Posts Tagged ‘Behavioral Health Services’

Behavioral Health Annual Report

January 10th, 2013

Our Behavioral Health Services team just finished and published our FY 12 Annual Report.  The new report identifies the number of clients served by service area, funding category and program; and includes programmatic financial reports of revenues, expenditures and administrative costs.  In it, you’ll see that we received a total of about $1.46B in funding for FY 2012 for behavioral health services.  Our Agency administrative costs were about 1% of the total (about $18M). 

The report shows our revenues and expenditures (including specific identification of administrative costs) for each behavioral health program category (The Seriously Mentally Ill; Alcohol and Drug Abuse; Severely Emotionally Handicapped Children; Domestic Violence; and the Arizona State Hospital).

 

Another Acronym?

December 6th, 2012

This is one to remember.  SBIRT is an acronym for a behavioral health intervention that stands for “Screening, Brief Intervention, and Referral to Treatment”.   The technical definition is “ … a comprehensive, integrated, public health approach to the delivery of early intervention and treatment services for persons with substance use disorders…”  A more metaphorical (is that a word?) way to put it is that it catches patients at the top of the waterfall rather than at the bottom.  It’s an evidence-based intervention that’s proven effective at primary care centers, hospital emergency rooms, trauma centers, and other community settings. 

AZ was awarded a $7.5M federal grant to implement SBIRT in primary care offices and emergency rooms… helping primary care providers to identify patients at risk for or who have substance abuse problems that might otherwise go unnoticed a& untreated.  The grant will help reduce the number of substance use related deaths and the prevalence of substance abuse disorders in the five northern Arizona counties: Apache, Coconino, Mohave, Navajo, and Yavapai. 

We picked these counties because the rates of injuries and deaths due to alcohol and other drugs are the highest in that part of the state.  Medical providers at several community health centers and one emergency department will be trained to use the SBIRT screening tool to identify those at risk and conduct brief interventions.  Integration of behavioral health services into primary care centers and the hospital emergency rooms provides opportunities for early intervention with at-risk substance users before more severe consequences occur.  As always- we’re making it a priority to measure our results.

Introducing… the 2012 ADHS Food Drive

October 29th, 2012

Division representatives after last year's food drive.

Helping fight hunger in our state is a worthy investment of anyone’s time.  One in four children struggle with hunger in our state according the Arizona Association of Food Banks.  To do their part…  food banks in our state supply more than 11 million pounds of food every month.  But the food banks rely on donations and with so many people struggling to put food on their own table, it can be hard to drum up donations.  That’s one of the reasons we’re holding our 2nd annual food drive.

During last year’s pre-Thanksgiving food drive Team ADHS collected more than 7,000 pounds of food to the St. Mary’s Food Bank  in Phoenix…  and we sent a cash donation to the Community Food Bank of Southern Arizona and Yuma Community Food Bank.  We’re kicking off this year’s annual food drive at our costume contest during lunchtime on Halloween.  We’re asking everyone who competes to bring a can of food as an “entry fee”.  Then we’ll collect food for about 3 weeks – this year our goal is 2 tons.

We’re going to have a little competition again, because people seem to like it.  So there will be six divisions competing – Public Health Prevention, The Arizona State Hospital, Licensing, Behavioral Health Services , Operations and Public Health Preparedness.

AZ’s Future Essential Health Benefit Package

October 12th, 2012

The future health insurance exchange plans (as well as most other commercially available plans) will need to offer a standardized (state-specific) Essential Benefit Package once the Affordable Care Act kicks in on 1/1/14.  There are 10 key service categories that future plans will need to cover- including behavioral health services.

States were responsible for picking a plan from a set of existing options to serve as their state’s “benchmark” plan by last week.  Arizona picked the State Employee EPO plan as the benchmark plan that most insurance plans will need to cover (at a minimum) on and off the exchange.  Future exchange health plans (as well as most other commercially available plans) will need to be “substantially equal” to the state employee benchmark plan in the scope, limitations and exclusions (e.g. visit limits).   I think the plan is a good choice because it has a robust behavioral health component with fewer limitations, restrictions and exclusions than most other options- and already covers behavioral health services at parity (meaning behavioral health has the same level of coverage as physical health).

Obviously there’s a lot more to it than that… and folks can get a lot more in-depth info about what an Essential Health Benefit is and what it means in this document- which provides an Arizona specific analysis of the issues and the various services that’ll be covered under the future benchmark plan.

 

Integrating Physical & Behavioral Health Services to Save Lives

October 11th, 2012

We all need to take care of both our physical and behavioral health needs in order to be healthy. The mind and body aren’t separated- and neither should the health-care delivery system- especially for folks with a serious mental illness. Folks with a serious mental illness die more than 25 years earlier than the general population… an unacceptable health disparity in anybody’s book. The increased mortality is largely from treatable medical conditions caused by modifiable risk factors like smoking, obesity, substance abuse, and not accessing primary and acute medical care. 

We recognized the need to address this unacceptable health disparity when we put together our Strategic Map and Plan. It’s been a long haul and a lot of work- and we passed a major milestone this week when we released our Request For Proposal (otherwise known as RFP) for the delivery of behavioral health services in Maricopa County. The entity that ends up getting the contract will be responsible for delivering both preventative, acute and primary care along with Recovery-based behavioral health services for folks in the public behavioral health system in Maricopa County. The new contract is scheduled to start on 10/1/13. 

It’s difficult to put into words how much work has gone into this solicitation. I know that many of you put this work on top of all your normal work, had put off other projects, and sacrificed some of your home-life for this product- and I just really want you to know that I appreciate it. It’s going to save lives. You can check out the full solicitation on the State’s Procurement website hub- called ProcureAZ.

What’s Happening in Behavioral Health

September 26th, 2012

The Acting Deputy Director of Behavioral Health gives a great overview of the Division and its mission in his blog today.  Take a look and bookmark the site for future news.

Rules Rollin’ Along

September 26th, 2012

Our regulatory reform effort in Licensing is rolling along.  We’ve already held rules work group meetings with representatives from behavioral health inpatient and residential facilities and are incorporating the Stakeholder comments into our next iteration of our draft rules.  In November, we’ll start holding rules work group meetings with representatives from behavioral health outpatient settings. This’ll truly represent an integration effort since some facilities providing outpatient services are currently licensed under Chapter 10, while others are currently licensed under Chapter 20

We’re continuing to look at all Articles in Chapter 10, Health Care Institutions to see how they can be incorporated to support the integration of Behavioral Health Services. This involves more work than we originally anticipated- but still do-able with a full court press by the Summer of ’13 finish line.  On a side note, although it isn’t a “health care institution,” we’re holding a rules work group meeting to discuss revisions to the Domestic Violence Offender Treatment rules, which will go into Chapter 20 (the non-health-care institutions rules chapter).

Essential Benefit Package 101

August 21st, 2012

The future health insurance exchange under the Affordable Care Act will need to offer an Essential Benefit Package. In fact, most health insurance plans will need to cover each state’s Essential Benefit Package starting New Year’s Day in 2014. There are 10 key service categories that future plans will need to cover- including behavioral health services. 

States need to pick a plan from a set of existing options as their “benchmark” plan- which will serve as the state-specific essential benefit package. The options to choose from include: 1) the largest plan by enrollment in any of the three largest small group insurance products in the small group market; 2) any of the largest three state employee health benefit plans by enrollment; 3) any of the largest three national federal employees health plans; or 4) the largest insured commercial non-Medicaid HMO in the State.  If the benchmark plan doesn’t include all the 10 key service categories then it needs to be supplemented. 

The due date for states to pick a benchmark plan is September 30 of this year.  If a state doesn’t want to pick a benchmark plan, the Fed’s will make the choice for them- and they intend to choose “…  the largest small group market product in the State’s small group market” which (in Arizona) is Aetna’s PPO plan.  Once a state picks the benchmark plan (or has it picked for them)- it becomes a “reference plan” for the state for a couple of years- meaning that future exchange health plans must be “substantially equal” to the benchmark plan in the scope, limitations and exclusions (e.g. visit limits). 

Obviously there’s a lot more to it than that…  and you or your Stakeholders can get a lot more in-depth info about what an Essential Health Benefit is and what it means in this document that provides an Arizona specific analysis of the issues and the various services that are covered by potential benchmark plans.

 

Dr. Nelson- Our Friend & Amiga

July 25th, 2012

One of our priorities over the last 3.5 years has been to ensure that we develop and train our workforce so that we maintain business continuity and have the ability to transition effectively to new leadership when the time comes (part of Strategic Map element E1).  We’ll be putting our prep work to the test in the coming weeks- as Dr. Nelson will be leaving her posts as Deputy for Behavioral Health and as Chief Medical Officer on August 24 to work at Mercer.  But by keeping our strong behavioral health team together- we’ll continue to keep up our momentum and continue delivering high quality behavioral health services for the people we serve. 

Under Dr. Nelson’s leadership, we’ve shifted the Department’s behavioral health system to focus on the core principles of Recovery and have adopted outcome-based performance measures to monitor and to improve the performance of Arizona’s behavioral health system, resulting in real and measurable improvements in people’s lives.  We’ve re-focused our efforts at the Arizona State Hospital to improve the quality of care for our patients and families, incorporating a Culture of Care that improves our performance every day. 

 Dr. Nelson is well recognized throughout the entire behavioral health system as a dynamic and competent leader and will surely be missed.  She’s even developed a solid national reputation, most recently receiving the President’s Award from the National Association of State Alcohol and Drug Abuse Directors.  We all know that about her – but it sure is nice to hear that type of praise on a national stage.  It reminds us that we are lucky to have someone with her skills advocating for those with mental illness in Arizona. 

I have to admit that I’m a little bit misty as I write this- as I think back to what Dr. Nelson and I have been through together (and what we’ve achieved as an Agency) since we started our quest together back in January of ’09.  Believe me, I know it’s hard to lose leadership like this…  but we’ll continue with our mission as a team.  Anytime an organization loses leadership as strong as Laura it’s a challenge…  but it can also be an opportunity for growth.

 

Behavioral Health Contract Scope Enters the Homestretch

June 20th, 2012

Our Request For Purchase (otherwise known as RFP) Core Team (Bob Sorce, Victoria Navarra, Teresita Oaks, and Chris Leavitt) and our entire cast of characters has been doing a full court press for the last 6 months to put together the Scope of Work that we’ll use when we go out for bid for the massive behavioral health services contract in Maricopa County later this summer.  

Getting here was a mountain of work- but by breaking the project down into digestible bites and keeping everything organized via SharePoint- we’re just about there.  Our homestretch activities include identifying, collecting and packaging all the “Documents Incorporated by Reference” and doing final touch up work.  Shortly after we’ve done that, the Scope of Work package will go over to our partners at the AG’s Office for a review.  If all goes well- we’ll be ready to put the project out to bid later this Summer. 

It’s difficult to put into words how much work has gone into this product.  I know that many of you put this work on top of all your normal work, had put off other projects, and sacrificed some of your home-life for this product- and I just really want you to know that I appreciate it.  It’s going to save lives.