Addictions Developmental Disabilities Mental Health Behavioral Health Collaborative Community Mental Health Program Role in Oregon Behavioral Health System Addictions Developmental Disabilities Mental Health

Purpose of a Community Mental Health Program Provide a system of appropriate, accessible, coordinated, effective, efficient services to meet the behavioral health needs of its community. No person shall be denied community mental health services based on ability to pay. Services must be timely.

**“subject to the availability of funds” Services and Limitations of Funding In addition to any other requirements that may be established by rule of the department, each community mental health and developmental disabilities program** shall provide or ensure the provision of the following services to persons with mental or emotional disturbances…   **“subject to the availability of funds”

Priority Populations “Within the limits of available funds, community mental health and developmental disabilities programs shall provide those services as defined in ORS 430.630 (a) to (b) to persons in the following order of priority: Those at risk of immediate hospitalization for the treatment of mental or emotional illness or in need of continuing services to avoid hospitalization; and those at risk of hurting themselves or others; and those under the age of 18 that are at risk of removal from their homes for treatment; Those least able to obtain assistance due to nature of illness, geographical location, or family income. Those who will not require hospitalization.

OHA Child Day/Residential Treatment OHP Physical Health OHP (MH) Specialty Residential MH and A/D Programs Shifting to CCOs at some point State Psychiatric Hospitals (State Operated) OHA OHP (MH) OHP Physical Health Child Day/Residential Treatment OHP (A/D) Indigent Acute Hospitalization Developmental Disabilities NonOHP Outpatient MH NonOHP Outpatient A/D Coordinated Care Organizations Counties/CMHPs County Acute Care Regions May subcontract with nonprofits May subcontract with nonprofits May subcontract with nonprofits Counties Other Providers

Quick CMHP Facts 32 CMHPs in Oregon, including two with multiple counties and one tribal CMHP – Warm Springs Confederated Tribes Half of the CMHPs are not-for-profit agencies contracted by the County/LMHA to provide some or all services, and carry out coordination/assurance functions. The other half of CMHPs are county government departments that provide some or no services and carry out coordination/assurance functions. Regional groupings for provision of some services – Acute care regions and multi-county CCOs. Most CMHPs oversee Community Developmental Disability Programs, which are part of the NFP or county structure. Six CDDPs are separate from their counties’ CMHPs.

LMHA’s Responsibilities Coordination and management responsibilities for the community safety net: Jail and State Hospital Diversion programs Mental health and A&D residential programs Housing development for vulnerable populations Management of children and adults at risk of entering or who are transitioning from the Oregon State Hospital or from residential care Maintain or improve the Crisis System Funding the local system of care so that numbers of commitments do not increase Management of community-based specialized services, including but not limited to: supported employment, supported education, early psychosis programs, assertive community treatment, other types of intensive case management programs, and home- based services for children. Management of specialized services to reduce recidivism of individuals with mental illness in the criminal justice system.

Developing a Mutually Supportive System of Care with Coordinated Care Organizations ORS 414.153 directs that there be a written agreement between each coordinated care organization and the LMHA in the area served by the coordinated care organization. This agreement outlines the responsibilities of the LMHA in cooperation with the CCO.

Functions By Responsible Entity Priority Populations Other Populations Area Function Brief Description OHP with Medicaid Funds OHP with State Funds and Low Income Uninsured ID/DD Medicare, Commercial Insured, Tribes All Populations Care Management Support access and coordination of care and help manage resource utilization 414.645/.712; EXHIBIT B, PART 2, SECTION 5; 410-141-3220/3160 CFAA A&D 61, 62, 66, 67, 70; MHS 20, 26, 28, 34, 35, 37; 430.021-.610, .620 DD 48; 430.664 CCO; PH; CMHP; CDDP; Clinics; Hospitals   309-014-0035 (2)(c) Core Services MH/SUD Prevention, engagement, outpatient, medication, rehabilitative and habilitative community supports, intensive supports, out of home residential, acute intensive, recovery supports 414.312; 414.325; 414.742; 414.760 430.630; 430.644-.646; 430.560; 430.705-.725; 430.850; 430.900-.955 411-320 CCO; CMHP; CDDP 410-120-0000; 410-141-3300/3070; 415-020-000; 415-0050-0000; 309-033-0200 - 0340 CFAA A&D 61, 62, 63, 66, 67, 70, 80, 81, 82; MHS 26, 37, 39 DD 45, 48, 50, 51 High Risk with BH Disorders Management of children and adults at risk of entering or who are transitioning from the Oregon State Hospital or from residential care 414.153; 426.010-.415; 430.630; 427 CMHP; CDDP; CCO EXHIBIT A, SECTION 3; EXHIBIT B, PART 2, SECTION 4;CFAA A&D 60, 61, 67; MHS 27, 28, 30, 31, 35A, 37; DD 48, 157 309-033-0200 - 0340; 309-033-0400 - 0440; 309-019-0160 PSRB

Thank You Questions or Comments? Cherryl Ramirez, Director Association of Oregon Community Mental Health Programs Phone: (503) 399-7201 Email: cramirez@aocmhp.org