Co occurring Disorders Treatment Integration. Kitsap County Substance Abuse Advisory Board Cheryl Mogensen MA, MHP, CDP December 10, 2013

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Co occurring Disorders Treatment Integration. Kitsap County Substance Abuse Advisory Board Cheryl Mogensen MA, MHP, CDP December 10, 2013"

Transcription

1 Co occurring Disorders Treatment Integration at KMHS Kitsap County Substance Abuse Advisory Board Cheryl Mogensen MA, MHP, CDP December 10, 2013

2 Kitsap Mental Health Services Bremerton, Washington Comprehensive behavioral health for children, adults, older adults with acute or persistent Serious Mental Illness/Serious Emotional Disturbance Sole countywide community behavioral health agency Offer inpatient, outpatient, and residential services Operate as sub capitated, at risk, Medicaid BH system Financial incentives of capitated, at risk system align to support provision of early, most appropriate level of care, and coordination of care with ancillary providers

3 Where We ve Been Building on an existing system of care for behavioral health and physical health to improve health of persons with SMI/SED CMS/CMMI Award Co locate PCP on KMHS campus 1995 KMHS Psychiatric consultant/brief interventionist at FQHC 1993 Co occurring substance use disorder specialty program at KMHS County Contract: Youth 1994, Adults KMHS mental health outpatient, inpatient, and residential treatment

4 What We Wanted to Do 2012 Whole Person Care Fully integrate mental health & substance use disorder treatment Tighter care coordination with patient s PCP/health home Chronic disease self management/health promotion programs Seamless transition of patients between levels and types of care Bi directional primary care/behavioral health care model right care, right place, right time to meet the Triple Aim

5 Physical Illness Takes Early Toll 100% Cohort 1 Comorbidities 90% 80% 70% 60% 50% 40% 30% 20% 23% 27% 58% 52% 48% 18% 32% 37% 67% Cohort 1 10% 0% Persons with serious, persistent mental illnesses die up to 25 years sooner than persons who do not have a mental illness

6

7 What s Made It Possible Catchment Area sole provider Partners Staff Payment structure Sub capitation, at risk for mental health services County flexible substance use disorder funding Waiver of State substance use disorder regulations Restructure to multi disciplinary Care Teams CMS Innovation Center funding Health information & data sharing Cross training Bi directional care model

8 What We Know Co occurring Disorders are common Co occurring Disorders are associated with negative outcomes Separate care is ineffective

9 How Substance Abuse, Mental Health and Physical Health Problems are Related Self medication to ease problems Substance abuse may make mental and physical health problems worse The risk of underlying mental illness or physical health problems may increase with substance abuse

10 What are Integrated Services? COD services mean the same clinicians (or teams of clinicians), working in the same setting, provide combined or integrated interventions, treatments and programs for mental illness and substance abuse. Integrated treatment is more than just combining treatment for mental illness, physical health and substance use disorder. It also involves modifying traditional interventions. The goal of integrated treatment is for the client to recover from two or more serious illnesses.

11 Guiding Principles of Treatment For Clients with COD Employ a recovery perspective Adopt a multi problem viewpoint Develop a phased approach to treatment Address specific real life problems early in treatment Plan for the client s cognitive and functional impairments Use support systems to maintain and extend treatment effectiveness. 11

12 Recommended Best Practices Integration of Services Comprehensiveness of Services Assertive Engagement Reduction of Negative Consequences Long Term Perspective Motivation Based Treatment Multiple Psychotherapeutic Modalities Specialized COD Services 12

13 Evolution of Integrated Treatment at KMHS Previous: 1 2 COD Clinicians provide COD services for all clients Pathways as stand alone program with full team of COD clinicians Pathways COD Clinicians as consultants to other teams while part of their own program Now: Pathways COD Clinicians embedded in Adult OP Teams.5FTE Child and Family COD Clinician added 1 FTE Child and Family COD Clinician embedded In Development: Consultation Services to Residential and Inpatient Programs Consultation Services to Older Adult Services

14 What We Are Doing Multidisciplinary Care Team Restructure Care Team Supervisor Housing, Employment Community Integration Specialist SUD Co occurring Professional Groups & Individual Interventions & Consultations MA/MS Therapists Therapy & Care Coordination Patient s Care determined by needs integrates MH, SUD & chronic disease mgmt Daily Huddles communication for shared clients Program Assistant Evaluation, Treatment, Prescribing.5 Psych Medical Provider Patient BA/BS Case Managers Care Coordination & Ancillary Services BH/Co morbidity management.5 Psych Nurse NEW Medical Assistants Primary care linkage Health Analytics

15 Providing Whole Person Care Embed Substance Use Treatment agency wide Substance Abuse Physical Health Mental Health MH/SUD Integration: cross train all staff for fully integrated BH treatment Add Chronic Disease/Health Promotion Program New: individual & population based approach; patient registries; EBP Practices (PAM,WHAM). Add Bi directional Care Model with Primary Care Recovery model: facilitates flow between PCP/CBHC sites for level of care needed to support recovery Workforce higher education Prepare future workforce: allied health/bh professions educated for whole person integrated care

16 Health Analytics Inform Care Shared Health Data Becomes Information Real time data informs Treatment Tighter care coordination with PCP s, ED s, hospitals Measures Care Management Reports PATIENTS Care Team Medical Assistants HEALTH ANALYTICS KMHS EHR Patient Registries Onsite PCP Community PCPs PRISM EDIE HERO HIE Rx Monitoring ED s

17 Bi directional Care Model CBHC Psychiatric consultation for all PCP s supports rapid diagnostic, med management, training CBHC BHP co located in PCP offices for low/ moderate BH needs & to coordinate access as needed to specialty BH services PCP co located on CBHC supports BH patients who prefer PCP services on BH site Supports seamless patient flow between systems of care as needed Increases patient information sharing for care coordination Natural occurrence of cross training between disciplines PCP informs CBHC practice; CBHC informs PCP practice Provides right place, right care, right time and recovery model for SMI/SED patients Community Based Primary Care Providers /Health Home Community Behavioral Health Center On Demand CMHC Psychiatric Consultancy & On site BHP Co located PCP on CMHC campus

18 EBP and Evolving Practices Adult Services Integrated Dual Diagnosis Treatment Trauma Informed Care Illness Management and Recovery Matrix Seeking Safety Women in Recovery Men in Recovery Living in Balance COD Anger Management Seeking Safety Medication Assisted Treatment Peer Support Recovery Groups AA, DRA Cognitive Behavioral therapy Motivational Interviewing

19 EBP and Evolving Practices Child and Family CRAFFT Screening Tool Change Companies Interactive Journaling Claudia Black s Family System Approach Adolescent Co occurring Disorders Curriculum Seeking Safety Children of Addiction Curriculum Coping and Support Training Medication Assisted Treatment Cognitive Behavioral Therapy Dialectical Behavioral Therapy Motivational Interviewing

20 Benefits of Embedding Improved coordination of care Increased options for just in time training Increased awareness of COD issues Easier access to consultations Proximity makes a big difference

21 Challenges to Whole Person Care Artificial, forced, internal silos due to funding Integrated care requires a regulatory environment and data systems across all providers to support integration Need a payment system that braids all 3 facets of physical, mental, substance use disorder treatment The better we do our work, the harder to maintain silos!

22 Future Needs for Integration Goals Earlier identification and intervention for substance use issues Increased training for all staff to improve COD capability across all programs Additional Adult COD clinicians to support all teams including ACCESS, CIS, OAS, Inpatient and Residential Services. Additional Youth COD Clinicians to support the need for prevention and treatment interventions for all at risk youth Improved access and utilization of adjunctive addictions medications earlier in treatment for more clients.

23 Future Needs for Integration Goals Recovery Supportive Housing Peer Support Program Increased ability for assertive outreach Methadone and Suboxone Treatment options in Kitsap County Essential: Capitated funds that will facilitate a single system of care

24 How the County has Assisted our Integration Innovation Efforts Understanding and supporting the importance of this work Providing ongoing flexible funding Willing to partner with us to workaround or overcome funding and regulatory barriers Partnering with us to extend services to the community on many levels.

25 Additional Information Joe Roszak, Executive Director Elena Argomaniz, Project Director Rochelle Doan, Development Director Cheryl Mogensen, Integration Consultant (Portions of) the project described was supported by Funding Opportunity Number CMS 1C from Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons.

Objectives: Perform thorough assessment, and design and implement care plans on 12 or more seriously mentally ill addicted persons. Addiction Psychiatry Program Site Specific Goals and Objectives Addiction Psychiatry (ADTU) Goal: By the end of the rotation fellow will acquire the knowledge, skills and attitudes required to recognize

More information

Telemedicine services. Crisis intervcntion response services, except

Telemedicine services. Crisis intervcntion response services, except Approved: MAY 2 4 2010 ATTACHMENT 3.1 -A Page 54j 4. Consultation with relatives, guardians, friends, employers, treatment providers, and other significant people, in order to change situations and allow

More information

Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services

Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Behavioral Health Provider Implementation of Whole Health Integrative Treatment Services Maryland Integrative Learning Community Lynn H Albizo, Director of Public Affairs Maryland Addictions Directors

More information

Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics Certified Community Behavioral Health Clinics CCBHCs Stakeholders New Jersey Department of Human Services Division of Mental Health & Addiction Services October, 2015 1 Background on Excellence in Mental

More information

Glenn Maynard, LPC 319 SW Washington, Suite 1015 Portland, OR 97204 (503) 916-8186 Fax: (503) 227-2561 E-mail: maynarg@comcast.net

Glenn Maynard, LPC 319 SW Washington, Suite 1015 Portland, OR 97204 (503) 916-8186 Fax: (503) 227-2561 E-mail: maynarg@comcast.net Glenn Maynard, LPC 319 SW Washington, Suite 1015 97204 (503) 916-8186 Fax: (503) 227-2561 E-mail: maynarg@comcast.net EDUCATION: M.Ed. Counseling, Lewis & Clark College 1977 BS Sociology, Portland State

More information

Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral

Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Integrating Behavioral Health and Primary Health Care: Development, Maintenance, and Sustainability Cici Conti Schoenberger, LCSW, CAS Behavioral Health Provider Sunshine Community Health Center Why Integrate?

More information

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Statewide Inpatient Psychiatric Program Services (SIPP) Statewide Inpatient Psychiatric

More information

other caregivers. A beneficiary may receive one diagnostic assessment per year without any additional authorization.

other caregivers. A beneficiary may receive one diagnostic assessment per year without any additional authorization. 4.b.(8) Diagnostic, Screening, Treatment, Preventive and Rehabilitative Services (continued) Attachment 3.1-A.1 Page 7c.2 (a) Psychotherapy Services: For the complete description of the service providers,

More information

Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program

Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program Travis Baggett, MD, MPH Jessie M. Gaeta, MD Jennifer Brody, MD, MPH Boston Health Care for the Homeless Program Substance- attributable mortality Presentation of the data Implications for our model of

More information

Financing integrated Healthcare in Washington

Financing integrated Healthcare in Washington Financing integrated Healthcare in Washington as of: April 23. 2012 E & M Codes CPT Code 99201-99205 99211-99215 Est. Pt Diagnostic Code May be used only with physical Federally Qualified Health Centers

More information

Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and

Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and Kitsap County has a retail sales tax to fund a county wide infrastructure for behavioral health treatment programs and services. Substance abuse and mental health services are viewed as existing on a continuum

More information

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015

UNDERSTANDING CO-OCCURRING DISORDERS. Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 UNDERSTANDING CO-OCCURRING DISORDERS Frances A. Campbell MSN, PMH CNS-BC, CARN Michael Beatty, LCSW, NCGC-1 Bridge To Hope November 18, 2015 CO-OCCURRING DISORDERS What does it really mean CO-OCCURRING

More information

AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR

AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR AFFORDABLE CARE ACT UPDATE & EXPANSION OF MENTAL HEALTH SEMINAR Paul Jaconette Chief Operating Officer CenCal Health Progress of Medi-Cal Expansion How is enrollment going? Approx. # of adults receiving

More information

Psychology Externship Program

Psychology Externship Program Psychology Externship Program The Washington VA Medical Center (VAMC) is a state-of-the-art facility located in Washington, D.C., N.W., and is accredited by the Joint Commission on the Accreditation of

More information

Treatment Services for Individuals with Co-Occurring Mental Health and Intellectual Disability/Developmental Disabilities

Treatment Services for Individuals with Co-Occurring Mental Health and Intellectual Disability/Developmental Disabilities Two types of individuals 1. People with primary diagnosis of intellectual disability/developmental disability Mental health diagnosis is secondary Primary services through ID/DD system Residential/Housing

More information

Group Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder

Group Intended Participant Locations Cost Curriculum Length. Longmont & Boulder. Longmont & Boulder County Public Health ADDICTION RECOVERY CENTERS (ARC) www.countyarc.org We offer some of the best evidence-based outpatient treatment services for men, women, and teens in the State of Colorado. We offer

More information

COMMUNITY MENTAL HEALTH RESOURCES

COMMUNITY MENTAL HEALTH RESOURCES COMMUNITY MENTAL HEALTH RESOURCES (Adult Mental Health Initiative) Ramsey & Washington Information gathered by: MN. State Advisory Council on Mental Health 17-25 Year Old Committee Mental Health Services

More information

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists.

ABOUT US. and Expressive Therapy (Dance/Movement, Art, Drama) in addition to individual, group and family therapy by skilled therapists. ABOUT US n Riveredge Hospital maintains the treatment philosophy of Trauma Informed Care. n Our commitment to providing the highest quality of care includes offering Animal Assisted Therapy, and Expressive

More information

CMS Innovation Center Improving Care for Complex Patients

CMS Innovation Center Improving Care for Complex Patients CMS Innovation Center Improving Care for Complex Patients ECRI Institute Dr. Patrick Conway, M.D., MSc CMS Chief Medical Officer and Deputy Administrator for Innovation and Quality Director, Center for

More information

The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses

The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses State of Illinois Department of Human Services The Expectation is Recovery... Evidence-Based Practices State-of-the-Art Strategies to Help Recover from Mental Illnesses Ask your mental health provider

More information

SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION

SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION A statewide coalition of consumers, providers, educators, and advocates representing the voice for alcohol and drug abuse services SUBSTANCE USE DISORDER (SUD)BENEFIT UNDER MEDICAID EXPANSION The Coalition

More information

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE Brief Coverage Statement Outpatient Substance Use Disorder (SUD) Fee-For-Service (FFS) Treatment Services are available for the treatment of substance

More information

Care and EHR Integration Connecting Physical and Behavioral Health in the EHR. Tarzana Treatment Centers Integrated Healthcare

Care and EHR Integration Connecting Physical and Behavioral Health in the EHR. Tarzana Treatment Centers Integrated Healthcare Care and EHR Integration Connecting Physical and Behavioral Health in the EHR Tarzana Treatment Centers Integrated Healthcare Outline of Presentation Why Integrate Care? Integrated Care at Tarzana Treatment

More information

MEDICAL POLICY No. 91607-R1 MENTAL HEALTH RESIDENTIAL TREATMENT: CHILD AND ADOLESCENT

MEDICAL POLICY No. 91607-R1 MENTAL HEALTH RESIDENTIAL TREATMENT: CHILD AND ADOLESCENT Summary of Changes MEDICAL POLICY MENTAL HEALTH RESIDENTIAL TREATMENT: CHILD ADOLESCENT Effective Date: June 4, 2015 Review Dates: 5/14, 5/15 Date Of Origin: May 14, 2014 Status: Current Clarifications:

More information

Treating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services

Treating Co-Occurring Disorders. Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Treating Co-Occurring Disorders Stevie Hansen, B.A., LCDC, NCACI Chief, Addiction Services Implementing SAMHSA Evidence-Based Practice Toolkits Integrated Dual Diagnosis Treatment (IDDT) Target group:

More information

WellCare of Kentucky, Inc. July 2013. 2008 WellCare Health Plans Inc. All rights reserved.

WellCare of Kentucky, Inc. July 2013. 2008 WellCare Health Plans Inc. All rights reserved. WellCare of Kentucky, Inc. July 2013 2008 WellCare Health Plans Inc. All rights reserved. WellCare of Kentucky Region 3 2 Region 1/Paducah: 7 Region 2/Owensboro: 13 Region 3/Louisville: 58 Region 4/Bowling

More information

ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM REQUEST FOR PROPOSALS. October 3, 2014

ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM REQUEST FOR PROPOSALS. October 3, 2014 ASSERTIVE COMMUNITY TREATMENT (ACT) TEAM REQUEST FOR PROPOSALS INTRODUCTION October 3, 2014 New York State Office of Mental Health communicated the availability of reinvestment funding associated with

More information

Transitioning to The Health Home Model in PSH. Presented by Eric Morse, LISW-S, Chief Operating Officer

Transitioning to The Health Home Model in PSH. Presented by Eric Morse, LISW-S, Chief Operating Officer Transitioning to The Health Home Model in PSH Presented by Eric Morse, LISW-S, Chief Operating Officer Our Mission Reaching out to adults and children in Northeast Ohio to end homelessness, prevent suicide,

More information

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines

Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding

More information

The Future Is Now: Psychiatric Mental Health Nursing Graduate Preparation for Integrated Care

The Future Is Now: Psychiatric Mental Health Nursing Graduate Preparation for Integrated Care The Future Is Now: Psychiatric Mental Health Nursing Graduate Preparation for Integrated Care Beth Phoenix, PhD, RN Health Sciences Clinical Professor UCSF School of Nursing beth.phoenix@nursing.ucsf.edu

More information

Best Principles for Integration of Child Psychiatry into the Pediatric Health Home

Best Principles for Integration of Child Psychiatry into the Pediatric Health Home Best Principles for Integration of Child Psychiatry into the Pediatric Health Home Approved by AACAP Council June 2012 These guidelines were developed by: Richard Martini, M.D., co-chair, Committee on

More information

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults

Evidence Based Approaches to Addiction and Mental Illness Treatment for Adults Evidence Based Practice Continuum Guidelines The Division of Behavioral Health strongly encourages behavioral health providers in Alaska to implement evidence based practices and effective program models.

More information

Certified Addiction Counselor INTERNSHIP PROGRAM

Certified Addiction Counselor INTERNSHIP PROGRAM Certified Addiction Counselor INTERNSHIP PROGRAM Updated: January 2016 ASPENPOINTE The AspenPointe family of organizations has provided healthcare solutions to Southern Colorado residents for over 130

More information

Ohio s Community Behavioral Health Center Health Homes: A New Service Delivery Model

Ohio s Community Behavioral Health Center Health Homes: A New Service Delivery Model Ohio s Community Behavioral Health Center Health Homes: A New Service Delivery Model 1 C E N T E R F O R E V I D E N C E - B A S E D P R A C T I C E S A T C A S E W E S T E R N R E S E R V E U N I V E

More information

MEDICAL POLICY No. 91608-R1 MENTAL HEALTH RESIDENTIAL TREATMENT: ADULT

MEDICAL POLICY No. 91608-R1 MENTAL HEALTH RESIDENTIAL TREATMENT: ADULT MENTAL HEALTH RESIDENTIAL TREATMENT: ADULT Effective Date: June 4, 2015 Review Dates: 5/14, 5/15 Date Of Origin: May 12, 2014 Status: Current Summary of Changes Clarifications: Pg 4, Description, updated

More information

TREATMENT MODALITIES. May, 2013

TREATMENT MODALITIES. May, 2013 TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.

More information

9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders

9/25/2015. Parallels between Treatment Models 2. Parallels between Treatment Models. Integrated Dual Disorder Treatment and Co-occurring Disorders Integrated Dual Disorder Treatment and Co-occurring Disorders RANDI TOLLIVER, PHD HEARTLAND HEALTH OUTREACH, INC. ILLINOIS ASSOCIATION OF PROBLEM-SOLVING COURTS OCTOBER 8, 2015 SPRINGFIELD, IL Parallels

More information

IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY. Day One: June 8, 2011

IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY. Day One: June 8, 2011 IMPACT: An Evidence-based Approach to Integrated Depression Care Beth Israel Medical Center New York, NY 8:00 Registration & Continental Breakfast 8:30 Welcome & Introductions Day One: June 8, 2011 8:45

More information

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH Presented by Linda Gertson, Ph.D. Behavioral Health Manager The California Institute of Mental Health (CIMH) was awarded

More information

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager

THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH. Presented by Linda Gertson, Ph.D. Behavioral Health Manager THE INTEGRATED DUAL DIAGNOSIS TREATMENT PROGRAM OF VENTURA COUNTY BEHAVIORAL HEALTH Presented by Linda Gertson, Ph.D. Behavioral Health Manager The California Institute of Mental Health (CIMH) was awarded

More information

Behavioral Health Centers of Excellence & the Future of Health

Behavioral Health Centers of Excellence & the Future of Health Behavioral Health Centers of Excellence & the Future of Health -draft concept paper- Healthcare reform is creating tremendous disruption in nearly all aspects of healthcare. As many industries have already

More information

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals The purpose of this document is to clarify who can provide which outpatient services to Iowa Plan Medicaid members.

More information

Performance Standards

Performance Standards Performance Standards Co-Occurring Disorder Competency Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best

More information

Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005

Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005 Mental Health and Substance Abuse Reporting Requirements Section 425 of P.A. 154 of 2005 By April 1, 2006, the Department, in conjunction with the Department of Corrections, shall report the following

More information

Treatment for Co occurring Disorders

Treatment for Co occurring Disorders Wisconsin Public Psychiatry Network Teleconference (WPPNT) This teleconference is brought to you by the Wisconsin Department of Health Services (DHS) Bureau of Prevention, Treatment, and Recovery and the

More information

Performance Standards

Performance Standards Performance Standards Outpatient Performance Standards are intended to provide a foundation and serve as a tool to promote continuous quality improvement and progression toward best practice performances,

More information

Proven Innovations in Primary Care Practice

Proven Innovations in Primary Care Practice Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare

More information

Integrating Treatment for Co-Occurring Disorders. Brought to you by:

Integrating Treatment for Co-Occurring Disorders. Brought to you by: Integrating Treatment for Co-Occurring Disorders Brought to you by: Today s Moderators Marty Harding Director of Training and Consultation Hazelden Publishing Gerald McCleery, Ph.D VP for Business Development

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910

HOPE HELP HEALING. A Place of Hope, Help and Healing Since 1910 HOPE HELP HEALING A Place of Hope, Help and Healing Since 1910 For more than a century, Carrier Clinic has opened its hearts and its doors as a trusted, sought-after place of hope, help and healing for

More information

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model

Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Treatment of Substance Abuse and Co-occurring Disorders in JRA s Integrated Treatment Model Henry Schmidt III, Ph.D. Cory Redman John Bolla, MA, CDP Washington State Juvenile Rehabilitation Administration

More information

Medical Necessity Criteria

Medical Necessity Criteria Medical Necessity Criteria 2015 Updated 03/04/2015 Appendix B Medical Necessity Criteria Purpose: In order to promote consistent utilization management decisions, all utilization and care management staff

More information

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD

Youth Residential Treatment- One Step in the Continuum of Care. Dave Sprenger, MD Youth Residential Treatment- One Step in the Continuum of Care Dave Sprenger, MD Outline Nature of substance abuse disorders Continuum of care philosophy Need for prevention and aftercare Cost-effectiveness

More information

County of San Diego Health and Human Services Agency. Final Behavioral Health Services Three Year Strategic Plan 2005-2008.

County of San Diego Health and Human Services Agency. Final Behavioral Health Services Three Year Strategic Plan 2005-2008. County of San Diego Health and Human Services Agency Final Behavioral Health Services Three Year Strategic Plan 2005-2008 November 1, 2005 By Connie Moreno-Peraza, LCSW, Executive Lead Deputy Director

More information

Veterans Health Administration (VHA): Mental Health Services. Briefing for Commission on Care October 19, 2015

Veterans Health Administration (VHA): Mental Health Services. Briefing for Commission on Care October 19, 2015 Veterans Health Administration (VHA): Mental Health Services Briefing for Commission on Care October 19, 2015 Uniform Mental Health Services VHA is committed to providing a uniform package of mental health

More information

Coordinated Outcomes-Based Care: Behavioral Health Health Homes. Larry Seltzer Netsmart Director Architecture & Solutions Strategy

Coordinated Outcomes-Based Care: Behavioral Health Health Homes. Larry Seltzer Netsmart Director Architecture & Solutions Strategy Coordinated Outcomes-Based Care: Behavioral Health Health Homes Larry Seltzer Netsmart Director Architecture & Solutions Strategy Netsmart at a Glance Founded in 1968 Largest healthcare IT company serving

More information

Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA

Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA Building the Continuum of Integrated Treatment for Co-Occurring Disorders 2015 AMHCA CONFERENCE PHILADELPHIA, PA 1 THE AFFORDABLE CARE ACT The Patient Protection and Affordable Care Act (ACA) aims to expand

More information

Q&A. What Are Co-occurring Disorders?

Q&A. What Are Co-occurring Disorders? What Are Co-occurring Disorders? Some people suffer from a psychiatric or mental health disorder (such as depression, an anxiety disorder, bipolar disorder, or a mood or adjustment disorder) along with

More information

CREATING AND GUIDING...

CREATING AND GUIDING... CREATING AND GUIDING... Table OF Contents Introduction...1 Career Quiz...2 Who We Serve...3 Career Options... 4 School Pathways...6 Puzzle...8 Dreams & Goals...9 Word Search...10 Unscramble Puzzle...11

More information

TN No: 09-024 Supersedes Approval Date:01-27-10 Effective Date: 10/01/09 TN No: 08-011

TN No: 09-024 Supersedes Approval Date:01-27-10 Effective Date: 10/01/09 TN No: 08-011 Page 15a.2 (iii) Community Support - (adults) (CS) North Carolina is revising the State Plan to facilitate phase out of the Community Support - Adults service, which will end effective July 1, 2010. Beginning

More information

The Maryland Public Behavioral Health System

The Maryland Public Behavioral Health System The Maryland Public Behavioral Health System Arleen Rogan, Ph.D. Division Director, Integrated Health Services Family Services, Inc. Arleen.rogan@fs-inc.org Behavioral Health includes: Mental health conditions

More information

San Diego County Managed Care Behavioral Health Overview. Presented by George Scolari, Chair Healthy San Diego Behavioral Health Work Group

San Diego County Managed Care Behavioral Health Overview. Presented by George Scolari, Chair Healthy San Diego Behavioral Health Work Group San Diego County Managed Care Behavioral Health Overview Presented by George Scolari, Chair Healthy San Diego Behavioral Health Work Group 1 Healthy San Diego Overview Healthy San Diego is the collaborative

More information

Mental Health Services for Children and Youth in Nova Scotia

Mental Health Services for Children and Youth in Nova Scotia Mental Health Services for Children and Youth in Nova Scotia Presentation to the Standing Committee on Community Services - June 1, 2010 Patricia Murray, Director of Children s Services Mental Health,

More information

4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents)

4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) 4.40 STRUCTURED DAY TREATMENT SERVICES 4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) Description of Services: Substance use partial hospitalization is a nonresidential treatment

More information

Behavioral Health Provider Training: Program Overview & Helpful Information

Behavioral Health Provider Training: Program Overview & Helpful Information Behavioral Health Provider Training: Program Overview & Helpful Information Overview The Passport Behavioral Health Program provides members with access to a full continuum of recovery and resiliency focused

More information

OUTPATIENT DAY SERVICES

OUTPATIENT DAY SERVICES OUTPATIENT DAY SERVICES Intensive Outpatient Programs (IOP) Intensive Outpatient Programs (IOP) provide time limited, multidisciplinary, multimodal structured treatment in an outpatient setting. Such programs

More information

MENTAL HEALTH SERVICES

MENTAL HEALTH SERVICES MENTAL HEALTH SERVICES 1) BERKSHIRE COUNTY AUTISM AWARENESS PROGRAM www.autisminfo.net Dedicated to increasing community awareness about autism, and promoting community understanding and acceptance of

More information

The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97

The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97 6 The Collaborative Models of Mental Health Care for Older Iowans Model Administration Collaborative Models of Mental Health Care for Older Iowans 97 Collaborative Models of Mental Health Care for Older

More information

Building on a century of compassionate care, shaping the future of behavioral health.

Building on a century of compassionate care, shaping the future of behavioral health. Carrier Clinic has earned The Joint Commission s Gold Seal of Approval. Building on a century of compassionate care, shaping the future of behavioral health. For more than a century, Carrier Clinic has

More information

From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act.

From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act. From Mental Health and Substance Abuse to Behavioral Health Services: Opportunities and Challenges with the Affordable Care Act. Ron Manderscheid, Ph.D. Exec Dir, National Association of County Behavioral

More information

Bi-Directional Integration: What Degree of Integration is Needed for Success Linking Indiana Integration Principles to National Models

Bi-Directional Integration: What Degree of Integration is Needed for Success Linking Indiana Integration Principles to National Models Bi-Directional Integration: What Degree of Integration is Needed for Success Linking Indiana Integration Principles to National Models What Degree of Success is Needed from the Affordable Care Act Perspective?

More information

Population Health Management For Behavioral Health. MHA s 2015 Annual Conference June 3, 2015

Population Health Management For Behavioral Health. MHA s 2015 Annual Conference June 3, 2015 Population Health Management For Behavioral Health MHA s 2015 Annual Conference June 3, 2015 Goals of the Affordable Care Act Improve the health of populations Lower per capita costs Improve the patient

More information

Florida Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida

Florida Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida Mental Health and Substance Abuse Services in Medicaid and SCHIP in Florida As of July 2003 2,441,266 people were covered under Florida's Medicaid and SCHIP programs. There were 2,113,820 enrolled in the

More information

Imagining Seamless Information Flow: Bridging the HIE Gap and Making Care Coordination Reality AJ Peterson: GM, CareConnect Larry Seltzer: GM,

Imagining Seamless Information Flow: Bridging the HIE Gap and Making Care Coordination Reality AJ Peterson: GM, CareConnect Larry Seltzer: GM, Imagining Seamless Information Flow: Bridging the HIE Gap and Making Care Coordination Reality AJ Peterson: GM, CareConnect Larry Seltzer: GM, CareManager Jerry Dolezal: CIO, Optum BH-Pierce County Agenda

More information

Behavioral Health Provider Training: Substance Abuse Treatment Updates

Behavioral Health Provider Training: Substance Abuse Treatment Updates Behavioral Health Provider Training: Substance Abuse Treatment Updates Agenda Laboratory Services Behavioral Health Claims Submission Process Targeted Case Management Utilization Management eservices Claims

More information

Behavioral Health Management of Substance Use Disorder Services

Behavioral Health Management of Substance Use Disorder Services Behavioral Health Management of Substance Use Disorder Services Arlene González-Sánchez, Commissioner Robert Kent, General Counsel SAMSHA: New York State should remain consistent with SAMSHA policy philosophy

More information

A Sustainable Source for Services through Health Home Legislation: What it Means for Supportive Housing

A Sustainable Source for Services through Health Home Legislation: What it Means for Supportive Housing A Sustainable Source for Services through Health Home Legislation: What it Means for Supportive Housing The Source for Housing Solutions Sharon Rapport, CSH Lezlie Murch, Exodus Recovery Brenda Goldstein,

More information

Dual Diagnosis in Addiction & Mental Health. users, family & friends

Dual Diagnosis in Addiction & Mental Health. users, family & friends Dual Diagnosis in Addiction & Mental Health An introduction for Service users, family & friends You walk down the street and collapse. The hospital diagnoses a broken leg which is treated and fixed Yet

More information

ASSERTIVE COMMUNITY TREATMENT: ACT 101. Rebecca K. Sartor, LICSW

ASSERTIVE COMMUNITY TREATMENT: ACT 101. Rebecca K. Sartor, LICSW ASSERTIVE COMMUNITY TREATMENT: ACT 101 Rebecca K. Sartor, LICSW A LITTLE BIT ABOUT ME HOW I ENDED UP HERE LEARNING OBJECTIVES To develop an understanding of: How ACT Evolved Practice Principles Services

More information

NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES. PART He-W 513 SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES

NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES. PART He-W 513 SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES CHAPTER He-W 500 MEDICAL ASSISTANCE PART He-W 513 SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES He-W 513.01 Purpose. The purpose of this part is to establish the procedures and requirements

More information

Clinical Criteria 4.201 Inpatient Medical Withdrawal Management 4.201 Substance Use Inpatient Withdrawal Management (Adults and Adolescents)

Clinical Criteria 4.201 Inpatient Medical Withdrawal Management 4.201 Substance Use Inpatient Withdrawal Management (Adults and Adolescents) 4.201 Inpatient Medical Withdrawal Management 4.201 Substance Use Inpatient Withdrawal Management (Adults and Adolescents) Description of Services: Inpatient withdrawal management is comprised of services

More information

Maryland Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland

Maryland Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland Mental Health and Substance Abuse Services in Medicaid and SCHIP in Maryland As of July 2003, 638,662 people were covered under Maryland's Medicaid/SCHIP programs. There were 525,080 enrolled in the Medicaid

More information

Integrated Health Care Models and Practices

Integrated Health Care Models and Practices Integrated Health Care Models and Practices The Greater Houston Behav io r al Health Affordable Care Act Initiative S e c o n d C o m m u n i t y E d u c a t i o n E v e n t I n t e g r a t e d H e a l

More information

Behavioral Health and Wellness

Behavioral Health and Wellness INSPIRA HEALTH NETWORK Behavioral Health and Wellness Providing Quality Care Across the Region Comprehensive Programs Tailored for Your Needs Inspira offers a range of behavioral health and wellness services

More information

69 th Annual Meeting of the Southern Legislative Conference

69 th Annual Meeting of the Southern Legislative Conference 69 th Annual Meeting of the Southern Legislative Conference Medicaid Behavioral Health Homes Integrating Services- Overview and Implementation Advice Savannah, GA July 19, 2015 Michael S. Varadian, JD,

More information

Optum By United Behavioral Health. 2015 Mississippi Coordinated Access Network (CAN) Medicaid Level of Care Guidelines

Optum By United Behavioral Health. 2015 Mississippi Coordinated Access Network (CAN) Medicaid Level of Care Guidelines Optum By United Behavioral Health 2015 Mississippi Coordinated Access Network (CAN) Medicaid Level of Care Guidelines is a behavioral intervention program, provided in the context of a therapeutic milieu,

More information

Medicaid Application for Intensive Outpatient Programs Application Checklist for Providers

Medicaid Application for Intensive Outpatient Programs Application Checklist for Providers Provider information Agency Name: Physical Address: If applying for multiple sites or applying to serve adolescents and/or adults please note and list specific physical locations: Mailing Address (if different

More information

Psychiatric/Mental Health Nurse Practitioner. Graduate Nursing Program

Psychiatric/Mental Health Nurse Practitioner. Graduate Nursing Program Psychiatric/Mental Health Nurse Practitioner Graduate Nursing Program Program Options University of California, San Francisco School of Nursing https://nursing.ucsf.edu Psychiatric Mental Health Nursing

More information

Arkansas Behavioral Health Home State Plan Amendment. Draft - 03/11/14

Arkansas Behavioral Health Home State Plan Amendment. Draft - 03/11/14 Arkansas Behavioral Health Home State Plan Amendment Draft - 03/11/14 NOTE: Bolded text within document denotes required health home language by the Centers for Medicare and Medicaid Services (CMS) with

More information

Minnesota Co-occurring Mental Health & Substance Disorders Competencies:

Minnesota Co-occurring Mental Health & Substance Disorders Competencies: Minnesota Co-occurring Mental Health & Substance Disorders Competencies: This document was developed by the Minnesota Department of Human Services over the course of a series of public input meetings held

More information

COMPARISON OF KEY PROVISIONS House and Senate Comprehensive Mental Health Reform Legislation

COMPARISON OF KEY PROVISIONS House and Senate Comprehensive Mental Health Reform Legislation COMPARISON OF KEY PROVISIONS House and Senate Comprehensive Mental Health Reform Legislation Note: A full title-by-title summary of H.R. 2646, the Helping Families in Mental Health Crisis Act of 2015 (Murphy/Johnson)

More information

Falling Between Two Stools. Dual Diagnosis: The need for multidisciplinary awareness and cooperation. Eoin Stephens

Falling Between Two Stools. Dual Diagnosis: The need for multidisciplinary awareness and cooperation. Eoin Stephens Falling Between Two Stools Dual Diagnosis: The need for multidisciplinary awareness and cooperation Eoin Stephens PCI College Dual Diagnosis Ireland www.pcicollege.ie www.dualdiagnosis.ie Dual Diagnosis

More information

SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY POLICY AND PROCEDURE MANUAL

SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY POLICY AND PROCEDURE MANUAL SHIAWASSEE COUNTY COMMUNITY MENTAL HEALTH AUTHORITY POLICY AND PROCEDURE MANUAL Section: Clinical Effective Date: 9/23/08 Last Revision Date: 1/30/14 Page 1 of 13 Policy It is the policy of the Shiawassee

More information

Procedure/ Revenue Code. Billing NPI Required. Rendering NPI Required. Service/Revenue Code Description. Yes No No

Procedure/ Revenue Code. Billing NPI Required. Rendering NPI Required. Service/Revenue Code Description. Yes No No Procedure/ Revenue Code Service/Revenue Code Description Billing NPI Rendering NPI Attending/ Admitting NPI 0100 Inpatient Services Yes No Yes 0114 Room & Board - private psychiatric Yes No Yes 0124 Room

More information

Date: Rater(s): Time Spent (Hours): Agency Name: Program Name: Address: Contact Person: 1) ; 2) Telephone: ; FAX: ; Email:

Date: Rater(s): Time Spent (Hours): Agency Name: Program Name: Address: Contact Person: 1) ; 2) Telephone: ; FAX: ; Email: Program Identification DUAL DIAGNOSIS CAPABILITY IN MENTAL HEALTH TREATMENT (MHT) VERSION 3.2 (Gotham, H. J., Brown, J. L., Comaty, J. E., & McGovern, M. P.) RATING SCALE COVER SHEET Date: Rater(s): Time

More information

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014 Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014 Introduction The Office of Mental Health (OMH) licensed and regulated Assertive Community

More information

Mental Health & Substance Abuse Services

Mental Health & Substance Abuse Services Mental Health & Substance Abuse Services Services Overview The Adult Behavioral Health (ABH) Department provides Mental Health and Substance Abuse services to clients who meet criteria for either Substance

More information

SBIRT INITIATIVE. SBIRT Process. SBIRT Overview. The New Hampshire Youth Screening, Brief Intervention and Referral to Treatment (SBIRT)

SBIRT INITIATIVE. SBIRT Process. SBIRT Overview. The New Hampshire Youth Screening, Brief Intervention and Referral to Treatment (SBIRT) Overview INITIATIVE New Hampshire Youth Screening, and Referral to Treatment Initiative The New Hampshire Youth Screening, and Referral to Treatment () Initiative of the New Hampshire Charitable Foundation

More information

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA

2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA 2014 FLORIDA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA SUBSTANCE ABUSE LEVEL OF CARE CLINICAL CRITERIA Overview Psychcare strives to provide quality care in the least restrictive environment. An

More information

Steinberg and Key Behavioral Health Stakeholders Recommended Integration Strategies

Steinberg and Key Behavioral Health Stakeholders Recommended Integration Strategies January 30, 2015 Mari Cantwell, Acting Director Department of Health Care Services 1501 Capitol Avenue Sacramento, California 95899 SUBJECT: The Steinberg Institute and Key Behavioral Health Stakeholders

More information