# Presentation: 316686

## SAMHSA/NGA Center For Best Practices/ NASMHPD Regional Conference Los Angeles, CASeptember 22, 2005 

**SAMHSA/NGA Center For Best Practices/ ****NASMHPD Regional Conference**** ****Los Angeles, CA****September 22, 2005**** **

**Fran Randolph, Dr.P.H.**
**Director, Division of Service and System Improvement **
**Center for Mental Health Services**

**Transforming State**
**Mental Health Systems**

## How Change Happens...

***Transforming State Mental Health Systems***

**“****The talented master has the ability to ****become a leader who induces change. **** The leader can transform separate **
**individuals into cohesive teams. **
**So linked, these individuals...****can***** *****capture the imagination ****of larger communities, ****enticing them to ****dream new dreams. ****In the end, excellence ****is infectious.”**
**Robert E. Quinn**
**Author**

## Achieving the Promise

**A call for system transformation**
**The goal: Hope for a full life in the community**
**Services and supports are consumer/child/family centered**
**Focus of care must increase illness self-management and build resilience**

**Transforming Mental Health Care in America**

## Lessons Learned

**To foster communication and collaboration across diverse agencies**
**To align programs related to mental health such that the whole becomes greater than the sum of its parts**
**To maximize the value that each partner brings to the transformation process**

***Transforming State Mental Health Systems***

## Transformation is...

**...****life altering **
**...****the process of continuous evolutionary change driven by the dynamic needs of the enterprise**
**...****imbedded in the unpredictable and the    impossible**
**...****a way to create something completely possible from the perceived impossible**

**—****from Concepts of Transformation**

***Transforming State Mental Health Systems***

## In a Transformed System...

**Recovery will be the guiding principle **
**Consumers will direct their own care  **
**Services will support prevention *****and***** treatment **
**Disparities will be eliminated**
**We will move science to service faster and more effectively   **
**Services and supports will be available, accessible, and coordinated**

***Transforming State Mental Health Systems***

## 
Governor-led planning with participation by State agencies, community representatives, consumers, and family members
Cross-agency collaboration
A commitment to institutional change through strong leadership
The real and meaningful involvement of consumers and family members in decisionmaking
Workforce development, including the use of consumers as staff
The widespread availability and use of effective practices

**Governor-led planning with participation by State agencies, community representatives, consumers, and family members**
**Cross-agency collaboration**
**A commitment to institutional change through strong leadership**
**The real and meaningful involvement of consumers and family members in decisionmaking**
**Workforce development, including the use of consumers as staff**
**The widespread availability and use of effective practices**

- Essentials of Transformation

***Transforming State Mental Health Systems***

## Federal Partners Workgroup

**Department of Health**_**               **_**and Human Services**
**     ****AoA****	****	****NIH/NIDA**
**     ****ACF****	****	****NIH/NIMH**
**     ****AHRQ****	****HHS/OS**
**     ****CDC****	****	**** - ASPE**
**     ****CMS****	****	**** - OCR**
**     ****HRSA****	**** - OD**
**     ****IHS****	****	**** - OPHS**
**	****	**** ****SAMHSA**

**Other Partners**
**Department of Agriculture**
**Department of Education**
**Department of Defense**
**Department of Housing and Urban Development**
**Department of Justice**
**Department of Labor**
**Department of Transportation**
**Department of Veterans Affairs **
**Social Security Administration**

***Transforming State Mental Health Systems***

- Federal Action Agenda: First Steps(available online at *www.samhsa.gov*)

**Provides a model for shared responsibility at State and local levels**
**Features the five principles around which the New Freedom Commission (NFC) on Mental Health framed its vision, cross walked with the NFC’s six goals **
**Describes the "state of success" for each principle**
**Highlights current activities and proposes Year 1 action steps for each principle**

## of transformation for many. 

**Use your power of *****one***** to achieve the promise **
**of transformation for *****many*****.**
** **

- Mental Health System Transformation

***Transforming State Mental Health Systems***