1. Tracking the Transformation ACMHA 2005 Summit: Tracking the Transformation Small Group Recommendations

2. Special Thanks to… Group 1 Areta Crowell, NMHA of Greater LA Kim Carter, Albuquerque, NM Group 2 Tom Borneman, The Carter Center Mental Health Program Paula Comunelli, Felton, CA Group 3 Joyce Burland, NAMI Education, Training, and Peer Support Center Nicki Glasser, Boston, MA

3. Special Thanks to… Group 4 Eunice Hartman, Hartman and Associates Group 5 Ann Brand, Transition Solutions Deborah Fickling, Santa Fe, NM Greg Teague, Tampa, FL Group 6 Carole Farley Toombs, Strong Behavioral Health Nick Ossorgin, Santa Fe, NM

4. Group 1 Recommendations Obtain all recommendations of the President’s New Freedom Commission Report Ensure consumers, youth, and families drive the design and implementation of mental health recovery services Define and operationalize “recovery” in terms of its processes and outcomes Emphasize a continuum of recovery

5. Group 1 Recommendations Cultural competency and diversity Build in ways to evaluate the transformation process and maintain accountability during the transformation process Eliminate barriers of “Medical Necessity”- driven funding Realign financial incentives with recovery transformation

6. Group 1 Recommendations De-stigmatize mental illness through direct contact, education, and legislation Make this conference process consumer/family-driven

7. Group 2 Recommendations Adopt a public health approach to mental health Promote integrated service delivery systems Gauge audience, tailor messages, apply marketing principles, and select the most effective messenger to influence power

8. Group 2 Recommendations Closely monitor Medicaid and other funders and develop a strategy to partner Challenge assumed constraints Create an effective culture shift to achieve transformation

9. Group 3 Recommendations Change starts with a “Burning Platform” Imagine the change you have decided upon Anticipate resistance. Find the “champions of change” Confront the Brutal Facts Stay away from structure Establish a rational funding system

10. Group 3 Recommendations Reach outside of the formal mental health world Recognize that states are KEY to the transformation process Involve people with psychiatric disabilities and their families at the most significant levels Recognize that mental health staff in agencies are suffering too

11. Group 3 Recommendations Support states by having ACMHA track the transformation with web/teleconferencing Increase diversity and inclusivity at the next Summit Hold a “Success-Off” instead of a “Whine Off” Commit to individual transformational work back home; poster board our progress at the next Summit.

12. Group 4 Recommendations Ensure voices of consumers are used in all ACMHA initiatives Incorporate “natural allies” outside of the behavioral health arena Determine what would an ideal health delivery system look like if we were no longer concerned about the influence of stigma

13. Group 4 Recommendations Promote discussion of the paradoxes between integration and parity using ACMHA as a forum Develop a “Technical Assistance Center” for transformative initiatives through ACMHA Develop a national plan that is more than vision Include “Innovation and Transformation Skill Development” in ACMHA’s leadership agenda

14. Group 5 Recommendations Engage with healthcare Use our strengths to collaborate Educate, educate educate. Train, train, train everywhere. All players accept responsibility for transformation Form coalitions that work

15. Group 5 Recommendations Align business and financial models Don’t stop with what we know; look outside Be at the table in healthcare financing Use technology to mobilize advocacy Use NFC to focus decisions and judge financing proposals.

16. Group 6 Recommendations Adopt the IOM ten rules Develop strategies to shift/share the power Assess the shift of perception/perceptual change among consumers, families, and providers Infuse the world with the recovery resiliency paradigm

17. Group 6 Recommendations Support the development of the evidence regarding outcomes with WRAP and other self-help tools Develop inclusive strategies to overcome existing silos Recommend active advocacy component Make quality and outcome information available to consumers and family members

18. Group 6 Recommendations Develop strategies to eliminate mental health disparities Develop strategies to promote social transformation Increase consumer and family education to facilitate a control shift