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

2. 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.

3. **“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”

4. Priority Populations
“Within the limits of available funds, community mental health and developmental disabilities programs shall provide those services as defined in ORS (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.

5. 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

6. 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.

8. 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.

9. Developing a Mutually Supportive System of Care with Coordinated Care Organizations
ORS 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.

10. 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
/.712; EXHIBIT B, PART 2, SECTION 5; /3160
CFAA A&D 61, 62, 66, 67, 70; MHS 20, 26, 28, 34, 35, 37; , .620
DD 48;
CCO; PH; CMHP; CDDP; Clinics; Hospitals
(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
; ; ;
; ; ; ; ;
CCO; CMHP; CDDP
; /3070; ; ;
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
; ; ; 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
; ; PSRB

11. Thank You Questions or Comments? Cherryl Ramirez, Director
Association of Oregon Community Mental Health Programs
Phone: (503)