SAMHSA, YOU & ME. Faces & Voices of Recovery ARCO Executive Directors Leadership Academy November 15, 2014

Transcription

1 SAMHSA, YOU & ME Faces & Voices of Recovery ARCO Executive Directors Leadership Academy November 15, 2014

2 Overview SAMHSA Background Theory of Change Strategic Direction Role & Dialogue Slide 2

3 SAMHSA: A PUBLIC HEALTH AGENCY within the U.S. Department of Health & Human Services Mission: To reduce the impact of substance abuse and mental illness on America s communities. Vision: SAMHSA provides leadership and devotes its resources towards helping the nation act on the knowledge that: Behavioral health is essential for health; Prevention works; Treatment is effective; and People recover. Slide 3

4 SAMHSA s Roles Leadership and voice e.g., Health care systems reform and integration Health surveillance e.g., National Survey on Drug Use and Health (NSDUH) Practice improvement e.g., Treatment Improvement Protocols (TIPS) and Recovery to Practice Public education and awareness e.g., Opioid Overdose Prevention Toolkit (2014) & Talk. They Hear You. Regulation and standard setting e.g., OTP s and work place drug-testing programs Strategic grant and contract resource investment e.g., SBIRT and interoperability of PDMP s 4

5 SAMHSA (Very Basic) Organizational Chart Office of the Administrator CMHS (Center for Mental Health Services) CSAP (Center for Substance Abuse Prevention) CSAT (Center for Substance Abuse Treatment) CBHSQ (Center for Behavioral Health Statistics and Quality) OTAP (Office of Tribal Affairs and Policy) OBHE (Office of Behavioral Health Equity) OPPI (Office of Policy, Planning, and Innovation) OC (Office of Communication) OFR (Office of Financial Resources) OMTO (Office of Management, Technology, and Operations)

6 SAMHSA Budget FY ACA PHS BA FY 2014 & FY 2015 totals include $1.5 M each year for extraordinary data and publication requests user fees.

7 SAMHSA FY 2014 Enacted (Dollars in Thousands) OC $13,482 0% Other $47,083 1% CSAP $538,218 15% CBHSQ $132,178 4% CMHS $1,077,693 30% CSAT $1,813,052 50% *Note: This chart includes Budget Authority, ACA Prevention Funds, and PHS Evaluation Funds.

8 FY 14 Block Grants vs Other Grants Dollars in Thousands 8 $132,178 4% $13,482 0% $47,083 1% $363,088 10% $595,122 17% $360,698 10% $175,129 5% $482,571 13% $1,452,354 40% 63% CSAP Block Grant Set-Aside CSAT Block Grant (w/o Set-Aside) CMHS Block Grant CSAP Other CSAT Other CMHS Other CBHSQ OC Other *Note: This chart includes Budget Authority, ACA Prevention Funds, and PHS Evaluation Funds.

9 SAMHSA Budget and the Field In 2009 MH + SA treatment spending in the US totaled $172 Billion. In 2009 the rate of growth in spending was 5% per year, if that rate is held constant over the past 5 years, spending on MH+SA treatment would be $220 billion in 2014.

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11 SAMHSA s STRATEGIC INITIATIVES Prevention 2. Health Care and Health Systems Integration 3. Trauma and Justice 4. Recovery Support 5. Health Information Technology 6. Workforce Development

12 About SAMHSA s Strategic Initiatives Focus SAMHSA s resources based on emerging trends, opportunities, and challenges Support cross-agency work, bridging across SAMHSA components to focus on priorities Provide direction to SAMHSA s programs Provide a clear framework for public communications and SAMHSA s work with stakeholders 12

13 Accomplishments from Leading Change Helped over 1000 behavioral healthcare providers adapt to a changing health care system through BH Business, a technical assistance (TA) program and learning community. Supported the adoption of Health Information Technology (HIT) by behavioral health providers by including HIT supplements with some grant programs, TA, and partnership with ONC. Added a new focus on outcomes and quality for SAMHSA and the broader behavioral health system with the development of the Behavioral Health Barometer and a Common Data Platform for SAMHSA programs. Placed new emphasis on prevention of prescription drug abuse and underage drinking in SAMHSA s substance abuse prevention programs, such as the Strategic Prevention Framework. Supported the recovery of Americans living with mental and substance use disorders through the Bringing Recovery Supports to Scale Technical Assistance Center Strategy (BRSS TACS) and a definition of recovery to guide the field. Supported and developed an initiative to address the early development of serious mental illness through the 5% set aside from the mental health block grant. Slide 13

14 Feedback and Public Comment SAMHSA released a draft of Leading Change 2.0: A Plan for SAMHSA s Roles and Actions Fiscal Year for public comment. We received over 1,400 ideas, comments, and suggestions from the public. In addition, SAMSHA staff, Federal partners, stakeholder groups, and SAMHSA s National Advisory Council members provided written feedback. From the feedback, some themes emerged: Meeting the needs of a variety of groups including older adults, caretakers and family members, and immigrants and refugees; Addressing fetal alcohol spectrum disorder; Increased attention to rural areas and communities; Enhanced training and education for peer providers; Behavioral health training within the justice system; and Collaboration with faith-based organizations. In response SAMHSA has incorporated some of these suggestions and emphasized existing activities that did not come through in the draft released for comment. 14

15 SI #1- Prevention of Substance Abuse and Mental Illness Goal 1.1 Promote emotional health and wellness, prevent or delay the onset of and complications from substance abuse and mental illness, and identify and respond to emerging behavioral health issues. Goal 1.2 Prevent and reduce underage drinking and young adult problem drinking. Goal 1.3 Prevent and reduce attempted suicides and deaths by suicide among populations at high risk. Goal 1.4 Prevent and reduce prescription drug and illicit opioid misuse and abuse. 15

16 SI #2- Health Care and Health Systems Integration Goal 2.1 Foster integration between behavioral health and health care, social support, and prevention systems. Goal 2.2 Support federal, state, territorial, and tribal efforts to develop and implement new provisions under Medicaid and Medicare. Goal 2.3 Support federal, state, territorial, and tribal efforts to influence and support the efficient use of various financing models and mechanisms to address behavioral health services and activities. Goal 2.4 Finalize and implement the parity provisions in the Mental Health Parity and Addiction Equity Act (MHPAEA) and the Affordable Care Act, and disseminate information about parity. Goal 2.5 Foster implementation of quality indicators to advance behavioral health outcomes in the health care delivery system. Slide 16

17 SI #3- Trauma and Justice Goal 3.1 Implement and study a trauma-informed approach throughout health, behavioral health, and related systems. Goal 3.2 Create capacity and systems change in the behavioral health and justice systems. Goal 3.3 Reduce the impact of disasters on the behavioral health of individuals, families, and communities. Slide 17

18 SI #4- Recovery Support Goal 4.1 Improve the physical and behavioral health of individuals with mental illness and/or substance use disorders and their families. Goal 4.2 Increase access to permanent housing for individuals with mental illness and/or substance use disorders and their families. Goal 4.3 Increase competitive employment and educational attainment for individuals with mental illness and/or substance use disorders. Goal 4.4 Promote community living for individuals with mental and/or substance use disorders and their families. Slide 18

19 SI #5- Health Information Technology Goal 5.1 Promote development of technologies and standards to enable interoperable exchange of behavioral health data while supporting privacy, security, and confidentiality. Goal 5.2 Promote the adoption of EHRs and other HIT tools with behavioral health functionality by health care providers, patients, consumers, states, and tribes to improve prevention, treatment, and recovery for behavioral health conditions. Goal 5.3 Enhance capacity for the secure collection and use of data in EHRs and other technologies by continuing to develop behavioral health national data standards, which supports quality improvement and effective outcome tracking. Goal 5.4 Promote the broad dissemination of technologies for improving behavioral health care, prevention, and wellness. Slide 19

20 SI #6- Workforce Development Goal 6.1 Develop and disseminate workforce training and education tools and core competencies to address behavioral health issues. Goal 6.2 Develop and support deployment of peer providers in all public health and health care delivery settings. Goal 6.3 Develop consistent data collection methods to identify and track behavioral health workforce needs. Goal 6.4 Influence and support funding for the behavioral health workforce. Slide 20

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23 You can also sort grants by state from a link on this page.

24 Looking Back, Looking Forward My Role Senior Advisor to the Administrator & CSAT Director BHCC, ICCPUD, LA, RSSI, SGR, 2 yrs Historical Milestones MT s, HBO, A&E, RVC, ARCO MHPAEA, ACA, AP, MF1V Opportunities / Moment in Time MB, CC s, OC, YPR, ARS Mergers, Acquisitions, Alliances CARA, RMPP, 2015 Mall Event 40 th AOU ( ) Slide 24

25 Questions/Dialogue Slide 25