ACT: A Vital Strategy in Fulfilling the Promise of Olmstead OCEACT Conference Lane Community College June 13, 20017

Overview 1. ACT- the vital framework for community integrated treatment 2. Areas of Focus within the Oregon Performance Plan and Olmstead Plan 3. Challenges moving forward 4. Changing the paradigm

Oregon Performance Plan Olmstead Policy Mental Health/SAPT Block Grant Oregon Performance Plan Olmstead Olmstead Policy is developed utilizing a diverse cross section of stakeholder perspectives within the Oregon Performance Plan Agreement, Olmstead Plan and Block Grant governance structures, as well as other applicable sources`

What is Community Integration? “Individuals with disabilities should have the opportunity to live like people without disabilities. They should have the opportunity to be employed, have a place to call home, and be engaged in the community with family and friends.” Bazelon Center July 2013

Oregon Performance Plan Areas of Focus Assertive Community Treatment (ACT) Crisis Services Supported Housing Peer-Delivered Services Oregon State Hospital Acute Psychiatric Care Emergency Departments Supported Employment Secure Residential Treatment Facilities Criminal Justice Diversion

PERFORMANCE OUTCOMES Baseline CY 2015: 815 individuals served in ACT By 6/30/17: 1,050 individuals served in ACT By 6/30/18: 2,000 individuals served in ACT Mention we have 1, 098 by Q3 2016; so we have 20 months or so to make the 2,000 figure

Challenges Capacity, waiting lists, reimbursement “Dangerousness” and other risks Housing Stigma Stress they need to find a way to work with CCOs and counties to overcome these barriers

Changing the Paradigm Expanding our view of the possible A new view of risk Individuals with disabilities should have access to housing other than group homes, other congregate arrangements, and multi-unit buildings or complexes that are primarily for people with disabilities. They should have access to “scattered site” housing, with ownership or control of a lease. Housing should not be conditioned on compliance with treatment or with a service plan.-Bazelon Center

For More Information Rick Wilcox Olmstead Policy Coordinator 503-945-5955 Richard.A.Wilcox@state.or.us Cissie Bollinger Project Director, Oregon Performance Plan 503-947-5543 Cissie.M.Bollinger@state.or.us Michael Oyster Choice Model and SBIRT Coordinator 503-945-9813 Michael.W.Oyster@state.or.us