Washington State Behavioral Healthcare Work Mapping

Washington State Behavioral Healthcare Work Mapping

• 1.
  Family, Children, andYouth Behavioral Healthcare Work Group Washington State’s Expanded System of Care
• 2.
  HB 2737 Children &Youth Behavioral Health Work Group • Identify barriers to and opportunities for accessing behavioral health services for • children, youth and young adults (prenatal to 25 years old) and their families • that are accessible, effective, timely, culturally and linguistically relevant, supported by evidence, and incorporate tailored innovations as needed; • and to advise the legislature on statewide behavioral health services and supports for this population.
• 3.
  Structure Proposal • SupportWashington State COVID-19 Recovery efforts • Build upon existing committees, workgroups, and individuals with deep subject matter expertise across the state. • Identify barriers and opportunities for service access across silos, including our school behavioral health system serving IEP and ELL students. • Level up our behavioral health safety net delivery system to catch up with new reforms and direction. • Ensure enacted laws are implemented and communities held accountable. • Use technology to increase equitable access to information and payment sources • Expanded SOC:
• 4.
  COVID-19 Recovery & Vision Beyond SystemReboot Behavioral Heathcare System COVID response evaluation Workforce | Rates career pathways | onboarding | retention # for Standards of Care/ACH/OIC HIPAA/43CFR2 virtual ex: CLIP beds/100k the severely disregulated child PPALS referral assist address 24/7 crisis triage (UT) payment pathways CLIP | HCA (MCO) } Private Pay | OSPI (NPA) | DCYF [DD, JR, BRS] Ombuds | complaint process System of Care: strategic implementation & responsive accountability FYSPRT System of Care WISe Implementation See expanded detail Challenge & Solutions see expanded detail CLIP-IT see expanded detail Residential Options see expanded detail 0-5 social determinents of health early screening & prevention primary care coordination adoption & foster care support Build Upon Safety Net Reforms | Leveling Up DCYF Strategic Plan BRS Ryther/Kitsap closings JJ & JR | DD | ARY/CHINS | BRS Respite ITA Reform 13-17 18-25 Family centered systems Transition Housing 6560 School Safety, Wellness, Suicide, BH MTSS Restraint, disturbed child, school refusal, etc. IEP care coordination, payment, BH delivery Non-academic professionals SEL | BH Literacy | SUD prevention SEAC 8-12 early intervention signs Parenting Wisely
• 5.
  WISe Implementation 24/7 crisis supportneeds Data Quality Team CANS screening accuracy & appeals Consistency in the availability of intensive home and community- based mental health treatment for Medicaid youth. BRS WISe Increasing the number of transition aged youth that get help early when facing onset of psychosis Timely peer training and onboarding
• 6.
  FYSPRT Challenge & Solutions Non-core waiver respitefor hours of time not necessarily beds, sub-acute care needs survey Non-Medicaid WISe Data Quality Team Parent supports Access: 1874/2883 Implementation Youth Move grant Zero Youth Detention
• 7.
  Children’s Long-term Inpatient Program Improvement Team (CLIP-IT) Challenge &Solution: intake & discharge process improvements Changing how residential treatment is used as part of our continuum of care. Implementing Washington Children’s Mental Health principles (based on SOC values) in service delivery. Reducing length of stay in out-of-home treatment. More fully integrating residential and community based resources DCYF recommendation
• 8.
  Residential Options Wilderness Licensing Medical Necessity conductdisorder | truancy | class C felonies and below | violence SUD co-occurring Transitional facilities Transport boarding schools with high exercise, peer interactions, and therapeutic adventure teen recovery support group homes a group of peers with… eating disorders, obesity, self- harm, vaping, porn, addictive gaming, gambling, et al. evaluative/holding facilities long-term care for emotional regulation attachment disorder | Fetal toxic stress or other in utero chemical imbalance | autism
• 9.
  Footnotes
• 10.
  Public Behavioral HealthMandate Additional services are available for those with no insurance or private coverage if they are in crisis
• 11.
  Children's Behavioral HealthServices: Systems of Care Governance • The Washington State System of Care (SOC) grant funded (SAMHSA, Substance Abuse and Mental Health Services Administration) project expands systems of care statewide with family-driven, youth-guided core values fully integrated in all parts of the SOC Governance Structure: the Statewide Family, Youth and System Partners Round Table - FYSPRT. • The FYSPRT Governance structure has been adopted as the infrastructure for Children's Behavioral Health and is comprised of ten regional FYSPRTs, the statewide FYSPRT, and the FYSPRT Leadership team. • Each FYSPRT reviews and approves policy, program and practice changes at the local, regional or state levels. • Our SOC prioritizes expanding services to youth ages 13-18 with serious emotional disturbances - SED, out-of-home placement, or juvenile justice/child welfare histories.
• 12.
  System of CareValues • Infuse these SOC values in all child-serving systems: • Family driven and youth guided, with the strengths and needs of the youth and family determining the types and mix of services and supports that best fit their needs. • Community based, with services and the management of those services resting within a supportive framework at the community level. • Culturally and linguistically competent, with programs and services that reflect the culture and language of the population served. • Ensure access to services based on each youth and their family’s unique needs and eliminate gaps in services. Ref: https://www.hca.wa.gov/assets/program/govdelivery-system-of-care-faq-fysprt-final.pdf
• 13.
  System of CareGoals • Infuse SOC values in all child-serving systems. • Expand and sustain effective leadership roles for families, youth, and system partners. • Establish an appropriate array of services and resources statewide, including home and community-based services. • Develop and strengthen a workforce that will operationalize SOC values. • Build a strong data management system to inform decision-making and track outcomes. • Develop sustainable financing and align funding to ensure services are seamless for children, youth, and families.
• 14.
  SOC Oversight &Reports • Oversight: Centers for Medicare & Medicaid Services & Governing bodies outlined in the T.R. Settlement Agreement (inc. FYSPRT) • Behavioral Health Certification and Licensing for Community Mental Health Agencies (CBOs) through the Department of Health • Reports will be developed through a collaborative effort between DBHR and RDA and include both programmatic and administrative data. The Children's Behavioral Health System of Care Data Quality Team, comprised of representatives of DSHS child serving systems, is developing Measures of Statewide Performance to provide a monitoring and evaluation framework for the System of Care. This outcomes-based report is intended to be relevant to all children and youth with emotional and behavioral health needs and their families served by DSHS and HCA.
• 15.
  Primary Partners • WashingtonState Health Care Authority Division of Behavioral Health Recovery • Washington State Department of Children, Youth and Families • Rehabilitation Administration • Developmental Disabilities Administration • OSPI • Juvenile Justice & Juvenile Rehabilitation • Foster care and BRS • Community based organizations, higher education, workforce • Tribal consultation, planning, and communication are ongoing
• 16.
  WA Washington StateCommon Measure Set, 2019 Behavioral Health (all ages)
• 17.
  System of CareLegislation • SSHB 1088 passed in 2007 and codified as – 71.36 RCW, development of Children’s Behavioral Health Measures of Statewide Performance. • ESSHB 2536 passed in 2012 and codified as 43.20C.020 RCW, regarding the increased use of evidence/researched-based and promising practices.
• 18.
  Prepared April 12,2020 Peggy Dolane, [email protected] 206-865-8619