1. BEHAVIORAL HEALTH AND DISABILITIES UPDATE Renata J. Henry Deputy Director for Behavioral Health and Disabilities Maryland Department of Health and Mental Hygiene Presented to Maryland State Drug and Alcohol Abuse Council April 21, 2010

2. BHD CURRENT INITIATIVES  Impact of Health Reform on BHD  Contract with University of Maryland  Internal workgroup with MH, SA DD, Medicaid  Primary Care and Behavioral Health Integration  Partnership with the Community Health Resources Commission and Mid-Atlantic Association to improve BH services in FQHC’s

3. INITIATIVES contd…  Eliminating Disparities in Behavioral Health  Convene a steering committee to implement an action plan to review data, training, and policies  Co-Occurring Supervisors Academy  13 month in depth training for clinicians in the screening, assessment, treatment and support of adults with co-occurring mental illness, substance use disorders, and/or cognitive disorders

4. LEGISLATIVE SESSION SUMMARY Codification of State Drug and Alcohol Council

5. GAMBLING SERVICES Solicitation for prevalence study, awareness and prevention Integrate treatment gambling into the current system of care. Training on best practices for the behavioral health field Develop self-identified list of providers Tie into existing hot-line(s)

6. DELEGATE HAMMEN WORKGROUP Input from stakeholders on “ideal system” Impact of health reform on addiction services Analysis of how other state financing systems are structured Summary of previous work in Maryland regarding integration and co-occurring Schedule summer meetings

7. PARITY Mental Health Parity and Addiction Equity Act Key dates: October 2008 and April 5, 2010 Prohibits group health plans that currently offer coverage for MH/SU from providing those benefits in a more restrictive was than other medical and surgical procedures covered by the plan www.ahpnet.com

8. SAMHSA STRATEGIC INITIATIVES Violence and Trauma Military Families Housing and Homelessness Jobs and Economy Prevention of SA and MI Health Insurance Reform Implementation Health Information Technology Behavioral Health Workforce Data and Outcomes Public Awareness and Support

9. 5 KEY GOALS FOR BEHAVIORAL HEALTH AND DISABILITIES 1. Consumer is a partner in service decisions 2. Identify and eliminate disparities 3. Promote health and wellness 4. Promote excellence in care 5. Ensure quality and efficiency in management and administration

10. A VISION FOR MARYLAND Integrated quality system of care A full range of services available Linkages to service are seamless to the consumer Recognition that co-occurring and co-morbid conditions are the norm Improved health, wellness, and quality of life is the goal

11. SIX AIMS OF QUALITY Safe Effective Patient-centered Timely Efficient Equitable

12. ACHIEVING THE VISION: LEADERSHIP Collaborative leadership at all levels is a necessary ingredient in the development and implementation of integrated services Leadership brings the stakeholders together and initiates the dialogue. Initiate the planning and develop methods to overcome barriers at various system levels

13. KEY EMERGING ISSUES Health care reform and implications for behavioral health Data management and use for planning, decision making, and accountability Financial restructuring Partnership with criminal justice system to break the cycle and improve re-entry Implementation of ROSC

14. THANK YOU!!