Colorado Behavioral Health Task Force July 1, 2019 1 Zoom - - PowerPoint PPT Presentation

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Colorado Behavioral Health Task Force July 1, 2019 1 Zoom - - PowerPoint PPT Presentation

Colorado Behavioral Health Task Force July 1, 2019 1 Zoom housekeeping Please Mute your phone, microphone, and speakers on your computer/device Turn off the zoom video feature Enter your name/organization in the chat box feature


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July 1, 2019

Colorado Behavioral Health Task Force

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Zoom housekeeping

Please

  • Mute your phone, microphone, and speakers on your

computer/device

  • Turn off the zoom video feature
  • Enter your name/organization in the chat box feature for

attendance

  • For small group work, we will be breaking you out into virtual

groups

  • Indicate your interest to share thoughts with the group or submit

questions via the chat box feature

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Objectives for the Day:

  • 1. Welcome and introduce members of the BHTF
  • 2. Grounding/level-setting for the work ahead for the BHTF
  • Review the role of the BHTF
  • Provide historical narrative of how BHTF came to be
  • Determine how we would like to work together
  • 3. Define a vision for the BHTF
  • 4. Define accountability for the BHTF
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Welcome

Michelle Barnes

Executive Director, Colorado Department

  • f Human Services

Chair, Behavioral Health Task Force

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Conduct, analyze, and disseminate research to inform policy development and implementation Provide technical, adaptive, and leadership assistance for integrating care across health and health systems Convene stakeholders and decision makers to improve health and healthcare together Partner with communities, state and federal agencies, and foundations to catalyze action Synthesize and apply evidence to policy to bridge the gap between what we know and what we do

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Let’s get to know one another.

What is your name? Who are you representing? What brought you to the work of the BHTF?

Hello, my name is….

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Break

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What We Know

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What do we mean by “Behavioral Health?”

Refers to an individual’s mental and emotional well-being development and actions that affect his/her overall wellness Behavioral Health problems and disorders include substance disorders, serious psychological distress, suicidal ideation, and other mental health disorders Problems ranging from unhealthy stress or subclinical conditions to diagnosable and treatable diseases are included

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Colorado continues to struggle with behavioral health challenges.

Source: A Way Forward: How Colorado’s Behavioral Health Leaders Can Address Colorado’s Most Pressing Needs. Colorado Health Institute. April 2018.

An estimated half million Coloradans are dependent on alcohol or have used illicit drugs. Almost 12 percent of Coloradans report poor mental health, according to the 2017 Colorado Health Access Survey, up from about 10 percent in 2015. Colorado ranks 43rd of the 50 states plus the District of Columbia on a 2018 mental health index from Mental Health America, based on 15 measures. About one of 13 Coloradans (7.6 percent) did not get needed mental health services in 2017.

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There are three subcommittees supporting the work of the Task Force.

Task Force Children’s Behavioral Health Safety Net Long-Term Competency

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We can build from the work that has been started in regards to children’s behavioral health.

Based on the 2018 State of Mental Health in America Report for children and youth specifically, Colorado currently ranks 48th in the country when analyzing several indicators including the prevalence of mental illness and access to care. Among the most disturbing statistics is that suicide is the leading cause of death among Coloradoans between 10 and 24 years old. Over 30 sources of previously documented needs and recommendations related to reforming and strengthening Colorado’s behavioral health services and supports for children and youth have been reviewed and studied. Goals around governance; finance; quality improvement; care coordination; service array; and access, screening and assessment offer a starting point.

Source: Roadmap to Colorado’s Behavioral Health System for Children, Youth and Families: 4-Year Strategic Plan. Partners for Children’s Mental Health. 2018.

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The Safety Net Subcommittee will focus on ensuring that services and supports are in place.

Set forth criteria and processes, in collaboration with behavioral health providers, for when the needs of an individual referred to a safety net provider exceed the treatment capacity or clinical expertise of that provider Identify what behavioral health services each community must have access to in each region of the state Develop a funding model to ensure the viability of the safety net system Provide locally responsive recommendations, including legislative recommendations, to address behavioral health provider licensing and regulations, housing, transportation, workforce and any

  • ther barriers that curb access to

care

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The L/T Competency Subcommittee’s recommend- dations must align with the Consent Decree.

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The number of court orders for inpatient competency evaluations and restoration treatment. The time frame, or length of stay, from admission to discharge for restoration treatment. The number of inpatient beds available. Three areas that directly impact the availability of inpatient beds for competency evaluations and restoration treatment:

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Colorado has seen a 592% increase in the number of court orders for competency evaluations since 2000. Colorado has seen a 1251% increase in the number of individuals referred for competency restoration services.

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Let’s recap.

We need to stay focused

  • n solutions in a realistic

timeline. We know that the system is not working for everyone. We have been given some clear direction. There is a foundation

  • f work from which we

can build.

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Other current data will inform our work.

Legislative Review Financial Analysis Community Input Ongoing review of Reports & Best Practices

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Group Discussion

In reading the articles and from what you know: What wasn’t mentioned that surprised you? What did you learn that influences how you think about our work?

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BHTF Communications

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Working together: This is hard for lots of reasons.

We have different perspectives. Business models could be effected. Some of us wear multiple hats. Some of us have history.

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Are these group agreements the right ones for this Task Force?

Charitable Assumptions: We are all trying to do good work. Step Forward/Step Back: Everyone participates. Tough on Ideas, Soft

  • n People:

Be curious. Acknowledge Your Role: Identify what hat you are wearing. Stay solution-

  • riented.

Use words thoughtfully: Be respectful. Start and end on time.

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Parking Lot Process

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A comprehensive behavioral health system that meets the behavioral health needs of all Coloradans in the right place at the right time to achieve equitable behavioral health outcomes.

Puts the consumer at the center Coordinates criminal justice systems, human services, health and education Provides a continuum of care, from health promotion and prevention to treatment and recovery across the lifespan Integrates services Provides services in a culturally and linguistically specific manner Financially sustainable

Vision for BHTF

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Visioning

  • 1. Can you see yourself and/or the work that is important to you

reflected in this vision statement?

  • 2. If no, what is missing?
  • 3. Are there elements within this vision statement that do not

reflect the work of the BHTF from your perspective?

  • 4. Are there ways that you would rephrase the statement to

simplify the message?

  • 5. Are there additional vital elements to operationalize the vision

statement?

  • 6. How would you prioritize these vital elements?
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Break/Multi-vote

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Accountability

  • 1. What will success look like for the BHTF?
  • 2. How will the BHTF hold itself accountable to the

work defined by the vision statement?

  • 3. How will the BHTF measure progress towards its

goals?

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Public Comments

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8/7/19 NEXT WEEK

uNotes will be circulated. uOpportunity for

  • ptional online

anonymous survey. uNext BHTF meeting u2:30-4:30pm; location TBD, please watch your email for details

Next steps:

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Run the table

Two words that describe your experience today.

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Thank you for your time and commitment.