This document summarizes:
1) New Trump administration regulations may pose challenges for finalizing regulations on substance use treatment disclosure and proposed supplemental regulations due to requirements for cost analysis and offsets.
2) A study found mood disorders like depression and bipolar disorder are associated with the highest risk of suicide within 90 days of discharge from psychiatric hospitalization.
3) An upcoming conference on mental health and addiction treatment will be held in Baltimore in April.
Approaches in Implementing the Mental Health and Addiction Equity Act.Best Pr...Mariel Lifshitz
This document describes best practices used by seven states to implement and monitor compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA). The states identified five key components of effective implementation: 1) open communication with health insurers, 2) standardized materials and terms, 3) templates and tools for assessing compliance, 4) market conduct exams and network adequacy reviews, and 5) collaboration across agencies and stakeholders. The states developed various templates, guides and other resources to promote consistent application of parity rules. They also analyzed complaints, conducted on-site exams of insurers, and collaborated closely with multiple groups to identify and address any compliance issues.
Mental Health Policy - The Affordablle Care Act and Mental HealthDr. James Swartz
These slides are from a lecture describing some of the main provisions of the Patient Protection and Affordable Care Act (P.L. 111-148) also known as the ACA or "Obamacare". Medicaid expansion and the health insurance exchanges are considered. Information on the status of ACA implementation is also presented.
Madridge Journal of AIDS (ISSN: 2638-1958); This commentary will address how prosecutors can use existing legislation, innovative court-related programs, and smart prosecution techniques to fulfill their duty to protect public safety as it relates to persons with HIV in the criminal justice system.
This document provides an overview of drug courts in the United States, including their background and effectiveness. It discusses how drug courts work, their growth across the country since 1989, and their goal of reducing drug use and recidivism among nonviolent offenders through intensive supervision and court-mandated drug treatment. It also reviews studies that have found drug courts can reduce recidivism and describes the federal grant program that has helped fund drug courts since 1994, allocating over $530 million. Issues like how to measure effectiveness and whether more serious offenders could be included are discussed.
These slides are from on lecture on the role of psychotropic drugs in mental health treatment. Topics covered include the pharmaceutical industry, direct-to-consumer advertising, the CATIE and STAR*D studies, Medicare Part-D, and the role or pharmacy benefit managers.
The document discusses the history and current state of integrating behavioral health and primary care services. It outlines the benefits of integration, including improved outcomes and cost savings. Barriers to integration include separate funding streams, lack of provider training, and cultural divides between specialties. Successful integration requires addressing financial, structural, clinical and programmatic integration through models like co-location, shared treatment plans, population health management and quality improvement efforts.
Midwestern states have adopted various harm reduction strategies to address the opioid epidemic, including syringe exchange programs, medication-assisted treatment, overdose prevention, and prescription drug monitoring programs. Syringe exchanges provide sterile supplies to injection drug users to prevent disease spread, and are permitted in some form in most Midwestern states. All states except Kansas allow naloxone access to reverse overdoses. Several states mandate medication-assisted treatment coverage by Medicaid and most have implemented prescription drug monitoring programs, though requirements vary between states.
The document describes the therapeutic justice model used in Bexar County, Texas to integrate treatment services and the criminal justice system. It discusses collaborations between various agencies to provide alternatives to incarceration like crisis centers, courts focused on treatment, and programs for veterans. Data is presented showing improvements in wait times and outcomes from these diversion and treatment initiatives.
Approaches in Implementing the Mental Health and Addiction Equity Act.Best Pr...Mariel Lifshitz
This document describes best practices used by seven states to implement and monitor compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA). The states identified five key components of effective implementation: 1) open communication with health insurers, 2) standardized materials and terms, 3) templates and tools for assessing compliance, 4) market conduct exams and network adequacy reviews, and 5) collaboration across agencies and stakeholders. The states developed various templates, guides and other resources to promote consistent application of parity rules. They also analyzed complaints, conducted on-site exams of insurers, and collaborated closely with multiple groups to identify and address any compliance issues.
Mental Health Policy - The Affordablle Care Act and Mental HealthDr. James Swartz
These slides are from a lecture describing some of the main provisions of the Patient Protection and Affordable Care Act (P.L. 111-148) also known as the ACA or "Obamacare". Medicaid expansion and the health insurance exchanges are considered. Information on the status of ACA implementation is also presented.
Madridge Journal of AIDS (ISSN: 2638-1958); This commentary will address how prosecutors can use existing legislation, innovative court-related programs, and smart prosecution techniques to fulfill their duty to protect public safety as it relates to persons with HIV in the criminal justice system.
This document provides an overview of drug courts in the United States, including their background and effectiveness. It discusses how drug courts work, their growth across the country since 1989, and their goal of reducing drug use and recidivism among nonviolent offenders through intensive supervision and court-mandated drug treatment. It also reviews studies that have found drug courts can reduce recidivism and describes the federal grant program that has helped fund drug courts since 1994, allocating over $530 million. Issues like how to measure effectiveness and whether more serious offenders could be included are discussed.
These slides are from on lecture on the role of psychotropic drugs in mental health treatment. Topics covered include the pharmaceutical industry, direct-to-consumer advertising, the CATIE and STAR*D studies, Medicare Part-D, and the role or pharmacy benefit managers.
The document discusses the history and current state of integrating behavioral health and primary care services. It outlines the benefits of integration, including improved outcomes and cost savings. Barriers to integration include separate funding streams, lack of provider training, and cultural divides between specialties. Successful integration requires addressing financial, structural, clinical and programmatic integration through models like co-location, shared treatment plans, population health management and quality improvement efforts.
Midwestern states have adopted various harm reduction strategies to address the opioid epidemic, including syringe exchange programs, medication-assisted treatment, overdose prevention, and prescription drug monitoring programs. Syringe exchanges provide sterile supplies to injection drug users to prevent disease spread, and are permitted in some form in most Midwestern states. All states except Kansas allow naloxone access to reverse overdoses. Several states mandate medication-assisted treatment coverage by Medicaid and most have implemented prescription drug monitoring programs, though requirements vary between states.
The document describes the therapeutic justice model used in Bexar County, Texas to integrate treatment services and the criminal justice system. It discusses collaborations between various agencies to provide alternatives to incarceration like crisis centers, courts focused on treatment, and programs for veterans. Data is presented showing improvements in wait times and outcomes from these diversion and treatment initiatives.
Authors: Martin Foureaux Koppensteinery, Jesse Mathesonz, and Réka Plugor
This working paper will be/have been presented at SITE brown bag seminar 2020-11-03. Martin Foureaux Koppensteinery have given SITE the permission to upload and share the working paper on our website and social media channels.
This document summarizes drug use trends and state-level actions to address drug issues in Kentucky. It finds that Kentucky has high rates of illicit drug use and drug overdose deaths compared to national averages. The most commonly cited drug in treatment is opiates, and meth lab seizures in Kentucky increased substantially from 2007 to 2009. The document discusses state-level efforts to address these issues, including prescription drug monitoring programs, drug take-back programs, and considering a per se standard for drugged driving.
The document discusses Florida's HB 21 legislation aimed at reducing opioid deaths and addiction. It establishes a 3-day limit for acute pain opioid prescriptions but allows exemptions. It requires PDMP checks and continuing education for prescribers. While intended to curb the opioid crisis, there was no input from medicine and it has led to unintended consequences for chronic pain patients. Amendments are being considered once elections are over.
This study examines the impact of decriminalized and legalized medicinal cannabis on US labor force participation using a differences-in-differences model with state and year fixed effects. The results show that labor force participation initially decreases 0.5-0.7% after the passage of a medical marijuana law, likely due to an income effect as states experience increased tax revenues. However, the negative effect diminishes over time as the marijuana industry and state economy adjust. Higher median income is found to positively correlate with labor force participation. Overall, the findings suggest that while medical marijuana laws may initially reduce productivity, legalization provides long-term economic benefits to states and their citizens.
The economic burden of prescription opioid overdose... 2013.Paul Coelho, MD
The document summarizes a study that estimates the total economic burden of prescription opioid overdose, abuse, and dependence in the United States in 2013 was $78.5 billion. Over one third of this cost ($28.9 billion) was due to increased healthcare and substance abuse treatment costs. Approximately one quarter of the total cost was borne by the public sector through healthcare, substance abuse treatment, and criminal justice costs. The study utilized national data on opioid overdose deaths and abuse/dependence prevalence to estimate costs across multiple sectors including healthcare, substance abuse treatment, criminal justice, and lost productivity.
The epidemiology workgroup aims to assess drug abuse patterns, trends, and emerging problems in order to reduce substance abuse and related consequences in communities. The group is charged with four core tasks: identifying drug abuse patterns and changes over time, detecting emerging substances, and communicating findings. The workgroup meets to discuss available data repositories and indicators that can help assess substance abuse issues.
This document summarizes a presentation on state and federal responses to the opioid epidemic. It discusses innovations from the Kentucky Attorney General including legislative measures targeting pill mills and heroin, programs to expand treatment and recovery, and education initiatives. It also describes the federal response through the Organized Crime Drug Enforcement Task Force (OCDETF), including their national heroin initiative targeting criminal organizations trafficking illegal opioids and heroin, and partnerships with other agencies to address public health and public safety aspects of the epidemic. The presentation outlines strategies at both state and federal levels aimed at improving access to treatment while also enforcing penalties on dealers through investigation and prosecution efforts.
The document is a letter from the Coalition for Whole Health commenting on interim final rules for group health plans and health insurers relating to coverage of preventive services under the Affordable Care Act. The coalition supports the goals of healthcare reform and access to mental health and addiction services. They ask that the final rules: 1) explicitly recognize covered preventive mental health and substance use services and ensure primary care professionals receive training, 2) encourage consideration of additional effective preventive services, and 3) revise provisions that could disproportionately burden access to services for those with mental health/substance use disorders.
Web only rx16 len-tues_330_1_kougasian-sakacs_2niedermannOPUNITE
Three prosecutors presented on investigating and prosecuting homicide by a prescribing doctor. They discussed two criminal cases that resulted in convictions, including a case in New York where a doctor was convicted of manslaughter and reckless endangerment for overprescribing opioids. They identified challenges in investigating doctor-caused deaths and how they prepared evidence showing the doctor's conduct grossly deviated from medical standards. A prosecutor from Los Angeles then discussed prosecuting a doctor for murder based on killings that occurred during the felony of over-prescribing controlled substances. Undercover operations and search warrants provided evidence of the doctor's conduct.
This document summarizes presentations from two communities - Huntington, WV and Camden County, NJ - on their responses to heroin crises. It outlines programs implemented in Huntington, including a harm reduction program, centralized information system, and drug court expansion. It also discusses the region's history with prescription drug abuse and rise in heroin and associated issues like hepatitis and neonatal abstinence syndrome. Long-term strategies proposed include expanding treatment services, promoting career opportunities for those in recovery, and preventing relapse through environmental design changes.
1) Several state attorneys general, led by New York's Schneiderman, oppose an HHS rule expanding religious exemptions to contraceptive coverage, arguing it violates civil rights laws and will burden states financially.
2) Republican governors met with Pence to express concerns over proposed NAFTA changes that could affect manufacturing jobs in their states.
3) States are looking for ways to address workforce skills gaps and the lack of qualified job applicants, such as through apprenticeship programs and improving K-12 education.
The document discusses U.S. health policy in 2009, noting that the majority of Americans received health insurance through employers while 45.6 million were uninsured. It also addresses issues in mental health, pointing out upward trends in both depression and PTSD. Changes proposed for 2020 mental health care included quantifying illness severity while treating based on symptoms, and predicting issues' onset through advanced screening. The document proposes a triple checkpoint system as a way to implement changes, with the first two steps requiring significant resources.
The document provides an overview and analysis of recent developments related to US health care reform following the 2010 elections. It discusses the impact of the elections on Congress and state legislatures, including implications for redistricting, governors, insurance commissioners, and the implementation of the Affordable Care Act. It also examines options for how Congress may attempt to combat the health reform law going forward and the need for brokers and agents to demonstrate their value in the changing system.
Presented by: Melissa Reuland
Senior Research Consultant
Council of State Governments Justice Center
Mark Munetz, M.D.
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Louise Pyers
Connecticut Alliance to Benefit Law Enforcement (CABLE)
Detective Ron Bruno
Salt Lake City Police Department
The Society of Actuaries (SoA) released updated mortality projection scales called MP-2016 which incorporate newer mortality data from 2012-2014. For employers using SoA mortality assumptions, adopting MP-2016 is expected to lower pension benefit obligations by 1-3%. Employers using alternative projections should consider whether the new data and model refinements impact their assumptions. Financial statements issued after October 20, 2016 should consider the new MP-2016 scales when determining benefit obligations.
The document discusses rising rates of illegal drug use and drugged driving in the United States. Some key points:
- Illegal drug use is at its highest level in nearly a decade, with a 9% overall increase from 2008 to 2009, fueled by sharp rises in marijuana, ecstasy, and methamphetamine use.
- Drugged driving is also on the rise, implicated in 18% of traffic fatalities in 2008, compared to 13% in 2005. Common drugs found include marijuana, cocaine, heroin, and prescription medications.
- In response, the DEA issued emergency controls to ban five chemicals used to make "synthetic marijuana" products like "Spice" and "K2,"
PA 511 - Cost Benefit Analysis (CBA) of the Justice Reinvestment ActJoseph H. Prater IV
This document summarizes the key issues that led North Carolina to pass the Justice Reinvestment Act in 2011. It notes that North Carolina's prison population was growing rapidly and projected to increase another 10% by 2020. Many non-violent offenders were being incarcerated, and over 50% of new prison admissions were probation violators. The Justice Reinvestment Act aimed to reduce recidivism and prison populations by implementing alternatives to incarceration like community supervision, swift sanctions for probation violations, and increased funding for treatment programs. Since passing the Act, North Carolina has seen reductions in recidivism rates, probation revocations, prison populations, and projected savings of $560 million.
This document provides an overview and summary of key findings from a report on local authorities' preparedness to take on new public health responsibilities in 2013. The report assessed how local authorities define public health, which public health issues they have prioritized based on population needs assessments, their existing public health expenditures, partnership arrangements, and preparedness to establish new health and wellbeing boards. The key findings indicate that over half of local authorities have a definition of public health, though priorities and expenditures vary significantly between authorities. Partnership and communication with Primary Care Trusts is widespread but could be strengthened further to support the transition of new responsibilities to local authorities.
The document summarizes Westchester County's efforts to implement a police mental health outreach and coordination program to help address the overrepresentation of people with mental illness in the justice system. Key points of the program include training police officers to work with those in mental health crisis, partnering with mental health resources and placing clinicians within police departments, developing a care coordination program for frequent users, and aiming to divert people from the justice system into treatment when appropriate. The goals are to increase community and officer safety and the safety of those in crisis, while also promoting recovery.
The document summarizes a report by the Academy of Medical Sciences on brain science, addiction, and drugs. Some key points:
- Advances in neuroscience have improved understanding of how psychoactive drugs affect brain synapses but many questions remain.
- Addiction is now considered a relapsing brain disorder but current treatments mainly aim to reduce harm rather than cure addiction.
- New medications are needed to better treat mental illnesses and addictions. Research into genetics and environmental factors could help prevention.
- Cognition enhancing drugs show promise but also risks if used by healthy people to gain competitive advantages without regulation.
- Public consultations found support for using drugs for mental healthcare but concerns about "enhancement"
This document describes Community Care of North Carolina's (CCNC) efforts to address the opioid crisis through a community-based intervention model called Project Lazarus. It discusses three main initiatives: 1) forming community coalitions to raise awareness, 2) implementing clinical processes for safer opioid prescribing through education and tools for providers, and 3) measuring outcomes like overdose deaths. It provides details on how CCNC is expanding this model across North Carolina with funding from organizations like The Kate B. Reynolds Trust. The goal is to decrease unintended overdoses and misuse of opioids through multi-pronged interventions at both the community and clinical levels.
Authors: Martin Foureaux Koppensteinery, Jesse Mathesonz, and Réka Plugor
This working paper will be/have been presented at SITE brown bag seminar 2020-11-03. Martin Foureaux Koppensteinery have given SITE the permission to upload and share the working paper on our website and social media channels.
This document summarizes drug use trends and state-level actions to address drug issues in Kentucky. It finds that Kentucky has high rates of illicit drug use and drug overdose deaths compared to national averages. The most commonly cited drug in treatment is opiates, and meth lab seizures in Kentucky increased substantially from 2007 to 2009. The document discusses state-level efforts to address these issues, including prescription drug monitoring programs, drug take-back programs, and considering a per se standard for drugged driving.
The document discusses Florida's HB 21 legislation aimed at reducing opioid deaths and addiction. It establishes a 3-day limit for acute pain opioid prescriptions but allows exemptions. It requires PDMP checks and continuing education for prescribers. While intended to curb the opioid crisis, there was no input from medicine and it has led to unintended consequences for chronic pain patients. Amendments are being considered once elections are over.
This study examines the impact of decriminalized and legalized medicinal cannabis on US labor force participation using a differences-in-differences model with state and year fixed effects. The results show that labor force participation initially decreases 0.5-0.7% after the passage of a medical marijuana law, likely due to an income effect as states experience increased tax revenues. However, the negative effect diminishes over time as the marijuana industry and state economy adjust. Higher median income is found to positively correlate with labor force participation. Overall, the findings suggest that while medical marijuana laws may initially reduce productivity, legalization provides long-term economic benefits to states and their citizens.
The economic burden of prescription opioid overdose... 2013.Paul Coelho, MD
The document summarizes a study that estimates the total economic burden of prescription opioid overdose, abuse, and dependence in the United States in 2013 was $78.5 billion. Over one third of this cost ($28.9 billion) was due to increased healthcare and substance abuse treatment costs. Approximately one quarter of the total cost was borne by the public sector through healthcare, substance abuse treatment, and criminal justice costs. The study utilized national data on opioid overdose deaths and abuse/dependence prevalence to estimate costs across multiple sectors including healthcare, substance abuse treatment, criminal justice, and lost productivity.
The epidemiology workgroup aims to assess drug abuse patterns, trends, and emerging problems in order to reduce substance abuse and related consequences in communities. The group is charged with four core tasks: identifying drug abuse patterns and changes over time, detecting emerging substances, and communicating findings. The workgroup meets to discuss available data repositories and indicators that can help assess substance abuse issues.
This document summarizes a presentation on state and federal responses to the opioid epidemic. It discusses innovations from the Kentucky Attorney General including legislative measures targeting pill mills and heroin, programs to expand treatment and recovery, and education initiatives. It also describes the federal response through the Organized Crime Drug Enforcement Task Force (OCDETF), including their national heroin initiative targeting criminal organizations trafficking illegal opioids and heroin, and partnerships with other agencies to address public health and public safety aspects of the epidemic. The presentation outlines strategies at both state and federal levels aimed at improving access to treatment while also enforcing penalties on dealers through investigation and prosecution efforts.
The document is a letter from the Coalition for Whole Health commenting on interim final rules for group health plans and health insurers relating to coverage of preventive services under the Affordable Care Act. The coalition supports the goals of healthcare reform and access to mental health and addiction services. They ask that the final rules: 1) explicitly recognize covered preventive mental health and substance use services and ensure primary care professionals receive training, 2) encourage consideration of additional effective preventive services, and 3) revise provisions that could disproportionately burden access to services for those with mental health/substance use disorders.
Web only rx16 len-tues_330_1_kougasian-sakacs_2niedermannOPUNITE
Three prosecutors presented on investigating and prosecuting homicide by a prescribing doctor. They discussed two criminal cases that resulted in convictions, including a case in New York where a doctor was convicted of manslaughter and reckless endangerment for overprescribing opioids. They identified challenges in investigating doctor-caused deaths and how they prepared evidence showing the doctor's conduct grossly deviated from medical standards. A prosecutor from Los Angeles then discussed prosecuting a doctor for murder based on killings that occurred during the felony of over-prescribing controlled substances. Undercover operations and search warrants provided evidence of the doctor's conduct.
This document summarizes presentations from two communities - Huntington, WV and Camden County, NJ - on their responses to heroin crises. It outlines programs implemented in Huntington, including a harm reduction program, centralized information system, and drug court expansion. It also discusses the region's history with prescription drug abuse and rise in heroin and associated issues like hepatitis and neonatal abstinence syndrome. Long-term strategies proposed include expanding treatment services, promoting career opportunities for those in recovery, and preventing relapse through environmental design changes.
1) Several state attorneys general, led by New York's Schneiderman, oppose an HHS rule expanding religious exemptions to contraceptive coverage, arguing it violates civil rights laws and will burden states financially.
2) Republican governors met with Pence to express concerns over proposed NAFTA changes that could affect manufacturing jobs in their states.
3) States are looking for ways to address workforce skills gaps and the lack of qualified job applicants, such as through apprenticeship programs and improving K-12 education.
The document discusses U.S. health policy in 2009, noting that the majority of Americans received health insurance through employers while 45.6 million were uninsured. It also addresses issues in mental health, pointing out upward trends in both depression and PTSD. Changes proposed for 2020 mental health care included quantifying illness severity while treating based on symptoms, and predicting issues' onset through advanced screening. The document proposes a triple checkpoint system as a way to implement changes, with the first two steps requiring significant resources.
The document provides an overview and analysis of recent developments related to US health care reform following the 2010 elections. It discusses the impact of the elections on Congress and state legislatures, including implications for redistricting, governors, insurance commissioners, and the implementation of the Affordable Care Act. It also examines options for how Congress may attempt to combat the health reform law going forward and the need for brokers and agents to demonstrate their value in the changing system.
Presented by: Melissa Reuland
Senior Research Consultant
Council of State Governments Justice Center
Mark Munetz, M.D.
Northeastern Ohio Universities Colleges of Medicine and Pharmacy
Louise Pyers
Connecticut Alliance to Benefit Law Enforcement (CABLE)
Detective Ron Bruno
Salt Lake City Police Department
The Society of Actuaries (SoA) released updated mortality projection scales called MP-2016 which incorporate newer mortality data from 2012-2014. For employers using SoA mortality assumptions, adopting MP-2016 is expected to lower pension benefit obligations by 1-3%. Employers using alternative projections should consider whether the new data and model refinements impact their assumptions. Financial statements issued after October 20, 2016 should consider the new MP-2016 scales when determining benefit obligations.
The document discusses rising rates of illegal drug use and drugged driving in the United States. Some key points:
- Illegal drug use is at its highest level in nearly a decade, with a 9% overall increase from 2008 to 2009, fueled by sharp rises in marijuana, ecstasy, and methamphetamine use.
- Drugged driving is also on the rise, implicated in 18% of traffic fatalities in 2008, compared to 13% in 2005. Common drugs found include marijuana, cocaine, heroin, and prescription medications.
- In response, the DEA issued emergency controls to ban five chemicals used to make "synthetic marijuana" products like "Spice" and "K2,"
PA 511 - Cost Benefit Analysis (CBA) of the Justice Reinvestment ActJoseph H. Prater IV
This document summarizes the key issues that led North Carolina to pass the Justice Reinvestment Act in 2011. It notes that North Carolina's prison population was growing rapidly and projected to increase another 10% by 2020. Many non-violent offenders were being incarcerated, and over 50% of new prison admissions were probation violators. The Justice Reinvestment Act aimed to reduce recidivism and prison populations by implementing alternatives to incarceration like community supervision, swift sanctions for probation violations, and increased funding for treatment programs. Since passing the Act, North Carolina has seen reductions in recidivism rates, probation revocations, prison populations, and projected savings of $560 million.
This document provides an overview and summary of key findings from a report on local authorities' preparedness to take on new public health responsibilities in 2013. The report assessed how local authorities define public health, which public health issues they have prioritized based on population needs assessments, their existing public health expenditures, partnership arrangements, and preparedness to establish new health and wellbeing boards. The key findings indicate that over half of local authorities have a definition of public health, though priorities and expenditures vary significantly between authorities. Partnership and communication with Primary Care Trusts is widespread but could be strengthened further to support the transition of new responsibilities to local authorities.
The document summarizes Westchester County's efforts to implement a police mental health outreach and coordination program to help address the overrepresentation of people with mental illness in the justice system. Key points of the program include training police officers to work with those in mental health crisis, partnering with mental health resources and placing clinicians within police departments, developing a care coordination program for frequent users, and aiming to divert people from the justice system into treatment when appropriate. The goals are to increase community and officer safety and the safety of those in crisis, while also promoting recovery.
The document summarizes a report by the Academy of Medical Sciences on brain science, addiction, and drugs. Some key points:
- Advances in neuroscience have improved understanding of how psychoactive drugs affect brain synapses but many questions remain.
- Addiction is now considered a relapsing brain disorder but current treatments mainly aim to reduce harm rather than cure addiction.
- New medications are needed to better treat mental illnesses and addictions. Research into genetics and environmental factors could help prevention.
- Cognition enhancing drugs show promise but also risks if used by healthy people to gain competitive advantages without regulation.
- Public consultations found support for using drugs for mental healthcare but concerns about "enhancement"
This document describes Community Care of North Carolina's (CCNC) efforts to address the opioid crisis through a community-based intervention model called Project Lazarus. It discusses three main initiatives: 1) forming community coalitions to raise awareness, 2) implementing clinical processes for safer opioid prescribing through education and tools for providers, and 3) measuring outcomes like overdose deaths. It provides details on how CCNC is expanding this model across North Carolina with funding from organizations like The Kate B. Reynolds Trust. The goal is to decrease unintended overdoses and misuse of opioids through multi-pronged interventions at both the community and clinical levels.
Running head PSYCHOTHERAPY APPROACHES .docxtodd581
Running head: PSYCHOTHERAPY APPROACHES 1
PSYCHOTHERAPY APPROACHES 2
Supportive and interpersonal psychotherapy approaches
Name
Institutions
Supportive and interpersonal psychotherapy approaches
With the prevalence of mental disorders, researchers and healthcare providers have studied the efficacy of different psychotherapy approaches to determine the most efficient strategies that can be used in assisting patients with particular psychiatric disorders. Supportive psychotherapy along with interpersonal psychotherapy are prevalently used in the treatment of mental disorders. These two approaches have various similarities as well as differences. Herein, I will discuss the two psychotherapy approaches, their similarities, differences, and situations in which each of the approaches would be effective in the treatment of patients with psychiatric disorders.
Similarities and Differences of Supportive and Interpersonal Psychotherapy Approaches
Supportive psychotherapy approach refers to a form of psychotherapeutic strategy that combines psychodynamic, cognitive-behavioral as well as interpersonal conceptual approaches of psychotherapy and techniques (Wheeler, 2014). With this psychotherapy approach, the major aim of the therapist is to improve the adaptive along with healthy patterns of the patient with the major objective being to reduce the prevailing intrapsychic conflicts contributing to the patient’s condition. On the other hand, the interpersonal approach refers to a brief, interpersonal focused strategy, which concentrates on identifying and resolving the prevailing interpersonal problems to alleviate the presenting symptoms (Wheeler, 2014). The therapist is essentially concerned with the interpersonal context and the associated factors that may predispose, propagate or precipitate the symptom of psychiatric disorders.
Both approaches are mainly aimed at bringing a therapeutic impact to patients presenting with the symptoms of psychiatric conditions. However, the two approaches have differences. Firstly, the interpersonal approach is an emphatically supported treatment model that mainly adheres to a highly structured and time-limited approach that often takes between 12 to 16 weeks (Cuijpers et al., 2016). Conversely, the supportive approach is not structured and utilizes a combination or either the psychodynamic, cognitive-behavioral and/or interpersonal conceptual approach. What is more, as highlighted in the above paragraph, the main aim of the supportive approach is to enhance the patient’s healthy as well as adaptive patterns in order lessen the prevailing intrapsychic conflicts contributing to the development of mental disorders. Conversely, the main aim of using the interpersonal approach is to ide.
Crisis Services Task Force Work Plan (August 2015) David Covington
The Crisis Services Task Force was established to develop professional standards and an integrated system of crisis services, including 24/7 support to reduce suicide risk. Over the next 6 months, the task force will: conduct research; publish a white paper outlining essential crisis system components; and make recommendations to healthcare organizations. The goal is to transform crisis care and prevent individuals from falling through service gaps. The 25-page paper will provide guidance to health plans on developing next-generation, coordinated crisis systems using evidence-based practices.
Social workers currently do not have the authority to prescribe or administer medication, though they play an important role in medication management and adherence. Some other non-physician professions, like psychologists, have begun gaining limited prescribing privileges. This document discusses the expanding roles of social workers in medication management, reviews new laws allowing prescribing by psychologists in New Mexico and Louisiana, and raises questions about whether social work should also pursue prescribing privileges.
Biomedical Informatics project for implementing a state wide screening program for narcotic seeking patients. Project defined from abstract to specific implementation and measurement criteria.
Suicide Prevention Training Policies for HealthCare Profess.docxfredr6
Suicide Prevention Training: Policies for Health
Care Professionals Across the United States
as of October 2017
Janessa M. Graves, PhD, MPH, Jessica L. Mackelprang, PhD, Sara E. Van Natta, RN, and Carrie Holliday, PhD, MN, ARNP
Objectives. To identify and compare state policies for suicide prevention training
among health care professionals across the United States and benchmark state plan
updates against national recommendations set by the surgeon general and the National
Action Alliance for Suicide Prevention in 2012.
Methods. We searched state legislation databases to identify policies, which we de-
scribed and characterized by date of adoption, target audience, and duration and fre-
quency of the training. We used descriptive statistics to summarize state-by-state
variation in suicide education policies.
Results. In the United States, as of October 9, 2017, 10 (20%) states had passed
legislation mandating health care professionals complete suicide prevention training,
and 7 (14%) had policies encouraging training. The content and scope of policies varied
substantially. Most states (n = 43) had a state suicide prevention plan that had been
revised since 2012, but 7 lacked an updated plan.
Conclusions. Considerable variation in suicide prevention training for health care pro-
fessionals exists across the United States. There is a need for consistent polices in suicide
prevention training across the nation to better equip health care providers to address
the needs of patients who may be at risk for suicide. (Am J Public Health. 2018;108:760–
768. doi:10.2105/AJPH.2018.304373)
See also Caine and Cross, p. 717.
The number of suicides annually in theUnited States exceeds that of traffic
crashes or homicide, rendering it the 10th
leading cause of death.1 In 2013, 42 826 in-
dividuals died by suicide in theUnited States.1
The mortality rate for suicide has increased
24% since 1999 and is currently 13 per
100 000 people,which equates to 115 suicides
every day.2 Because of its high incidence and
potential for prevention, determining how to
most effectively prevent suicide is a public
health imperative.3
Health care professionals regularly en-
counter patients at risk for suicide. In an
Australian study, 75% of individuals who died
by suicide had seen a health care professional
within 3 months preceding their death.4 This
suggests health care professionals may play
a critical role in identifying at-risk patients and
in preventing suicide. However, health care
professionals are often not equipped with the
training necessary to effectively identify and
manage patients at risk for suicide.3,5,6 Even
among mental health providers, training in
suicide assessment and intervention is not
ubiquitous, despite calls for increased training
since the late 1980s.7–9 Patients at risk for
suicide may, therefore, be inadequately
identified and not receive appropriate
treatment.
In 2001, the US surgeon general released
National Strategy for .
The Mental Health of Federal Offenders A SummativeReview of.docxoreo10
The Mental Health of Federal Offenders: A Summative
Review of the Prevalence Literature*
Philip R. Magaletta,1 Pamela M. Diamond,2,5 Erik Dietz,3 and Stephen Jahnke4
To date, only a small number of government and peer-reviewed studies have examined the
mental health of federal offenders. Although these studies provide isolated bits of
information they have yet to be organized into a coherent body of knowledge from which
clinicians, administrators and policy makers can inform their work. As a first step in
constructing this knowledge and understanding the possible mental health needs of this
population (currently America’s largest correctional population), this paper delineates the
available government and peer-reviewed studies on federal offenders, highlights their
convergent findings, and suggests opportunities for growth in research, administration and
policy.
KEY WORDS: offenders; federal prisons; service utilization; diagnoses.
There is an increasing demand for effective,
empirically informed, prison-based mental health
services in America. It is a demand driven by the
needs of the offender population, the clinicians who
serve them, and the public’s expectation of
accountability. It is the product of multiple factors:
courts mandating that mentally ill persons receive
treatment while in custody; national mental health
screening and treatment standards being rigorously
applied; and increasingly porous boundaries be-
tween the mental health and criminal justice systems
(Fisher et al., 2002; Jemelka, Trupin, & Chiles,
1989). Furthermore, growth in the offender popu-
lation has remained mostly constant (Harrison &
Beck, 2005) and little debate remains that the
prevalence of mental illness in prison populations is
higher than that of the general population (Dia-
mond, Wang, Holzer, Thomas, & Cruser, 2001;
Jemelka et al., 1989). Finally, among community
mental health providers there is an increasing rec-
ognition that many patients have histories of crimi-
nality, incarceration, and prison-based mental health
treatment (Jemelka et al., 1989; Manderschied,
Gravesande, & Goldstrom, 2004; Morgan, Beer,
Fitzgerald, & Mandracchia, in press).
Far beyond the application of mental health
principles to those who ‘‘simply’’ happen to be
incarcerated, the provision of mental health services
in corrections remains a complex enterprise. It re-
quires strong clinicians, administrators who have a
keen and sensitive understanding of the multiple
systems comprising the correctional environment,
and policy makers who can draw upon an empirical
understanding of the population’s needs. To inform
the effective deployment of mental health resources
to this growing population it is imperative that this
*The views expressed in this paper are those of the authors (Philip
R. Magaletta and Erik Dietz) only and do not necessarily rep-
resent the policy or opinions of the Federal Bureau of Prisons,
the Department of Justice, or their academic affiliates.
1
Psycholo ...
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Table of contents
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1. Community Mental Health Principles: A 40-Year Case StudyDocument 1 of 1
Community Mental Health Principles: A 40-Year Case Study
Author: Ahr, Paul R
ProQuest document link
Abstract:
By the time Congress had passed the Community Mental Health Centers (CMHC) Act of 1963, community-based services for people with serious mental illnesses were in place in several locations around Missouri, and more were planned for the future. The 40th anniversary of the President John F. Kennedy's signing of the CHMC Act provided the backdrop for a review of the principles of the CHMC movement nationwide, and an analysis of the extent to which they still define community mental health care in this pioneering state. Here, Ahr provides a unique case study of the viability of eight CMHC principles.
Links: Check for full text via 360 Link
Full text:
By the time Congress had passed the Community Mental Health Centers (CMHC) Act of 1963, community-based services for people with serious mental illnesses were in place in several locations around Missouri, and more were planned for the future. Beginning in 1960, the Missouri mental health agency developed detailed plans and budgets for the establishment of comprehensive community-based treatment centers that would shift acute mental healthcare away from state-operated mental hospitals. The availability of these plans thrust Missouri into the forefront of CMHC grant recipients, in both the public and private sectors.
The 40th anniversary of President John F. Kennedy's signing of the CMHC Act provided the backdrop for a review of the principles of the CMHC movement nationwide, and an analysis of the extent to which they still define community mental healthcare in this pioneering state. In early 2003, I interviewed 17 direct observers of the evolution of community mental healthcare in Missouri for their first-person reflections. These interviews were incorporated as a key element of my book Made in Missouri: The Community Mental Health Movement and Community Mental Health Centers 1963-2003. The range of their personal experiences spread from 1950 to the present. In addition, the CEOs of Missouri's 22 private not-for-profit CMHCs contributed in-depth descriptions of program development in their service areas, including descriptions of current and planned programs. These interviews provide a unique case study of the viability of eight CMHC principles (listed below).
Responsibility for a specified population. This principle has been sustained in Missouri in large part because the Department of Mental Health (DMH) incorporated it as the ...
Barriers to Practice and Impact on CareAn Analysis of the P.docxrosemaryralphs52525
This document summarizes barriers to practice for psychiatric mental health nurse practitioners (PMHNPs) in New York State. It discusses how statutory collaborative agreements requiring oversight from psychiatrists disrupt continuity of care for patients and limit PMHNPs' autonomous practice. National statistics show a significant need for more mental healthcare providers. While PMHNPs are well-positioned to address this need, barriers like restrictive regulations prevent them from doing so. The document calls for reforms to expand PMHNPs' scope of practice and reduce barriers that impede access to mental healthcare.
Read Individuals with Serious Mental Illness in the Criminal Just.docxdanas19
Read "Individuals with Serious Mental Illness in the Criminal Justice System: The Case of Richard P." located in this week's Electronic Reserve Readings.
Review UOP's Sample PowerPoint Presentation to guide you in creating an effective presentation.
As a Team, create a visually engaging 10- to 12-slide Microsoft® PowerPoint® presentation to describe the role of communication skills in handling the case.
Include speaker notes with each slide of your presentation that provides information on the topics below. Each topic should have at least two corresponding slides.
· Describe how you could use different communication models to assist in communicating with this offender.
· Describe how interpersonal communication skills and motivational interviewing could be used with this offender.
· Describe how you would take this offender's culture and mental capacity into consideration when communicating with him.
· Describe how the use of jargon may affect communicating with this offender.
Include a minimum of three reputable sources.
Format any citations in your presentation consistent with APA guidelines.
Click the Assignment Files tab to submit your assignment.
Individuals With Serious Mental Illness in the Criminal Justice System The Case of Richard P. Arthur J. Lurigio Loyola University Chicago, Illinois John Fallon Thresholds This paper presents a case study that illuminates the clinical and practical challenges that accompany the treatment of people with serious mental illness (SMI) and criminal involvement. We discuss the historical conditions that led to the influx of a large number of people with SMI into the criminal justice system. We discuss the case history of Richard P., which illustrates the use of Assertive Community Treatment (ACT) to care for criminally involved people with SMI. We focus on the ACT model that was employed by Thresholds to treat Richard P. It was known as the Thresholds Jail Program. We track his progress in the program and explicate the case management considerations that are most salient in treating offenders with SMI. Keywords: criminalization, mental illness, crime, deinstitutionalization, mental health services, probation, ACT 1 Theoretical and Research Basis Fundamental changes in mental health policies and laws have brought criminal justice professionals into contact with the seriously mentally ill at every stage of the justice process: police arrest people with serious mental illness (SMI) because few other options are readily available to handle their disruptive public behaviors; jail and prison administrators strain to attend to the care and safety of the mentally ill; judges grapple with limited sentencing alternatives for individuals with SMI who fall outside of specific forensic categories (e.g., guilty but mentally ill); and probation and parole officers scramble to obtain scarce community services and treatments for people with SMI and attempt to fit them into standard correctional programs or monito.
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Dissertation Prospectus
Factors Influencing Individuals' Decision to Utilize Mental Health in South Texas
Submitted by:
The Prospectus Overview and Instructions
Prospectus Instructions:
1. Read the entire Prospectus Template to understand the requirements for writing your prospectus. Each section contains a narrative overview of what should be included in the section and a table with required criteria for each section. WRITE TO THE CRITERIA, as they will be used to assess the prospectus for overall quality and feasibility of your proposed research study.
2. As you draft each section, delete the narrative instructions and insert your work related to that section. Use the criterion table for each section to ensure that you address the requirements for that particular section. Do not delete/remove the criterion table as this is used by you and your committee to evaluate your prospectus.
3. Prior to submitting your prospectus for review by your chair or methodologist, use the criteria table for each section to complete a realistic self-evaluation, inserting what you believe is your score for each listed criterion into the Learner Self-Evaluation column. This is an exercise in self-evaluation and critical reflection, and to ensure that you completed all sections, addressing all required criteria for that section.
4. The scoring for the criteria ranges from a 0-3 as defined below. Complete a realistic and thoughtful evaluation of your work. Your chair and methodologist will also use the criterion tables to evaluate your work.
5. Your Prospectus should be no longer than 6-10 pages when the tables are deleted.
0
Item Not Present
1
Item is Present. Does Not Meet Expectations. Revisions are Required: Not all components are present. Large gaps are present in the components that leave the reader with significant questions. All items scored at 1 must be addressed by learner per reviewer comments.
2
Item is Acceptable. Meets Expectations.Some Revisions May Be Required Now or in the Future. Component is present and adequate. Small gaps are present that leave the reader with questions. Any item scored at 2 must be addressed by the learner per the reviewer comments.
3
Item Exceeds Expectations. No Revisions Required. Component is addressed clearly and comprehensively. No gaps are present that leave the reader with questions. No changes required.
Dissertation Prospectus
Introduction
Southern Texas encompasses different groups of people whose behavior, gender identity, and gender expression varies depending on cultural identity and norms. About a quarter of individuals in United States have a history or are experiencing a mental disorder with approximately 6% of the population having critical mental illness. These mental problems typically affect the general well-being of an individual. For instance, patients living with severe mental disorders are more likely to die in average of twenty-six years earlier than the average life expectanc ...
This document discusses the potential for a mental health app system to help the millions of Americans suffering from mental illness. It notes that nearly 25 million Americans experience serious psychological distress each year, but only a portion receive treatment. It then outlines features of a proposed mental health app system that could increase self-monitoring, reduce emergency room visits and costs, and enable more effective early treatment through data collection. The app system would provide a support network and reporting tools to help and connect patients, caregivers, and clinicians. It argues that such a system could improve health outcomes and lower healthcare costs if designed based on evidence-based practices and efficacy metrics.
Oregon : Integrating Health Services for People with Mental Illness or Substa...NASHP HealthPolicy
The document discusses Oregon's efforts to integrate health services for people with mental illness or substance use disorders. It outlines Oregon's current complicated system and the need for reform. Two demonstration sites were selected in Central Oregon and Northeast Oregon to test integrated models of care. The demonstrations aim to improve population health, increase access to services, and reduce costs through more coordinated, outcome-based approaches.
This document provides instructions for writing a dissertation prospectus. It outlines 5 requirements for the prospectus, including reading the entire template, writing each section to address criteria in a table, using the criteria table for self-evaluation, and keeping the prospectus between 6-10 pages. It then provides a sample prospectus section on the theoretical foundations/conceptual framework and review of literature/themes. This section reviews literature identifying themes around lack of mental health education/infrastructure, lack of medical insurance, and poor community perceptions as factors affecting utilization of mental health services in South Texas. It proposes using Albert Bandura's social cognitive theory as the theoretical model.
Prescription opioid use among adults with mental health disorders in the US.Paul Coelho, MD
This study analyzed nationally representative health survey data to examine prescription opioid use among US adults with mental health disorders. The key findings were:
1) An estimated 18.7% of the 38.6 million American adults with mental health disorders use prescription opioids, accounting for 51.4% of the total opioid prescriptions distributed in the US each year.
2) Adults with mental health disorders were over 3 times more likely to use opioids compared to adults without mental health disorders.
3) Having a mental health disorder was associated with a more than 2 times greater odds of prescription opioid use after adjusting for other health factors.
Prescription Opioid Use Among Adults with Mental Health Disorders in the USPaul Coelho, MD
This study used nationally representative survey data to examine prescription opioid use among US adults with mental health disorders. The key findings were:
1) An estimated 18.7% of the 38.6 million American adults with mental health disorders use prescription opioids, accounting for 51.4% of the total opioid prescriptions distributed in the US each year.
2) Adults with mental health disorders were over 3 times more likely to use opioids compared to adults without mental health disorders.
3) Having a mental health disorder, such as depression or anxiety, was associated with a more than 2 times greater odds of prescription opioid use after adjusting for other factors.
Chronic diseases account for $93 billion annually in Canada to manage. Despite this spending, 12% of Canadians report being unsatisfied with healthcare quality, posing a challenge for policymakers. The document proposes several projects to identify effective interventions for improving primary care practices and outcomes for patients with chronic conditions. It will analyze policies across Canadian provinces to better integrate health, social, and community services and identify best practices. It will also evaluate tools to screen for social determinants of health and characterize high healthcare users.
The document discusses Clinician Group's My Mind Lab psychological assessment tool. It can be used to screen Medicare patients annually for depression, alcohol use, and other behavioral health issues. The automated assessment evaluates patients for depression, anxiety, PTSD, and bipolar disorder based on DSM-5 criteria. It provides immediate results to help physicians identify underlying mental health conditions contributing to physical symptoms or slowing recovery. Regular screening using this tool can improve early detection, treatment, and patient outcomes.
Similar to February 3, 2017 NASMHPD Weekly Update (20)
1. 1
VOL. 3, NO. 5
FEBRUARY 3, 2017
New Administration Regulatory Policy Poses Challenges
For 42 CFR Part 2 Final and Supplemental Regulations
Table of Contents
New Administration Regulatory Policy
Poses Challenges for 42 CFR Part 2
Regulations
Mood Disorders Associated with
Higher Risk of Suicide after Hospital
Discharge
April 29 Annual Tuerk Conference on
Mental Health and Addiction
Treatment, in Baltimore
Two New SAMHSA-Sponsored
Webinars This Month
3-Day NASMHPD Annual Meeting Set
for July 30 to August 1
February 9 All-State State-Only
Technical Assistance (SOTA) Call on
Mental Health and Substance Use
Disorder Parity Tools
February 6 American Enterprise
Institute/Treatment Advocacy Center
On-Line Panel: “Emptying the ‘New
Asylums’: A Model for Moving Mentally
Ill Inmates Out of Jail”
Department of Justice Grant
Solicitations: Comprehensive Opioid
Abuse Site-Based Grant Program
(COAP) & Justice and Mental Health
Collaboration Program
NASMHPD Early Intervention in
Psychosis Virtual Resource Center
February Center for Trauma-Informed
Care Trainings
Minority Fellowship Grant Application
Deadlines
State Mental Health Technical
Assistance Project
Technical Assistance on Preventing
the Use of Restraints and Seclusion
NASMHPD Board of Directors
NASMHPD Staff
NASMHPD Links of Interest
A new Trump Administration regulatory policy imposed by Executive Order could pose
difficulties both for the Substance Abuse and Mental Health Services Administration
seeking to finalize the final 42 CFR Part 2 substance use treatment disclosure regulations
adopted January 18 and for advocates seeking to change the regulations through
Congressional modification to the underlying statute.
The regulations as finalized were scheduled to take effect February 17. However, a
January 20 Memorandum for the Heads of Executive Departments and Agencies from
Trump Chief of Staff Reince Priebus ordered that the effective date of all final regulations
published in the Federal Register that had not yet taken effect be delayed for 60 days
following issuance of the memorandum, or until the White House had a chance to review
and approve them. That could delay the effective date of the regulations until mid-March.
The memorandum was followed by a January 30 Executive Order stating that, for every
regulation adopted by an executive agency, two previously adopted regulations would have
to be repealed. The Executive Order went on to state that, for Fiscal Year 2017, the total
incremental cost of all new regulations, including repealed regulations, must be no greater
than zero to be finalized, unless otherwise required by law or consistent with advice to be
provided in writing by the Director of the Office of Management and Budget (OMB). The
OMB Director is to provide agency heads with guidance on implementation of the Executive
Order that addresses: processes for standardizing the measurement and estimates of
regulatory costs; standards for determining what qualifies as new and offsetting
regulations; standards for determining the costs of existing regulations considered for
elimination; processes for accounting for costs in different fiscal years; and emergencies
and other circumstances that might justify individual waivers of the requirements of the
Executive Order.
In addition, beginning in FY 2018, an agency may not propose a regulation not included in
its annual Regulatory Plan, unless approved in advance in writing by the OMB Director.
It is not clear how all this would apply to regulations that Congress directs be adopted to
implement a newly enacted law.
At present, it is not known whether the Administration will approve the final regulation for
implementation, or order it withdrawn. If it is ordered withdrawn, the adoption of any
amended version of the regulation will be subject to the mandate that two agency
regulations be repealed and subject to the OMB guidance on zero-costs. It is also not
known whether the supplemental regulations proposed concurrently with the final
regulations on January 18 governing disclosures to, and re-disclosures by, Medicaid
managed care plans and Medicaid contractors will be permitted to move forward and, if
permitted, whether they can meet the as-yet undefined zero-cost standard and be offset
by two repealed regulations.
The final regulations could also still be overridden under the Congressional Review Act
affecting “midnight rules” adopted in the final 60 days of a previous Administration. Under
that act, if regulations are overridden by Congress, a similar version cannot be proposed
by an agency unless specifically authorized in statute by Congress.
2. 2
A study published in the November 2016 JAMA Psychiatry,
Short-term Suicide Risk After Psychiatric Hospital
Discharge, confirms that psychiatric inpatients diagnosed
with mood disorders have a much
higher risk of suicide within 90
days of being discharged from a
psychiatric hospital.
A 2011 study by Dutch researcher
Annemiek Huisman and her
colleagues had found that
approximately one-third of all
patient suicides occurred within
90 days of discharge from a
psychiatric hospital. But until now, there was little research
that examined the suicide risk among the most common
psychiatric conditions or psychiatric comorbidity after
hospital discharge.
In the more recent study, Dr. Mark Olfson and his
colleagues from Columbia University’s New York State
Psychiatric Institute examined whether specific psychiatric
disorders—depressive disorder, bipolar disorder,
schizophrenia, substance use disorder, and other mental
disorders—were at a higher risk of suicide three months
after a psychiatric hospital discharge in comparison to a
diagnosis of non-mental health disorders and the general
population. The study also examined whether inpatients
who had zero contact with outpatient care six months prior
to hospitalization were at an elevated suicide risk after
discharge.
With Medicaid being the largest payer for inpatient mental
health services, data was extracted from the Centers for
Medicare and Medicaid Services (CMS) Medicaid Analytic
eXtract (MAX) data site. The researchers examined a
cohort of approximately 1.9 million Medicaid enrolled
inpatient adults 18-64 of age with a hospital admission of
1 to 30 days in length of stay from January 1, 2001 through
December 31, 2007.
They found that short-term suicide rates post hospital
discharge was highest for depressive disorder (235.1 per
100,000), followed closely by bi-polar disorder (216.0 per
100,000), schizophrenia (168.3 per 100,000), and other
mental health conditions (160.4 per 100,000) in contrast to
non-mental health disorders (11.6 per 100,000) and the US
general population (14.2 per 100,000). The substance use
disorder cohort had the lowest short-term suicide rate
(116.5 per 100,000) among the psychiatric disorders
examined.
Psychiatric inpatients who had no contact with mental
health services six months prior to hospital admission were
found to have an elevated risk of suicide three months after
discharge. In contrast, patients who had more than 31
visits during a six-month period prior to hospital admission
were found to have an increased short-term risk for
suicide. The researchers also concluded that intentional
self-harm was associated with a short-term risk of suicide
after hospital discharge, supporting earlier similar research
findings by Dr. Keith Hawton of Oxford.
The authors conclude that patients with a depression
diagnosis have the highest risk of suicide 90 days after
psychiatric hospital discharge. The findings suggest that
timely outpatient follow-up care should be explored for
reducing the suicide rate after psychiatric discharge for
those diagnosed with mood disorders.
Mood Disorders Associated with Higher Risk of Suicide after Hospital Discharge
Wednesday, April 19, 2017
Baltimore Convention Center
CLICK HERE FOR ONLINE REGISTRATION
Jointly provided by:
The National Council on Alcoholism
and Drug Dependence, Maryland
University of Maryland Department of
Psychiatry,
Division of Alcohol and Drug Abuse
Click Here for Full Brochure
NCADD-Maryland, formed in 1988, is a statewide organization
that provides education, information, help and hope in the fight
against chronic, often fatal diseases of alcoholism, drug
addiction, and co-occurring mental health disorders. NCADD-
Maryland devotes its resources to promoting prevention,
intervention, research, treatment and recovery of the disease
of addiction and is respected as a leader in the field throughout
the state.
For more information about NCADD-MD, please visit the
website www.ncaddmaryland.org
3. 3
SAMHSA-SPONSORED WEBINARS
Challenges and Solutions for Mental Health Caregivers
Presented by Mental Health America and the National Alliance on Mental Illness (NAMI)
Tuesday, February 14, 2 to 3:30 p.m. ET
An estimated 8.4 million Americans provide care to an adult living with a mental health condition. Their critical role
as caregivers comes with insight into barriers to services, supports, and integration that keep their loved ones
struggling and isolated from their communities. This webinar discusses the challenges faced by caregivers including
structural issues that limit recovery from the caregiver perspective. Based on two reports with responses from
over 2,000 caregivers, presenters will present compelling data, stories and solutions for families and leaders to
empower caregivers and adults living with mental health conditions.
Presenters:
Sita Diehl, MSSW, Director of Policy and State Outreach at NAMI
Gail Hunt, President and CEO of the National Alliance for Caregiving
Debbie Plotnick, MSS, MSLP, Vice President for Mental Health and Systems Advocacy at Mental Health America
Rick Baron, MA, Research and Trainer in the Mental Health field at Temple University
Questions regarding this webinar should be addressed to Kelle Masten via email or at 703-682-5187.
Trauma History and Extensive Service Use: Strategies for Treatment and Prevention
Presented by NASMHPD’s State Technical Assistance Project
Wednesday, February 15, 2 to-3:30 p.m. ET
As part of an effort to understand the root causes of heavy service utilization and poor outcomes, Health Share of
Oregon, one of the state’s coordinated care organizations, undertook a careful retrospective evaluation of the life
course experiences of approximately 50 individuals with a pattern of heavy service use. They found that these
individuals had extensive trauma histories throughout their life course. Oregon Health Share subsequently
designed and implemented trauma informed approaches to more successfully engage and serve these individuals
across settings. Additionally, they have launched community level interventions to reduce exposure to trauma and
strengthen resilience for the Medicaid population they serve as an accountable care organization. There are now
nearly 4,000 Medicaid members in the Life Course study. Our presenters will discuss this work and its application
to a trauma-informed framework for prevention and treatment planning.
Presenters:
David Labby, MD, PhD, Health Strategy Advisor
Maggie Bennington-Davis, M.D., Chief Medical Officer, Oregon Health Share
Please feel free to forward this announcement to others who may have an interest in this topic.
Questions regarding this webinar should be addressed to Pat Shea via email or at 703-682-5191.
Register Here
Register Here
4. 4
Center for Trauma-Informed Care
NASMHPD oversees the SAMHSA National Center for Trauma Informed Care (NCTIC). NCTIC offers
consultation, technical assistance (TA), education, outreach, and resources to support a revolutionary
shift to trauma-informed care across a broad range of publicly-funded service systems, including
systems providing mental health and substance abuse services, housing and homelessness services,
child welfare, criminal justice, and education.
February 2017 Trainings
Ohio
February 5 – Columbus - The Ohio State University Wexner Medical Center
Pennsylvania
February 6 & 7 - Flourtown –Carson Valley Children's Aid
Virginia
February 10 - Fredericksburg –Lloyd F. Moss Free Clinic
For more information on these trainings, please contact jeremy.mcshan@nasmhpd.org
All-State State-Only Technical Assistance (SOTA) Call on
Mental Health and Substance Use Disorder Parity Tools
Thursday, February 9, 1:30 p.m. ET
A national webinar will be delivered on February 9th at 1:30 pm ET to provide further details about the purpose
and intended use of the Parity Compliance Toolkit and Implementation Roadmap. This webinar will also provide
an overview of additional technical assistance that will be available to state Medicaid and CHIP agencies
regarding implementation and compliance with federal parity requirements, and an opportunity for participants to
ask questions. State Medicaid and CHIP officials with questions about the mental health and substance use
disorder parity rule, the Parity Compliance Toolkit, or the Parity Implementation Roadmap can submit them to
parity@cms.hhs.gov.
Call-in Option #1: 1-844-396-8222 ID: 905 358 656
Webinar Link and Call in Option #2: https://meetings-cms.webex.com/meetings-
cms/k2/j.php?MTID=t260f1a798ff6fac3025eee81fdc075b0
NASMHPD MEMBERS: SAVE THE DATE!!
NASMHPD Annual 2017 Commissioners Meeting
The 2017 NASMHPD Annual Meeting will be held Sunday, July 30 through Tuesday, August 1 in Arlington, Virginia. The
meeting will run three full days, in collaboration with the NASMHPD Research Institute (NRI), and include a day of meetings for
the NASMHPD Division representatives.
The NASMHPD Divisions include the Children, Youth and Families Division; the Financing and Medicaid Division; Forensic
Division; the Legal Division; the Medical Directors Council; the Older Persons Division; and the Offices of Consumer Affairs
(National Association of Consumer/Survivor Mental Health Administrators – NAC/SMHA).
The meeting will include extended time for State Mental Health Commissioners and Divisions to meet together as well as
separately. There will also be a day with State Mental Health Commissioners and Divisions meeting together on NRI research data
and initiatives that tie in with the Commissioners’ and Divisions’ priorities and concerns.
Details regarding registration and hotel details will be mailed to Commissioners and Division representatives in the near future.
Contact Brian Hepburn or Meighan Haupt with any questions.
5. 5
NASMHPD Early Intervention in Psychosis (EIP) Virtual Resource Center
In the spring of 2015, NASMHPD launched an Early Intervention in Psychosis (EIP) virtual resource center,
which was made possible through the generous support of the Robert Wood Johnson Foundation (RWJF).
The intent of the EIP site is to provide reliable information for practitioners, policymakers, individuals,
families, and communities in order to foster more widespread understanding, adoption and utilization of
early intervention programming for persons at risk for (or experiencing a first episode of) psychosis. The site
includes information from the national RWJF-funded demonstration to identify and prevent the onset of
psychotic illness – the Early Detection and Intervention for the Prevention of Psychosis Program (EDIPPP)
– as well as a variety of other early intervention initiatives.
EIP is designed to provide an array of information through a consolidated, user-friendly site; and it is updated
on a periodic basis. To view the EIP virtual resource center, visit NASMHPD’s EIP website.
Minority Fellowship Program Grantees Accepting
Fellowship Applications for 2017-18
SAMHSA’s Minority Fellowship Program (MFP) grantees have started to accept fellowship applications for the 2017-18
academic cycle. The MFP seeks to improve behavioral health outcomes of racially and ethnically diverse populations by
increasing the number of well-trained, culturally-competent, behavioral health professionals available to work in underserved,
minority communities. The program offers scholarship assistance, training, and mentoring for individuals seeking degrees in
behavioral health who meet program eligibility requirements. The following table outlines fellowship application periods for
each of the grantees awarded funds to implement the MFP.
Grantee Organization
Application Period
for the MFP
Traditional
PhD Program
Application Period for the
MFP- Masters Level
Youth Focused Program
Application Period for
the MFP- Masters Level
Addictions Counseling
Focused Program
American Nurses Association 4/30/16 - 4/30/17
Applications Open
Until all vacancies filled
N/A
Council on Social Work Education 12/2016 – 2/28/17 Spring 2017 N/A
NAADAC: the Association for Addiction
Professionals
N/A N/A
9/30/2016 – 8/1/2017
Note: This application cycle will
be an open “rolling application”
period.
Emptying the ‘New Asylums’: A Model for Moving Mentally Ill Inmates Out of Jail
Presented by the American Enterprise Institute
Monday, February 6, 10:00 – 11:45 a.m. ET
In 2016, an estimated 90,000 inmates did not stand trial because they were too mentally ill to understand the charges
against them. The “forensic beds” used to restore them to competency are in critical supply, forcing mentally ill inmates
to deteriorate further as they await treatment. A new Treatment Advocacy Center report proposes an evidence-based
approach for reducing the crisis, using queueing theory to project how minor changes to mental health practices could
reduce forensic bed waits. Join AEI to learn more about how small, cost-effective changes could reduce the criminalization
of people with mental illness and how one Florida County is demonstrating this principle.
Watch Live Online
Registration is not required to watch on-line. For more information, please contact Clayton Hale via email or at
202.862.5920.
Description
In 2016, an estimated 90,000 inmates did not stand trial because they were too mentally ill to understand the
charges against them. The “forensic beds” used to restore them to competency are in critical supply, forcing
mentally ill inmates to deteriorate further as they await treatment.
A new Treatment Advocacy Center report proposes an evidence-based approach for reducing the crisis, using
queueing theory to project how minor changes to mental health practices could reduce forensic bed waits. Join
AEI to learn more about how small, cost-effective changes could reduce the criminalization of people with
mental illness and how one Florida county is demonstrating this principle.
Join the conversation on social media with @AEI on Twitter and Facebook.
Participants
Pete Earley, author
Doris A. Fuller, Treatment Advocacy Center
Steve Leifman, Miami-Dade County Court Criminal Division
Kristin Lich, University of North Carolina
Michael Rezendes, The Boston Globe
Sally Satel, AEI
Register
RSVP to attend this event.
To watch live online, click here on February 6 at 10:00 AM ET. Registration is not required.
Contacts
For more information, please contact Clayton Hale at Clayton.hale@aei.org, 202.862.5920.
NASMHPD Weekly Update is now accepting letters and blogs. Please submit your contribution by noon Tuesday of
the week you seek publication to stuart.gordon@nasmhpd.org.
6. 6
Department of Justice Announces Two Grant Solicitations
Comprehensive Opioid Abuse Site-Based Grant Program (COAP)
The U.S. Department of Justice (DOJ), Office of Justice Programs (OJP) Bureau of Justice Assistance (BJA) on January
25 released a solicitation for the Comprehensive Opioid Abuse Site-Based Grant Program (COAP), funded through the
Comprehensive Addiction and Recovery Act (CARA).
Applicants may include state agencies, units of local government, and federally-recognized Native American and Alaskan
tribal governments. BJA will also accept applications that involve two or more entities, including treatment providers and
other not-for-profit agencies, and regional applications that propose to carry out the funded federal award activities.
Specific eligibility requirements by category can be found here.
BJA’s COAP site-based solicitation contains six categories of funding. The funding categories include:
Category 1: Overdose Outreach Projects
Category 2: Technology-assisted Treatment projects
Category 3: System-level Diversion and Alternative to Incarceration Projects
Category 4: Statewide Planning, Coordination, and Implementation Projects
Category 5: Harold Rogers PDMP Implementation and Enhancement Projects
Category 6: Data-driven Responses to Prescription Drug Misuse
To prepare for the CARA solicitation, potential applicants are encouraged to form multi-disciplinary teams, or leverage
existing planning bodies, and identify comprehensive strategies to develop, implement, or expand treatment diversion and
alternative to incarceration programs.
BJA anticipates up to 45 awards may be made under the COAP Grant Program.
The application deadline is April 25, 2017.
The official BJA document on the Comprehensive Opioid Abuse Site-Based Grant program can be located here.
Justice and Mental Health Collaboration Program - FY 2017 Competitive Grant
Announcement
The U.S. Department of Justice (DOJ), Office of Justice Programs (OJP) Bureau of Justice Assistance (BJA) on January
18 released a solicitation seeking applications for funding for the Justice and Mental Health Collaboration Program. This
program furthers the Department’s mission by increasing public safety through innovative cross-system collaboration for
individuals with mental illness who come into contact with the juvenile or adult criminal justice system.
Eligible applicants are limited to states, units of local government, and federally recognized Indian tribal governments (as
determined by the Secretary of the Interior). BJA will only accept applications that demonstrate that the proposed project
will be administered jointly by an agency with responsibility for criminal or juvenile justice activities and a mental health
agency. Only one agency is responsible for the submission of the application in Grants.gov. This lead agency must be a
state agency, unit of local government, or federally recognized Indian tribal government. Under this solicitation, only one
application by any particular applicant entity will be considered. Any others must be proposed as subrecipients
(“subgrantees"). An entity may, however, be proposed as a subrecipient (subgrantee) in more than one application. The
applicant must be the entity that would have primary responsibility for carrying out the award, including administering the
funding and managing the entire project.
Per Pub. L. 108-414, a “criminal or juvenile justice agency” is an agency of state or local government or its contracted
agency that is responsible for detection, arrest, enforcement, prosecution, defense, adjudication, incarceration, probation,
or parole relating to the violation of the criminal laws of that state or local government (sec. 2991(a)(3)). A “mental health
agency” is an agency of state or local government or its contracted agency that is responsible for mental health services
or co-occurring mental health and substance abuse services (sec. 2991(a)(5)). A substance abuse agency is considered
an eligible applicant if that agency provides services to individuals suffering from co-occurring mental health and substance
abuse disorders. BJA may elect to fund applications submitted under this FY 2017 solicitation in future fiscal years,
dependent on, among other considerations, the merit of the applications and on the availability of appropriations.
Applicants must register with Grants.gov prior to submitting an application.
The application deadline is April 4, 2017.
7. 7
State Technical Assistance Available from the State Mental Health Technical
Assistance Project (Coordinated by NASMHPD with SAMHSA Support)
NASMHPD coordinates a variety of SAMHSA-sponsored technical assistance and training activities under the
State TA Project.
To Request On-site TA: States may submit requests for technical assistance to the on-line SAMHSA TA Tracker, a
password-protected system. All of the Mental Health Directors/Commissioners are authorized to use this system, and
Commissioners can give authorization to other SMHA staff as well. Once in this system, the user will be asked to identify
the type of TA that is being sought, the audience, and the goals the state is seeking to address via the support.
On average, a given TA project includes as many as 10 days of consultant time (including prep and follow-up), along with coverage
of consultant travel to your state.
The log-in for the Tracker is: http://tatracker.treatment.org/login.aspx. If a state has forgotten its password or has other questions
about accessing the Tracker system, the Commissioner or authorized user can send an e-mail to: tatracker@treatment.org.
Note that technical assistance under this project cannot be specifically focused on institutional/hospital- based settings.
For answers to other questions, contact your CMHS State Project Officer for the Mental Health Block Grant, or NASMHPD’s Pat
Shea by email or at 703-682-5191.
Technical Assistance Products for Services to Persons Experiencing a First Episode of Psychosis
With support from the Center for Mental Health Services, NASMHPD and NRI have developed a second set of technical
assistance materials that address issues with programming for individuals experiencing a first episode of psychosis. The
products are listed below.
> Policy Brief: The Business Care for Coordinated Specialty Care for First Episode Psychosis
> Toolkits: Supporting Full Inclusion of Students with Early Psychosis in Higher Education
o Back to School Toolkit for Students and Families
o Back to School Toolkit for Campus Staff & Administrators
> Fact Sheet: Supporting Student Success in Higher Education
> Web Based Course: A Family Primer on Psychosis
> Brochures: Optimizing Medication Management for Persons who Experience a First Episode of Psychosis
o Shared Decision Making for Antipsychotic Medications – Option Grid
o Side Effect Profiles for Antipsychotic Medication
o Some Basic Principles for Reducing Mental Health Medicine
> Issue Brief: What Comes After Early Intervention?
> Issue Brief: Age and Developmental Considerations in Early Psychosis
> Information Guide : Snapshot of State Plans for Using the Community Mental Health Block Grant (MHBG) Ten
Percent Set-Aside for Early Intervention Programs (as of September 2016)
> Information Guide: Use of Performance Measures in Early Intervention Programs
These products are in addition to those that were developed last year as well as other materials on first episode
programming. They can be obtained at http://www.nasmhpd.org/content/information-providers. Any questions or
suggestions can be forwarded to either Pat Shea (Pat.shea@nasmhpd.org ) or David Shern (David.shern@nasmhpd.org).
.
Technical Assistance on Preventing the Use of Restraints and Seclusion
For more than 10 years, NASMHPD has been contracted by the Substance Abuse and Mental Health Services
Administration (SAMHSA) to provide technical assistance and support to facilities committed to preventing the
use of restraint and seclusion.
The National Center for Trauma Informed Care and Alternatives to Restraint and Seclusion offers on-site staff
training and technical support to implement trauma-informed, strength-based approaches to prevent aversive
interventions. Our in-house team and national consultants have many years of public hospital experience, both
clinically and personally. This assistance is funded by SAMHSA and at no cost to your state.
To Apply for Technical Assistance, Click Here:
We look forward to the opportunity to work together.
8. 8
lue-based Purchasing
NASMHPD Board of Directors
Tracy Plouck (OH), NASMHPD President
Valerie Mielke (NJ), Secretary
Vacant, Past President
Thomas Betlach (AZ), Western Regional Representative
John Bryant (FL), Southern Regional Representative
Wayne Lindstrom, Ph.D. (NM), At-Large Member
Lynda Zeller (MI), Vice President
Terri White, M.S.W. (OK), Treasurer
Sheri Dawson (NE), Mid-Western Regional Representative
Miriam Delphin-Rittmon, Ph.D. (CT), Northeastern
Regional Representative
Vacant, At-Large Member
NASMHPD Staff
Brian M. Hepburn, M.D., Executive Director
brian.hepburn@nasmhpd.org
Meighan Haupt, M.S., Chief of Staff
meighan.haupt@nasmhpd.org
Raul Almazar, RN, MA
Senior Public Health Advisior (PT)
raul.almazar@nasmhpd.org
Shina Animasahun, Network Manager
shina.animasahun@nasmhpd.org
Genna Bloomer, Communications and Program Specialist (PT)
genna.bloomer@nasmhpd.org
Cheryl Gibson, Senior Accounting Specialist
cheryl.gibson@nasmhpd.org
Joan Gillece, Ph.D., Director, Center for Innovation in
Trauma-Informed Approaches
joan.gillece@nasmhpd.org
Leah Harris, Peer Integration Strategist
leah.harris@nasmhpd.org
Leah Holmes-Bonilla, M.A., Senior Training and Technical
Assistance Advisor
leah.homes-bonilla@nasmhpd.org
Christy Malik, M.S.W., Senior Policy Associate
christy.malik@nasmhpd.org
Kelle Masten, Senior Program Associate
kelle.masten@nasmhpd.org
Stuart Gordon, J.D., Director of Policy & Communications
stuart.gordon@nasmhpd.org
Jeremy McShan, Program Manager, Center for Innovation in
Trauma-Informed Approaches
jeremy.mcshan@nasmhpd.org
Jay Meek, C.P.A., M.B.A., Chief Financial Officer
jay.meek@nasmhpd.org
David Miller, MPAff, Project Director
david.miller@nasmhpd.org
Kathy Parker, M.A., Director, Human Resources & Administration (PT)
kathy.parker@nasmhpd.org
Brian R. Sims, M.D., Senior Medical Director/Behavioral Health
brian.sims@nasmhpd.org
Greg Schmidt, Contract Manager
greg.schmidt@nasmhpd.org
Pat Shea, M.S.W., M.A., Deputy Director, Technical Assistance
and Prevention
pat.shea@nasmhpd.org
David Shern, Ph.D., Senior Public Health Advisor (PT)
david.shern@nasmhpd.org
Timothy Tunner, M.S.W., Ph.D., Training and Technical Assistance
Advisor
timothy.tunner@nasmhpd.org
Aaron J. Walker, M.P.A., Senior Policy Associate
aaron.walker@nasmhpd.org
NASMHPD Links of Interest
White Paper: Opioid Use, Misuse, and Overdose in Women, Department of Health and
Human Services Office on Women’s Health, December 2016
An Implementation Roadmap for State Policymakers Applying Mental Health and
Substance Use Disorder Parity Requirements to Medicaid and Children’s Health
Insurance Programs, Center for Medicaid and CHIP Services, January 18, 2017
What Paint Can Tell Us: A Fractal Analysis of Neurological Changes in Seven
Artists, Journal of Neuropsychology, January 2017
Realizing the Promise of Parity Legislation for Mental Health, Richard G. Frank,
JAMA Psychiatry, February 2017
Smoking, Tobacco Use and Health Status In the Outcomes Measurement System,
Maryland Department of Health and Mental Hygiene Behavioral Health
Administration, January 2017 Data Shorts
Multiple Fentanyl Overdoses — New Haven, Connecticut, June 23, 2016, Morbidity
and Mortality Weekly Report, February 3, Centers for Disease Control and
Prevention
Why the ACA’s Basic Health Benefits Matter, Jeanne Lambrew, Century Foundation,
January 31