The Power of Partnerships in today’s changing health care landscape Rebecca Glathar, NAMI Utah Angela Kimball, Oregon Health Authority Delia Rochon, Intermountain Healthcare Change the FRAME Summit NAMI Annual Convention San Antonio, Texas June 27, 2013

Why is health care changing? Everyone wants to achieve the Triple Aim goals:

What is changing? New models of financing New models of delivering care

Why is this important to NAMI? When financing and delivery changes, it changes who gets money and who makes decisions

What can NAMI do? Leverage your strengths as: Educator Supporter Connector Navigator Advocate New Opportunities NAMI’s Strengths Partners’ Interests

Behavioral Health Program for the Uninsured NAMI National Conference June 26, 2013 Access

Treatment Works but Inaccessible for Many

The Challenge in Utah ∼ 101,657 adults and children in Utah are in need of, but not receiving, mental health treatment services ∼ 45,085 individuals were served by the public mental health system, or less than 31% of the current need ∼ 16,454 individuals were served by the public substance abuse system, or less than 17%, working at capacity Utah Division of Substance Abuse and Mental Health 2011 Annual Report

52% receive no treatment at all 48% ER visits, community clinics Utah Division of Substance Abuse and Mental Health 2009 Annual Report Uninsured people with mental illness in Utah

Interventions Crisis Intervention / Emergent Care Home School Community Organization Primary Care Clinic Outpatient Mental Health Day Treatment Residential Facility Inpatient Unit Emergency Room Settings

Intermountain Healthcare Community Benefit NAMI Family Counseling Center Cornerstone Outpatient Services Volunteers of America – Detoxification Services 4 th Street Clinic – Homeless Outpatient Services Salt Lake County Human Services Key Stakeholders

Understanding the Challenge Navigating the system – knowing where to go for help Timely access to treatment Fragmented system of care

1. Patient advocate in Hospital  Meet with patient to review discharge instructions  Make appointments for treatment/other essential services  Follow patient until connected with services 2. Timely access to treatment  Follow up appointments within seven days 3. Integrated services in a coordinated network  Partnership to increase access to services  Funding to provide a comprehensive spectrum of services Salt Lake Valley Demonstration Program Increase timely access to appropriate care for the uninsured

NAMI’s Role Patient Advocate Education Classes Support from mentors

Interventions Toward Continuum of Care Home School Community Organization Primary Care Clinic Outpatient Mental Health Day Treatment Residential Facility Inpatient Unit Coordinated Network Settings Over 20 Agencies Neighborhood Clinic 4 th Street Clinic Family Counseling VMH VOA NAMI USARA Cornerstone

Improved Access to Appropriate Services % of referrals with scheduled appointment or already in treatment

Timelier Access to Outpatient Psychiatric Services Average days until first available appointment - outpatient psychiatric services provider

Better Engagement in Outpatient Psychiatric Services Average number of sessions attended at outpatient psychiatric services provider

Reduced ED Visits and Admissions # of ED or inpatient unit admissions among patients who attended at least one session at O/P psychiatric services provider

Family Counseling VMH Family Counseling VMH Cornerstone VOA NAMI USARA NAMI USARA 4 th Street Clinic Other Services Other Services Silo System Integrated Services in a Community Network Before the program

Counseling Medication Counseling Medication Day Treatment Detox Services Detox Services Support Groups Support Groups PCP Wellness Community System of Care Integrated Services in a Community Network After the program

The Utah collaboration is mutually beneficial; it helps people living with mental illness, it promotes NAMI and it adds value for community partners The power of partnerships

NAMI Utah’s collaboration with Intermountain builds on NAMI’s strengths as an: Educator Supporter Connector Navigator Advocate

Make your own opportunities…