# Presentation: 261430

## Moving Toward a New Day:  Consumer-Directed  Transformation of the Mental Health System August 13, 2004Pittsburgh, PA

**Center for Mental Health Services**

**Moving Toward a New Day:  Consumer-Directed  Transformation of the Mental Health System*** *August 13, 2004Pittsburgh, PA

## “Hope... is a search for freedom . . .  of the spirit to assert its dignity, of having some level of control over one’s life.  To hope [for recovery] under the most extreme circumstances is an act of defiance that permits a person to live his life on his own terms.  It is part of the human spirit to endure and give a miracle a chance to happen.” 

**“*****Hope... is a search for freedom . . .  of the spirit to assert its dignity, of having some level of control over one’s life.  To hope [for recovery] under the most extreme circumstances is an act of defiance that permits a person to live his life on his own terms.  It is part of the human spirit to endure and give a miracle a chance to happen.”***
**Jerome Groopman, M.D.**
***The Anatomy of Hope***

## Americans understand that mental health is essential to overall health
Mental health care is consumer and family driven
Disparities in mental health services are eliminated
Early mental health screening, assessment, and referral to services are common practice
Excellent mental health care is delivered and research is accelerated
Technology is used to access mental health care and information

**The ****Goals**** of a Transformed System**

- Americans understand that mental health is essential to overall health
- Mental health care is consumer and family driven
- Disparities in mental health services are eliminated
- Early mental health screening, assessment, and referral to services are common practice
- Excellent mental health care is delivered and research is accelerated
- Technology is used to access mental health care and information

**Goal 1**
**Goal 2**
**Goal 3**
**Goal 4**
**Goal 5**
**Goal 6**

## Goal 2

**Mental Health Care is Consumer and **
**Family Driven**

**Goal 2**

**Recommendations**
**2.1****—****Develop an individualized plan of care for every adult with a serious mental illness and child with a serious emotional disturbance**
**2.2****—****Involve consumers and families fully in orienting the mental health system toward recovery**

## Goal 2

**Mental Health Care is Consumer and **
**Family Driven**

**Goal 2**

**2.3****—****Align relevant Federal programs to improve access and accountability for mental health services**
**2.4****—****Create a Comprehensive State Mental Health Plan**
**2.5****—****Protect and enhance consumers’ rights**

## Federal Partners Workgroup

_**Department of Health and**_
_**Human Services**_**	****	****       **_**Other 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 ****	**** ****	****	****    **
** ****	****	****	**** ****	****	****	****	****	**

## Mental health as a public health crisis

**Mental health as a public health crisis**

**Comparative mortality statistics, 2001    **
**Source:  Centers for Disease Control and Prevention**

## The very foundation of a transformed system will be consumer-driven care—with consumers having real and meaningful choices about treatment options. 

**The very foundation of a transformed system will be consumer-driven care—with consumers having real and meaningful choices about treatment options.**

## “Depression ... presents so many variations and has so many subtle facets—depends in short, so much on the individual’s totality of causation and response—that one person’s panacea might be another’s trap.” 

***“******Depression ... presents so many variations and has so many subtle facets—depends in short, so much on the ******individual’s ******totality of causation and response—that one person’s panacea might be another’s trap.”***** **
**William Styron**
***Darkness Visible: A Memoir of Madness ***

## Effective treatment of mental illnesses will consider the needs of a whole person—mentally, physically, and spiritually 

**Effective treatment of mental illnesses will consider the needs of a whole person—mentally, physically, and spiritually**

## What is it you need to support your personal journey toward recovery? 

**What is it **_**you**_** need to support your personal journey toward recovery?**

## Ways You Can Influence Comprehensive State Mental Health Plans

**Get involved with your State mental health planning and advisory councils**
**Join together as a coalition of mental health care advocates**
-  **Work with community-based organizations (e.g., schools and churches) to engage them as mental health advocates**
**Create partnerships with NAMI and NMHA**
**Work with local chapters of professional organizations (e.g., National Association of Social Workers or the American Psychological Association)**

**Ways You Can Influence Comprehensive State Mental Health Plans**

## Transformation is . . .

**ultimately about newness—about new values, new attitudes, and new beliefs. **
** ****It is about how these changes are expressed in the behaviors of people and institutions.  **

**Transformation is . . .**

## Achieving the Promise:         Transforming Mental  Health Care in America

** ****New Freedom Commission**
** ****on Mental Health**

***Achieving the Promise:         Transforming Mental  Health Care in America***
***	******	***

***Internet search key word:  ***
***“******President’s New  Freedom Commission” ***
***Additional copies available from SAMHSA ***
***by calling 1 (800) 789-2647***

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

**Recovery refers to...**

## http://www.peersupport.org/

**http://www.peersupport.org/**

## It is your voice that can transform our Nation’s mental health care system. 

**It is ****your**** voice that can transform our Nation’s mental health care system. **

**Speak up and speak out.  Celebrate your individuality, celebrate your power, **
**celebrate your hope in recovery.  **
**               **

**You have a future, **
**and it is *****yours***
** ****to choose. **