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.

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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

 

 

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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.

 

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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’

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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

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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.
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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.

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Watch: The President’s Commission Team on Combatting Drug Addiction and the Opioid Crisis Hold their First Meeting

The President’s Commission Team, lead by Governor Chris Christie, met on Friday June 16, 2017 to discuss the growing epidemic of Drug Addiction in the US.  It is unfortunate that addiction is still incredibly misunderstood in our country and is not given the attention that it deserves.  Patrick Kennedy, a member of this team said, “we shouldn’t take mental health and addiction and treat it separately,” which identifies a major obstacle that many face when trying to overcome their addiction.  Kennedy understands that, “we do not treat brain illnesses like we do any other set of physical illnesses,” and hopefully this commission will change the way that mental illness and addiction are viewed in the United States.

The team hopes to make evidence-based, long-term addiction treatments available to everybody in need and recognize the connection between mental illness and addiction.  Watch this team as they work together to improve our country’s mental health and drug addiction treatments.

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(Former) Surgeon General’s Report- 2016

Facing Addiction in America

The Former Surgeon General’s Report on Alcohol, Drugs, and Health.

This report aims to bring to light the effects of alcohol and drugs on our bodies and our society.  In America, in 2015, 66.7 million people reported binge drinking and 27.1 million people were current drug users (Chapter 1, Pg.1).  Life expectancy has gone down in the United States in large part due to substance abuse and addiction.

The report outlines the key areas needed in the approach to address substance abuse including:

  1. Enhanced public education to improve awareness about substance use problems and demand for more effective policies and practices to address them.

  2. Widespread implementation of evidence-based prevention policies and programs to prevent substance misuse and related harms

  3. Improved access to evidence-based treatment services, integrated with mainstream health care, for those at risk or affected by substance use disorders

  4. Recovery support services (RSS) to assist individuals in maintaining remission and preventing relapse

  5. Research-informed public policies and financing strategies to ensure that substance misuse and use disorder services are accessible compassionate, efficient, and sustainable. (Chapter I, Pg. 3)

Addiction has become a major health crisis in the United States, this report aims to educate and help all those who are or may become addicted.

Link to report

https://addiction.surgeongeneral.gov/surgeon-generals-report.pdf 

 

U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. Washington, DC: HHS, November 2016.

 

 

 

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Recovery to Practice is pleased to introduce the on-demand continuing medical education (CME) series

Clinical Decision Support for Prescribers Treating Individuals with Co-occurring Disorders

This two-course series offers information and resources for physicians, clinicians, and other practitioners serving individuals with serious mental illness and co-occurring substance use disorder.

In this scenario-based series, participants meet “Nick,” a young father with many strengths and who is challenged by both substance use and mental illness. The course explores the question: How do I approach Nick and help him meet his needs in ways that are both clinically sound and recovery-focused?

The faculty are national experts in recovery, including psychiatrists, a psychologist, a social worker, a nurse, and peers. They offer tools, tips, and strategies for addressing Nick’s needs, and those of other individuals facing similar challenges.

Watch one or both courses at your convenience! Sign Up Here!

Each course is approved for 1.5 AAFP (American Academy of Family Physicians) prescribed credits.

Course Objectives

After viewing, learners will be able to

  1. Summarize a recovery-oriented approach to the treatment of individuals with co-occurring mental and substance use disorders.
  2. Describe the process of recovery-oriented, strength-based engagement, assessment, and intervention, including psychopharmacology treatment, for individuals with co-occurring mental and substance use disorders.
  3. Describe non-medication recovery and support approaches for individuals with co-occurring mental health and substance use conditions.

Course Faculty

Curley Bonds, M.D.
Medical Director, Didi Hirsch Mental Health Services

 

Wayne Centrone, N.M.D., M.P.H
Senior Health Advisor, Center for Social Innovation
Executive Director of Health Bridges International

 

Chris Gordon, M.D.
Medical Director and Senior Vice President for Clinical Services, Advocates, Inc.
Associate Professor of Psychiatry, Harvard Medical School

 

Jackie Pettis, M.S.N, R.N.
Wellness and Recovery Manager, ValueOptions Maryland, Inc.

 

Ken Minkoff, M.D.
Senior System Consultant, ZiaPartners, Inc.
Clinical Assistant Professor of Psychiatry, Harvard Medical School

 

Kim Mueser, Ph.D.
Executive Director, Center for Psychiatric Rehabilitation, Boston University

 

 Melody Riefer, M.S.W.
Senior Program Manager, Advocates for Human Potential

 

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