November 2017

Activities in November

Interdepartmental Serious Mental Illness Coordinating Committee:  During November, the ISMICC report was finalized and is scheduled for public release at the next ISMICC meeting, which will be broadcast from Washington DC on December 14. Stay tuned for more information on how to access this live stream broadcast.  Dr. Minkoff will be attending this meeting by teleconference.

Group for the Advancement of Psychiatry:  Committee on Psychiatry and the Community:  As co-chair of this committee comprised of national leaders in community psychiatry, along with Judge Steven Leifman of Miami-Dade County District Court and the Miami-Dade Managing Entity (South Florida Provider Coalition), Dr. Minkoff is helping the Committee align its current project on designing an “ideal behavioral health system” with the potential for implementation represented by ISMICC.  During the most recent GAP meeting (November 9-11), the Committee decided to focus on publishing a framing document for this work during 2018 and to develop a specific set of criteria for an ideal CRISIS system as a first important step in addressing this issue.

Meadows Mental Health Policy Institute: Houston Endowment Substance Use Disorder System Assessment of Houston/Harris County:  Continued work this month on researching best practices for Substance Use Disorder prevention and treatment services, and working with the project team on finalizing the creation of a framework for the “ideal Substance Use Disorder system of care” that will form the backbone of the report and recommendations for this project.  The “ideal Substance Use Disorder system of care” is represented in a visual diagram that illustrates the links between “Life in the Community,” prevention, early intervention, integration of Substance Use Disorder services in primary health care, co-occurring capable specialty care in Substance Use Disorders, Mental Health, and specialty health settings of all kinds, and ongoing recovery coaching and recovery support. Dr. Minkoff and Dr. Cline have helped to draft policy recommendations for Meadows Mental Health Policy Institute to submit for consideration to the Texas legislative select committee on Substance Use Disorders.

Follow MMHPI at www.texastateofmind.org

Mid-Hudson Region Seven County Collaboration to Implement CCISC:  On November 13-14, ZiaPartners facilitated a very successful launch of a seven-county regional project to launch welcoming, co-occurring capable systems of care in Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester counties in NY.    Approximately 150 people, representing 7 county teams, with coordination by Marcie Colon of the Mid-Hudson Regional Coalition, and participation from state representatives, representatives from the other regional coalitions in NY, and from the state-funded Center for Practice Innovations at Columbia University, attended this two-day event in Fishkill, NY. Each county team learned about how to implement universal co-occurring capability in their county system and committed to take action based on next steps identified in this event.   This is the largest such effort ever in NY State and the first time in any state that seven counties have launched a regional collaboration all at once, without state direction.   Stephanie Marquesano, of the Harris Project, provided an impassioned keynote speech in honor of her son, Harris, who suffered from co-occurring disorders and died of an overdose because of lack of availability of integrated treatment. Stephanie’s tireless advocacy and training efforts played a significant role in creating the momentum that led to this event.

Criminal Justice-Behavioral Health Forum:  Massachusetts Association of Mental Health/Blue Cross-Blue Shield Foundation:  On November 9, Dr. Minkoff was one of three national panelists at this important event to raise awareness and organize statewide action to address the growing numbers of individuals in Massachusetts correctional settings with mental illness and/or substance use disorders.  The other panelists were Andrew Keller, Ph.D, CEO of the Meadows Mental Health Policy Institute, and Judge Steven Leifman from Miami, the nation’s leading judge in advocating for improved Behavioral Health services to keep people out of the criminal justice system.  Dr. Minkoff’s topic focused on describing the recent GAP publication:  People with Mental Illness in the Criminal Justice System: Answering a Cry for Help (APPI, 2016), and discussing a framework for how to provide integrated services to individuals with co-occurring mental health, substance use, and criminal justice needs, as well as other complex challenges.

National Alliance for the Mentally Ill (NAMI) Criminal Justice Policy Forum:   On November 16, Dr. Minkoff and Dr. Cline participated with two dozen other invited national leaders in a day-long meeting in Arlington, VA to develop actionable strategies for helping NAMI to support its local chapters in advocating effectively for addressing the challenges facing people with mental illness in the criminal justice system.   Mary Giliberti, NAMI’s Executive Director, is also a member of ISMICC.  Pete Earley, author of Crazy: A Father’s Search Through America’s Mental Health Madness, about his son’s experiences with mental illness in the criminal justice system, and also an ISMICC member, was another one of the attendees.  

Alberta Health Services Concurrent Capability Project:  During the past seven years, Alberta Health Services has gradually developed a provincial strategy for using the ZiaPartners’ CCISC toolkit to enhance concurrent disorder capability across all provincial behavioral health services. The designated Concurrent Capable Review Service is a Provincial Addiction and Mental Health service that provides support to leaders and programs who want to access and make planned improvements towards welcoming, recovery-oriented and concurrent capable care. In November, the Concurrent Capable Review Service Team released materials that demonstrated the results of their process to date, with penetration into 3 of the 5 “zones” in the province, and plans for expansion into the other zones in the coming year or two.   They gave permission for ZiaPartners to post their results and materials for others to take advantage of, with the proviso that the involved zones were “de-identified” as Zone A and Zone B instead of their actual names.  The main contact person at AHS regarding this material is Jackie Clark.   She and her team have done an amazing job making systemic progress and envision continued advances ahead as more Zones join the effort.

Review Poster for IOS Conference
Central Zone Summary
Edmonton Zone Summary
Flip Chart
 Compass EZ Facilitators Guide
Compass EZ Participant Handout

NEW PROJECT ANNOUNCEMENT!!!   ZiaPartners is pleased to announce that we have been awarded a consulting contract to assist Child Abuse Listening Mediation, Inc (CALM), a trauma-informed child abuse prevention and intervention agency serving Santa Barbara County. The focus of the consultation (which will begin in January) will be helping CALM at all levels of the organization to improve its organizational policies and processes, including revenue enhancement and revenue generation, while maintaining and enhancing its trauma-informed culture, and engaging and empowering all levels of staff as change agents in the process of cultural transformation of the agency.  Dr. Minkoff and Dr. Cline are pleased as well to be joined on the consultation team by Kathy Sternbach and Jack Peters from TriWest Group, to contribute specific expertise on IT, billing, claims management, supervision, and organizational infrastructure.

 

Posted in Discussions | Tagged , , , , , , , , , , , , , | Comments Off on November 2017

October 2017

Activities in October

Interdepartmental Serious Mental Illness Coordinating Committee: (See previous descriptions and links for background). During October, the ISMICC group (of which Dr. Minkoff is a member) has kicked into high gear by organizing five major workgroups to provide input to the first ISMICC report to Congress that is due in mid-December.  The five workgroups focus on: Access and Engagement; Continuum of Treatment and Recovery Supports; Reduction of CJ/JJ Involvement; Quality and Data; and Financing.   All workgroups focus on ALL age groups, including children, transitional age youth, adults, and older adults.   ISMICC has formally identified a long-term mission, which is that through interdepartmental federal leadership and collaboration, in partnership with states, tribes, and counties, to transform the behavioral health system nationwide so that people with serious needs get the help that is necessary to make progress toward hopeful, meaningful lives.  In addition to the input provided directly by ISMICC members, Dr. Minkoff facilitated receiving formal input from the National Association of State Mental Health Program Directors (NASMHPD), the National Council of Community Behavioral Health Care, and the American Association of Community Psychiatrists (AACP). After repeated iterations by ISMICC, the final draft of the report was completed and submitted for Federal “content clearance” on November 3.  Stay tuned for more information as this important effort unfolds.

Meadows Mental Health Policy Institute: Houston Endowment Substance Use Disorder System Assessment of Houston/Harris County:  Continued work this month on researching best practices for Substance Use Disorder services, and working with the project team on beginning the creation of a framework for the “ideal Substance Use Disorder system of care” that will form the backbone of the report and recommendations for this project.  The “ideal Substance Use Disorder system of care” has been turned into a visual diagram that illustrates the links between “Life in the Community”, prevention, early intervention, integration of Substance Use Disorder services in primary health care, co-occurring capable specialty care in Substance Use Disorders, Mental Health, and specialty health settings of all kinds, and ongoing recovery coaching and recovery support. Dr. Minkoff has supplied a narrative description of the ideal system that will be used to not only guide the report to the Houston Endowment on Harris County but will also be used by MMHPI to provide policy guidance to Texas leadership. The Texas legislature has empaneled a Select Committee on Substance Use Disorders (with a particular focus on the opioid epidemic), and this work will contribute to identifying findings and recommendations that can have statewide policy impact.

Follow MMHPI at www.texastateofmind.org

Common Ground, Oakland County, MI:  Dr. Minkoff provided two days of staff training and consultation to help this innovative crisis program serving Oakland and surrounding counties improve its ability to address the needs of individuals with co-occurring mental health and substance use disorders, as well as to more effectively design the flow of clients with complex needs through their continuum of services – which includes a crisis intervention center, mobile crisis, crisis residential unit, and a sobering center.

Centre for Addiction and Mental Health, Toronto, ON:  CAMH is the premier institution for service, training, and research in Canada, and provides a wide array of services in Toronto, but also tertiary services that are directed toward the province of Ontario and the nation as a whole.  CAMH has undergone a comprehensive strategic planning effort to improve its ability to delivery person-centered integrated care and has a new leadership team to implement its strategic vision. Dr. Minkoff was asked to provide one day of training and consultation to all the service divisions in CAMH to help identify a collective vision based on universal progress toward concurrent capability, and to illustrate steps that could be taken to make progress in addressing the clinical, programmatic, and organizational challenges of this large organization with many competing priorities. The visit was extraordinarily successful and is expected to result in ongoing collaboration with ZiaPartners in implementation.

College for Behavioral Health Leadership, Denver, CO.   Dr. Minkoff has just been elected to the Board of Directors of this amazing organization, which has inspired Behavioral Health leaders of all types for many decades. CBHL is working on a new strategy to grow the organization’s reach, and Dr. Minkoff is one of three new board members who has been brought on to provide “fresh ideas”. The board meeting was held at the annual “convening” of CBHL, which provided an exciting forum focused on the application of “design thinking” on complex behavioral health system challenges.

Institute for Psychiatric Services, New Orleans, LA.  The IPS is the annual American Psychiatric Association meeting that focuses on community psychiatry services. Dr. Cline and Dr. Minkoff presented a workshop on “Changing the World” by implementing universal co-occurring/complexity capability and were joined by Dr. Aniedi Udofa, MD. DABPN, Medical Director of Capital Area Human Services, which is the primary safety net community behavioral health organization serving Baton Rouge and the surrounding region. Dr. Udofa did an amazing job sharing the work that Capital Area launched after a presentation by ZiaPartners ten years ago, under the leadership of Jan Kadofsky, CEO, that has led to steady progress in building capacity to provide integrated services for individuals with co-occurring mental health, Substance Use Disorders, and health conditions throughout the organization.   Dr. Minkoff also joined with Drs. Fred Osher, Jackie Feldman, and Stephanie LeMelle in a symposium of their Group for the Advancement of Psychiatry (GAP) Report, entitled People with Mental Illness in the Justice System: Answering a Cry for Help – a practice manual for practitioners (American Psychiatric Press, Inc. 2016).  The presentation involved reading Dear Abby letters that contributed to the book and then illustrating how the manual provides specific guidance for ANY practitioner to take steps to make a difference – in your own work, in your agency, and in your community.   Everyone was encouraged to find at least one thing that they would change inside their own “Serenity Prayer of Change”, as well as encouraged to get their community involved in the nationwide county-based “Stepping Up Initiative.”

Florida Criminal Justice Behavioral Health Technical Assistance Center webinar:  Dr. Minkoff did a webinar on co-occurring services within the criminal justice/behavioral health system, illustrating how all services have to be designed to address co-occurring challenges, including mental health, Substance Use Disorders, cognitive disabilities, and criminogenic risk behavior.   This webinar was coordinated by Mark Engelhardt of the Florida Mental Health Institute and reached over 20 Florida counties that are working in local collaboratives to effect change.

Tennessee Co-occurring Disorders Strategic Initiative:  ZiaPartners is continuing to work with the Tennessee Association of Mental Health Organizations and the Tennessee Department of Mental Health and Substance Abuse Services leadership to identify next steps to advance statewide progress in implementing co-occurring capability.   

Mid-Hudson Region Seven County Collaboration to Implement CCISC:  Last, but certainly not least, ZiaPartners has finalized the planning for a launch of a seven-county regional project to launch welcoming, co-occurring capable systems of care in Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester.    Approximately 200 people, representing 7 county teams, with participation from state and regional managed care (DSRIP anchor agencies) representatives, will be attending this two-day event November 13-14 in Fishkill, NY. Each county team has committed to take action based on next steps identified in this event.   This is the largest such effort ever in NY State and the first time in any state that seven counties have launched a regional collaboration all at once, without state direction.

Stay tuned!!!!

 

Posted in Discussions | Tagged , , , , , , , , , , , , , , , | Comments Off on October 2017

September 2017

Tennessee Co-occurring Disorders Strategic Initiative:  

As part of Tennessee Department of Mental Health and Substance Abuse Services Strategic Initiative to work in partnership with the Tennessee Association of Mental Health Organizations, and the Tennessee Association of Drug and Alcohol Services to implement statewide co-occurring capability, Dr. Minkoff provided on-site training and technical assistance to the three regional learning communities that have been formed to help providers use their experiences with the COMPASS-EZ to make progress.

The events were held in Memphis, Nashville, and Knoxville, and included hands-on practice exercises that helped participants understand how to implement integrated stage-matched treatment planning, and to develop specific achievable program improvement plans.

Meadows Mental Health Policy Institute for Texas – Engage and Excel Conference:

 The Meadows Mental Health Policy Institute second annual Engage and Excel conference (Austin, September 20-22) was essentially designed by Drs. Cline and Minkoff as a “local system UnConvention” for Texas communities.   The event was planned and implemented this year by the Meadows Mental Health Policy Institute Local Systems Team:  Casie Wenmohs, Lacrica Olson, and Coby Chase, along with assistance from the entire Meadows Mental Health Policy Institute’s staff. Representatives from community collaboratives and behavioral health leadership teams from all over Texas came together with state legislators (including Senator Cornyn), state policy leaders (such as Sonya Gaines, the Assistant Commissioner for Behavioral Health from the Health and Human Services Commission), and state and national experts for three days of conversation, empowerment, and networking.

This year’s event was more than twice as large (almost 300 attendees) with many more communities represented than the first event in 2016, and was regarded as a dramatic success in terms of both content and inspiration.  Drs. Cline and Minkoff served as the inspirational masters of ceremonies for the event, helping the audience to experience the power and value of the impact that the local system “movement” is having on state policy, as well as floating to the various sessions to help coordinate the learning and impact.  For more information, go to the Engage and Excel Page.

Beaver County Behavioral Health:

 On September 26-27, as part of ZiaPartners’ long-standing consultative support to Beaver County’s recovery-oriented, trauma-informed integrated system transformation process, Dr. Minkoff spent two days providing training and technical assistance to various working groups and key stakeholder audiences.  This included one day with a primary focus on working with the Opioid Task Force and providing technical assistance to the strategic planning efforts of multiple workgroups ranging from treatment, to data collection, to law enforcement.   

The second day involved provision of technical assistance to a countywide peer movement working toward developing a “recovery-oriented system of care”, including a Recovery Community Organization working to engage individuals with substance use disorders and co-occurring mental health needs. The final event was a large system training on the provision of co-occurring disorder services for transitional aged youth.

Association of Persons Affected by Addiction (APAA): 

On September 28, Dr. Minkoff followed up his on-site visit with APAA in August, with a teleconference with the APAA leadership team to discuss the draft co-occurring program descriptions and procedures that he had written.  The leadership team was very supportive of the draft policies, and worked out a plan to share with all staff in various meetings for purpose of discussion and input, and then plan a return visit by Dr. Minkoff on November 8 to have a hands-on training about the implementation of co-occurring capable interventions in the context of peer services in a recovery community organization

Riley’s Wish Presentation – Atlanta, GA:  

Dr. Minkoff provided a keynote address on September 29 to the first “Riley’s Wish” conference on co-occurring disorders. Riley was a young man with co-occurring obsessive-compulsive disorder and addiction who tragically committed suicide.  His mother established a foundation in his name to raise awareness and change availability of integrated services for young people with co-occurring conditions.  Kennesaw State University in Marietta, Georgia, outside of Atlanta, is a key partner in this endeavor.

Meadows Mental Health Policy Institute: Houston Endowment Substance Use Disorder System Assessment of Houston/Harris County:

 Continued work this month on researching best practices for Substance Use Disorder services, and working with the project team on beginning the creation of a framework for the “ideal Substance Use Disorder system of care” that will form the backbone of the report and recommendations for this project.

Interdepartmental Serious Mental Illness Coordinating Committee: 

Following the official launch meeting on August 31, the ISMICC group (of which Dr. Minkoff is a member) has kicked into high gear by organizing five major workgroups to provide input to the first ISMICC report to Congress that is due in mid-December.  The five workgroups focus on: Access and Engagement; Continuum of Treatment and Recovery Supports; Reduction of Criminal Justice and Juvenile Justice Involvement; Quality and Data; and Financing.   All workgroups focus on ALL age groups, including children, transitional age youth, adults, and older adults.   ISMICC is a highly motivated and capable group, and spent September getting organized to provide concrete and actionable recommendations by which the various federal departments can work collaboratively with each other, in partnership with states, tribes, and counties, to implement a strategic approach to transform the behavioral health system so that people with serious needs get the help that is necessary to make progress toward hopeful, meaningful lives.  The first draft of the report will be produced by SAMHSA’s writers in October and then will be rapidly iterated to a final draft by the first of November.  Stay tuned for more information as this important effort unfolds.  

ISMICC is a highly motivated and capable group, and spent September getting organized to provide concrete and actionable recommendations by which the various federal departments can work collaboratively with each other, in partnership with states, tribes, and counties, to implement a strategic approach to transform the behavioral health system so that people with serious needs get the help that is necessary to make progress toward hopeful, meaningful lives.  The first draft of the report will be produced by SAMHSA’s writers in October and then will be rapidly iterated to a final draft by the first of November.  Stay tuned for more information as this important effort unfolds.  

Posted in Discussions, Our Work, Partners in Progress | Tagged , , , , , , , | Comments Off on September 2017

August 2017

 

 Activities in August

August has been quite a busy month, we celebrated many birthdays, spent time with family, and still accomplished so much for ZiaPartners!

Meadows Mental Health Policy Institute for Texas: As part of continuing consultation to Meadows Mental Health Policy Institute, ZiaPartners provided focused efforts during August. On August 9th, Chris joined Lacrica Olson, Director of Local Systems, to provide consultation to a group of stakeholders in Grayson County (Sherman and Denison) Texas who have come together to form a Behavioral Health Leadership Team. This activity is part of the Meadows Mental Health Policy Institute’s and ZiaPartner’s local system efforts to help all communities in Texas have an organized ability to provide planning, leadership and strategic implementation efforts for the people in the community with Behavioral Health needs. On the same day, Ken participated in meetings at Meadows Mental Health Policy Institute with a team of people working on the development of a coordinated statewide Mental Health Research initiative (Phil Ritter, Seema Shah, MD, and Matthew Schaffer), with Jacqui Stephens, Ph. D, regarding her new role as Vice President of System Transformation, and with John Petrila, JD, Vice President of Adult Mental Health policy, regarding ongoing strategies for implementing system change at the boundary of Mental Health and Criminal Justice systems in Texas.

Association of Persons Affected by Addiction (APAA). APAA, under the leadership of Joe Powell, is one of America’s foremost Recovery Community Organizations, and has won national awards for its recovery and peer support activities in Texas and nationally. Ken has been contracted by APAA to support the development of a more co-occurring capable focus for all of APAA’s recovery support services and to incorporate that focus into APAA policies and procedures. The formal launch of this activity came on August 30, in Dallas, with a full day training event with all of APAA’s staff (most of whom are recovery coaches).  This training was enthusiastically received. The next step is for Ken to generate some initial draft policies and procedures, and then to follow up with APAA’s leadership and staff to develop a step by step plan of implementing change. The goal is for APAA to move in the direction of not only being a “co-occurring” Recovery Community Organization, but a Recovering Community Organization that specifically reaches out and engages the most challenging individuals in Dallas, whether with addiction, or mental illness, or both.  

Meadows Mental Health Policy Institute: Houston Endowment Substance Use Disorders System Assessment of Houston/Harris County: Continued work this month with some final interviews, and beginning preparation for the creation of a framework for the “ideal Substance Use Disorders system of care” that will form the backbone of the report and recommendations for this project.

McAlister Institute:   Ken and Chris participated in a teleconference with Marisa Varond to review the McAlister Institute’s proposal to San Diego County to establish an innovative demonstration service, using the American Society of Addiction Medicine’s criteria to create a fluid continuum of care to engage individuals who are homeless with Substance Use Disorders and other co-occurring health, mental health, and human service needs, who have been unable to be successfully engaged in the “traditional” service array. This is a tremendously exciting project for both McAlister and San Diego County, and we look forward to continuing to provide support in the design and implementation.

Posted in Discussions | Comments Off on August 2017

PsychU Presentation

Ken and Chris participated in a presentation discussing improvement strategies in behavioral health care.  Join for free and listen to the conversation between Jessie Chambers, PHD, Ken Minkoff, MD, Chris Cline, MD, MBA,  and Margie Balfour, MD, PHD as they discuss continuous quality improvements to behavioral health care as an organizational design strategy and as a set of practical technologies for improving value and managing complex populations.

PsychU Presentation

 

 

Posted in Discussions | Comments Off on PsychU Presentation

Announcement of ISMICC Committee Members and Meeting

The Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC), of which Ken Minkoff is a member, is meeting for the first time on August 31, 2017.  Follow this link to learn how to watch the meeting and comment on what is being discussed.  The committee members will discuss federal advances to serious mental health issues along with other important matters.

ISMICC Meeting

Ken was made a member of the ISMICC in June of this year.

Ken has been appointed by Health and Human Services Secretary, Tom Price, to membership on the newly created (by the federal CURES Act) Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC). The ISMICC is the first effort by the federal government to establish a formal mechanism for aligning the work of multiple federal departments and agencies in a coordinated effort to address the needs of individuals with serious mental illness.  This provides an opportunity to bring together Health and Human Services (SAMHSA, CMS), Housing and Urban Development, National Institute of Mental Health, Veterans Administration and multiple other federal entities to join with representatives of state and county systems, provider organizations, professionals, and consumers/families.  Dr. Minkoff’s 40 years of expertise in all aspects of community psychiatry and service/system development for individuals with Serious Mental Illness and other complex needs (Substance Use Disorders, health, Criminal Justice, housing, recovery/rehabilitation), as well as expertise in managed care, and in the functioning of state and local delivery systems in almost every state, are the qualifications that led to his selection.

 

Posted in Discussions | Comments Off on Announcement of ISMICC Committee Members and Meeting

New Jersey Governor Chris Christie calls Opioids a ‘National Emergency’

Governor Chris Christie, Chairman of the President’s Commission on Combating Drug Addiction and the Opioid Crisis, is taking a stand and encouraging President Trump to announce a National Health Emergency in response to the growing drug crisis in America.

Watch his full announcement here:

Governor Christie calls for a ‘national emergency’

Posted in Discussions | Comments Off on New Jersey Governor Chris Christie calls Opioids a ‘National Emergency’

Interim Report from the President’s Commission on Combating Drug Addiction and the Opioid Crisis

Read the Commission on Combating Drug Addiction and the Opioid Crisis’ interim report to President Trump.  The report discusses the efforts already made by the commission this year to end the drug crisis in America, as well as outlining new ideas and plans that they would like to see accomplished.

Commission’s Interim Report

Posted in Discussions | Comments Off on Interim Report from the President’s Commission on Combating Drug Addiction and the Opioid Crisis

July 2017

Here’s what we’ve been working on in July!

TOOL TIME:
ZiaPartners has released CODECAT-EZ 2.0, a self assessment of co-occurring/complexity competency for individual service providers and their supervisors. This tool is used to plan competency development activities – as well as to measure progress – on an individual, team, program, agency, or system level. The updated language moves more to addressing “whole person care” and “complex needs,” as well as co-occurring Mental Health and Substance Use Disorders, to address how more and more programs are looking at multiple health, behavioral health and human service needs.
ZiaPartners has also released the ILSA (Integrated Logitudinal Strength Based Assessment) Supervision Workbook – a guide for supervisors helping staff to develop welcoming, recovery-oriented, co-occurring competencies, using the integrated, longitudinal, strength-based assessment framework for understanding clients and addressing their hopes and needs.
Please contact info@ziapartners.com for information on how to obtain these new tools.

Activities in July
Michigan Department of Community Health Co-occurring College: Ken was invited to provide a keynote address on “Changing the World: Welcoming, Integrated Services and Systems for People with Co-occurring Conditions” as well as two workshops (one on psychopharmacology guidelines for individuals with co-occurring disorders; one on developing a continuum of housing services for individuals with co-occurring disorders) at the annual Michigan co-occurring college in Traverse City on July 10. This event attracts hundreds of participants from all over the state to advance their learning of how to implement universal co-occurring capable services.
The Department of Community Health co-occurring co-ordinator, Mark Lowis, who plans and oversees this event, worked with ZiaPartners from 2004-2007 when he was the co-occurring coordinator for Oakland County Community Mental Health Authority in Auburn Hills.

At that time, ZiaPartners was working statewide to implement the Comprehensive, Continuous, Integrated System of Care in all of the regional community systems in Michigan. It was exciting to learn that Michigan has continued to build on and sustain this initial work, and all programs are monitoring their progress and engaging in continuing learning and improvement.
The level of experience, understanding, and sophistication that has been achieved in Michigan over the past decade is worthy of note, and should be recognized. We at ZiaPartners applaud their progress and are eager to help them continue the journey.
Oakland County Community Health Network (formerly Oakland County Community Mental Health Authority). As part of the statewide effort, Oakland county has continued to make progress in using the Comprehensive Continuous Integrated System of Care to build universal co-occurring disorder capability in its entire provider network. In this context, Ken was invited to provide two days of training (July 13-14) to groups of Substance Use Disorder providers to address issues that had been identified in their county Technical Assistance monitoring visits as needing attention, based on evaluation with the Duel Diagnosis Capability in Addiction Treatment co-occurring capability measurement tool for programs. This process revealed the level of sophistication and progress that Oakland County has made over the past decade in continuing to improve co-occurring services in all programs and staff. The training focused on integrated treatment planning, skill building, transition planning, and medication assisted treatment, and was extremely well received. ZiaPartners looks forward to continuing to support the Oakland Community Health Network and other community systems throughout the state.

Shout out to Sherrie Williams from the Community Health Network for putting the training together, and to Lenny Rosen, MD, Community Health Network Medical Director, who has been championing this process for over a decade, and who participated in day one of the training.

Meadows Mental Health Policy Institute: Houston Endowment Substance Use Disorder System Assessment of Houston/Harris County: Ken is the addiction psychiatry representative on the Meadows Mental Health Policy Institute team that is assessing the entire system of care for Substance Use Disorder services in Harris County, and during this month, data gathering interviews were fully in process. Ken spent two days in Houston (July 25-26) meeting with Sunstance Use Disorder providers, primary health providers, and criminal justice system representatives, as well as scheduling phone calls with Harris Health, the Health and Care Professional Council, the Houston County Public Health Department, Veteran Affairs representatives, Baylor University, University of Texas: Houston, and many others. This project is providing a wonderful opportunity to describe a public health/population health approach to substance use issues of all kinds in a large urban system, and to illustrate how Substance Use Disorders might be addressed in health, mental health, criminal justice, child welfare, and school environments, as well as in distinct Substance Use Disorder services, to illustrate the current evolution of best practice to addressing Substance Use Disorder at all levels of severity, including medication assisted treatment options, and to provide a road map to guide Houston Endowment, other funders, and other system partners for how to make investments to guide next steps of progress.
McAlister Institute: Ken and Chris began their second year of work with McAlister Institute in San Diego County, on July 20-21. This project is working on continuous improvement of welcoming, recovery oriented integrated care in all programs among all staff, covering both youth and adults, and different levels of care (detox, outpatient, residential, etc.). All programs are continuing to work on finding improvement opportunities to improve welcoming, access, and individualized integrated service delivery for individuals with complex needs. The agency has developed a “scope of practice” for any person providing help to define the appropriate sets of interventions and competencies to provide integrated services to individulas with co-occurring conditions.

In addition, the agency provided specific guidelines within its manuals for how to work as an “integrated team”. The specific training content of this visit included a live interview with a volunteer who had co-occurring conditions, to illustrate how to do the Integrated Longitudinal Strength Based Assessment. The other training focus was an introduction to how to use the American Society of Addiction Medicine criteria to individualize level of care determination for people with complex needs, using case examples. There is a strong level of positive energy and excitement for the clinical and organizational changes that are occurring.

Next visit in September (14-15)
San Diego County Co-occurring Cadre:
Ken and Chris were honored to have dinner with a team of people representing the original Co-occurring Cadre (of trainers and change agents) that ZiaPartners developed in San Diego County in 2002-3. This Cadre has continued to train new cadre members and change agents, and this year is Going to be the 20th cadre training, representing hundreds of individuals over the years. All programs in San Diego are required to take steps to become co-occurring capable, and this understanding has informed merger of Mental Health, Alcohol and Other Drug Use Disorder services for adults and children, as well as the county’s approach to the new MediCal waiver Organized Delivery System, and to the integration of health and Behavioral Health, as well as addressing homelessness.
Ken and Chris were excited to meet with longstanding colleagues who still have enormous passion and energy for change: Piedad Garcia, County Adult Services Director (Mental Health & Alcohol and Other Drug Use Disorders), Virginia West (retired from the County) and Alicia Outcault, Diego Rogers, Susan Ritter, Roxy Walnum, Roz Corbett, Nicole Laping, Victor Acedo, and Hais Lindeman from the Cadre.
Vermont Co-operative for Practice Improvement and Innovation (VCPI):  Ken and Chris were in Vermont on July 31 to help launch a VCPI project funded by the Department of Mental Health and AIDS Drug Assistance Program to improve Co-occurring competency, through simultaneous access to selected modules of the Hazelden Focus on Integrated Treatment Curriculum, along with ZiaPartners facilitated learning community among 12 agency competency development teams across the state. ZiaPartners has also prepared a Co-Occurring Disorders orientation video that is available to VCPI members on the VCPI website (www.vtcpi.org) and a Supervision video (which accompanies the ILSA Supervision workbook). This event was attended by approximately 50 excited team participants and led to a lot of energy and discussion about how best to organize ongoing learning and supervision for all staff working with co-occurring disorder clients (which is pretty much all staff!).

  • Thanks to Karen Crowley and Amy Stonoha of VCPI for putting this together, and to Nick Nichols and Carolyn McBain of the Department of Mental Health, and Ryan Lane of AIDS Drug Assistance Program for their support of the project.
    For non-VCPI members (that is, people not in Vermont), A more general version of the Co-ocurring Disorder orientation video is available for purchase on Vimeo.
Posted in Discussions | Comments Off on July 2017

June 2017

It’s already July!  Wow, this year is moving so quickly.  June was an exciting month for ZiaPartners, to start we received some big news!

Ken has been appointed by Health and Human Services Secretary, Tom Price, to membership on the newly created (by the federal CURES Act) Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC). The ISMICC is the first effort by the federal government to establish a formal mechanism for aligning the work of multiple federal departments and agencies in a coordinated effort to address the needs of individuals with serious mental illness.  This provides an opportunity to bring together Health and Human Services (SAMHSA, CMS), Housing and Urban Development, National Institute of Mental Health, Veterans Administration and multiple other federal entities to join with representatives of state and county systems, provider organizations, professionals, and consumers/families.  Dr. Minkoff’s 40 years of expertise in all aspects of community psychiatry and service/system development for individuals with Serious Mental Illness and other complex needs (Substance Use Disorders, health, Criminal Justice, housing, recovery/rehabilitation), as well as expertise in managed care, and in the functioning of state and local delivery systems in almost every state, are the qualifications that led to his selection.

Other Activities in June

College for Behavioral Health Leadership: Ken was elected to the board of directors of the College of Behavioral Health Leadership (formerly the American College of Mental Health Administration). This is the only national organization that is designed to improve and inspire Behavioral Health leadership across all dimensions of leaders (that is, state and county leaders, managed care organizations, foundations, providers of all types, different disciplines, consumers/families, leadership trainers/consultants), and as such adds a capacity for enormous impact at a time when the need for high-quality innovative leadership is growing dramatically.

Meadows Mental Health Policy Institute:   Ken and Chris participated in the staff retreat for Meadows Mental Health Policy Institute (June 12-13), and the Local System Quarterly meeting in Austin (June 6-7). A major focus is how the continuing success of Meadows Mental Health Policy Institute’s efforts are translating into legislative changes that are supporting the ability of local systems to create empowered collaborations to design system improvements.   The local system team at Meadows Mental Health Policy Institute, to which Ken and Chris provide expertise and guidance, are currently planning for the second annual Engage and Excel conference in Austin (September 20-22) at which local system teams will meet with state leaders, content experts, and one another in order build a community of learning to advance local systems of Behavioral Health Care statewide.

Uplift Family Services: Ken and Chris concluded their very successful two-year engagement with Uplift Family Services in California with “whole person care” competency trainings in the Sacramento Region, Inland Empire, and Bay Region.   The effort has been recognized in Uplift as one of the most successful approaches to overall transformation of competency and practice in the organization’s history and is currently being embedded in ongoing agency processes to ensure sustainability.

Serenity Lane:   Ken provided a day-long training and consultation to Serenity Lane Addiction Services in Eugene, OR. This is Ken’s third visit to Serenity Lane, which is in the process of transforming its traditional continuum of addiction services to be more person-centered and co-occurring capable. There is strong excitement, buy-in, and inspiration from the trainings, and the organization is now preparing to launch a more formal organizational change process with Ken’s guidance to ensure that the changes are more deep-rooted and sustainable.

Vacation in Brazil: June 21-July 4

Brazil is an amazing country, and once you get out of the cities, it’s a whole different world. We went to national parks and funky villages in Central Brazil, and had a great time visiting (and swimming in) beautiful waterfalls and the like.

In addition to natural beauty, Brazil is one of the most powerful places on the planet for spiritual healing.  Some ascribe that to the deep, natural quartz crystal deposits that align natural energy.  Others relate it to the unique combination of cultures that represent the Brazilian people.  In any case, one of the amazing things you find in Brazil are dozens of spiritual healing centers that offer free services to their communities, most of which address the connections between spiritual and physical health, but some of which have a specific focus on individuals with serious mental health conditions.   We look forward to returning to Brazil to learn more about these amazing ways of helping people find happiness and recovery in the face of painful challenges.

Posted in Discussions | Comments Off on June 2017