1. US Department of Justice/Oregon Health Authority OREGON PERFORMANCE PLAN
Empowering adults with severe and persistent mental illness to live, work, and thrive in their communities.
JULY 2016

2. Oregon Performance Plan
Aggressive three-year timeline: 7/1/16 – 6/30/19
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Tailored to meet the needs of the Behavioral Health Collaborative.
Data will be reported to USDOJ Quarterly.

3. Oregon Performance Plan
Right Treatment
Right Time
Right Setting
Adults 18 and over experiencing serious and persistent mental illness
Improve transitions of people to integrated settings from higher levels of care.
Increase number of people who are supported in the community, and avoid incarceration and unnecessary hospitalization.
Expand services and supports that enable people to live successfully integrated into the community.

4. Plan Highlights Increase Community Integrated Treatment
Crisis Services (Mobile Crisis)
Assertive Community Treatment (ACT)
Supported Housing
Peer Delivered Services
Supported Employment
Criminal Justice Diversion
Decrease Institutional Care
Secure Residential Treatment Facilities
Emergency Departments
Acute Psychiatric Care
Oregon State Hospital (OSH)
The services outlined here are in a different order than they appear in the performance plan. We’ve organized this presentation to better communicate the areas where we will integrated treatment and those where we will decrease institutional care
10 specific topic areas within the Performance Plan.
Will be sharing some highlights, the Performance Plan is much more comprehensive.
Includes:
Metrics with Targets
Metrics without Targets
Processes

5. Sustain or further increase
Mobile Crisis
Increasing availability will help prevent hospitalization and incarceration through early intervention and treatment. Requirements: response times, track/report dispositions.
3,500 served
3,700 served
Mobile Crisis Statewide
Sustain or further increase
7/1/2016
6/30/2017
6/30/2018
6/30/2019
There are additional requirements around response times specific to frontier, rural and metro areas.

6. Assertive Community Treatment (ACT)
Assume people can transition from OSH into their own home without going to residential care.
1,050 served by ACT
2,000 served by ACT
Sustain or further increase
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Develop more ACT programs statewide
Ensure that all individuals with SPMI appropriate for ACT receive ACT

7. Supported Housing
Stable housing is important for overall health and stability. It provides community connections in ways that residential care cannot. People with mental illness have the right to live in the community.
835 in supported housing
1,355 in supported housing
2,000 in supported housing
7/1/2016
6/30/2017
6/30/2018
6/30/2019

8. Peer Delivered Services
Vital for a recovery-oriented system. Eases transitions into the community. Provides valuable lived experiences.
20% increase
from baseline
Additional 20% increase
from baseline
Sustain or further increase
7/1/2016
6/30/2017
6/30/2018
6/30/2019

9. Supported Employment
Data collection for people in Supported Employment services.
Deliverables
Track/report number of people who receive services and reemployed in competitive integrated employment.
Track/report number of people who maintain competitive integrated employment without receiving services.

10. Criminal Justice Diversion
Increase diversions, expand Sequential Intercept Model statewide, monitor arrests and dispositions.
Deliverables
Reduce contacts between adults with severe and persistent mental illness and law enforcement due to mental health reasons.
Track/report number of adults receiving services and the number of diversions pre- and post-arrest.
Expansion of the Sequential Intercept Model

11. Secure Residential Treatment Facilities
Reduce length of stay
10% reduction in length of stay
20% reduction
in length of stay
Sustain or further increase
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Most restrictive level of residential care
Need to rethink how resource is utilized

12. Emergency Departments
Reduce admissions and readmissions
10% reduction from baseline
20% reduction
from baseline
Sustain or
further reduce
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Unnecessary ED use makes it harder for individuals to remain stable in their communities and drives costs up for everyone
For individuals with two or more admissions to ED within a six month period, an individualized plan will be required.

13. Acute Psychiatric Care
A plan is needed for people with two or more readmissions within a six month period. Housing needs must be considered prior to discharge.
60% receive
warm handoff
75% receive
warm handoff
85% receive
warm handoff
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Housing is an important consideration in the discharge planning. All partners need to work together to ensure housing needs are met prior to discharge
Discharging patients to a shelter, a motel, or the street increases the chances they will be re-hospitalized
Discharging patients to a stable living environment promotes health, stability, and community diversity.
A “warm handoff” discharge helps the patient connect to community treatment resources, helps them gain stability in the community, and reduces the likelihood of readmission
A warm handoff discharge is defined as linkage to a community case manager, peer bridger, or other community provider prior to discharge

14. Oregon State Hospital
Reduce Length of Stay: Once a patient is deemed Ready to Transition (RTT), they must be discharged (preferred discharge is within 72 hours of RTT).
75% discharged within 30 days
85% discharged within 25 days
90% discharged within 20 days
7/1/2016
6/30/2017
6/30/2018
6/30/2019
Keeping people in OSH longer than necessary violates their civil rights; discharge planning must begin at admission.
Average length of stay should be no more than 120 days. Preferred discharge is within 72 hours of RTT.

15. For Additional Information