An Evolving Semi-Monthly Update on Community Behavioral Health in New York
April 25, 2013
Save the Date! Coalition Leadership Awards Scheduled for June 27
The Coalition is pleased to announce our annual Leadership Awards Reception on Thursday, June 27, 2013, from 4:00pm to 7:00pm at Pfizer World Headquarters on 235 East 42nd Street. Stay tuned for a full program agenda and more information to purchase tickets. Each year, community leaders and behavioral health professionals gather at this most celebrated event to honor individuals who have shown commitment and dedication to improving the lives of people with behavioral health disorders and strong service to the behavioral health community.
With the Mayor’s FY14 Executive Budget scheduled to be released in early May, The Coalition continues to meet with key City Council Members and their staff to advocate for our FY14 budget priorities. Each year, the City Council provides much needed support to initiatives that help fill gaps in the City’s public behavioral health system. They help meet a variety of crucial mental health and substance use needs for New Yorkers that are underserved, yet since FY09, the initiatives listed below have been cut between 25% and 61%.
Mental Health Contracts
Mental Health Contracts is a City Council funded Initiative that supports a group of agencies that provide diverse but essential behavioral health services in a variety of delivery models, including The Coalition’s Professional Learning Center (PLC). Through the PLC, The Coalition is able to provide education, technical assistance and training to staff and leadership of publicly funded mental health and substance use providers in New York City. In FY13, Mental Health Contracts was funded at $390K, down from $975 in FY09.
Children Under Five Mental Health Initiative
Through support from the City Council, the Children Under Five Mental Health Initiative supports 8 diverse agencies, in all 5 boroughs of New York City to provide needed mental health services to children and their families, who have experienced significant trauma. In fact, the City Council is the only entity that funds these types of programs that use unique interventions to reach children as early as possible. In FY13, Children Under Five was funded at $1.25M. In previous years, funding was set at $1.6M.
Geriatric Mental Health Initiative
The City Council also sponsors the Geriatric Mental Health Initiative to bring mental health services to seniors in nontraditional, neighborhood-based settings that are places of trust and comfort for them. This funding greatly enhances the ability of 25 experienced organizations to provide a range of mental health services in “non-clinical settings” like senior centers, religious and social group settings, health clinics and in their own homes. In FY13, Geriatric Mental Health was funded at $2M, a decrease of $400K since FY09.
Mental Hygiene Contracted Services PEG
Over the last two years, the City Council has partially restored the Mental Hygiene Contracted Services PEG at $2.5M. This funding keeps psychosocial clubs, bridger programs, medically supervised outpatient services and outpatient rehabilitation programs alive. These programs enable people with severe mental illness and addiction problems recover and live in the community.
Back in March, we testified on the Mayor’s FY14 Preliminary Budget at the NYC Council hearing convened by the Committee on Mental Health, Mental Retardation, Alcoholism, Drug Abuse and Disability Services. In our testimony, we asked the Council to restore the behavioral health initiatives it supports annually, as well as reinstating past cuts.
The FY 2013-14 State Budget was passed on time again this year, and although there were many advocacy successes to celebrate, much work still lies ahead of us. During our advocacy day visits in Albany, The Coalition emphasized the need for a full partnership between OMH, OASAS and DOH on planning, policymaking and oversight as the behavioral health system transitions to managed and integrated care. The Enacted Budget includes new provisions directing these agencies to set standards and requirements for selecting and authorizing special needs managed care plans. Post budget, we are working on punctuating the nuances and specialties of the community-based behavioral health system, and the need to keep it intact.
Health Homes Infrastructure & Development Grants
While we are pleased that the Enacted Budget includes language to authorize $15M in support for Health Homes, the appropriation is based on the availability of support from a Federal waiver program. We are hopeful that support for Health Homes will be approved or that the State will find additional savings from increased care coordination to implement this initiative.
MRT Supportive Housing Development
We were happy to see that the MRT Supportive Housing Fund was largely approved as proposed. This program was cut by $5M in FY13/14; however a $20M cut was on the table during budget negotiations. In the Enacted Budget, $86M in State funding will be available to provide for capital funding to develop supportive housing for high cost individuals on Medicaid, maintain rent subsidies and supports for these high need populations and establish 7 new pilot programs. This includes pilots to link Health Homes to supportive housing, supplement OMH supportive housing, and step-down/crisis residences. In FY14/15, the State portion of the MRT Supportive Housing funding will be rise to $91M as originally proposed.
During our budget advocacy, The Coalition joined a network of advocates on critical issues related to professional licensing. While we wished for a permanent exemption of certain social work and mental health professionals from professional licensing requirements, as proposed by Governor Cuomo, the final budget only extended the current exemption for 3 additional years. Nevertheless, significant workforce shortages and service reductions were averted as a result. We will continue to work on this and other outstanding issues involving the repeal of the corporate practice waiver and further clarity on the definitions of scope of services.
APG Rates for OMH & OASAS Clinics
The Coalition also worked with our advocacy partners to oppose a proposal to sunset Ambulatory Patient Grouping (APG) rates in 2015 for OMH and OASAS clinics. The Enacted Budget extended the sunset until March 31, 2016, along with the requirement that DOH, OMH and OASAS issue a report on the state of the behavioral health system as it transitions into managed care. Among the metrics that the report will examine are rate and network adequacy, the capability of managed care to arrange for services, use of evidence based tools to determine level of care, quality assurance mechanisms, and meeting of cultural and language needs of enrollees. The report is due by April 1, 2016
Ensuring Prescriber PrevailsWe were delighted that the Enacted Budget maintains prescriber prevails in fee for service and for atypical antipsychotics in Medicaid managed care. It also restores prescriber prevails for anti-depressant, anti-retroviral and other drugs.
The Coalition welcomes Netsmart, our latest Affiliate Member to join us! Netsmart helps health and human services organizations transform care through the collaborative, coordinated management and exchange of clinical data across the care spectrum and through effective practice management that improves revenue cycle management. More than 21,000 client organizations, including 350,000 care providers and more than 40 state systems, use Netsmart solutions to help improve the quality of life for millions of people each year.
Curriculum Development – for PROS Programs
Facilitator: Naomi Weinstein, MPH
In PROS programs, groups are supposed to incorporate skill development, have goals, and be guided by curriculum. However, the staff responsible for running groups are social workers, group facilitators, and mental health professionals, not curriculum developers. This four-part training will help transform PROS program staff into curriculum developers. The training will start talking about the elements and process of curriculum development. The training will also include an evaluation of curriculum (what makes them strong and what can be improved). Most importantly, participants will develop new curriculum modules in a “workshop” context (drafting, critiquing, editing, and finally “publishing”.) We will also look at the array of curricula and groups being delivered by PROS programs across New York City, to give participants a sense of where they can go for resources.
Psychiatric Rehabilitation 101
Facilitator: Amanda Saake, LMSW
Recovery is the goal and Psychiatric Rehabilitation is a vehicle to achieve this objective. In this training, we will provide an introduction to the Psychiatric Rehabilitation philosophy and practice, with an emphasis on operationalizing skill development theories.
We congratulate Dr. Peter C. Campanelli, Founder, President & CEO of the Institute for Community Living (ICL), as well as a former President of The Coalition on his recent retirement. Having served as ICL’s President and Chief Executive Officer for 27 years, Dr. Campanelli launched the agency inside a refurbished garage in Brooklyn and guided it into becoming one of the largest behavioral health agencies in the country. Read More >
Susan Oher has been named Chief Development Officer at JASA (Jewish Association Serving the Aging), effective April 22nd. In this position, Oher will report directly to CEO Kathryn Haslanger and oversee the Development and Communications Departments for the organization. Read More >
Congratulations to two Coalition Members honored at the National Council for Behavioral Healthcare’s Celebration of Excellence Awards Dinner. Fountain House won First Prize in the Reintegration Awards for Education. The Jewish Board of Family and Children’s Services received a Second Prize Reintegration Award for Housing.
Join The Mental Health Association (MHA) of Westchester in saying a resounding “NO!” to stigma, bias and discrimination at the Main Event MHA on the move 5K Run/Walk & 1 Mile Kid’s Race on Sunday, May 5th at FDR State Park in Yorktown Heights. Click here to learn more and register.
Three Coalition Members received grants from the New York State Office of Children and Family Services (OCFS) to support early childhood to youth-aged programs in local communities in need through public/private partnerships between private and non-profit organizations. Please join us in congratulating:
Astor Services for Children & Families received a $250,000 grant from Robin Hood – New York City's largest poverty fighting organization – that will support its Transitions Program in the Bronx, to help children with serious emotional problems transition from its Lawrence F. Hickey Center for Child Development and its Early Childhood Day Treatment Program to public school.
Staten Island Mental Health Society (SIMHS) raised $100,000 to benefit children with special needs and their families at its 2013 Anniversary Ball last month at the Ritz-Carlton Hotel, Battery Park.
Honored at the Ball, which drew almost 200 guests, was Dr. Kenneth Popler, who served as the agency's President and CEO for 31 years until his retirement on July 31, 2012. Dr. Popler is also an honored past President of The Coalition.
Good Shepherd Services celebrated the 10th year of The Chelsea Foyer at The Christopher, its pioneering supportive housing program for young people who would otherwise be homeless.Good Shepherd used the occasion to host a breakfast symposium with government officials, nonprofit professionals and advocacy experts on the issue of housing homeless youth.
Did you know that the Brooklyn AIDS Taskforce is now known as Bridging Access to Care? Follow the preceding link to learn more about the oldest and largest nonprofit HIV/AIDS prevention and treatment service organization in Brooklyn, providing comprehensive HIV/AIDS- related services to underserved racial /ethnic minority communities in the borough.
The New York State Rehabilitation Association (NYSRA) & Rehabilitation Research & Training Institute (RRTI) seeks a new President/CEO. This is an exceptional opportunity for a successful executive to assume the leadership of a state-wide nonprofit trade association representing rehabilitation providers who advocate on behalf of individuals with differing abilities and the agencies who serve them. Find out more details here: http://www.nyrehab.org/employment.php.
Coalition Members advertise staff positions for free on The Coalition’s Job Board! Here's a sample: