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January 25, 2019

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

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Francine Sinkoff, Editor
Evaluation of area's statewide health care reform finds positive results - North Country

St. Joe's purchases site for new detox center - Franklin County

Agency wants to develop apartment building for homeless at former ironworks site - Warren County

Nassau County DA, Islanders Team Up To Battle Heroin Addiction On Long Island

County Executive Bellone Announces Mental Health Awareness Training for Suffolk County Police Officers
SAMHSA Grant Opportunity

SAMHSA is accepting applications for Targeted Capacity Expansion: Special Projects (TCE - Special Projects) grants. The purpose of this program is to develop and implement targeted strategies for substance use disorder treatment provision to address a specific population or area of focus identified by the community. The purpose of the TCE program is to address an unmet need or underserved population; this program aims to enable a community to identify the specific need or population it wishes to address through the provision of evidence-based substance use disorder treatment and/or recovery support services.

SAMHSA plans to issue 22 grants of up to $375,000 per year for up to 3 years. Read more here.
FDA Modifies REMS Program for Clozapine

Three spectrums, not one, may define autism

A Fight to Do No Harm - Strategies embraced elsewhere to curb the impact of drug addiction still face obstacles in the U.S.

What Are the Giving Priorities of This New Healthcare Giant [CVS/Aetna]?

Missing Doctor Appointments Linked to Increased Risk of Death - Especially for Those With Mental Health Conditions

Managing the Toll of Serious Illness on Mental Health

The best Rx for teens addicted to vaping? No one knows

Brief Happiness Exercises Can Boost Mood in Substance Abuse Recovery

She Wanted To Be The Perfect Mom, Then Landed In A Psychiatric Unit

Youth Suicide Breakdown May Pose Screening Opportunity for Medicaid
TIME: Inside the Specialized 'Recovery' High Schools Designed Just for Teens With Addiction
Student Marques Martinez talks about he is grateful for during a class gathering on Dec. 13, 2018.
SEATTLE - It's the last class period of the day. The students lean back on couches and take turns describing the most important day of their lives: the day they became sober. 

The Seattle public school campus, known as a recovery school, is designed for students learning to lead lives of sobriety while they earn their diplomas. The roughly 20 students attend classes in math, language arts and physical education, and they complete other courses online. They meet regularly with a counselor and attend daily support group meetings based on Alcoholics Anonymous programs.

Recent research shows that recovery schools - also known as sober schools - help keep their students off drugs and in class. Read more here.

January 29, 3 - 4 pm, OMH

Webinar: Launch of the National Center on Advancing Person-Centered Practices and Systems (NCAPPS)
January 29, 3 - 4:30 pm, NCAPPS

January 29, 3:30 - 5 pm, SAMHSA's GAINS Center

Arrest to Reentry: Implications for Social Work Practitioners
January 30, 2 - 3:30 pm, CTAC

"We Can't Find Any Psychiatrists!" How Telepsychiatry is Solving the Psychiatric Shortage
January 30, 11 am - 12 pm, National Council for Behavioral Health

Are You Ready? Serving a Criminal Justice-Involved Population in Supportive Housing
January 31, 10 - 11:30 am, Corporation for Supportive Housing

How to Improve Addiction Treatment Systematically Tracking Patient Outcomes
February 5, 1 - 2 pm, RTI International

Online course, then on-site from February 6 - 8, 2019 in Rochester

Using PSYCKES Recipient Search
February 6, 10 - 11 am, OMH

Treatment Plan Collaboration: Understanding & Incorporating Caregiver, Peer Support, & Clinician Perspectives
February 7, 12 - 1 pm, PsychU

PSYCKES Access and Implementation
February 7, 3 - 4 pm, OMH

Using PSYCKES for Clinicians
February 13, 10 - 11:30 am, OMH

PSYCKES Train the Trainer
February 20, 10 - 11 am, OMH

Addiction Services 101 - The basics: Recovery Support Services, Medication Assisted Treatment, and Addiction Treatment
February 20, 1:30 - 2:30 pm, Corporation for Supportive Housing

February 27, 3 - 4 pm, NAADAC



CLMHD Mentoring Workshop
February 5: 12 - 5 pm
41 State Street, Suite 505, Albany

Agency Meeting - OASAS
February 6: 10 am - 12 pm
1450 Western Ave., Albany

Agency Meeting - OMH
February 6: 1 - 3 pm
44 Holland Ave., Albany

AOT Coordinators Meeting
February 8: 10 - 11:30 am, GTM

CLMHD Offices Closed
February 12

CLMHD Offices Closed 
February 18

Children & Families Committee Meeting
February 19: 11:30 am - 1 pm, GTM

Developmental Disabilities Committee Meeting
February 21: 1 - 2:30 pm, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
Orange County Ramps Up Substance Abuse Assistance

Orange County mental health officials and county medical professionals are working together to find innovative solutions for people suffering from substance abuse disorder within the county, starting with a newly revamped mental health helpline rolling out in April of 2019.

Orange County Commissioner of Social Services and Mental Health Darcie Miller said Friday during a seminar held outlining the county's trajectory for the future with regards to addiction services that a major focus will be getting people care on demand since many times having to wait for treatment can lead them to give up or be at risk of death.

"We know, literally, you could call on June 1st and you might not get your appointment until June 27th," said Miller. "That's not acceptable. Substances have always been dangerous, but opioids are killing people much quicker than any other substance; so, you need to be able to see that person immediately, especially if you're an intravenous drug user because you're at risk for death. Read more here.
New York Chiropractic College and Seneca County Community Health Center Announce Partnership

New York Chiropractic College (NYCC) and the Seneca County Community Counseling Center (SCCCC) are pleased to announce a new partnership in which NYCC faculty clinicians and students will provide chiropractic and acupuncture treatment to the clients of the SCCCC.

The SCCCC specializes in behavioral health outpatient treatment including a comprehensive menu of substance abuse and mental health services. NYCC offers a number of experiential clinical experiences for students at various sites including community health centers and Veterans' Administration hospitals. Read more here.
Monroe County Jail Implementing Drug Treatment Units

The Monroe County Jail is implementing a new way to combat the opioid epidemic in our community.

Two medication-assisted treatment units have been added. Inmates with substance abuse issues will be able to combine behavioral therapy with medication and counseling. The focus will be on recovery. 

Sheriff Todd Baxter says this is a significant step to combat the opioid epidemic. 

News10NBC spoke with some of the inmates about the program. They are hopeful it will help them to avoid relapsing once they are released. Read more here.
What's Next for DSRIP?

State Department of Health officials said they plan to pursue an additional five-year federal waiver ahead of the expiration of the $7.4 billion Medicaid Delivery System Reform Incentive Payment program in April 2020.
In the meantime, the governor's fiscal 2020 budget proposal includes several provisions to advance the DSRIP goal of reducing avoidable hospital use by 25% compared to the state's baseline in 2015.

So far the state's 25 Performing Provider Systems- groups of hospitals, physicians, health centers and community organizations -have reduced unnecessary hospitalizations by 17%, said Greg Allen, director of program development and management at the state Department of Health, during a webinar budget briefing.

"Many Performing Provider Systems have been engaged in conversations in what a future DSRIP program could look like," he said. Read more here.
More Funds, Better Data Needed to Help Medicaid Patients

Have you ever used the Z56 code to describe one of your Medicaid patients? How about Z59?

These two codes -- which indicate issues with employment and with homelessness/ food insecurity/other social needs, respectively - need to be used by clinicians more often in order to connect patients to the help they need, according to a  report issued  on Tuesday  from the Institute for Medicaid Innovation.

"With the use of the Z codes, ICD-10 can capture information related to an individual's living and social environment, educational attainment, adverse childhood events, and other psychosocial circumstances," wrote authors Lekisha Daniel-Robinson, MPH, and Jennifer E. Moore, PhD, RN, on Medicaid managed care plans' involvement with social determinants of health (SDOH). "However, the codes are currently widely underused, which limits opportunities to reliably identify and respond to social needs."

The authors found that many Medicaid managed care plans, as well as state and local agencies, are increasing their efforts in this area. Read more here.

Additional article of interest: NQF/Aetna Join Forces to Tackle Social Determinants
'I'm Trying Not to Die Right Now': Why Opioid-Addicted Patients are Still Searching for Help

The Trump administration, Congress and states are pouring billions of dollars into addiction treatment to fight the opioid crisis, but accountability for the burgeoning industry hasn't kept pace with those efforts - leaving patients vulnerable to ineffective care, fraud and abuse.

Interviews with patients in recovery and nearly two dozen advocates, officials and public health and addiction experts in and out of government reveal a fragmented addiction care industry, with a patchwork of state regulations and spotty oversight.

There are few tools to help patients navigate a complex maze of treatment options that include both inpatient and outpatient medical facilities - as well as "sober living" or "recovery homes," which have roots in abstinence and faith. And it's immensely more complicated for patients with little money.  Read more here .
OMH Issues RFP to Assists Children's BH Providers to Succeed

The New York State Office of Mental Health is issuing a Request for Proposals (RFP) for eligible applicants to assist children's behavioral healthcare providers to evolve and thrive in the ever-changing healthcare environment via a dedicated training and technical assistance center.  The center will focus on assisting New York State's children's behavioral health providers which work across the continuum of care to enhance the quality of services within strong organizational and business models.

There will be one award available to one contractor for a five-year contract.  The awardee that is selected will assist children's behavioral providers in:
  • Enhancing the quality of care for children and youth and their families/caregivers,
  • Fortifying children's behavioral health providers' organizational and fiscal structures to enable their economic stability, and
  • Expanding, recruiting, and retaining a qualified Family and Youth Peer workforce that will be well equipped to support youth and families receiving children's behavioral health services.
Click here to access the  RFP for the Technical Assistance Center for Children's Behavioral Health Providers.
Mentally Ill Prisoners Are Held Past Release Dates, Lawsuit Claims

On paper, a 31-year-old man found to have serious mental illnesses was released from a New York state prison in September 2017 after serving 10 years behind bars for two robberies.

But in reality, the man, who asked to be identified by his initials C.J., still wakes up each day inside a maximum-security prison in Stormville. Though he is technically free, he is still confined to a cell because of a Kafkaesque bureaucratic dilemma: The state requires people like him to be released to a supportive housing facility, but there is not one available.

Lawyers for C.J. and five other mentally ill men filed a federal lawsuit in Manhattan on Wednesday seeking to force Gov. Andrew M. Cuomo to address a shortage of housing for people with serious mental illnesses who need help adjusting to life outside prison walls. 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.