# Presentation: 541025

## Slide 1

## Achieving the Promise:

**“****Our country must make a commitment.  Americans with mental illness deserve our understanding and they deserve excellent care.”**
**	***—**President George W. Bush*

**Transforming Mental Health Care in America**

## Recovery Refers To...

**The process by which people are able to live, work, learn, and participate fully in their communities**
**The ability to live a fulfilling and productive life despite a disability**
** ****A reduction or complete remission of symptoms**
**The ability to make important decisions affecting one’s own life**

## The Commission’s Vision

***“ *****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.”**

*New Freedom Commission                                                                         on Mental Health*

## Goals of a Transformed System

**Goal 1****   Americans understand that mental health is essential to overall health.**
**Goal 2****   Mental health care is consumer and family driven.**
**Goal 3****   Disparities in mental health services are eliminated.**
**Goal 4****   Early mental health screening, assessment, and referral to services are common practice.**
**Goal 5****   Excellent mental health care is delivered and research is accelerated.**
**Goal 6****   Technology is used to access mental health care and information.**

**In a Transformed Mental Health System . . .**

## Defining Transformation

*...**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*

## Steps Toward Transformation

**Broad Inventory**

**Strategic Assessment**

**Vision Described**

**Alignment**

**Investment in Change**

**Begin to Transform:  Record & Model**

## T = (V + B + A)  (CQI)2

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

**Transformation ******** **
**(Vision ******** Belief ******** Action) ******** (Continuous Quality Improvement)****2**

## Federal Partners

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

## Transformation Will Require...

**More comprehensive supports  **
**Better linkages between service providers**
**Greater accountability**
**Clear measures of progress**
**The use of evidence-based practices**

## Evidence-Based Practices (EBPs)  

**Illness Management & Recovery**
**Medication Management Approaches in Psychiatry**
**Assertive Community Treatment**
**Family Psychoeducation**
**Supported Employment**
**Co-occurring Disorders:  Integrated Dual Disorders Treatment**

**Evidence-Based Practices (EBPs)**

## SAMHSA’s National Registry of Effective Programs and Practices (NREPP)

**1,124 Submitted**

**1,039 Reviewed**

**63 Promising**

**52 Effective**

**57 Model**

## For More Information on NREPP:

**Visit ****http://modelprograms.samhsa.gov**

## Mental Health Transformation SIGs will support States’ efforts to:

**Provide comprehensive services by collaborating with other people-serving systems (e.g., criminal justice, education, housing, labor, child welfare, Medicaid) **
**Address mental health needs across cultures and throughout the lifespan **
**Provide care  along the continuum of services—from promotion, prevention, and early intervention to treatment and recovery **

## “Do what you can, with what you have, where you are.”

**	****	***         **─**President Theodore Roosevelt*

## What Mississippi Can Do To Advance Transformation

**Read and discuss *****Achieving the Promise*****.  **
**Determine the partners you need to begin transformation. **
**Immerse yourself in transformation research. **
**Involve consumers in the process.  **
**Describe your vision of a transformed system and drive toward this vision.**
**Inventory your current mental health activities.**
**Spread the word that recovery is possible!**

## You have the power to ignite  the flame of transformation across Mississippi.