Updates from the Ohio Department of Mental Health Tracy J. Plouck September 25, 2012

Overview Update on certified peer specialists Highlights of other work underway – Medicaid health homes – Housing initiatives – Quality improvement initiative: antipsychotic prescribing practices for children in primary care settings – FY 14/15 budget planning Managing change 29/15/2015

Certified Peer Specialists Ohio Empowerment Coalition is revamping its approach to training Our new partnership with specific ADAMH boards and the Ohio Rehabilitation Services Commission Continuing to seek approval of peer support as an Ohio Medicaid reimbursable service 39/15/2015

Medicaid Health Homes Key health transformation initiative of the Governor’s Office of Health Transformation New services focused on better integration between physical & behavioral health care – Comprehensive Care Management – Care Coordination – Health Promotion – Comprehensive Transitional Care – Individual and Family Support – Referral to Community and Social Support Services 49/15/2015

Medicaid Health Homes, 2 Team-based approach led by community MH center – Health Home Team Leader – Embedded Primary Care Clinician – Care Manager – Qualified Health Home Services Specialists Payment rate is flexible to reflect team composition Voluntary for providers Must be broad-based within the agency 59/15/2015

Medicaid Health Homes, 2 Will be implemented statewide in 3 phases: – October 2012 – Adams, Lawrence, Scioto, Butler, Lucas – April 2013 – Fulton, Williams, Defiance, Henry, Cuyahoga, Summit, Portage, Huron, Crawford, Richland, Ashland, Marion, Morrow, Delaware, Knox, Franklin, Licking, Preble, Montgomery, Fayette, Pickaway, Hocking Ross, Vinton, Athens, Washington, Pike, Jackson, Gallia, and Meigs – July 2013 – Remaining 53 counties 69/15/2015

Housing Updates Effective 7/1/12, we have $10 million available for community capital investment. Want to spend vast majority on housing. – Reviewing board proposals now – Focus on projects which are actionable in the near term and address critical housing needs – Partnership with Ohio Housing Finance Agency will help us to further leverage these resources 79/15/2015

Housing Updates, 2 HUD 811 Supportive Housing for Persons with Disabilities Demonstration Program – 36 states competing for these resources – In concert with Ohio HOME Choice, we’ve committed $1.2 million to leverage these resources if HUD provides us with the federal funding Trainings on housing preservation underway Housing mini grants (apps due 10/15) 115 adult care facilities: critical repair grants 89/15/2015

Prescribing Practices – MH and Kids Yesterday DMH and Ohio Medicaid announced $1 million to be used over 3 years to support a quality improvement initiative for Medicaid- enrolled children who are prescribed antipsychotics – Some specific emphasis children in foster care – Some specific emphasis on poly-pharmacy 9

Prescribing Practices, 2 Data analysis Quality improvement initiative to enhance clinical guidelines – Build on pediatric psychiatry network, expand to community psychiatrists – Feedback loop and second opinion consultations Outreach and education to family physicians, APNs, others 10

Prescribing Practices, 3 We are launching this in partnership with Ohio’s children’s hospitals, provider trade associations, families & advocates Will not be successful without clinical leadership from child psychiatrists – we appreciate their commitment and expertise 11

FY 14/15 Budget Planning Focus: how to make the most strategic use of resources which are made available DMH will consolidate with ODADAS – Together, we will value both substance use and mental health services – We will continue to work with local partners to address challenges 12

Managing Change Recognize that doing nothing is an explicit choice – and what are the consequences? Create a compelling business case Celebrate even small steps forward We are all in this together Don’t be afraid to make improvements 13

Opportunity Is… Creativity Collaboration Action focused Time sensitive Collective impact 14

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