1. 1 NC Healthy Carolinians 2020 ~ Mental Health Susan E. Robinson NC Division of MHDDSAS / DHHS susan.robinson@dhhs.nc.gov Kathy McGaha Healthy Carolinians of Macon County kmcgaha@maconnc.org October 1, 2010

2. 2 Healthy North Carolina 2020 Objective: Mental Health  Communities hold the key to change  Essential grassroots & stakeholder involvement  Community Health Assessment  Strategic Plan  Take Action  Celebrate every success!

3. 3 Today’s Objectives: … Be familiar … See opportunity  Snapshot of current MH/DD/SA State Plan for 2010-2013  Priorities & Initiatives  2020 Mental Health Objectives - 3  Process & Data  Community Connection – opportunity to promote health thru Mental Health

4. 4 What we know…. Child Prevalence B-8 yrs in NC:  1 in 6 young children with challenging behaviors are expelled from preschool/ child care settings  17-20% of those children/youth served by public MH sector, ages 3-8 yrs. (13,000); most were not known to the CDSA, B-2 Part C services under IDEA.

5. 5 What we know…. Child/Youth Prevalence in NC:  12 of every 100 youth, ages 9-17, experience most serious mental health disorders (60,000 – 90,000)  2% of child deaths are due to suicides (22/yr) – 70% are 15-17 yrs & white  Health-related conditions lead to 75% of child deaths (CFTF 2010)- disparity  MVC & homicides –leading cause for oldest & youngest

6. 6 What we know…. In 2007, NC & nationally Suicide was:  4 times higher in men than women.  7th leading cause of death for men, 15th for women, Mid–to later age men esp.  the 3 rd leading cause for 15-24 yr olds  effected by firearms, suffocation, & poison; these by far are the most common methods of suicide, overall.  rising in the military/guard/vets

7. 7 What we know…. In 2004, the percent of poor adult mental health in NC: Ranked:…………………………………….. #46 Kentucky:27.1 %Kentucky #46 South Dakota:27.1 % South Dakota # 48 Tennessee:27 % Tennessee # 49 North Carolina:25.8 % North Carolina # 50 Louisiana:24.5 % Louisiana Weighted average:33.5 %

8. 8 What we know….  1 in 5 people per 1,000 people seek health care in Emergency Departments  Half of those ED visits are those who are experiencing mental health treatment needs.  Adult Prevalence: 5.4% of NC’s adult population experiences mental health challenges; half of those experience serious mental illness.  Good News: Those who are Medicaid eligible, should now have a “health home” through CCNC – Community Care in NC

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10. 10 1915 B/C Medicaid Waiver CABHA CAP-MR/DD Waivers Overarching Goal: To successfully provide easily accessed, high quality, cost effective MH/DD/SA services and supports that result in person- centered outcomes for individuals served. Building success one step at a time. 2010 201220112013Future The Vision

11. 11 DHHS & DMHDDSAS - Priorities  Improve access, quality and effectiveness  Increase accountability for all stakeholders  Contain Medicaid Costs  Increase consumer/family/stakeholder confidence in the MH/DD/SA provider network  Top three priority initiatives for DMHDDSAS:  CABHA’s  1915 b/c Waivers  CAP MR/DD Waivers

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13. 13 When engaged in services……………. Symptoms are reduced After three months of treatment: Problems interfering with school, work/other activities decrease from 59% to 40%. Severe mental health symptoms decrease from 41% to 26%. Suicidal thoughts decrease from 36% to 22%. Impaired family relationship decrease from 67% to 59%.

14. 14 2020 Healthy Carolinians – Mental Health Objectives  Process  NC IOM & HC convened  Stakeholders – including consumers  Community  State  Informed – research, trends  Outcomes – direct, 2ndary  Weighted - import and impact  Steering Comm – consolidate all

15. 15 2020 Healthy Carolinians – Mental Health Objectives Reduce suicide rate (per 100,000) State Center for Health Statistics Current 12.4 (2008) Target 7.9 Decrease avg.# of poor Mental Health days in adults in past 30 days Behavioral Risk Factor Surveillance System 3.4 (2008) 2.8 Reduce mental health- related visits to Emergency Dept. NC DETECT - Disease Event Tracking & Epi Collection Tool TBD

16. 16 Macon County Franklin, Highlands, Nantahala, Otto

17. 17 Macon County Today’s Objectives: … Understand … Seize opportunity  Role of elected officials in the Community Health Assessment  Work hand-in-hand with county appointed task forces  Lessons learned  How Macon County is addressing their Mental Health service needs  A work in progress

18. 18 Macon County Task Force  Process – build relationships  Data collection & review  Facts inform change  Be realistic – strengths & barriers  Set priorities  Seize opportunities  Propose a plan – communicate!  Take next steps

19. 19 Macon County Task Force Mental Health Taskforce On Mental Health Services in Macon County Report compiled by:  Macon County Mental Health Taskforce - June 4, 2008 Report updated to Include Implementation Recommendations by:  Macon County Health Carolinians Mental Health Taskforce - January 26, 2009

20. 20 In Summary…  Build relationships and bridges.  Success is one step at a time.  Be willing to adapt & apply lessons learned.  You’re an important part of your community. Your voice counts.  Be the change you seek (Gandhi)

21. 21 Healthy North Carolina 2020 Objective: Mental Health Summary  Common Vision, Goals & Objectives  Healthier People living in Healthier Communities  Responsible Change to Achieve Access, Better Quality and Positive Outcomes ~ We have 2020 Vision! ~

22. 22 Healthy Carolinians of Macon County Kathy McGaha Program Director Healthy Carolinians of Macon County 1830 Lakeside Drive Franklin, NC 28734 Phone: (828) 349-2426 Fax: (828) 349-9131 kmcgaha@maconnc.org

23. 23 NC Division of MHDDSAS NC DHHS Susan E. Robinson Mental Health Program Manager/Planner Prevention and Early Intervention Susan.robinson@dhhs.nc.gov 919-715-5989 x228 http://www.ncdhhs.gov/mhddsas/

24. 24 Healthy North Carolina 2020 Objective: Mental Health Thank you  Questions?  Comments? ~ You hold the key. Together we can! ~