Preconference: Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid to Promote Recovery

behaviorial-health-preconMonday, October 19, 2015
8:45am-4:00pm
PDF-icon Download the Preconference ebook

People with serious mental illness and substance use disorders are among the most complex and most costly Medicaid enrollees. Recovery-oriented services and supports have been shown to help people with these disorders stay in the community, maintain employment and housing, and reduce use of higher-cost services. This pre-conference will highlight the importance of cross-agency collaboration in supporting effective and sustainable recovery-oriented mental health and substance use disorder services. State policy makers will leave the preconference with a better understanding of how they can support recovery-oriented best practices, improve the health of individuals with SMI/SUD, and how comprehensive, whole-person behavioral health approaches can support broader state health policy goals.


Agenda:

8:45 – 9:00 | Welcome and Introductions

Dena Stoner, Senior Policy Advisor, Texas Department of State Health Services

dena-stonerDena Stoner is currently Senior Policy Advisor for the Texas Department of State Health Services. She also serves as Chair of the National Association of Mental Health Program Directors Medicaid and Finance Division and as an appointed member the National Academy of State Health Policy. Ms. Stoner has over 35 years of experience in public policy, management, strategic planning, program design and implementation. She has developed and implemented a number of major programs and initiatives in Medicaid-funded long term services, acute care, managed care and behavioral health. In her current position, Ms. Stoner is responsible for developing initiatives to improve services for people with mental health and substance abuse conditions. Examples of recent initiatives include the nationally recognized Texas Money Follows the Person Behavioral Health Pilot, Demonstration to Maintain Independence and Employment and Medicaid Incentives for Prevention of Chronic Disease Study. She also led development of behavioral health delivery system reform project options for the Texas Medicaid 1115 Transformation Waiver and created home and community-based waiver and state plan amendments for persons with mental illness.Her innovations have been featured in various national periodicals, including the Journal of Vocational Rehabilitation, Policy and Practice: The Magazine of the American Public Human Services Association, Administration and Policy in Mental Health and Mental Health Services Research, and Generations: The Journal of the American Society on Aging.

9:00-10:15 | Session 1: Mental Health, Substance Use Disorders, and Medicaid: Reaching Across the Divide

State substance use and mental health agencies work with some of their states’ most vulnerable populations; these individuals are also some of the most expensive and high-utilizing enrollees in their state Medicaid programs. Finding shared solutions to effectively address the needs of these diverse populations is critical. This session will feature a discussion among state and federal policymakers about the challenges and benefits of working together.

Trish Riley, Executive Director, National Academy for State Health Policy (NASHP)

trish-riley Trish Riley is Executive Director of the National Academy for State Health Policy and president of its corporate Board. She helped build NASHP as CEO from 1988-2003. Previously she was a Senior Fellow in State Health Policy at George Washington University. And at the Muskie School of Public Service, University of Southern Maine. From 2003-2011 she served as Director of the Governor’s Office of Health Policy and Finance, leading Maine’s effort to develop a comprehensive, coordinated health system in Maine including access to affordable health insurance. She was the principal architect of Dirigo Health Reform and served as the state’s liaison to the federal government and Congress, particularly during deliberations around national health reform. She chaired the Governor’s Steering Committee to develop a plan to implement the Affordable Care Act in Maine. Riley has also held appointive positions under five Maine governors – directing the aging office, Medicaid and state health agencies, and health planning and licensing programs. Riley has published and presented widely about state health reform. She serves as a member of the Kaiser Commission on Medicaid and the Uninsured, the Medicaid and CHIP Payment and Access Commission (MACPAC), The Health Services Committee of the Institute of Medicine, the National Academy for Social Insurance and the Board of Directors of Maine’s Co-Op insurance plan. She was a member of the Institute of Medicine’s Subcommittee on Creating an External Environment for Quality. She also previously served as a member of the Board of Directors of the National Committee on Quality Assurance. Riley holds a B.S. & M.S. from the University of Maine.

Paolo del Vecchio, Director SAMHSA

Paolo-del-VecchioPaolo del Vecchio, MSW, is the Director of the Substance Abuse and Mental Health Services Administration (SAMHSA)’s Center for Mental Health Services (CMHS). SAMHSA is the lead Federal agency designed to reduce the impact of substance abuse and mental illness on America’s communities.In this role, Mr. del Vecchio provides executive leadership for Federal efforts to improve the nation’s mental health service systems. This includes management of the federal/state mental health block grant program and directing a range of programs and activities that address topics such as suicide prevention, children’s mental health, homelessness, disaster mental health, HIV/AIDS, and others.Previously, Mr. del Vecchio was the CMHS Associate Director for Consumer Affairs where he directed SAMHSA’s precedent-setting programs and activities that advanced consumer participation and education, a recovery orientation for the mental health system, peer support and the adoption of certified peer specialists, wellness and primary care integration, understanding of trauma histories and the social determinants of health and mental health, and led programs to reduce discrimination and prejudice associated with mental illnesses. Prior to joining SAMHSA, Paolo worked for the Philadelphia Office of Mental Health in the areas of policy formulation and the planning of a comprehensive system of community-based mental health services addressing homelessness, HIV/AIDS, and many other issues. A self-identified mental health consumer, trauma survivor, and person in recovery from addictions, Paolo has been involved for over 40 years in behavioral health as a consumer, family member, provider, advocate, and policy maker. He graduated summa cum laude with a Master’s Degree in Social Work from Temple University, has published widely, and is a highly sought after national leader and speaker. Paolo has been a leader in many Federal efforts including the Federal Advisory Planning Board for the Surgeon General's Report on Mental Health, the HHS Multiple Chronic Conditions Initiative, the HHS Living Community Initiative and numerous others.

PDF-icon Tom Betlach

Tracy Plouck, Director, Ohio Department of Mental Health and Addiction Services


10:15-10:30 Break

10:30- 12:00 | Session 2: What Works: State Strategies for Funding Effective Recovery-Oriented Services and Supports

States are using a variety of approaches to support comprehensive, recovery-oriented systems of care for individuals with mental health and substance use treatment needs.  This session will explore how states are using diverse funding strategies to support effective recovery-oriented services and systems.

Dena Stoner, Senior Policy Advisor, Texas Department of State Health Services

dena-stonerDena Stoner is currently Senior Policy Advisor for the Texas Department of State Health Services. She also serves as Chair of the National Association of Mental Health Program Directors Medicaid and Finance Division and as an appointed member the National Academy of State Health Policy. Ms. Stoner has over 35 years of experience in public policy, management, strategic planning, program design and implementation. She has developed and implemented a number of major programs and initiatives in Medicaid-funded long term services, acute care, managed care and behavioral health. In her current position, Ms. Stoner is responsible for developing initiatives to improve services for people with mental health and substance abuse conditions. Examples of recent initiatives include the nationally recognized Texas Money Follows the Person Behavioral Health Pilot, Demonstration to Maintain Independence and Employment and Medicaid Incentives for Prevention of Chronic Disease Study. She also led development of behavioral health delivery system reform project options for the Texas Medicaid 1115 Transformation Waiver and created home and community-based waiver and state plan amendments for persons with mental illness.Her innovations have been featured in various national periodicals, including the Journal of Vocational Rehabilitation, Policy and Practice: The Magazine of the American Public Human Services Association, Administration and Policy in Mental Health and Mental Health Services Research, and Generations: The Journal of the American Society on Aging.

PDF-icon Carol Kress Vice President, Client Partnerships Beacon Health Options/Massachusetts Behavioral Health Partnership

carol-kressCarol Kress, LICSW, is the Vice President of Client Partnerships and chief executive of the Massachusetts Behavioral Health Partnership (MBHP), a Beacon Health Options Company. Carol was Chief Operating Officer of MBHP for 10 years before assuming her senior leadership role of the company in May 2015. She joined MBHP in 1998 as the Clinical Director of the Intensive Clinical Management Program and in 2000 became the Vice President of Clinical Operations. Carol was part of the leadership team that helped to develop, implement, and expand the Community Support Program for People Experiencing Chronic Homelessness (CSPECH), a clinical support program for individuals in Housing First programs that was first launched in 2005. Prior to MBHP, Carol worked in various clinical and administrative roles in both community-based and inpatient settings. She received her Master of Social Work from the Smith College School for Social Work and her undergraduate degree from Ithaca College.

PDF-icon Shawn Thiele, VP, Business Development and Innovation, Magellan Healthcare

shawn-thiele Shawn Thiele serves as the VP of Business Development and Innovations for Magellan Healthcare, Inc. In this position she is responsible for the management and leadership of Public Sector Innovations. Since joining Magellan in 2008 as the chief of child & family services,Thiele and her team successfully launched in central Arizona a child and family practice model; practice standards based on system principles that serve as a guide for achieving measurable and meaningful outcomes for service recipients. Subsequently as the Deputy CEO, she handled account management, customer service, and operations in central Arizona. Thiele recognized her calling for combining smart policies and mental health practices during nearly two decades of work in the field. Before joining Magellan, she was vice president for Hathaway-Sycamores Child & Family Services where she led the redesign and expansion of mental health and child welfare services for children/youth/families. She brings expertise in strategic planning and business development; has a Green Belt in Lean Six Sigma; and has served organizations such as Teen Lifeline, Scottsdale Business Chamber, ACMHA and National Wraparound Initiative.

PDF-icon Erin Leavitt-Smith, Transition Services Manager, Connecticut Department of Mental Health and Addiction Services, Forensic Services

erin-smith Erin Leavitt-Smith, MA, LPC, is the Transition Services Manager for the Connecticut Department of Mental Health and Addiction Services (DMHAS) Division of Forensic Services. She has worked for the department 27 years in a variety of direct care and managerial positions all aimed at treating and advocating for people with severe and persistent mental illness.

PDF-icon Susan Bergeson, Vice President, Consumer and Family Affairs, Optum

sue-bergeson Sue Bergeson is a person with the lived experience of behavioral health. Many of her family members live with behavioral health issues. Her beloved sister died by suicide. She is the national Vice President of Consumer and Family Affairs for Optum Consumer Solutions, the behavioral health arm of United Health Care, a large managed care company. Bergeson is responsible for developing behavioral health programs that help people living with mental illness and substance use disorders achieve long-term recovery and resiliency. She has brought peer support as a reimbursable service into Optum including facilitating the creation of Level of care guidelines, reimbursement guidelines, Statement of work, contracting guidelines, and credential guidelines. She has developed training programs to teach consumer run programs how to contract with managed care organizations to create sustainable funding. She has built a suite of activation and health literacy tools for consumer to use to support their wellness as well as tools to help peer coaches assess and provide the right self-care tools and resources at the right time. Before joining OptumHealth, Bergeson lead the Depression and Bipolar Support Alliance (DBSA). Under her tenure DBSA grew to serve over five million members per year, offering over 30 self-care and health literacy products and over 1,000 support groups in all fifty states. Sue has been on The View, the Today Show, Good Morning America, CBS news, NBS news, CNN, and public television; She has been quoted in Newsweek, the LA Times, the Washington Post, among other national print media and has been a regular on WGN radio. She has served on many national workgroups, research studies and national consumer initiatives. She is a frequent speaker on consumer centered issues and concerns. She was honored as the recipient of the 2015 Clifford Beers Award, MHA’s highest honor, considered by many to be the nation’s highest award for an advocate with the lived experience of mental health.

12:00 – 1:00 | Lunch: Aligning Mental Health and Substance Use Disorder Services with Broader State Reform Initiatives

Virtually all states are currently engaged in some kind of significant system delivery and/or payment reform initiative; these efforts often support integrated, coordinated approaches to care for individuals with complex or chronic care needs. Several states are looking at how individuals with serious mental health or substance use disorder needs can benefit from these reforms: this session will highlight how states are incorporating integrated mental health and substance use approaches into broader health reform efforts.

 Maryanne Lindeblad, Medicaid Director, Washington State Health Care Authority

maryanne-lindeblad MaryAnne Lindeblad brings a broad health care and administrative background to the top position in the Washington State Medicaid program. Lindeblad, a Registered Nurse, has been an active health care professional as well as a leader in many kinds of health care -- long-term care, behavioral health care, eldercare and services for people with disabilities. Prior to her appointment as State Medicaid Director, she served for two years as the Assistant Secretary for Aging and Disability Services Administration in the Department of Social and Health Services. Previously, she was Director of the Health Care Services Division of the Medicaid program. Lindeblad held a variety of leadership positions over the years, including assistant administrator of the Public Employees Benefits Board. During the 1990s, Lindeblad also worked in the private sector, serving as director of operations for Unified Physicians of Washington. In 2010, she was selected for the inaugural class of the Medicaid Leadership Institute. She is a member of the executive committee for the National Academy for State Health Policy, and chairs its Long Term and Chronic Care subcommittee.

PDF-icon Susan Birch Executive Director Colorado Department of Health Care Policy and Financing

susan-birchNearly 30 years of nursing care and progressive health care administration primarily in rural and frontier regions of Colorado. Extensive community, regional and national involvement with health care program development in community health services including public health, primary care, community health, home health, hospice care and aging services and facilities. Expertise in leadership, management, strategic collaboratives, and resource development related to health care. Extensive knowledge of program design and implementation, staff allocation/development, assessment of community and state-wide health needs, human services resource allocation and legislative affairs. Active in and leads health policy development and implementation of national health care reform at the state level.

PDF-icon Judy Mohr Peterson, Administrator, Dept of Human Svc/Med-QUEST Division

judy-mohr-peterson Judy Mohr Peterson is the Medicaid director for Hawai’i, a position she has held since July 2015. From 2009 to 2015, she served as the Medicaid director for Oregon, where she helped lead Oregon’s health system transformation efforts and their Medicaid expansion that helped ad additional 350,000 people get health coverage through Medicaid. In 2010/11, she was one of six Medicaid Director Fellows for the second class of the Medicaid Leadership Institute sponsored by Robert Wood Johnson Foundation. During her 18 years with the state in Oregon, she was the served Assistant Budget Director for the Department of Human Services, and managed the Quality Improvement, and the Research and Data Analysis sections for Medicaid programs. She earned her PhD from University of Texas in cultural anthropology.

PDF-icon Tom Betlach


2:15 – 3:30 | Session 3: Thinking Ahead: State Efforts on Prevention and Early Detection

This session will focus on different strategies states have adopted to prevent and detect mental illness and substance use disorders. Three speakers will highlight state efforts that have focused on prevention and early detection, explore how states were able to implement these programs, and the impact the initiatives have had on outcomes and program costs.

PDF-icon Brian Hepburn Executive Director NASMHPD

brian-hepburnDr. Hepburn is the Executive Director of the National Association of State Mental Health Program Directors (NASMHPD). He started in that position on July 1, 2015. He previously was the Director of the Maryland Mental Hygiene Administration (MHA) from 2002 to 2014 and that position became the Director of the Behavioral Health Administration (BHA) on July, 2014. He was the Clinical Director for MHA from 1996 to 2004. He was also the Director of Psychiatric Education and Training for MHA from 1987 to 1997. Dr. Hepburn received his M.D. degree in 1979 from the University of Michigan School of Medicine. He received Residency Training in Psychiatry at the University of Maryland from 1979 to 1983. He was a Full-Time Faculty Member at the University of Maryland from 1983 to 1988 and has been on the Volunteer faculty at the University of Maryland since 1988. He maintained a private practice from 1983 until 2004.

PDF-icon Terri Timberlake, Director, Office of Adult Mental Health, Georgia Department of Behavioral Health and Developmental Disabilities

terri-timberlake Dr. Terri Timberlake is Director of The Office of Adult Mental Health, for the Georgia Department of Behavioral Health & Developmental Disabilities (DBHDD). In this position with the state mental health authority, she has programmatic oversight responsibility, including fiscal, policy, program development, planning and evaluation of statewide community adult mental health programs and services. Prior to her relocation to Atlanta and joining DBHDD, Dr. Timberlake was Director of Mental Health Services for New York City Health and Hospitals Corporation. Dr. Timberlake holds a Master of Arts degree from The George Washington University and a Doctoral Degree from Temple University. She is a licensed psychologist with years of distinguished administrative, programmatic and clinical experience. She has been a programmatic innovator in developing, expanding and improving clinical services for mental health treatment. She is also an experienced clinical practitioner, supervisor and trainer and her work has led to multiple publications and articles in journals, lectures and presentations at local and national meetings.

PDF-icon Tamara Sale, Director, EASA Center for Excellence

tamara-sale Tamara Sale is the Director of the EASA Center for Excellence at Portland State University Regional Research Institute. Ms. Sale has been responsible for the overall development and implementation of early psychosis services in Oregon starting with a five-county regional program in 2001 and statewide dissemination beginning in 2007, including program design, financing and sustainability efforts, marketing and community education, data system development, training and consultation. Ms. Sale was Deputy Director for the Oregon arm of the Early Detection and Intervention for the Prevention of Psychosis (EDIPPP) study sponsored by The Robert Wood Johnson Foundation. Ms. Sale has almost thirty years of planning and program development experience within the mental health system and over a decade as a leader in family advocacy. She received a M.A. in Public Affairs with concentrations in fiscal policy and management of public and nonprofit organizations in 1992 from the University of Minnesota.

3:30-3:45 | Session 4: Medicaid IAP: Physical and Mental Health Integration 

A representative from CMS will provide a brief overview of this upcoming Innovation Accelerator Program (IAP) opportunity, which will provide targeted program support to states engaged in delivery system reform initiatives focused on physical and mental health integration.

PDF-icon David Shillcutt, Health Insurance Specialist Center for Medicaid and CHIP Services


3:45- 4:00 | Wrap-Up

Dena Stoner, Senior Policy Advisor, Texas Department of State Health Services

dena-stonerDena Stoner is currently Senior Policy Advisor for the Texas Department of State Health Services. She also serves as Chair of the National Association of Mental Health Program Directors Medicaid and Finance Division and as an appointed member the National Academy of State Health Policy. Ms. Stoner has over 35 years of experience in public policy, management, strategic planning, program design and implementation. She has developed and implemented a number of major programs and initiatives in Medicaid-funded long term services, acute care, managed care and behavioral health. In her current position, Ms. Stoner is responsible for developing initiatives to improve services for people with mental health and substance abuse conditions. Examples of recent initiatives include the nationally recognized Texas Money Follows the Person Behavioral Health Pilot, Demonstration to Maintain Independence and Employment and Medicaid Incentives for Prevention of Chronic Disease Study. She also led development of behavioral health delivery system reform project options for the Texas Medicaid 1115 Transformation Waiver and created home and community-based waiver and state plan amendments for persons with mental illness.Her innovations have been featured in various national periodicals, including the Journal of Vocational Rehabilitation, Policy and Practice: The Magazine of the American Public Human Services Association, Administration and Policy in Mental Health and Mental Health Services Research, and Generations: The Journal of the American Society on Aging.

 

One thought on “Preconference: Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid to Promote Recovery”

  1. Wonderful story, reckoned we could combine a few unrelated data, nerelthevess really worth taking a look, whoa did one learn about Mid East has got more problerms as well

Leave a Reply