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Twg White Space Group Recommendations

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Information about Twg White Space Group Recommendations

Published on October 27, 2008

Author: MHTP

Source: slideshare.net

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Twg White Space Group Recommendations
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TWG White Space Group Recommendations Friday, September 26, 2008 Housing Youth in Transition Employment Integration of Care Older Adults Use of Peers Criminal Justice

Housing Engage Peers to Help Consumers Obtain & Maintain Housing Develop a Housing Assistance Model and train Clubhouses on its use in order to improve their ability to provide advice and assistance in accessing appropriate and affordable housing: Partners: WIMHRT building on work being done for the Mental Health Division and Clubhouse Certification Time Frame: Curriculum and Training completed by September 30, 2009 Cost: $25,000 for training location, consultation time and stipends for clubhouse participants Pilot Integrating consumer peers into existing Ready-to-Rent Programs via an Application identifying an interested partner: Use licensed housing authorities as Ready-to-Rent partners Time Frame: December 31, 2010 Cost: $20,000-Wages for peer specialists Design and Incorporate a mental health consumer presentation into Landlord Liaison Programs to reduce reluctance to rent to consumers: Partners: Landlord association, WIMHRT, housing providers and advocated, homeless Coalition Time Frame: December 31, 2009 Cost: $10,000-Component development, training presenters-stipends

Engage Peers to Help Consumers Obtain & Maintain Housing

Develop a Housing Assistance Model and train Clubhouses on its use in order to improve their ability to provide advice and assistance in accessing appropriate and affordable housing:

Partners: WIMHRT building on work being done for the Mental Health Division and Clubhouse Certification

Time Frame: Curriculum and Training completed by September 30, 2009

Cost: $25,000 for training location, consultation time and stipends for clubhouse participants

Pilot Integrating consumer peers into existing Ready-to-Rent Programs via an Application identifying an interested partner:

Use licensed housing authorities as Ready-to-Rent partners

Time Frame: December 31, 2010

Cost: $20,000-Wages for peer specialists

Design and Incorporate a mental health consumer presentation into Landlord Liaison Programs to reduce reluctance to rent to consumers:

Partners: Landlord association, WIMHRT, housing providers and advocated, homeless Coalition

Time Frame: December 31, 2009

Cost: $10,000-Component development, training presenters-stipends

Housing (Continued) Sponsor a Housing Conference to Make Better Use of Housing Programs Invite national experts to review existing resources that would help people with mental health issues. Invite Housing Authorities to discuss competing demands on resources. Partners: national, state and local housing and advocacy experts, housing authorities, CTED, other housing organizations, local funders that connect local county homeless plans, Clubhouses Time Frame: one-day conference to be held within one year Cost: $50,000-$60,000 Have MHTP Support Sustainability of the Supported Housing Institutes (MHD STI on Housing) Partners: MHD, CTED, WA Families Fund, Counties and RSNs Time Frame: September 30, 2009 Cost: $5,000-$10,000

Sponsor a Housing Conference to Make Better Use of Housing Programs

Invite national experts to review existing resources that would help people with mental health issues.

Invite Housing Authorities to discuss competing demands on resources.

Partners: national, state and local housing and advocacy experts, housing authorities, CTED, other housing organizations, local funders that connect local county homeless plans, Clubhouses

Time Frame: one-day conference to be held within one year

Cost: $50,000-$60,000

Have MHTP Support Sustainability of the Supported Housing Institutes (MHD STI on Housing)

Partners: MHD, CTED, WA Families Fund, Counties and RSNs

Time Frame: September 30, 2009

Cost: $5,000-$10,000

Youth in Transition Create Parent Partner Pilot Programs between Family Networks, JRA and DASA Programs would facilitate family engagement while in custody and during transition out of JRA and DASA residential treatment facilities, utilizing trained parent partners and youth peers Must be implemented in a way that allows assessment of effectiveness Will create partnerships between SAFE WA, Youth N’ Action, PAVE and other parent affiliates with JRA and DASA Two pilot sites for both programs were discussed Echo Glen or Maple Lane – JRA Identify appropriate residential inpatient program - DASA Dan (JRA) and Tina (DASA) are the point persons for further discussions

Create Parent Partner Pilot Programs between Family Networks, JRA and DASA

Programs would facilitate family engagement while in custody and during transition out of JRA and DASA residential treatment facilities, utilizing trained parent partners and youth peers

Must be implemented in a way that allows assessment of effectiveness

Will create partnerships between SAFE WA, Youth N’ Action, PAVE and other parent affiliates with JRA and DASA

Two pilot sites for both programs were discussed

Echo Glen or Maple Lane – JRA

Identify appropriate residential inpatient program - DASA

Dan (JRA) and Tina (DASA) are the point persons for further discussions

Youth in Transition (Continued) Create and maintain a library of best practices for life skills training. Identified as a major need for youth in transition. Currently materials and resources exist but there is no single repository and accessing what is available is haphazard Youth Centered Crisis Intervention Training (CIT) Add youth focus to current curriculum from the Criminal Justice Training Commission Use Youth Speakers Bureau and Youth as trainers Use same model for Trauma-informed process in schools Use current MHTG Social Marketing contract to address employer and stigma issues identified above.

Create and maintain a library of best practices for life skills training. Identified as a major need for youth in transition. Currently materials and resources exist but there is no single repository and accessing what is available is haphazard

Youth Centered Crisis Intervention Training (CIT)

Add youth focus to current curriculum from the Criminal Justice Training Commission

Use Youth Speakers Bureau and Youth as trainers

Use same model for Trauma-informed process in schools

Use current MHTG Social Marketing contract to address employer and stigma issues identified above.

Employment Increase Benefits (SSI, SSDI, etc.) Planning Capacity Increase awareness of the rules, eligibility, requirements How work affects benefits Embed within the current service delivery system. Can include other benefits planning (housing, health, etc.) Peer support should have a role Expand use of WRAP in employment services for people with mental illnesses Staff positions in system Use of peers to expand capacity for WRAP More WRAP training is needed in the DVR environment

Increase Benefits (SSI, SSDI, etc.) Planning Capacity

Increase awareness of the rules, eligibility, requirements

How work affects benefits

Embed within the current service delivery system.

Can include other benefits planning (housing, health, etc.)

Peer support should have a role

Expand use of WRAP in employment services for people with mental illnesses

Staff positions in system

Use of peers to expand capacity for WRAP

More WRAP training is needed in the DVR environment

Employment (Continued) Create Mechanism to Fund Longer-term Employment for People with Mental Illness Take advantage of existing resources such as clubhouses. Encourage workforce development councils, clubhouses and others to become Employment Networks. Examine Australia’s work-life balance program. Connect to WorkSource: demonstrate data on persons with disability being served, and highlight potential revenue streams that could be tapped, through work in progress Marketing / Anti-stigma Targeting Employers Work with WorkSource staff, Washington Business Network and groups addressing disabilities in the workplace

Create Mechanism to Fund Longer-term Employment for People with Mental Illness

Take advantage of existing resources such as clubhouses.

Encourage workforce development councils, clubhouses and others to become Employment Networks.

Examine Australia’s work-life balance program.

Connect to WorkSource: demonstrate data on persons with disability being served, and highlight potential revenue streams that could be tapped, through work in progress

Marketing / Anti-stigma Targeting Employers

Work with WorkSource staff, Washington Business Network and groups addressing disabilities in the workplace

Older Adults PEARLS (Program to Encourage Active Rewarding Lives for Seniors) Targets minor depression: provides an intervention that otherwise wouldn’t exist. Communities and agencies serving older adults could be encouraged to develop and implement PEARLS-like programs. Technical assistance, training, and other assistance could facilitate PEARLS adoption statewide IMPACT: Targets major and minor depression by putting depression care managers in doctors’ offices Older Adult Advocacy Coalition Work to reestablish Washington State Coalition on Mental Health, Aging and Substance Abuse Older Adult Volunteer Counseling Programs RSVP (Retired Senior Volunteer Program), a volunteer peer-to-peer program. Older adult volunteer counseling programs in Pierce County and Snohomish County.

PEARLS (Program to Encourage Active Rewarding Lives for Seniors)

Targets minor depression: provides an intervention that otherwise wouldn’t exist.

Communities and agencies serving older adults could be encouraged to develop and implement PEARLS-like programs.

Technical assistance, training, and other assistance could facilitate PEARLS adoption statewide

IMPACT: Targets major and minor depression by putting depression care managers in doctors’ offices

Older Adult Advocacy Coalition

Work to reestablish Washington State Coalition on Mental Health, Aging and Substance Abuse

Older Adult Volunteer Counseling Programs

RSVP (Retired Senior Volunteer Program), a volunteer peer-to-peer program.

Older adult volunteer counseling programs in Pierce County and Snohomish County.

Older Adults (Continued) Gatekeeper Program: Originally developed in Spokane Proactive community training program Trains persons coming into contact with older adults to be vigilant regarding their care, safety, and mental health, and to make appropriate referrals where indicated. Find ways to promote the Gatekeeper Program through the Area Agencies on Aging. Hope Options: Affiliated with the Everett Housing Authority. Collaborative project between: Area Agency on Aging (AAA) Mental Health Housing Authority Provides innovative supports to older adults at risk for losing housing would include: Housing vouchers Ongoing intervention services and One-time assistance

Gatekeeper Program: Originally developed in Spokane

Proactive community training program

Trains persons coming into contact with older adults to be vigilant regarding their care, safety, and mental health, and to make appropriate referrals where indicated.

Find ways to promote the Gatekeeper Program through the Area Agencies on Aging.

Hope Options: Affiliated with the Everett Housing Authority.

Collaborative project between:

Area Agency on Aging (AAA)

Mental Health

Housing Authority

Provides innovative supports to older adults at risk for losing housing would include:

Housing vouchers

Ongoing intervention services and

One-time assistance

Integration of Primary & Mental Health Care Identify best practices and model programs for engagement, and coordination of care for  persons with mental health conditions. Report should address: What approaches work with what populations with what results at what cost Common barriers and how they are overcome, Use of peers and case aides, Models for team approaches (similar to PACT) Explore other options   Library should address: Unique challenges presented by specific populations including: homeless, difficult to engage and treat, those with co-occurring disorders, chronic complex health conditions Develop resources on availability of primary care physicians accepting Medicaid Coupons in different regions of the State.  Create a standardized report Routinely Update the report and Distribute the report to mental health providers and RSNs throughout the State so they are aware of local options in their communities.

Identify best practices and model programs for engagement, and coordination of care for  persons with mental health conditions.

Report should address:

What approaches work with what populations with what results at what cost

Common barriers and how they are overcome,

Use of peers and case aides,

Models for team approaches (similar to PACT)

Explore other options  

Library should address: Unique challenges presented by specific populations including: homeless, difficult to engage and treat, those with co-occurring disorders, chronic complex health conditions

Develop resources on availability of primary care physicians accepting Medicaid Coupons in different regions of the State. 

Create a standardized report

Routinely Update the report and

Distribute the report to mental health providers and RSNs throughout the State so they are aware of local options in their communities.

Integration of Care (Continued) Use the integrated database funded through the Transformation Grant to produce a series of reports. Reports would show what primary care and other medical services CMHC clients are receiving, and Report would examine regional/ethnic/age and other demographic differences. Provide assistance to CMHCs to help them assist clients in accessing Primary Care and having a Medical Home.  Have a consultant review existing best practices and models (SAMHSA Wellness EBP, Georgia and Dartmouth models are starting points) and Create a training/TA plan for WA state mental health providers to promote accessing primary care/medical homes. 

Use the integrated database funded through the Transformation Grant to produce a series of reports.

Reports would show what primary care and other medical services CMHC clients are receiving, and

Report would examine regional/ethnic/age and other demographic differences.

Provide assistance to CMHCs to help them assist clients in accessing Primary Care and having a Medical Home. 

Have a consultant review existing best practices and models (SAMHSA Wellness EBP, Georgia and Dartmouth models are starting points) and

Create a training/TA plan for WA state mental health providers to promote accessing primary care/medical homes. 

Integration of Care (Continued) Convene a Care Coordination/ Integration Summit (or series of structured  discussions) that brings the results of the above reports together.  Audience/participants would include key participants in existing integration efforts like the GAU Pilots, the King County Care Network, the Rethinking Care and chronic care pilots in HRSA, innovative programs in WA state, Providers, RSNs, State Agencies, and other interested parties.  Primary Goals would be: Share state of the art practices from other states, Understand what is already working in Washington State, and Create a learning community to promote integration of care.  Additional goals would be to create momentum, visibility, and focus on the need for and effectiveness of coordination of care.  May occur in conjunction with the Washington State Behavioral Health Care Conference. Other areas identified for further consideration by this group are: Telepsychiatry/Telemedicine—how to use existing equipment and resources more effectively/broadly. Psychiatric phone consultation for rural and underserved areas Better understanding and tools for clinics on both sides to use for coding and billing

Convene a Care Coordination/ Integration Summit (or series of structured  discussions) that brings the results of the above reports together. 

Audience/participants would include key participants in existing integration efforts like the GAU Pilots, the King County Care Network, the Rethinking Care and chronic care pilots in HRSA, innovative programs in WA state, Providers, RSNs, State Agencies, and other interested parties. 

Primary Goals would be:

Share state of the art practices from other states,

Understand what is already working in Washington State, and

Create a learning community to promote integration of care. 

Additional goals would be to create momentum, visibility, and focus on the need for and effectiveness of coordination of care.  May occur in conjunction with the Washington State Behavioral Health Care Conference.

Other areas identified for further consideration by this group are:

Telepsychiatry/Telemedicine—how to use existing equipment and resources more effectively/broadly.

Psychiatric phone consultation for rural and underserved areas

Better understanding and tools for clinics on both sides to use for coding and billing

Use of Peers Develop/Consolidate Administrative and Clinical Guidelines for Peer services throughout the state Create statewide definitions for peer positions Guidelines for billable Mental Health services Identify best practices Survey those individuals that have completed peer counselor certification training at WIMHRT. The goals would be to determine : If they ultimately were certified and became registered counselors, If they are being employed and utilized, successes, barriers to employment, needed follow-up training, etc . The next step would be to put together a survey team to develop content. Transformation Grant staff will develop plan to contract with WIMHRT and/or a consumer organization to conduct and analyze the survey.

Develop/Consolidate Administrative and Clinical Guidelines for Peer services throughout the state

Create statewide definitions for peer positions

Guidelines for billable Mental Health services

Identify best practices

Survey those individuals that have completed peer counselor certification training at WIMHRT. The goals would be to determine :

If they ultimately were certified and became registered counselors,

If they are being employed and utilized, successes, barriers to employment, needed follow-up training, etc .

The next step would be to put together a survey team to develop content. Transformation Grant staff will develop plan to contract with WIMHRT and/or a consumer organization to conduct and analyze the survey.

Use of Peers Review the Mental Health Division’s about-to-be released Consumer-Run Services (HB2654) Report to see if there are areas where this TWG Work Group could make further suggestions or recommendations. Consolidate information on peers trained in WRAP facilitation in Washington State. Encourage providers, RSNs and agencies to hire peer specialists, identifying benefits and barriers related to the employment of peers. WCMHC to discuss with their members regarding interest, needs, and methods likely to be successful. Some entities (NAVOS, Columbia River MH, others) have made progress. Identify leaders and consider utilizing these peer agencies in providing guidance and TA for other agencies in the State.

Review the Mental Health Division’s about-to-be released Consumer-Run Services (HB2654) Report to see if there are areas where this TWG Work Group could make further suggestions or recommendations.

Consolidate information on peers trained in WRAP facilitation in Washington State.

Encourage providers, RSNs and agencies to hire peer specialists, identifying benefits and barriers related to the employment of peers.

WCMHC to discuss with their members regarding interest, needs, and methods likely to be successful.

Some entities (NAVOS, Columbia River MH, others) have made progress. Identify leaders and consider utilizing these peer agencies in providing guidance and TA for other agencies in the State.

Criminal Justice The Mental Health Council: Was established by legislative budget proviso in 2006 “to investigate and promote cost-effective approaches to meeting the long-term needs of adults and juveniles with mental disorders who are likely to become offenders or who have a history of offending.”  Members include: DOC MHTP MHD DSHS-PPA and Judiciary

The Mental Health Council:

Was established by legislative budget proviso in 2006 “to investigate and promote cost-effective approaches to meeting the long-term needs of adults and juveniles with mental disorders who are likely to become offenders or who have a history of offending.” 

Members include:

DOC

MHTP

MHD

DSHS-PPA and

Judiciary

Criminal Justice (Continued) Bureau of Justice Grant: In May 2008, several  MHC members (DOC, MHD and DASA) submitted an application for a grant through the federal Bureau of Justice Assistance. This is a 12-month planning grant, with a maximum grant award of $50,000. The grant will provide the opportunity to plan cross-strategies addressing offenders with co-occurring disorders transitioning back into the community.   DSHS Offender Re-entry Initiative Children and Families of Incarcerated Parents Bill

Bureau of Justice Grant:

In May 2008, several  MHC members (DOC, MHD and DASA) submitted an application for a grant through the federal Bureau of Justice Assistance.

This is a 12-month planning grant, with a maximum grant award of $50,000. The grant will provide the opportunity to plan cross-strategies addressing offenders with co-occurring disorders transitioning back into the community.  

DSHS Offender Re-entry Initiative

Children and Families of Incarcerated Parents Bill

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