# Presentation: 111823

## From Vision To Reality: Transforming the Mental Health System September 10, 2004

**A. Kathryn Power, M.Ed., Director**
**Center for Mental Health Services**

## SAMHSA's Four "Redwoods" 

**SAMHSA's Four "Redwoods"**** **
**  ****Address the needs of adults and youth with co-occurring mental and substance use disorders**
**  ****Build substance abuse treatment capacity**
**  ****Implement the Strategic Prevention Framework**
**  ****Transform the Mental Health System**

**Photo courtesy of the National Park Service**

## Federal Action Agenda

**Collaborative effort of 21 Federal agencies**
**Responds to each of the 6 goals and  19 recommendations from *****Achieving the Promise***
**Establishes time-limited, realistic priorities for Year 1 of a 5-year arc for transformation **
**Will be updated annually**

## Federal Partners Workgroup

_**Human Services**_**	****	****       **_**Other Federal Partners**_
**AoA****	****	****NIH/NIDA****	****       Department of Education**
**ACF****	****	****NIH/NIMH****	****       Department of Housing ****	****	****	****	****	****and Urban Development**
**	****	****	****	****	****	****   ****	****    **
**AHRQ****	****	****OS/ASPE****	****       Department of Justice**
**CDC ****	****	****OS/OCR****	****       Department of Labor**
**CMS ****	****	****OS/OD****	**** ****	****       ****	****	****	****	**** ****	****	****OS/OPHS****	****       Social Security ****	****	****	****	****	****	****	****Administration**
**	**** ****	****	****	****   **
**HRSA****	****	****SAMHSA ****	****       Department of Veterans **
**IHS****	****	****	****	****	****Affairs ****	**** ****	****	****    **
** ****	****	****	**** ****	****	****	****	****	**

**Federal Partners Workgroup**

## Our Nation’s mental health is everyone’s responsibility

***Education*****―50 percent of children with serious emotional disturbances drop out of high school. **
***Justice*****―Each year, about  800,000 persons with serious mental illnesses are admitted to U.S. jails.  **

## Labor―Less than one in three persons with a mental illness is employed.
The Veterans Administration—on any given night, as many as 100,000 veterans with a serious mental illness will sleep on the street or in shelters.  Half of those will also have a substance use disorder. 

**The *****Veterans Administration*****—on any given night, as many as 100,000 veterans with a serious mental illness will sleep on the street or in shelters.  Half of those will also have a substance use disorder.**

**Our Nation’s mental health**
** ****is everyone’s responsibility**

## Defining 

**Transformation**

*...**a continuous process meant to create or anticipate the future  *
*...**identifies, leverages, and even creates new underlying principles for the way things are done*
*...**identifies and leverages new sources of power  *

*...**once the process is begun, a profoundly different organization emerges, including changes **in structure, culture, policy, and programs*
**	****	****Retired Vice Admiral Arthur Cebrowski**
**	****Special Assistant for Transformation, U.S. Department of Defense**

## 
Vision–provides direction for our work  
Belief–guides our work  
Action–makes our vision and beliefs a reality
Continuous Quality Improvement–ensures our actions reflect the wishes and needs of the community

**The Transformation Equation**

**V****ision****–provides ****direction for our work  **
**B****elief****–****guides our work  **
**A****ction****–****makes our vision and beliefs a reality**
**C****ontinuous ****Q****uality ****I****mprovement****–****ensures our actions reflect the wishes and needs of the community**

**T = (V + B + A) ******** (CQI)****2**

## Recovery refers to...

**The ability to live a fulfilling and productive life despite a disability**
**A reduction or complete remission of symptoms **
**The ability to help make important decisions affecting one’s own life.**** **

**Recovery refers to...**

## Recovery

**Recovery**

***Achieving the Promise***
**New Freedom Commission**

## Illness management and recovery
Medication management approaches in psychotherapy
Assertive community treatment
Family psychoeducation
Supported employment
Co-occurring disorders: Integrated dual diagnosis treatment

**Medication management approaches in psychotherapy**
**Assertive community treatment**
**Family psychoeducation**
**Supported employment**
**Co-occurring disorders: Integrated dual diagnosis treatment**

**www.mentalhealth.samhsa.gov/**
**cmhs/community/support/toolkits/**

***Evidence-based Practice Resource ***
***Implementation Kits*****:****  ****Shaping mental health services toward recovery**

## State Incentive Grants for Mental Health Transformation

**A key component of SAMHSA's mental health system transformation strategy**
**Will help States develop and implement  comprehensive State mental health plans**
**The President's proposed Fiscal Year  (FY)  2005 budget includes $44 million for this new program**
**Planning is underway for the FY 2005 RFA**

## www.consumerstar.org

**www.consumerstar.org**

## “It is from numberless diverse acts of courage and belief that human history is shaped. Each time a man stands up for an ideal, or acts to improve the lot of others, or strikes out against injustice, he sends forth a tiny ripple of hope, and crossing each other from a million different centers of energy and daring, those ripples build a current that can sweep down the mightiest walls of oppression and resistance.” 

***                 ******     *****Sen. Robert Kennedy**
**South Africa, 1966**

##  “We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports—essentials for living, working, learning, and participating fully in the community.”

***Achieving the Promise***
**New Freedom Commission on Mental Health **