Health Homes as Recovery Homes NYAPRS Executive Seminar on Systems Transformation Albany, NY April 27, 2011

Americans with serious mental illness die, on the average, at age 53 2 Treatment Tragedy …

Most Readmissions of Patients with MH/SA Diagnoses are for Medical Conditions Patients without MH/SA diagnosis, medical readmission $149M Patients with MH/SA diagnosis, medical readmission $395M Patients with MH/SA diagnosis, MH/SA readmission $270M

Health Homes  Part of the Affordable Care Act  Focus on People with Chronic Health Conditions  2 Chronic Conditions  A Serious Mental Health Condition  Health Homes Model Encompasses:  Medical Care  Behavioral Health Care  Social Supports

2009 SAMHSA Transformation Transfer Initiative Grant Study and develop the Recovery Center Concept

The mental health system creates dependency; a Recovery Center is a vehicle of transformation to independence. Recovery Center is a means to move forward.

Recovery Centers Build on mutual support and existing peer-run activities but have an outward focus

Services/Functions  Skill Building  Wellness  Self Help  Crisis Support  Employment and Benefits  Counseling  Housing  Education  Connections with Mental Health System of Care People getting the skills they need to achieve their goals and move on into full community inclusion. Active Outreach and Engagement

List of Services Developed by Peers  Career clubs  Supported employment services  Internet access  Crisis “warm line”  Food pantries  Forensic services  “Home of Your Own” program, partnership with “Habitat for Humanity”  Parent training and support Newburgh, NY Focus Group

List of Services Developed by Peers  Speaker’s bureau such as “In Our Own Voice” of San Diego, CA  Transportation  Availability of a recovery mentor  Safe houses  Family education  Substance abuse programs  Role modeling, life coaches, a course in confidence building including hearing from consumers who have been successful in moving on Newburgh, NY Focus Group

Health Homes  Health Home Services (90% FMAP)  Comprehensive Care Management  Care Coordination and Health Promotion  Comprehensive Transitional Care from Inpatient to Other Settings, Including Appropriate Follow-Up  Individual and Family Support, which includes authorized representatives  Referral to Community and Social Support Services, if Relevant  The Use of Health Information Technology to Link Services, as Feasible and Appropriate

 Peer Credentialing  Use of Medicaid (MRT#1058)  Must measure outcomes – What value added does a Recovery Center bring to a Health Home? Technical Assistance OMH-funded Technical Assistance Center, CMDNJ Issues

For a Health Home to become a recovery home, peer involvement and peer services are essential peer services are essential.