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Substance Use Disorder

The Division of Children, Adolescents and Family Services has been added to the Department of Health and Human Services organizational chart under the Bureau of Prevention, Intervention, Treatment and Recovery. Previous versions of the Unification Plan and the accompanying organizational chart did not include a designated division to represent children’s mental health.

The absence of children’s mental health on the overall plan and chart was brought to the attention of the Children’s Steering Committee and the larger RCPA children’s provider members. Numerous comments in support of a children’s division were shared with RCPA leadership.

Richard Edley, RCPA President & CEO, Robena Spangler, RCPA Director of Children’s Division, and Rhea Fernandes from Devereux Advanced Behavioral Health met with the Governor’s team to discuss recommendations to address the concerns. RCPA presented a number of options that were taken into consideration by the team.

We are proud to report that as of June 8, the recommendations were fully implemented and the organizational chart has now been updated to reflect the change. We believe this demonstrates that our voices are being heard and that the Governor’s office does value constructive feedback and input into the successful implementation of the unification plan.

Thank you to the Governor’s staff for their interest and response to this very important issue.

In this year of challenging state-level budget negotiations, RCPA is working with a coalition of community foundations, United Way organizations, Labor Unions, religious and advocacy groups, and other key stakeholders in the #FamilyFirstPA Coalition. The growing list of coalition members can be viewed on the #FamilyFirstPA#FamilyFirstPA website. The main goal of the #FamilyFirstPA Campaign is to ensure that there are no cuts to human services in upcoming 2017/2018 state budget. Cuts to human services not only cause irreparable damage to Pennsylvania families, but they also have adverse impacts on organizations that our families rely on. Sharing family stories via social media was the first phase of this campaign. Now, we need your support to push our efforts to the next level. As a coalition partner, RCPA is encouraging our members to amplify the work of the coalition by making use of the social media resources created by this initiative for the coalition. Engage with #FamilyFirstPA on social media; “Like” us on Facebook and “follow us” on Twitter. The initiative is now sharing family stories from across Pennsylvania and engaging legislators through our posts and tweets. Encourage your staff, families, other organizations, county and state level stakeholders, to like and follow the campaign as well.

Any questions about the work of the #FamilyFirstPA Coalition can be directed to Connell O’Brien, who is serving as liaison between RCPA and the #FamilyFirstPA initiative.

During the past few years, the state Medicaid program, HealthChoices, has begun to implement and expand the use of Value-Based Purchasing models in procurement contracts with all Physical Health Managed Care Organizations (PH-MCOs). With a goal of increasing clinical outcomes, patient satisfaction, and cost management, the PH-MCOs have called for increased use of such Value-Based Purchasing models as Pay for Performance, Patient Centered Medical Homes, and Bundled Payments. On May 25, the leadership of the Offices of Medical Assistance Programs (OMAP) and Mental Health and Substance Abuse Services (OMHSAS) conducted a webcast to review the implementation process used in HealthChoices by the PH-MCOs and their provider networks, and to introduce the process of expanding Value-Based Purchasing to the Behavioral Health Managed Care Organizations and their provider networks. The OMHSAS target for introducing this expansion is January, 2018 with a focus on integrated and collaborative behavioral and physical health and care coordination.

nc-action-alertNow that Congress has finalized the FY2017 appropriations process, it is poised to begin working on appropriations for FY2018.

Mental Health First Aid champion Senator Richard Blumenthal (D-CT) is today circulating a letter requesting continued funding for Mental Health First Aid trainings. The program that provides training to emergency first responders, law enforcement personnel, primary care personnel, Human Resources professionals, faith community leaders, veterans, teachers, and students and their parents.

take-action

 

Will you please take two minutes and urge your Senator to sign on to the Dear Colleague letter (text below) supporting Mental Health First Aid training for this important population?

Earlier this year, Representatives Lynn Jenkins (R-KS) and Doris Matsui (D-CA) circulated a similar letter and due, in part, to outreach by National Council advocates, 23 bipartisan legislators signed on to a letter supporting Mental Health First Aid in the House.

Today, we are asking you again to demonstrate that bipartisan, nationwide support for Mental Health First Aid and ask your Senators to sign on.
Thank you for your hard work and advocacy!

Sincerely,

Chuck Ingoglia
Senior Vice President, Public Policy and Practice Improvement
National Council for Behavioral Health

++++++++++++++++++++++++++++++

The Honorable Roy Blunt                              The Honorable Patty Murray
Chairman                                                        Ranking Member
Senate Labor/HHS Appropriations                 Senate Labor/HHS Appropriations
Subcommittee                                                 Subcommittee
135 Dirksen Senate Office Bldg.                    156 Dirksen Senate Office Bldg.
Washington, D.C. 20510                                Washington, D.C.  20510
 
Dear Chairman Blunt and Ranking Member Murray:
 
We are writing to urge you to include the current funding level of $15 million for Mental Health First Aid and important Committee report language in the FY 2018 Labor, Health and Human Services, Education, and Related Agencies (L-HHS) appropriations bill. This important mental health training program will improve education and awareness about mental illness in our communities, giving those trained the ability to intervene and address mental health crises as they happen.
 
Mental Health First Aid is an evidenced-based education program that helps the public identify, understand, and respond to the signs of mental illness. Since FY 2014, the Substance Abuse and Mental Health Services Administration (SAMHSA) has funded state and local educational agencies to support the training of school personnel including classroom teachers, counselors, and principals.  Most recently, the agency has maintained the program’s youth focus, but expanded the eligible grantees to include youth-focused organizations and nonprofits, as well as community colleges.
 
Last year, as part of its One Mind Campaign, the International Association of Chiefs of Police (IACP) endorsed Mental Health First Aid as an evidence-based practice to improve law enforcement interactions involving persons with mental illnesses.  To date, nearly sixty local law enforcement agencies have adopted the IACP One Mind Campaign pledge to train and certify 100 percent of their incoming cadets, sworn patrol officers, and police dispatchers in Mental Health First Aid.
 
In view of these developments, we are proposing the inclusion of committee report language that would add public safety audiences to the Mental Health First Aid program. Particularly for law enforcement personnel, the crisis de-escalation component of the training protects the lives of both officers and citizens experiencing psychiatric crises.
 
Therefore, we ask that the Committee add this language to the FY 2018 Department of Health and Human Services (HHS) report:
 
Mental Health First Aid – The Committee is pleased with the progress of Mental Health First Aid including training more than 740,000 Americans to recognize the signs and symptoms of common mental disorders. In continuing competitive funding opportunities, SAMHSA is directed to include as eligible grantees local law enforcement agencies, fire departments, and emergency medical units with a special emphasis on training for crisis de-escalation techniques. SAMHSA is also encouraged to prioritize training for veterans, armed services personnel, and their family members within the Mental Health First Aid program.
 
As mental illness impacts the lives of millions of Americans and their families and too many mental health disorders continue to go undiagnosed and untreated, we must make prudent investments to improve mental health awareness in our communities. That is why we urge you to support funding for Mental Health First Aid in FY 2018 and include this important report language.
 
Sincerely,
 
Richard Blumenthal
U.S. Senator


 

Questions, contact Jack Phillips.

 

(From DHS)

FOR IMMEDIATE RELEASE
May 3, 2017 

Department of Human Services Hosts Mental Health Awareness Fair
Governor Tom Wolf proclaimed May Mental Health Awareness Month 

Harrisburg, PA – Today, the Department of Human Services (DHS) in collaboration with PA System of Care Partnership, PA Healthy Transitions Partnership, and Youth M.O.V.E. PA, hosted the 2017 Mental Health Awareness Fair in Harrisburg to raise awareness and understanding of mental illness and substance use disorders. Governor Tom Wolf has proclaimed May Mental Health Awareness Month.

“Mental illness and substance use disorders affect Pennsylvanians from all walks of life. Only about half of those people, however, seek treatment,” said DHS Secretary Ted Dallas. “The department is committed to increasing awareness and providing quality care to these individuals so that all Pennsylvanians who need help can get it.”

Representative Mike Schlossberg (D-Lehigh) joined the event to speak about the challenges he has seen in trying to reduce the stigma associated with mental illness.

“No person with mental illness should ever feel alone,” said Representative Schlossberg. “Events like these are more important than ever because we have to make sure that everyone who suffers from mental illness has the chance to obtain treatment and live healthy, productive, and happy lives.”

To help individuals gain access to treatment, DHS was recently awarded a Certified Community Behavioral Health Clinic (CCBHC) demonstration grant by the federal Substance Abuse and Mental Health Services Administration. CCBHCs will enhance access to behavioral health services for Medicaid and CHIP beneficiaries, help individuals with mental illness and substance use disorders obtain the health care they need, allow individuals to have access to a wide array of services at one location, and remove the barriers that too often exist across physical and behavioral health systems. CCBHCs are a step closer to ending the stigma associated with mental illness.

Each mental illness has its own set of symptoms but some common signs of mental illness can include the following:

  • Excessive worrying or fear
  • Feeling excessively sad or low
  • Confused thinking or problems concentrating and learning
  • Extreme mood changes, including uncontrollable “highs” or feelings of euphoria
  • Prolonged or strong feelings of irritability or anger
  • Avoiding friends and social activities
  • Difficulties in understanding or relating to other people
  • Changes in sleeping habits or feeling tired or experiencing low energy
  • Changes in eating habits such as increased hunger or lack of appetite
  • Difficulty perceiving reality (delusions or hallucinations, in which a person experiences and senses things that don’t exist in objective reality)
  • Inability to perceive changes in one’s own feelings, behavior, or personality
  • Abuse of substances like alcohol or drugs
  • Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing “aches and pains”)
  • Thinking about suicide
  • Inability to carry out daily activities or handle daily problems and stress
  • Intense fear of weight gain or concern with appearance (mostly in adolescents)

For more information on how to access mental health services, click here.

MEDIA CONTACT: Rachel Kostelac, 717-425-7606

RCPA will host its annual conference at the Hershey Lodge on October 10–13, 2017. At this large-scale, statewide event, the RCPA board of directors wants to continue the important tradition of recognizing individuals and organizations/facilities for their dedication and commitment to service. The following award categories have been created for this event and recognition:

  • RCPA Innovation Award. Presented to an individual or organization in recognition of significant innovation. Examples include cross-systems integration, physical/behavioral health integration, and implementation of new technologies.
  • Exemplary Service to RCPA Award. Presented to an individual or organization/facility that has shown a strong commitment and dedication in service to the association, its members, and related issues.
  • Legislative Leadership Award. Presented to an individual who has shown significant leadership and commitment to government affairs and legislative issues, on behalf of RCPA and its members.
  • Community Leadership Award. Presented to an individual in recognition of extending service and knowledge to the community at large, and efforts in helping the community understand the needs of individuals served by RCPA members. This can be for specific or short-term significant acts, or to recognize a career-long body of work.
  • Lifetime Achievement Award. Presented to an individual in honor of his/her significant, consistent, and enduring contribution throughout his/her career in support and furthering of the field.

At this time, RCPA is accepting nominations through an open solicitation of members (e.g., designated contact person, CEOs/executive directors, staff) and RCPA committees. Members may nominate one or more individuals/organizations in one or more categories. Nominations will be reviewed by a sub-group of the board of directors to make recommendations for final selection and approval by the full board.

Include the name/organization (if applicable) of the nominee, the award category, and a statement about why you believe the individual/organization should be honored. Nominations should be made by Friday, June 2, 2017. Please send nominations to Cindy Lloyd.

Award recipients are not limited to RCPA members and every award may not be presented annually. Please join the association in continuing this tradition and in offering nominations for those who deserve recognition for their significant contributions.

(From OMHSAS)

From: DHS STAKEHOLDERS
On Behalf Of: HS, Secretary’s Office
Sent: Monday, April 10, 2017 2:41 PM
To: DHS Stakeholders
Subject: OMHSAS Leadership

Today I am announcing that Dr. Dale Adair will serve as the Acting Deputy Secretary for the Office of Mental Health and Substance Abuse Services (OMHSAS). For those of you who have not yet met him, Dale currently serves with distinction as the Chief Medical Officer at OMHSAS and is an essential member of the OMHSAS executive team.

Dale’s nearly 30 years of experience in all levels of state government and his leadership experience will be invaluable as we move forward during this difficult time and begin the process of selecting our next Deputy Secretary. I have complete confidence that Dale will make the transition to a new Deputy Secretary as smooth as possible and that the critical work that OMHSAS does every day continues without interruption.

I would personally like to thank Dale for stepping up into this role, your leadership is needed now more than ever at DHS.

Please join me in welcoming Dale to this new role and working with him so that we can ensure that services continue for the vulnerable Pennsylvanians that OMHSAS serves.

Ted