# Presentation: 296450

## Fall Behavioral Healthcare Conference: Turning Lives Around  

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

**New Jersey Association of Mental Health Agencies**
**New Jersey Hospital Association’s Behavioral                    Healthcare Constituency Group **
**New Jersey Hospital Association**

**September 23, 2004**

## Hope is “affective forecasting—that is, the comforting, energizing, elevating feeling that you experience when you project in your mind a positive future.”

*Jerome Groopman, M.D.*
*The Anatomy of Hope*

## Recovery is...

**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 help make important decisions affecting one’s own life.**** **

## Defining Transformation

**transformation **\*n* (15c) From the Latin roots to change TRANS (across) and FORMA (shape). 1: a change in form, appearance, nature, or character  2: the process of doing so
*The New Freedom Commission described transformation as a vision, a process, and an outcome.*

## 
Vision–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

**V****ision****–***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**

## Transformation as a Strategy    for Innovation

- Continuous Small Steps
- A focus on core missions, improving what the system is already doing.

## A Series of Many Exploratory Medium Jumps
Pushing the boundaries of core competencies, trying to create something new within the existing paradigm.

- Continuous Small Steps
- A focus on core missions, improving what the system is already doing.

- A Series of Many Exploratory Medium Jumps
- Pushing the boundaries of core competencies, trying to create something new within the existing paradigm.

## A Series of Many Exploratory Medium Jumps
Pushing the boundaries of core competencies, trying to create something new within the existing paradigm.

- Continuous Small Steps
- A  focus on core missions, improving what the system is already doing.

- A Series of Many Exploratory Medium Jumps
- Pushing the boundaries of core competencies, trying to create something new within the existing paradigm.

- A Few Big Jumps
- New rule sets that leverage new ideas.

## “Because recovery will be the common, recognized outcome of mental health services, the stigma surrounding mental illnesses will be reduced, reinforcing the hope of recovery for every individual with a mental illness.”

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

**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**

**Fall Behavioral Healthcare Conference**

- 10

## Action Agenda Federal Partners

**DEPARTMENT OF HEALTH ****	****     OTHER **
**    ****& HUMAN SERVICES****	****             ****PARTNERS**
**AoA****	****	****NIH/NIDA****	****Department of Education**
**ACF****	****	****NIH/NIMH****	****Department of Housing**
**AHRQ ****	****HHS/OS          and Urban Development**
**CDC****	****	**** - ASPE ****	****Department of Justice**
**CMS ****	****	**** - OCR ****	****Department of Labor**
**HRSA ****	**** - OD ****	****	****Social Security Administration**
**IHS****	****	**** - OPHS ****	****Department of Veterans ****	****	****	**** ****SAMHSA**** ****	****  ****Affairs ****	**** ****	**

**Action Agenda Federal Partners**

## Convened Federal partner group 
Reviewed inventories and subcommittee reports
Initiated strategic plan development for CMHS
Designated a SAMHSA matrix workgroup on mental health transformation 
Submitted action agenda to HHS Secretary and obtained Departmental clearance 

**Reviewed inventories and subcommittee reports**
**Initiated strategic plan development for CMHS**
**Designated a SAMHSA matrix workgroup on mental health transformation**** **
**Submitted action agenda to HHS Secretary and obtained Departmental clearance **

**The First Federal Action Agenda**

## 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 FY2005 budget includes $44 million for this new program**

## Key Action Agenda Activities

**Promote strategies to screen children for mental health issues in all relevant systems;**
**Launch the National Action Alliance for Suicide Prevention;**
**Develop a prototype of individualized plans of care that promote recovery and resilience;**
**Include mental health practices in the National Registry of Effective Programs and Practices (NREPP);**
**Expand the science to service agenda;**
**Develop additional new toolkits on specific evidence-based practices;**

## Initiate technical assistance on recovery and resilience;
Provide technical assistance to help States develop comprehensive State Mental Health Plans; 
Conduct a study of acute care issues and the impact of trauma on the mental health of women and children;
Create a plan for a national public education campaign to reduce stigma;
Educate payers about the practicability of supporting mental health services.

**Provide technical assistance to help States develop comprehensive State Mental Health Plans; **
**Conduct a study of acute care issues and the impact of trauma on the mental health of women and children;**
**Create a plan for a national public education campaign to reduce stigma;**
**Educate payers about the practicability of supporting mental health services.**

**Key Action Agenda Activities (cont.)**

## Get involved in the development of your State’s Comprehensive State Mental Health Plan.
Strive to build more partnerships       that will contribute to change.
Inspire others with the idea that recovery is a real possibility. 

**Strive to build more partnerships       that will contribute to change.**
**Inspire others with the idea that recovery is a real possibility. **

**What You Can Do **

## Gladwell’s Tipping Point

***...******the magic moment when an idea or a social behavior crosses a threshold, tips, and spreads like an epidemic.***
*Malcom Gladwell*
*The Tipping Point*

## “Change always comes bearing gifts.”

*Dr. Price Pritchett*
*Change Management Consultant*