spent 31 years responding to 911 calls as an alternative to police. Here's what other cities can learn from them. Click here to listen to the podcast.
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Now Available: SAMHSA's 2019 National Survey on Drug Use and Health (NSDUH) Report Data Findings
Last week, the Substance Abuse and Mental Health Services Administration released the 2019 National Survey on Drug Use and Health (NSDUH). The annual survey is the nation's primary resource for data on mental health and substance use among Americans. As the NSDUH demonstrates, substance misuse and mental illness continue to be major problems for Americans. These issues demand continued attention and focus across all American communities. The data also reflect impressive progress on the nation's opioid crisis. Click here to view the report.
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UPCOMING EVENTS & TRAININGS
Caring for Individuals with Intellectual and Developmental Disabilities
September 23, 12 - 1 pm, HANYS
September 23, 3 - 4 pm, OMH
September 23, 3 - 4 pm, National Council for Behavioral Health Lifeline Webinar: Tools, Training and Tips for Call Center Success September 24, 2 - 3 pm, National Council for Behavioral Health
Integrated Care Programs for Dually Eligible Individuals in the Era of COVID-19: Response Efforts and Policy Recommendations
September 24, 2 - 3:30 pm, Center for Healthcare Strategies, Inc. Advancing Prosecutor-Led Behavioral Health DiversionSeptember 25, 2 - 3:30 pm, CSG Justice Center
September 29, 12 - 1 pm, PsychU Turning One-Off Programs into Systems-Wide Behavioral Health DiversionSeptember 29, 2 - 3:30 pm, CSG Justice Center Breaking Through to the Other Side: A Survivor's Story September 30, 12 - 1:30 pm, NYS Suicide Prevention Coalition Academy
Using the PSYCKES Clinical Summary October 8, 11 - 12:30 pm, OMH
Consent, Emergency, Quality Flag: PSYCKES Levels of Access October 10, 10 - 11 am, OMH
Understanding and Preventing Suicides: An Application of the Self Preservation Theory of Human Behavior October 14, 12 - 1 pm, The 2020 Suicide Prevention Coalition Academy
PSYCKES for Health Homes and Care Management Agencies (New!) October 15, 9:30 - 11 am, OMH
PSYCKES for BHCCs and other Networks (New!) October 21, 12 - 1 pm, OMH
Introduction to PSYCKES October 28, 1 - 2 pm, OMH
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OCTOBER 2020
CLMHD Executive Committee Meeting
October 7: 8 am, GTM
Addiction Services & Recovery Committee (ASR) Meeting
October 8: 11 am - 12 pm, GTM
Children & Families Committee Meeting
October 20: 11:30 am - 1 pm, GTM
CLMHD Fall Full Membership Business Meeting
October 20: 1:30 - 4:30 pm, GTM
Developmental Disabilities Committee Meeting
October 29: 1 - 2:30 pm, GTM
Contact CLMHD for all Call In and GoToMeeting (GTM) information, 518.462.9422
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New York State Given Federal Go-ahead to Collect $200 Million Tax to Combat Opioid Addiction Epidemic
Under the Opioid Stewardship Act, signed by Democratic Governor Andrew Cuomo in 2018, New York State was owed $200 million from back taxes. This was the first time such a law was imposed by any state, and the tax is meant to cover the costs of the epidemic caused by opioid addiction in the state.
Recently the law was struck down by the 2nd U.S. Circuit Court of Appeals. However, the federal appeals court ruled on Monday that the court lacked the authority to strike down the annual requirement imposed on the companies to pay $100 million collectively. Companies will contribute toward the tax according to their share of the market. Read more here. |
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HHS Invests Nearly $115 Million to Combat the Opioid Crisis in Rural Communities
On Monday, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) awarded approximately $25 million to 80 award recipients across 36 states and two territories as part of the Rural Communities Opioid Response Program (RCORP). RCORP is a multi-year HRSA initiative to reduce morbidity and mortality of substance use disorder (SUD) and opioid use disorder (OUD) in high-risk rural communities. Monday's announcement builds upon HRSA's RCORP awards made this August, reflecting a total fiscal year 2020 investment of nearly $115 million.
HRSA's Federal Office of Rural Health Policy (FORHP) awarded nearly $15 million to 30 award recipients through the Rural Communities Opioid Response Program-Neonatal Abstinence Syndrome (RCORP-NAS) . Each recipient will receive up to $500,000 over three-years to reduce the incidence and impact of neonatal abstinence syndrome in rural communities by improving systems of care, family supports, and social determinants of health. Read more here. |
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COVID Left Access to Addiction Services in Shambles: Assembly Hearing
Assembly members expressed concerns in a Tuesday hearing that Covid-19 left patients with substance-abuse disorders isolated from treatment programs and a constrained budget would continue to restrict access.
Panelists recounted information of opioid-overdose spikes and increased rates of drug and alcohol relapses during the pandemic, which were exacerbated by clinics operating at reduced capacity.
The Office of Addiction Services and Supports attempted to provide community-based providers and local addiction centers with supplies, including personal protective equipment, recognizing their importance as patients avoided emergency departments for fear of contracting Covid-19, said Arlene Gonzalez-Sanchez, the office's commissioner. However, lawmakers noted accounts from clinics in their districts that did not have adequate protective supplies and spoke of constituents who couldn't access addiction services during the pandemic. Read more here. |
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Is Inpatient Behavioral Health Care Gone for Good in Ulster County?

Of all the underlying conditions the pandemic has revealed, the state of Americans' mental health has perhaps the most worrying longterm implications. We're more anxious, stressed, isolated, depressed, and suicidal than at any point in recent history. The virus has only made things worse, and left us fewer ways to cope.
A recent study from the Centers for Disease Control and Prevention found that in late June, 40 percent of US adults reported struggling with mental health or substance abuse, with young adults, BIPOC, and essential workers disproportionately affected. In Ulster County alone, opioid overdoses in the first five months of the year nearly doubled compared to the same period last year. The number of overdose deaths tripled. So why was the only mental health and detox/rehab inpatient hospital unit in Ulster County shut down indefinitely in April? And why do nurses, healthcare advocates, and local officials now fear it will never reopen?
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These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity
Suspected opioid overdose deaths are surging during the COVID-19 pandemic, increasing by more than 40 percent in May and continuing to rise. Medications for opioid use disorder (MOUD)-specifically methadone and buprenorphine-cut mortality in half; however, only a minority of the two million people living with opioid use disorder (OUD) in the US receive MOUD. After the Affordable Care Act was implemented, treatment engagement expanded modestly. Yet, racial, income, and geographic inequities persist. Approximately 40 percent of counties do not have a buprenorphine prescriber, and Black patients are significantly less likely to have access to a buprenorphine provider compared to White patients. The economic, social, psychiatric, and emotional havoc of the COVID-19 pandemic has exacerbated an already worsening opioid crisis and highlighted the need for lower threshold access to evidence-based, life-saving OUD treatment. Moreover, the pandemic has disrupted traditional health care delivery methods, further limiting access to buprenorphine through established care settings.
Buprenorphine Telehealth Policy Changes During COVID-19 Recognizing the dire consequences of worsening access to buprenorphine treatment, the federal government took unprecedented and swift action to permit initiation of buprenorphine through video telemedicine visits. Read more here.
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CMS Report Details Barriers and Potential Solutions for Using SUD Telehealth Services for Pediatric Populations
The study details how SUD is a national public health concern among pediatric populations and identifies best practices, barriers, and potential solutions for using SUD services delivered via telehealth among those populations. Overall, the report emphasizes how overcoming barriers to the use of telehealth is vital to increasing access to SUD services for pediatric populations. Click here to view the report. |
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CMS Issues New Roadmap for States to Accelerate Adoption of Value-Based Care to Improve Quality of Care for Medicaid Beneficiaries
On Tuesday, the Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid directors designed to advance the adoption of value-based care strategies across their healthcare systems and align provider incentives across payers. Under value-based care, providers are reimbursed based on their ability to improve quality of care in a cost-effective manner or lower costs while maintaining standards of care, rather than the volume of care they provide. Value-based care arrangements may also permit providers to address social determinants of health, as well as disparities across the healthcare system. Moving toward a more value-driven healthcare system allows states to provide Medicaid beneficiaries with efficient, high quality care, while improving health outcomes. Value-based care may also help ensure that the nation's healthcare system is better prepared and equipped to handle unexpected challenges, including the ongoing COVID-19 pandemic.
This guidance includes an assessment of key lessons learned from early state and federal experiences in implementing value-based care reforms, as well as a comprehensive toolkit of available federal authorities for states to adopt innovative payment reform efforts within their individual programs. It stresses the importance of multi-payer alignment in value-based care to drive care transformation, and supports state efforts to align new payment models in Medicaid with Medicare and other private payers. Read more here.
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More Young People are Dying by Suicide, and Experts Aren't Sure Why
The suicide rate increased from 6.8 per 100,000 in 2007 to 10.7 in 2018. The report compared three-year averages of suicide rates for 2007-2009 and 2016-2018 and found:
- The 2016-2018 suicide rate among persons aged 10-24 was highest for Alaska (31.4 per 100,000).
- States with the highest suicide rates for that period include South Dakota (23.6), Montana (23.2), Wyoming (20.5) and New Mexico (19.6).
- States in the Northeast were among those with the lowest suicide rates: New Jersey (5.7), Rhode Island (5.9), New York (5.9), Connecticut (6.3), and Massachusetts (6.4).
- Even states with the lowest rates experienced significant increases: New Jersey had an increase of 39%, New York about 44%, and Massachusetts about 64%.
Read more here.
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