1. 1 NM Behavioral Health Collaborative New Mexico Behavioral Health Plan for Children, Youth and Their Families March 2007

2. 2 NM Behavioral Health Collaborative Looking Back - Moving Forward Proposed Action Steps Drawn From Previous Studies: 2002 Behavioral Health Needs and Gaps in New Mexico 2003 Childrens Behavioral Health Re-Design Committee 2004 New Mexico Interagency Behavioral Health Purchasing Collaborative Concept Paper 2006 Out-of-Home Placement Study

3. 3 NM Behavioral Health Collaborative Vision A single behavioral health service delivery system in New Mexico in which: Consumers are assisted in participating fully in the life of their communities Adverse effects of substance abuse and mental illness are prevented or reduced Support of recovery and development of resiliency are expected Behavioral health is promoted Available funds are managed effectively and efficiently

4. 4 NM Behavioral Health Collaborative Philosophy: Principles and Values Individually-centered and family-focused o Increase ability to manage life challenges o Actively engage consumer and family o Build on identified strengths Culturally responsive Continuum of services o Emphasizing least restrictive community-based services o Family or consumer driven and operated, as possible o Accessible and Accountable Continuous Quality Improvement

5. 5 NM Behavioral Health Collaborative Proposed Service Array PREVENTION AND EARLY INTERVENTION SERVICES ENTRANCE SERVICES OUT-PATIENT SERVICES COMMUNITY SUPPORTS AND SERVICES INTENSIVE SUPPORT SERVICES OUT-OF-HOME SERVICES ACUTE INTENSIVE SERVICES

6. 6 NM Behavioral Health Collaborative Behavioral Health Continuum of Care for Children and Families New Mexico Service Continuum Lower Intensity Services Higher Intensity Services Prevention Entrance Outpatient Community Intensive Out-of-HomeAcute Intensive Services Services Services Supports Supports Residential Services

7. 7 NM Behavioral Health Collaborative Alignment of Current Service Array with Principles FY 2006 % of Dollars % of Individuals Spent Served In-Patient 62%*10% Out-Patient 35%**75% Services Supporting Resiliency Intensive 20%33% Out-Patient- Emerging Best Practices * In mature system would be 15-20% **Represents $617-875 per person

8. 8 NM Behavioral Health Collaborative Rebalancing New Mexicos System of Care for Children and Families Proposed Action Steps: Implement Clinical Home Pilot Evaluate Clinical Home Pilot Expand Clinical Home Pilot Organize and Support Child and Family Networks and Initiatives Develop and Implement Statewide Local Childrens Behavioral Health Services Delivery System Plans

9. 9 NM Behavioral Health Collaborative Action Step 1: Implement Clinical Home Pilot Project Target Population:Youth legally involved with juvenile court and who are in or at risk of out-of-home placement Goals: Develop alternative pathways for these youth Develop related provider competencies Determine correct treatment mix Empower families and providers Identify and achieve key outcomes for these youth Offer incentives for providers Develop a learning community

10. 10 NM Behavioral Health Collaborative Action Step 1: Implement Clinical Home Pilot Project Clinical Home: Single point of accountability Coordinate all services for youth and their families Multi-service agencies or clusters of agencies Access to or provision of substance abuse and mental health services Identified Providers: Albuquerque -- YDI, NM Solutions, Childrens Treatment Center, Hogares, All Faiths Santa Fe -- Teambuilders, PMS, Hope Springs, Su Vida Las Cruces -- FYI

11. 11 NM Behavioral Health Collaborative Action Step 1: Implement Clinical Home Pilot Project Clinical Home Provider Agencies will: Accept all referrals from Collaborative and Statewide Entity Perform face-to-face assessment within 24 hours Have 24/7 capacity to respond to requests for service Develop and implement initial service plan with 72 hours Provide youth and families with a Community Support Worker Provide immediate access to crisis stabilization services

12. 12 NM Behavioral Health Collaborative Action Step 2: Evaluate Clinical Home Pilot Project Identified Outcomes : Successful Engagement Reduced Recidivism Enhanced Functioning in Key Areas Overall Satisfaction Timeline: April 15, 2007 Implementation begins with stakeholder engagement and input September 2007 Review Lessons Learned October Forward Stakeholder Engagement and Input July 1, 2008 Core Service Agency Licensing or Certification Standards Implemented

13. 13 NM Behavioral Health Collaborative Action Step 3: Expand Clinical Home Pilot Project Expand Target Populations of Youth At-risk of Out-of-home Placement who are: In Protective Custody Not meeting medical necessity criteria for residential treatment In out-of-state placements Expand Providers and Geographic Locations to Serve These Additional Populations

14. 14 NM Behavioral Health Collaborative Action Step 4: Organize and Support Child and Family Networks and Initiatives Expand the Childrens Plan Work Group: Define formal mechanisms for consumer, family and community stakeholder participation in: Service planning Policy development and evaluation Outcome measurement at the state and local levels Include judges, juvenile justice and protective services caseworkers Formal mechanisms and schedule to be established in May 2007 - recommendations by the group to be presented in September 2007

15. 15 NM Behavioral Health Collaborative Action Step 5: Develop and Implement Statewide and Local Childrens Behavioral Health Services Delivery System Plans Goals That Will Guide The Plan: Increase access and remove barriers to mental health services for youth who are alcohol or drug dependent Maximize mental health and substance abuse resources Identify priorities for funding childrens behavioral health services

16. 16 NM Behavioral Health Collaborative Action Step 5: Develop and Implement Statewide and Local Childrens Behavioral Health Services Delivery System Plans Statewide Plan Will Include: Number of children: currently served and services they receive in need of behavioral health services, including children in school and served by CYFD Array of services available as compared to proposed Continuum of Services Recommended service priorities Current available funding for services Proposed purchasing plan based on current funding available and priorities identified by Local Collaboratives

17. 17 NM Behavioral Health Collaborative Action Step 5: Develop and Implement Statewide and Local Childrens Behavioral Health Services Delivery System Plans TIMELINE: July 2007Draft Plan Available for Review and Comment October 2007Final Plan Approved November 2007Implementation begins Support providers in transitioning and developing new services Shift funding to needed services Most importantly – ensure children, youth and families receive the services they need