# Presentation: 710850

## Slide 1

## Achieving the Promise:

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

**Transforming Mental Health Care in America**

## 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.**

## Defining Transformation

**...****a continuous process, without end...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***

## A Critical Concept to Transformation

**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**

**Recovery is *****a journey of hope***** that can refer to...**

## 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**

## The CMHS Budget

**Mental Health Services Overview**
**(Dollars in thousands)**

**	****	****	****	****	**** ****FY2006+/-**
**	****  ****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**

## Mental Health Transformation State Incentive Grants

**Provide a fundamental mechanism to advance, State by State, the vision and goals of mental health system transformation**
**Allow SAMHSA to set priorities and promote innovation **
**Help States develop and implement Comprehensive State Mental Health Plans**

## 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
- 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**_

## Together, we can achieve the promise! 

***Together, we can achieve the promise! ***

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