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October 4, 2018

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

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Francine Sinkoff, Editor
School-based health centers to benefit from new law

VillageCare to close Health Home program - NYC

The Institute for Family Health Receives Almost $1 Million In Federal Funds to Increase Substance Use and Mental Health Services and Enhance Healthcare Technology - NYC

New York State Homes and Community Renewal Announces Groundbreaking For 48 Affordable Homes in Bethpage - Long Island

Blythedale Initiates Youth Suicide Screening - Westchester County

Orangetown Wins Grant To Fight Opioid Abuse - Rockland County
New York State to test 'Zero Suicide' model in Onondaga County

New program helps police departments respond to mental health situations - Ontario County

Opioid deaths on pace to continue decreasing in Erie County

Western New York seeing shortage of child psychiatrists

State plans to turn empty space at psych center into neurobehavioral unit - Western NY

Buffalo, Department of Justice announces more than $70 million to support school safety and $64 million to improve state criminal records systems - Western NY
SAMHSA Partners With NCHS to Make Restricted-Use NSDUH Data Available

SAMHSA has partnered with the National Center for Health Statistics (NCHS) to host restricted-use National Survey on Drug Use and Health (NSDUH) data at their Federal Statistical Research Data Centers (RDCs). RDCs are secure facilities that provide access to a range of restricted-use microdata for statistical purposes. SAMHSA is the most recent federal partner to work with NCHS in making NSDUH restricted-use microdata available to approved researchers at RDC sites.  For more information please visit the FAQ here .
Healthcare industry takes on high physician suicide rates, mental health stigma

One City's Pragmatic Pushback Against Mental Illness

Age of Alcohol Initiation Related to Psychiatric Symptoms for Girls

Getting Kids Help in Time - Rising rates of mental health and behavioral issues are prompting worry - and action.

Extending Mental Health Help to Vulnerable Kids - Trauma-informed clinics and schools recognize that families face daunting outside pressures.
Medicaid Delivery System Reform Incentive Payments: Where Do We Stand?

The Affordable Care Act of 2010 (ACA) and subsequent executive actions by the Obama administration accelerated efforts to bring value-based payment to health care. Under the banner of value-based purchasing, federal officials have touted the "triple aim"-improving the quality of care and health outcomes while bending the cost curve.

In the case of Medicaid and value-based payment, Delivery System Reform Incentive Payment (DSRIP) waivers have loomed large. Three questions seem especially pertinent. What types of organizational networks currently operate under the DSRIP rubric? What have these initiatives accomplished? What developments and challenges await DSRIP over the next few years?  Read more here.
New MRT Supportive Housing Program Video Released

The Supportive Housing Network of New York (SHNNY) has released a new video featuring New York State's Deputy Medicaid Director, Elizabeth Misa. The video highlights the Medicaid Redesign Team (MRT) Supportive Housing Program and the significant investment that New York State has made in addressing the Social Determinants of Health.
To learn more and watch the full video, click here
OMH Statewide Virtual Town Hall Featuring Commissioner Ann Sullivan, MD - Nov. 13, 2018

Click here to register for this event.

Enable Access to Client-Level Data in PSYCKES
October 9, 2 - 3 pm, OMH

The College Years: How Students with Lived Experience Navigate Academics and Mental Health Management
October 10, 11 am - 12 pm, Transitions to Adulthood Center for Research

Using PSYCKES Recipient Search
October 17, 11 am -  12 pm, OMH

innovaTel Telepsychiatry: Back to School: Helping Children and Parents
October 17, 1 - 2 pm, National Council for Behavioral Health

October 17, 2:30 - 3:30 pm, Manatt Health

Using PSYCKES for Clinicians
October 22, 10 - 11:30 am, OMH

Access and Engagement in the Value Equation: Solutions That Work
October 25, 12 - 1 pm, CTAC/MCTAC

Recovery Dialogues: An Avenue for Culture Change in Psychiatric Hospitals
October 25, 2 - 3:30 pm, National Empowerment Center

Refresher Webinar for Children and Family Treatment and Support Services: OLP, CPST, and PSR
October 25, 3 - 4 pm, MCTAC

October 30, 2:30 - 3:30 pm, Manatt Health

Integrating Behavioral Health and Primary Care: Solutions That Work
November 29, 12 - 1 pm, CTAC/MCTAC



CLMHD Office Closed - Columbus Day
October 8

OASAS Agency Meeting - IN PERSON
October 10: 10 am - 12 pm
OASAS - 1450 Western Ave., Albany

OMH Agency Meeting - IN PERSON
October 10:  1 - 3 pm
OMH - 44 Holland Ave., Albany

Mental Hygiene Planning Committee Meeting - IN PERSON
October 12: 11 am - 1 pm
OASAS - 1450 Western Ave., Albany


CLMHD Executive Committee Call
November 7: 8 am, GTM

CLMHD Office Closed - Veterans Day
November 12

November 15, 3 - 4 pm, GTM

Children & Families Committee Meeting
November 20, 11:30 am - 1 pm, GTM

CLMHD Office Closed - Thanksgiving
November 22 - 23

CLMHD Directors Meeting
November 28, 9:30 - 11 am, GTM

Contact CLMHD for all Call In and Go To Meeting information, 518.462.9422 
How Care Coordination Tech Helped One NY Health Network Address Social Determinants 

Social determinants of health - access to housing, food, education, transportation, employment and more - are key to wellness, because they're often the barriers that interfere with unmet physical and mental health needs.

Medical practices feel this burden, community-based organizations address many of these burdens. A new technology platform the alliance is using helps to glue both parties together to address both "symptoms" simultaneously. The platform ensures that these needs are addressed before a patient steps out of the office. A coordination staff member can make a referral into the platform while the patient is still in the office to address their needs.

The Alliance for Better Health launched the Healthy Together Referral Network using technology from Unite Us. It's a community-wide network that delivers integrated care that addresses the social determinants of health of Medicaid beneficiaries in Albany, Fulton, Montgomery, Rensselaer, Saratoga and Schenectady counties. Read more here.
Getting to Zero: A 50 State Study of Strategies to Remove Youth from Adult Jails

This  report from the UCLA School of Law is a product of the Jail Removal Project, which aims to prevent the short- and long-term adverse health and developmental consequences of youth contact with an adult jail environment by identifying strategies that allow youth to bypass jails. The report aims to reassess the way youth are incarcerated in America by providing the first-ever analysis of three nationwide data sets: tCensus of Jails and Annual Survey of Jails, both conducted by the Bureau of Justice Statistics, and the Office of Juvenile Justice and Delinquency Prevention's Census of Juvenile Residential Placements. The report also summarizes the major legal developments applicable to youth housed in adult jails and provides specific examples from jurisdictions across the country that have made substantial progress toward removing youth from adult jails.
CBC Proposes Slashing $7B in Local Medicaid costs

The Citizens Budget Commission is suggesting strategies for eliminating New York local governments' $7 billion share of Medicaid costs.

On average, local governments still dedicate 8.6% percent of their annual budgets to Medicaid, according to the report, entitled " Still a Poor Way to Pay for Medicaid." For fiscal year 2019, local share costs amount to $4.9 billion for New York City and $2.1 billion for the rest of the state.

Strategies proposed by CBC to achieve this objective include increasing the state sales tax, either from 4% to 5% or 4% to 6%, depending on whether New York City is excluded; using a portion of the state sales tax collections to pay for Medicaid; reducing state spending in other areas; and eliminating the $3.3 billion STAR program that reduces local tax burdens on New Yorkers.
How Managed Care Payers Can Improve Substance Use Treatment
Data analytics and case management help managed care payers improve SUD treatment.
Managed care payers can use data analytics, case management strategies, and patient engagement tools to address the needs of high-risk individuals with substance use disorders (SUDs), states a new report from the Association for Community Affiliated Plans (ACAP).

Patients receiving services within managed care organizations have some of the highest rates of SUDs, the report said.   According to the Kaiser Family Foundation, Medicaid covers 38 percent of all adults with a diagnosed opioid addiction.

Meeting the challenges of SUD in a low-resource, high-risk environment requires managed care payers to take innovative approaches to population health management by offering holistic care that extends beyond the traditional bounds of the clinic. Read more here.
Solve The Problem, Gain A Partner

How do health plans, when looking at a steady stream of service model ideas, evaluate the many opportunities? How do they decide which model looks like a winner, and which one goes in the "thanks for coming" pile? That was the question asked during a recent conversation with Michael Golinkoff, Ph.D., M.B.A., Senior Vice President, Innovation Advisor, AmeriHealth Caritas. Dr. Golinkoff didn't mince words:

It begins by determining whether the program  identifies a problem where we need a solution. What we are really looking for are provider organizations that have the capabilities to address those priority needs.
But I'm not necessarily looking for a ready-made product that we can "plug and play." I'm looking for a collaborator-an organization that has the right talent and infrastructure to partner with to build a model that works for everyone.

What health plan needs are top of mind for Dr. Golinkoff? First, the health plans are always looking to partner with programs that can address the support needs of Medicaid populations with complex chronic conditions-including opioid addiction, alcohol addiction, and social determinants of health (such as affordable healthy food, housing, utilities, vocational, educational issues, and parenting issues). Read more here.
Monitoring Mandates, Reduce High-Risk Opioid Prescriptions, Study Says

States mandating that providers search drug prescriptions through an electronic database at the point of care experienced a 6% to 9% decline in high-risk prescriptions, according to a new study by Weill Cornell Medicine and additional researchers published in Health Affairs.

Prescription Drug Monitoring Programs, or PDMPs, are statewide electronic databases that track the dispensing of controlled substances. They can be a significant tool in addressing the opioid crisis, but providers don't always use them effectively, said Dr. Yuhua Bao, research affiliate of Cherish at Weill Cornell Medicine. Read more here.
NYS OASAS Launches "You can be the Difference" Awareness Campaign to Combat Addiction Amongst Teen or Young Adults

The New York State Office of Alcoholism and Substance Abuse Services this week announced the launch of a new addiction awareness campaign designed to provide educators, coaches and families with information and resources designed to curb addiction amongst the youth population in New York State. The campaign features a public service announcement starring former professional football player Erik Coleman.

The "You Can be the Difference" series contains information and resources on prevention, treatment, and recovery services. These videos and publications are targeted to community members including family, teachers, coaches, and others who have contact with teens and young adults. Read more here.
New York Hospitals See Slight Drop in Readmissions, But Rates Still High

New York hospitals slightly reduced their readmission rates last year, but the state still has the nation's highest overall 30-day readmission rate, according to a  new Kaiser Health News analysis.

Just over 16 percent of patients who were released from New York hospitals wound up back there within a month according to admission data taken from the 12 months ending in June 2017. The Empire Center of New York, a fiscally conservative think tank based in Albany, initially  reported the data 

Since 2012, the Affordable Care Act has authorized Medicare to penalize hospitals with high rates of avoidable readmissions in hopes of encouraging better care and coordination after a patient is discharged. It does this by withholding a percentage of the hospital's Medicare reimbursement - by as much as 3 percent for the worst offenders. Read more here.
Newly Unveiled NYS Suicide & Self Harm Dashboard 

Suicides and self-harm injuries are a growing public health concern across New York State with serious and lasting effects on the well-being of families and communities. An important part of suicide and self-harm injury prevention efforts is understanding the trends, along with regional and demographic differences. Clear and accurate data is key to supporting suicide prevention activities.

This dashboard shows suicide and self-harm injuries in different ways and can be used to drive interventions at the local, regional, and state-wide levels and assist suicide education and prevention efforts. Although the factors that contribute to suicide and self-harm injuries are largely known, this dashboard can be used to help understand more about the problems and issues that affect people living in New York State. For more data on suicide and self-inflicted injuries, please visit the New York State Department of Health's  suicide and self-harm injury prevention page.
Read the Fall 2018 Issue of Behavioral Health News

Click here to read the latest issue.
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.