The document outlines the agenda and objectives of the Mental Health Transformation Project meeting held on April 21, 2006, focusing on approving priority outcomes for further assessment and strategy development. It details the involvement of various subcommittees addressing specific populations and issues, such as children, adults, and co-occurring disorders, with an emphasis on improving access to mental health services and promoting consumer-driven, recovery-focused care. Additionally, it highlights the collaborative efforts required from task groups to ensure effective implementation and integration of strategies across different service systems.

1. Mental Health Transformation Project April 21, 2006 Transformation Work Group Conference

2. Introductions and Logistics Introductions: Mental Health Transformation Project Staff Sterling Associates Logistics:

3. Today’s Agenda 10:00 – 10:15 Introduction and Welcome 10:15 – 10:30 Department of Health Presentation 10:30 – 11:15 Goals for the meeting Overview of Subcommittee Process 11:15 – 12:15 Subcommittee Presentations 12:15 – 1:15 Break for Lunch service [to be provided] 1:15 – 2:30 Discuss and approve subcommittee priorities 2:30 – 3:00 Discuss next steps

4. Mental Health Transformation Project Welcome Ken Stark

5. PRESENTATION Mental Health from a Public Health Perspective Patty Hayes, Assistant Secretary Division of Community and Family Health, Department of Health

6. Purpose of Today’s meeting Approve Priority Outcomes Requiring Further Assessment Forward to the MHTG Task Groups to develop specific strategies. Provide Direction to Task Groups Should strategies be developed by subcommittee focus or consolidated and combined as transformation focused? Are the questions posed to the Tasks Groups the right ones?

7. OVERVIEW BACKGROUND

8. MHTP Overview

9. Schedule Overview Public Input 21 Subcommittee sessions 20 Listening sessions Surveys distributed statewide TWG Reviews/ Approves Outcomes Subcommittees Prioritizes Outcomes Task groups prepare strategies TWG Reviews/ Prioritizes strategies Sterling prepares draft CMHP RDA conducts needs assessment and Resource Inventory TWG reviews draft CMHP Submit CMHP to Governor Deliver CMHP to SAMHSA Task groups share strategies with subcommittees and modify if needed Jan Feb March April May June Aug July Sept Jan Feb March April May June Aug July Sept Public Input 21 Subcommittee sessions 20 Listening sessions Surveys distributed statewide TWG Reviews/ Approves Outcomes Subcommittees Prioritizes Outcomes Task groups prepare strategies TWG Reviews/ Prioritizes strategies Sterling prepares draft CMHP RDA conducts needs assessment and Resource Inventory CMHP DRAFT CMHP DRAFT TWG reviews draft CMHP Submit CMHP to Governor Deliver CMHP to SAMHSA Jan Feb March April May June Aug July Sept CMHP DRAFT Task groups share strategies with subcommittees and modify if needed

10. Overview of Outcome Identification Subcommittees began meeting and receiving public input in February 2006 Each subcommittee met at least three times. Some met for a fourth time to develop themes, strategies and outcomes. 41 public input sessions were held in 55 days The University of Washington received and summarized data from a number of sources (RSNs, public testimony and submissions from individual consumers and family members )

11. Overview of Outcome Identification The DSHS Division of Research and Data Analysis (RDA) continues to interview state agency and RSN directors as part of the Resources Inventory and Needs Assessment. A draft report of findings is anticipated on or around May 15 th A presentation of these findings is planned for the June 16 th TWG meeting

12. Overview of Outcome Identification On April 7, the All Subcommittee meeting was held. 49 representatives attended Each subcommittee was asked to identify its top 3-5 prioritized outcome This was VERY difficult exercise for the groups to limit the number of outcomes

13. Challenges and Concerns Subcommittees want to be more involved in strategy development There is some concern that the subcommittee work will be “lost” if they do not have input into the strategies Some subcommittees have included a number of strategies in their reports to help the Task Groups begin thinking about how to implement

14. Challenges and Concerns The schedule for getting the prioritized outcomes was very aggressive Some participants were concerned that the schedule may result in missed priorities Supporting information such as the RSN summaries and transcript summaries was not available until days before the April 7 meeting Other data from the telephone surveys and other interviews was not available before April 7

15. Children, Youth, Parents and Family Subcommittee Greater availability of state-only funds which would require a decrease in requirements around state only funds and an increase in the flexible use of these funds. Increased youth and family support systems (this includes any caregiver family including foster, adoptive and kinship families) such as parent and youth organizations, support groups, peer support and parent partners. Increased training and education that is inclusive of partnerships between professionals and parents/youth, cultural competence, which goes beyond linguistics and ethnicity, and professionals. A system that is more proactive than reactive.

16. Older Adults Subcommittee Older adults will have improved and consistent access to appropriate mental health services, including outreach to place of residence. Mental health services for older adults will be provided and funded in an integrated holistic model of care including mental health, medical, substance abuse, social services and spiritual. There will be an increased number of service-providing individuals with professional expertise in mental health and aging. Appropriate mental health services for older adults are coordinated across all systems of care at state, regional and local levels.

17. Adult Consumers Subcommittee Funding is attached to the consumer, allowing the consumer, with the assistance of a recovery coach, to select and self-direct services they believe will assist them in their recovery process and to purchase these services directly. All consumers will have a choice of services in which they can become engaged. State regulations will be modified to allow consumer-run entities that are independent of the community mental health agencies to provide Medicaid-eligible consumer-run services. Everyone working in the mental health system is trained and certified in psychiatric rehabilitation through college programs specially designed to provide such training. All recipients of services are also trained in psychiatric rehabilitation.

18. Adult Consumers Subcommittee (continued) The ombuds system is independent of the mental health system (MHD, RSNs, and provider agencies). Consumers have access to evidence-based vocational rehabilitation services on demand that include high quality supported employment based on national standards. These programs work collaboratively with DVR to ensure employment for as many consumers as possible.

19. Co-Occurring Disorders Subcommittee Consumers will have access to appropriate, quality treatment regardless of barriers and/or resources, and the services will be specific to the individual’s needs. Affected parties are informed, educated and knowledgeable about co-occurring disorders and their recovery culture, principles and philosophy. Increased system collaboration and service integration is rampant across all allied systems and services. Service Delivery is consumer-driven and recovery-focused.

20. Youth Transitioning Into Adulthood Subcommittee Consumers and family members have choices, utilize self-directed care and are sponsors, mentors and guides (i.e. peer-to-peer support). Services and supports are tailored to their cultural, community and individual needs. a) Seamless, holistic care to include mental health, physical health and dental integrated for all youth 13 – 24 that provides for access on demand and includes early identification, intervention, housing, benefits and transition to adulthood. Systems use practices that have been known to work. b) Reduce stigma through on-going education and training about recovery and resiliency developed by consumers and family members.

21. Youth Transitioning Into Adulthood Subcommittee (continued) Consistent access to quality services and supports available regardless of location or funding sources. Continual quality improvement is an integral part of all systems based on feedback and involvement from youth consumers and family members.

22. Criminal Justice Subcommittee Decreased number of people with mental illness entering into the criminal justice system. Increased access to mental health and substance abuse services for those within the criminal justice system. Decreased number of people with mental health illness re-entering the criminal justice system. (Note: the Sub-Committee did not want one of these outcomes taking priority over the others.)

23. Homelessness Subcommittee Housing will be available immediately upon need for individuals/families. Services are available immediately, regardless of the financial or categorical status of the individual or family, while other benefits and services are being applied for. Continuation of services after a person has passed the crisis or transitional point (to avoid services and/or housing ending after a person is stable, decompensating back into homelessness).

24. Cross-Cutting Themes The themes and outcomes are stated here in generic terms. We understand that they can take on different forms in different consumer groups. The strategies related to cross-cutting themes may also be very different depending on the consumer group involved.

25. Cross-Cutting Themes Access to mental health services must be improved Access to appropriate and varied resources must be available for consumers to chose from (Peer-to-peer, sponsorships, community supported services and supports) Prevention and diversion services must be increased to decrease the likelihood of entering and reentering the criminal justice and/or institutional systems Community education and communication is needed to reduce the stigma of mental illness

26. Cross-Cutting Themes Outreach services should be delivered where it is most accessible and safe for consumers (e.g., where the consumer lives) Current funding mechanisms must be changed to allow for more flexibility in the types and locations of services delivered Collaboration must be increased to provide seamless integration across all allied systems, supports and services

27. DECISIONS Two decisions are needed by the TWG to provide direction to the Task Groups Should strategies be developed by subcommittee focus? Or should they be consolidated and combined as transformation focused? See additional handouts (purple and green paper) for detailed descriptions of alternatives Are the questions posed to the Tasks Groups the right ones? See additional handout (yellow paper) for proposed questions

28. Wrap Up Questions?

29. Wrap Up The work completed today will be compiled and forwarded to the Task Groups as input to the April 28 Task Group Orientation Meeting Tasks Groups will self-select, based on their area of expertise, those outcomes they need to work on While all outcomes will be addressed, not every task group will need to assess every outcome Task Groups will be working during May and will present their findings at the June 16 th meeting

30. Wrap Up Final Comments or Questions Please complete and return the evaluation Thank you!