Presentation on theme: "Building on Our Strengths June 17, 2011"— Presentation transcript:
1Building on Our Strengths June 17, 2011 Valerie VicariWestern Area DirectorOffice of Mental Health &Substance Abuse Services
2Regional Stakeholder Meeting Allegheny, Beaver, Washington, Challenges are what make life interesting. Overcoming them is what makes life meaningful.Regional Stakeholder MeetingAllegheny, Beaver, Washington,Lawrence, Greene
3THANK YOU!!! Regional Steering Committee Presented the Mayview Closure Experience at each Service Area Plan Meeting (Norristown, Danville, Wernersville, Warren, Clarks Summit, Torrance).Allegheny Health Choices, Inc (AHCI) led the presentation with PSAN.The message of hope and recovery was shared statewide.
4Recovery is a RealityWe have made considerable progress in transforming the behavioral health systemThere is still much to do – we must continue our momentumWe can build on our strengths and learn new ways to succeedInnovationEvidence-based programsLook with “new eyes” at today’s reality
6Allentown State Hospital Closure ASH closure completed December 14, 2010108 CHIPP dischargesOver $12.5M allocated to the community to develop services and supportsAdditional 11 discharges for individuals with dual diagnosis; funding transferred to ODP for waiver matching
7Allentown State Hospital Closure Transfer CSPs were developed for those transferredCSPs significantly increase success for consumers as they proceed on their recovery journeyLehigh, Northampton, Carbon/Monroe/Pike counties - Enhanced infrastructure to support the individuals discharged or diverted from state hospitalExamples: Extended Acute Care beds, CTT development and ACT services
8Pennsylvania’s Olmstead Plan Reflects the Commonwealth’s decision to end the unnecessary institutionalization of adults who have a serious and persistent mental illnessThe goal is to return all persons who are being served in a state hospital bed to their communitiesRequests funds to support the reduction of civil bed capacity by 90 persons each Fiscal YearResources will be allocated to the countiesCommunity Support Planning process will drive service development
9PA’s Olmstead Plan cont’d - Each County to develop a Comprehensive Service Area Integration Plan by 6/30/2012Based on CSPs and reflective of Environmental ScanMust address at minimum –HousingNon-residential services and supportsHow special needs will be met, including substance abuse, physical health, TBI, limited English proficiency, etc.
10PA’s Olmstead Plan cont’d - Each County to create Housing options to reduce reliance on congregate settings of 16 or more bedsPersonal Care Home Integration Plan by 6/30/2012Each County to create a comprehensive funding strategy that supports these plans by 6/30/2012
13Governor’s Recommended Budget FY 2011-12 Mental Health Services AppropriationsCHIPPs funded in FY for 6 months are annualized. This includes 30 CHIPPs at Norristown.Increase of $1.5 M for individuals discharged from Allentown State Hospital who need high-end, costly services.Includes the transfer of $2.45 M for 6 months to ODP for 35 individuals to move from State Hospitals to the waiver program.Includes the transfer of funds to ODP for 7 individuals currently residing in the community to move to the waiver program.
14Governor’s Recommended Budget FY 2011-12 Mental Health Services Appropriations$4.95 M for discharge of 90 individuals for 6 months from NSH as part of the Fred L LitigationDoes not include a cost of living adjustmentSpecial Pharmaceutical Benefit Package (SPBP)Increase from $2.346 M to $3.618 M
15Governor’s Recommended Budget FY 2011-12 Drug and Alcohol Act 152 funding is maintained at $14,727,107Total includes reduction of $1.5 M that occurred in September 2010Funds have been moved to capitation for FYState funds -$ MFederal funds -$1.870 M
16Governor’s Recommended Budget FY 2011-12 HealthChoicesCarve out is still in placeSavings of $ MRevisions to provider performance incentives (P4P)Limitations on reinvestment fundsUtilization of evidence-based services for children and youthOffset by the transfer of the non-hospital residential drug and alcohol treatment services previously funded through the MA outpatient appropriation
17Act 152 Funds will be managed within the HC-BH Program Builds on experience with expedited enrollment pilot programUtilizes existing assessment and service authorization process – will be transparent for recipientsFunds will be used to cover rate adjustments due to increased non-hospital detox and rehabilitation services
18Opportunities That Support Transformation “Promoting Self-Sufficiency through Sensible Reforms”
19Certified Peer Specialists PA leads the nation in the number of Certified Peer Specialists who have been trained and employedPA is the first state to secure civil service status for Certified Peer positionsWe all benefit from the growth of CPS!
20CPS Trainees – Reduced Entitlements and Service Use 7% didn’t use hospital-based services prior to taking the training6% didn’t use crisis or ER services before
22DPW Budget Goals Get spending under control Embark on a long-term, multi-year strategy to reduce costsChange the mindset on public assistance to promote personal independence and individual empowerment
23Cost Containment Initiatives Care management that focuses on personal responsibility, prevention and wellness strategiesMore efforts to deter fraud and abuse and to recover costsInitiatives to encourage more home- and community-based care
24Changing the MindsetSee public assistance as a temporary safety net, not a long-term restraintEmpower recipients to make decisions that lead to self-sufficiencyPromote welfare to work strategies