ADDICTIONS AND MENTAL HEALTH Problem Gambling Services WELCOME Problem Gambling All Providers Meeting Hosted by Problem Gambling Service Staff December 10, 2015 GotoMeeting Webinar We will begin in a few moments…….

2 Webinar Etiquette and Structure Please mute your phone when not speaking to reduce background noise. –*6 to mute –*6 to unmute – Additionally, we will be administratively muting this call and recording it. Please turn the volume down or to off to reduce interference of the webinar when you are unmuted. To minimize the GoToMeeting box from your screen, click on the orange arrow button. Click again to bring it back. Please hold your questions for all presenters until the end of their presentations of the webinar and we will administratively unmute participants. You can use the chat box to ask questions at anytime during the webinar, and we will read and answer at the end of each presentation.

Agenda Items State Updates (15 minutes) Special Presentation on Older Adult Resources- presented by Nirmala Dhar, Older Adult Services Coordinator for Health Systems Division Questions and Answers (10 minutes) 3

Post Webinar PowerPoint, accompany documents and CEU certificates will be ed to you next week. 4

State PGS General System Updates 5 PGS 5 Year System Improvement Plan will be finalized by end of week. You will be able to find it on the oregonpgs.org web page at: State program staff will be working on the development of implementation plans in December and January and will be asking for additional feedback and suggestions in the near future.

State PGS General Updates Upcoming Training Opportunities:  2016 Focus on the Future Conference- Collaboration between Washington and Oregon –April 26-27: Preconference Workshops –April 28-29: General Conference –Crown Plaza, Downtown Portland –Registration and information available early  Webinar Series: Social service providers’ perspectives on casino gambling in older adult clients –February 9 from am –With the availability and acceptability of casinos in the United States there has been an upward trend in gambling, particularly among older adults.. There are a number of studies examining casino gambling from the perspective of older adults, however, noticeably absent is the perspective of senior social service providers (SSSPs). –Register at: 6

State Prevention Updates  A few boxes of the 2016 Problem Gambling Awareness Calendars are still available for distribution in the community. PG Prevention Coordinators are the point of contact if you would like calendars.  PG Prevention Connect call has tentatively been moved to the first Thursday of the month from 1:30-2:30, starting in January. A new survey will be distributed to finalize the date and time for the call soon. It is important that all PG Prevention Coordinators respond to the new survey with their preferences when they receive it. 7

State Treatment Updates January Treatment Call: January 6 th from 3-4. Agenda and log in information to be sent mid-December. Don’t forget that our new pilot on performance based contracting ends December 31, regarding the data we will review for performance based payments. More information on this can be found at the oregonpgs.org web page at: 8

Questions 9

Adult Mental Health Older Adult Services The Role of the Older Adult Behavioral Health Specialist Nirmala Dhar, LCSW Older Adult Behavioral Health Coordinator Oregon Health Authority Addictions & Mental Health

11 Adult Mental Health - Older Adult Services THREE PRIMARY FUNCTIONS Interagency/multi-system/cross sector planning for better coordination between systems Complex case consultation Workforce development and community health and wellness promotion

12 Adult Mental Health - Older Adult Services Role of the Older Adult Behavioral Health Specialist Consultation Development & Promotion Coordination Better Health Better Care Lower Costs Triple Aim*

13 Adult Mental Health - Older Adult Services FUNCTION #1 - COORDINATION Promote partnerships and linkages Promote value of collaboration Build shared common culture and values This process would result in – Removal of silos Strengthening commitment of partners Elimination of barriers Overcome push back ( by building trust and support) Creation of synergies Alignment of priorities and goals Finding better solutions

14 Adult Mental Health - Older Adult Services RESULTS OF BETTER COORDINATION - Responsive service delivery system which is client centered Reduces costs Reduces redundancy in services Reduces situations where clients “fall through the cracks” OUR HOPE – to ensure coordinated planning, development and implementation of policies, programs and services. At it’s best enhanced collaboration and coordination would lead to the creation of a whole person, seamless, integrated system of care which is client centered ( rather than systems centered).

15 Adult Mental Health - Older Adult Services Benefits of enhanced coordination of systems - Better use of resources and expertise Better infrastructure to serve seniors Reduces stigma around seniors Better case finding – increase in referrals

16 Adult Mental Health - Older Adult Services Some suggested activities for function#1 ACTIVITY Focus Groups SWOT Analysis Strengthening partnerships MOU/MOA Impact Assessments Needs Assessments Cross system coalition building Older adults as active in coalitions Collaborative Program Development

17 Adult Mental Health - Older Adult Services FUNCTION #2 - CONSULTATION Complex Case Consultation – Multi-disciplinary team approach Multi-morbidity lens (MCC – multiple chronic conditions) Individuals with cross-system needs Social factors Clinical data Solution focused

18 Adult Mental Health - Older Adult Services Some suggested activities for function #2 Creating a multi-disciplinary team (MDT) Creation of a forum for complex case consultation Providing technical assistance to systems that work with older adults In addition consultation time could also afford an opportunity to – Discuss best practices Promote coordination

19 Adult Mental Health - Older Adult Services FUNCTION #3 – Workforce Development and Community Education and Awareness Workforce development – increase the human capital infrastructure through a range of activities that - CREATE SUSTAIN RETAIN …….A viable and competent workforce

20 Adult Mental Health - Older Adult Services FUNCTION #3 – COMMUNITY EDUCATION & AWARENESS : Use a population health lens – through this lens you look at a sub group of a population in your community rather than individual cases - How do we increase the mental health literacy of the communities we serve with regards to the behavioral health needs of older adults? How to we promote protective factors at a community planning level to prevent depression? How can a community create greater opportunities for social and civic engagement for older adults? Productive engagement can lead to multiple positive ends.

21 Adult Mental Health - Older Adult Services FUNCTION #3 – Core tasks Advance and promote best practices Facilitate implementation of evidence based practices. Community assessments Health and Wellness promotion Productive capacity of older adults better developed and utilized

22 Adult Mental Health - Older Adult Services Suggested activities for Function #3 Brown bag luncheons – for behavioral health and aging services staff Webinars Breakfast meetings with primary care providers Using the training modules Developing competencies and “soft skills” Adopting & implementing Mental Health First Aid for Older Adults Partnering with public health initiatives such as Falls Prevention & SBIRT Plan activities around National Depression Screening Day

23 Adult Mental Health - Older Adult Services DATA Qualitative and quantitative data collection across all three functions will help us identify and measure: CHANGE AREAS FOR IMPROVEMENT OUTCOMES

24 Adult Mental Health - Older Adult Services Acquire the mindset of the OABHS: “IN ORDER TO GE TO NEW SOLUTIONS YOU HAVE TO GET TO KNOW DIFFERENT PEOPLE, DIFFERENT PLACES, DIFFERENT SCENARIOS”. EMI KOLAWOLE, Stanford University “WE WANT TO GIVE OURSELVES THE PERMISSION TO EXPLORE LOTS OF DIFFERENT POSSIBILITIES SO THAT THE RIGHT ANSWER CAN REVEAL ITSELF”. PATRICE MARTIN Optimism Creative confidence Tolerance of ambiguity Immersion Learning from failure Iterate..iterate…iterate

25 Adult Mental Health - Older Adult Services THANK YOU! QUESTIONS? me at Call me at

Questions 26

Contacts Greta Coe, Problem Gambling Services Manager Roxann Jones, Problem Gambling Prevention Specialist Patricia Alderson, Problem Gambling Administrative Support 27

Final Notes: PowerPoint, accompany documents and CEU certificates will be ed to you next week. Thanks for your participation in this webinar, and for the work that you do every day! 28

29