# Presentation: 710847

## Slide 1

##   	“...connotes some process and intent surrounding a profound, deep, intense, and penetrating alteration in the status quo.   It implies a formation of and an effort to realize a vision that is palpably different from what existed before—a conscious decision to substantively alter and make a difference                in a given reality.”

***  ******	******“...******connotes some process and intent surrounding a profound, deep, intense, and penetrating alteration in the status quo.   It implies a formation of and an effort to realize a vision that is palpably different from what existed before—a conscious decision to substantively alter and ******make a difference******                in a given reality.”***
***—******from “Concepts of Transformation”******                                                                                 ******Noel A. Mazade, Ph.D.***

**2**

## Phase 1

**Develop strong partnerships and collaborative activities with other Federal partners**
**Release the first Federal Action Agenda **
**Increase Federal support to States for their formal transformation efforts**
**Capture and evaluate transformation strategies ****that work**
**Focus on emerging issues, practices, and trends.  **** **

**SAMHSA/CMHS will—**

**Phase 1**

- Mental Health System Transformation

## Federal Action Agenda Partners

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

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

## State Incentive Grants

**Help States develop and implement Comprehensive State Mental Health Plans **
**Are limited to the immediate office of the Chief Executive Officer for States, Territories, the District of Columbia, native tribes, and tribal organizations**
**Applications are due by June 1, 2005. ****  **** **

**State Incentive Grants**

- Mental Health System Transformation

## The CMHS Budget

**	****  ****FY 2004****	****   FY 2005****	****    FY 2006****	****   FY 2005**
**	****    ****Actual****	****Appropriation****	****    Estimate****	****Appropriation**
**        ****Programs of Regional and**
**           ****National Significance****	****$240,796,000****	****$274,297,000****	****$210,213,000****	****-$64,084,000**
**        ****Children’s Mental Health****	****  102,353,000****	****  105,112,000 ****	****  105,129,000****	****        +17,000**
**        ****Protection & Advocacy****	****    34,620,000****	****    34,343,000****	****    34,343,000****	****                  ---**
**        ****PATH****	****    49,760,000****	****    54,809,000****	****    54,809,000****	****                  ---**
**        ****MH Block Grant ****	**_**  434,690,000**_**	**_**  432,756,000**_**	**** **_** 432,756,000**_**	**_**                  ---**_
**                        ****Total****	****$862,219,000****	****$901,317,000 ****	****$837,250,000****	****-$64,067,000**

**Overview**

**(Dollars in thousands)**

## Proposed National Outcome Measures for Mental Health

**Increased or retained employment for adults and a return to or retention in school for children**
**Decreased criminal justice involvement**
**Increased stability in family and living conditions**
**Increased access to services**
**Reduced utilization of psychiatric inpatient beds**
**Increased social supports/social connectedness**
**Client perception of care outcome**
**Use of evidence-based practices. **

## Transformation Action Center (TAC)

**The TAC will provide a cohesive, coordinated, and strategic structure for the provision of technical assistance within the Mental Health Transformation SIG program and for CMHS programs focused on assisting individuals in achieving recovery and promoting resilience.  Technical assistance for the TAC will be realigned with mental health transformation priorities, including—**

- Leadership/Consumer Leadership
- Comprehensive Mental Health Plans
- Individualized Plans of Care (person-directed planning approaches)
- Disparities Reduction/Elimination
- Evidence-based Practices and National Registry of Effective Programs and Practices
- Workforce Development (including consumers as staff)

## Strategic Transformational Leadership

**Effective behavioral health care leadership will be developed at the State and local levels.  CMHS will build and sustain this leadership by developing a support model that moves away from the “train and hope” approach.**

- Educate individuals and groups in leadership theory and techniques
- Maintain the network of leaders to ensure continuity of support for sustaining systems change
- Provide access to a wide range of current leadership curricula from programs such as Harvard, the Center for Creative Leadership, and the Office of Personnel Management
- Develop consumer leadership at all levels

_**Vision**_

## Disparities Reduction/Elimination

- National Strategic Plan on the elimination of disparities
- Workforce training curricula evaluation
- Workforce development task force
- Cultural competence standards and guidelines
- Behavioral health care training program assessment
- Public education program description
- Evidence-based practice adaptation and implementation

_**Vision**_

_**FY 2005 Proposed Activities**_

## Science to Service

**Evidence-based treatments will be widely applied to support recovery.  Consumers will have meaningful involvement in the development of these treatments.**

- Develop four new “toolkits” related to—
-   Supportive housing
-   Aging
-   Consumer-operated services
-   Children
- Publish an implementation guide on supported education
- Offer technical assistance for implementation of evidence-based practices and individual care plans

_**Vision**_

_**FY 2005 Proposed Activities**_

**Every adult with a serious mental illness and every child with a serious emotional disturbance will have a consumer- and family-directed IPC that promotes resilience and recovery.**

- Development of prototypes of IPCs for adults and children
- Contractor review of existing models and best practices
- Strategy and consensus meetings with stakeholders
- Dissemination and technical support for prototype care plans

- Individualized Plans of Care (IPC)

_**Vision**_

_**FY 2005 Proposed Activities**_

## Model Comprehensive State            Mental Health Plans

- Develop a model plan template through collaboration with NASMHPD, consumers, and other stakeholders
- Make model plan available for States when the Mental Health Transformation SIG awards are made

_**Vision**_

_**FY 2005 Proposed Activities**_

## Workforce Development

- Develop a draft national strategic plan with consumers and key constituents
- Provide technical assistance to the field
- Develop toolkits for field use and to monitor progress and evaluate success

_**Vision**_

_**FY 2005 Proposed Activities**_

## What You Can Do To Advance Transformation

- Help policymakers understand and believe that—

**Recovery is a real possibility**
**We must use our fiscal resources to support proven, evidence-based treatments and services**
**Cutting-edge information technology and communications infrastructure is critical**
**SAMHSA has a comprehensive plan for advancing transformation!**

## “...set out to change the way things are done in the clinic, the laboratory, and the government” by “causing a revolution in all three.”  

***—******Christopher Reeve,                                          Actor and Activist***