Behavioral Health Integration Stakeholder Workgroup August 15, 2014 Action Plan Chart Topics – Completed Item Action Responsible Parties Status Secretary/Director Inconsistency Will provide authority to the Secretary where applicable; specific duties (i.e. hiring staff, etc.) will remain with the Executive Director DHMH-AAG Completed (refer to handout) PBHS Definition Do we need a Public Behavioral Health System definition? None Determined not to be necessary in statute Somatic Health Can we include reference that the Director of BHA collaborate; reference may fit in Health General 7.5–204 DHMH-BHA Completed to handout) Recovery Housing Can we re-title the definition of recovery housing to supportive housing? None The term “Recovery Housing” will be changed to “Recovery Residences” New definition completed (refer to handout) Accepting Gifts Review 8-206 and determine whether BHA should be able to accept gifts DHMH BHA does not plan to repeal Fair Housing A subcommittee (Patient Rights and Fair Housing) will review and make recommendations Subcommittee All housing language not in compliance with the Fair Housing Act will be repealed Deaf Services 10-908 through 10-913 reference a program and advisory council that no longer exists for individuals who are hearing impaired None 10-908 through 10-913 will be repealed References to Deputy Secretary As of October 1, 2014, there will be a new title for the Deputy Secretary of Behavioral Health and Disabilities DHMH-Deputy Secretary’s Office Health-General 5-804 (a) (8) and 7.5-203 (a) (2) will be changed by the publisher of the Annotated Code of Maryland with DLS approval Topics for Discussion
Item Action Responsible Parties Status CSA and LAA Refer to local entities as Local Behavioral Health Authorities and define LBHAs to include CSAs, LAAs and integrated entities) DHMH-AAG BHA New definition completed for LBHA and LAA (refer to handout) BHA is reviewing statute to identify where the CSAs are present and determine if LAAs should be added BHA is reviewing statute to identify where CSA and LAA can be replaced with LBHA (refer to handout) Patient Rights A subcommittee (Patient Rights and Fair Housing) will review and make recommendations. Subcommittee Include “entities licensed to provide health services” under 8-703, expanding right from discrimination by hospitals to other service providers Current list of rights for individuals in hospitals under 10-701 will remain Workgroup will discuss including patient rights for community and non-licensed programs Definitions Regarding DSM5 (including Addictive Disorders) Need to update statute to reflect changes in DSM5 Should Addictive Disorders be included with Mental Health and Substance Use? DHMH-BHA Yngvild Olsen (MATOD) Lori Rugle Title 8 language by NCADD will be included in draft MATOD will review Title 8 and make recommendations based on DSM5 The Center for Excellence on Problem Gambling will work with MATOD to include Addictive Disorders in Title 8 where appropriate Peer Services Include peer services to the exempt services list that do not require licensure; Define peer services to include adult, family and youth peer services. DHMH-BHA Two definitions of peer services (refer to draft) under 7.5 will be drafted to include: Peer services family and youth Family support services Definition of Facilities Does the definition of “facilities” need to be redefined? (specifically to not include “clinic”) For Workgroup Discussion Redefine “facility” to include only hospitals (10-101 (e)) Workgroup will discuss whether to include a definition for “outpatient program”
Licensure and Regulations References to adopting regulations in Titles 7.5, 8 and 10 DHMH-AAG Will delete references to licensure and regulations in Title 8 and 10 and replace in 7.5 Salaries Salaries for employees of community MH programs may not be less than salaries of State employees of a comparable grade and step at State facilities (Health – General For Workgroup Discussion Large Group Homes Does BHA want to continue to approve large group homes in future? If so, should SUD group homes be re-categorized into small and large? For Workgroup Discussion