January 23, 2021
City of Rochester Launches 24/7 Person In Crisis Team for Mental Health Assistance

Mayor Lovely Warren announced the launch of a new Person in Crisis (PIC) team Thursday, which will “provide a compassionate, non-law enforcement emergency response to people experimenting emotional or behavioral turmoil” in the City of Rochester.

Officials say the initial pilot program will run through June with the intention of continuing the operation beyond that pilot date.

“Today we take a significant step toward making much-needed change by revamping the way we respond to non-violent crises,” Mayor Warren said. “By mobilizing highly trained professionals, including crisis counselors and social workers, we can ensure that those in crisis receive treatment rather than punishment. This is a major change, not only in the way we handle non-violent law enforcement situations, but also in the way that we serve and protect some of our most vulnerable residents.” Read more here.

Chair of NYS Senate Developmental Disabilities Committee, Introduces First Bill

Before New York closes any facility assisting those with developmental disabilities or mental illnesses, state Sen. John Mannion wants to ensure there is enough notice for families and workers. 

The first bill introduced by Mannion, D-Geddes, would require legislative approval and notification one year before any state-run developmental disability, mental health or group home facility closes. 

The legislation falls within the jurisdiction of the Senate Developmental Disabilities Committee, which Mannion chairs. Read more here.


January 26, 12 - 1 pm, PsychU

January 26, 2 - 3 pm, OMH

January 27, 1 - 2:30 pm, NYSDOH

January 27, 1 - 2:30 pm, COSSAP

January 27, 2 - 3 pm, National Center for Complex Health and Social Needs

January 27, 3 - 4:30 pm, NAADAC

January 28, 1 - 2 pm, National Council for Behavioral Health

January 28, 2 - 3 pm, COSSAP

January 28, 2 - 3:30 pm, SAMHSA's GAINS Center

January 28, 2:30 - 4 pm, SAMHSA, NASMHPD

February 2, 11 am - 12 pm, OMH

February 2, 2:30 - 4 pm, MCTAC/CTAC

February 4, 1 - 2 pm, OMH

February 4, 2:30 - 4 pm, MCTAC/CTAC

February 8, 3:30 - 5 pm, MCTAC/CTAC

February 9, 2 - 3 pm, Families Together in NYS, Youth Power!

February 10, 10 - 11 am, OMH

February 11, 12 - 1 pm, PsychU

February 18, 12 - 1 pm, PsychU

February 18, 3 - 4 pm, OMH

February 22, 2:30 - 4 pm, SAMHSA's GAINS Center

February 25, 2:30 - 4 pm, SAMHSA's GAINS Center


Executive Committee Meeting
February 3: 8 am, GTM

AOT Coordinators Meeting
February 5: 10 - 11:30 am, GTM

Quarterly LGU Clinic Operators Call
February 9: 10 - 11 am, GTM

Addiction Services & Recovery Committee Meeting
February 11: 11 am - 12 pm, GTM

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

CLMHD Membership Call
February 17: 9 - 10:30 am, GTM

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

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

Contact CLMHD for all Call In and GoToMeeting (GTM) information, 518.462.9422 
Governor Cuomo Outlines FY 2022 Budget: Reimagine | Rebuild | Renew

Governor Andrew M. Cuomo on Tuesday outlined the FY 2022 Executive Budget to reimagine, rebuild and renew New York in the wake of the ongoing COVID-19 pandemic.

The Governor presented two budget options, depending on the level of funding the federal government provides to New York following the devastating economic impact of Washington's failed COVID-19 response. The first option would support New York State's ongoing war against the pandemic and aggressive post-COVID reconstruction plan. The second option - absent $15 billion in federal funding - would cause pain for New Yorkers by forcing the state to raise revenue, cut expenses and borrow. Read more here.

HHS Expands Access to Treatment for Opioid Use Disorder

Last week, the U.S. Department of Health and Human Services announced it will publish Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder*, to expand access to medication-assisted treatment (MAT) by exempting physicians from certain certification requirements needed to prescribe buprenorphine for opioid use disorder (OUD) treatment.

More than 83,000 drug overdose deaths occurred in the United States in the 12 months ending in June 2020, the highest number of overdose deaths ever recorded in a 12-month period, and an increase of over 21% compared to the previous year, according to recent provisional data from the Centers for Disease Control and Prevention (CDC). Read more here.
Policy Brief: The Provision of Medications for Opioid Use Disorder in Correctional Settings in the Time of COVID-19: Opportunities and Solutions

In a new FORE policy brief, experts Lauren Brinkley-Rubinstein, Ph.D., and Nickolas D. Zaller, Ph.D., explore strategies for ensuring people in jails and prisons have uninterrupted access to medications for opioid use disorder (MOUD) during the pandemic.

These include taking advantage of a new federal waiver that allows providers to initiate MOUD via telemedicine, without a prior physical examination; providing adequate medication supplies upon release; and offering virtual counseling and peer support. They offer case examples from Kentucky, Rhode Island, and Cook County, Illinois, to help correctional agencies partner with public health practitioners to respond to this pandemic and prepare for the next one.
Methamphetamine Overdose Deaths Rise Sharply Nationwide

Methamphetamine overdose deaths surged in an eight-year period in the United States, according to a study published this week in JAMA Psychiatry. The analysis revealed rapid rises across all racial and ethnic groups, but American Indians and Alaska Natives had the highest death rates overall. The research was conducted at the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health. Read more here.
'I've Tried Everything': Pandemic Worsens Child Mental Health Crisis

A bag of Doritos, that's all Princess wanted.

Her mom calls her Princess, but her real name is Lindsey. She's 17 and lives with her mom, Sandra, a nurse, outside of Atlanta. On May 17, 2020, a Sunday, Lindsey decided she didn't want breakfast; she wanted Doritos. So she left home and walked to Family Dollar, taking her pants off on the way, while her mom followed on the phone with police.

Lindsey has autism (NPR isn't using last names to protect her privacy). It can be hard for her to communicate and navigate social situations. She thrives on routine, and gets special help at school. Or got help, before the coronavirus pandemic closed schools and forced tens of millions of children home. Sandra says that's when their living hell started.

"It's like her brain was wired," she says. "She'd just put on her jacket, and she's out the door. And I'm chasing her."

On May 17, Sandra chased her all the way to Family Dollar. Hours later, Lindsey was in jail. Read more here.
The Cost of Incarceration in New York State

How Counties Outside New York City Can Reduce Jail Spending and Invest in Communities

Jail populations have fallen significantly across New York State, and crime has dropped as well. But spending on jails continues to climb. In 2019, the 57 counties outside New York City collectively spent more than $1.3 billion to staff and run their jails. Counties must cut jail spending and reinvest those savings in communities most impacted by mass incarceration. In this report, Vera shows how if counties keep their incarceration rates as low as they were in June 2020 and reduce their spending on staffing accordingly, they could save up to $638 million annually.

By diverting these savings to programming and social services, counties could build safer, more stable communities. Read more here.
Medicaid Health Plans & VBR Pick Up Steam 

More Medicaid spending is moving to health plans—and more of those dollars are being paid to provider organizations in the form of some type of value-based reimbursement. That evolution has been happening for a while but the extent of the change over the past decade has been significant. The current statistics? We know that 67% of Medicaid consumers are enrolled in some type of health plan, with 55% of Medicaid budgets going to health plan payments. Approximately 93% of Medicaid managed care organizations (MCOs) reported using value-based payments (VBPs) or alternative payment models (APMs) during 2019. About 79% of the plans reported that their state contracts required them to implement VBP contracting with provider organizations.

The Medicaid and Children’s Health Insurance Program Payment and Access Commission (MACPAC) reported that in 2019, $299 billion—over half of the total Medicaid spending of $594 billion—was for managed care capitation and premium assistance payments. And capitated payments to comprehensive Medicaid managed care plans accounted for over 90% of the $299 billion spending for managed care. 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.

Affiliated with the NYS Association of Counties (NYSAC)