Resources

Additional Resources:

• Potential economic impact of integrated medical-behavioral healthcare: Updated projections for 2017
• Integrated Care: Working at the Interface of Primary and Behavioral Health Care (By Lori Raney, M.D.)
• Integrated Care: A Guide for Effective Implementation (By Lori Raney, M.D., Gina Lasky, Ph.D., and Clare Scott)

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Description:

Rates of depression, anxiety, trauma, substance use and grief are rising across large segments of the population—particularly for youth and black, indigenous and people of color. Primary care will be the first responders to this mental health crisis across the country. There has never been a more important time for the integration of behavioral health in primary care for early identification, treatment of mild to moderate conditions, and enhanced referral to specialty care. Integrated care has also shifted to telehealth and there are emerging lessons. Join us for a discussion on the importance of integrated care for supporting public health, behavioral health, and health equity during Covid-19.

Key Themes: Expansion of access to behavioral health services, universal screening of behavioral health conditions, brief interventions, core elements of effective integrated care, expansion of psychiatry and emerging trends in virtual integrated care.

Learning Objectives:

• Participants will be able to describe the central role of integrated care in Covid-19
• Participants will be able to describe and share in lessons learned from virtual integration
• Participants will review the need, disparities and risks in a rising behavioral health crisis
• Participants will identify the role of integrated care in management of coronavirus for vulnerable populations

Our Panelists:

Gina Lasky, Ph.D., MAPL, Principal, Health Management Associates
Dr. Lasky has decades of experience in public sector behavioral health. She works across the country on projects related to behavioral health system design, practice transformation, and integration of behavioral health for states, counties, managed care plans, and large providers. Her work focuses on development of effective stepped care approaches levering a continuum of services tailored to population need. This includes behavioral health quality improvement and innovation, such as enhancing measurement-based care, using human centered design thinking, bringing behavioral health services into the community, and partnership development and collective impact initiatives.
Dr. Lasky has examined state policy and administrative barriers to integrated care and has published work on leadership and team development in integrated care with the Center for Integrated Health Solutions and the American Psychiatric Association. She is co-editor of Integrated Care: A Guide to Effective Implementation for the American Psychiatric Association. She works nationally with States, managed care and providers on effective implementation of integrated care.

Prior to coming to HMA, Dr. Lasky provided direct clinical care for numerous non-profit organizations, a public hospital, and a state psychiatric hospital where she specialized in serious mental illness and working with individuals who were aggressive towards themselves and others. Gina has had leadership responsibility for an acute treatment unit, a detox program, crisis services, outpatient mental health clinics, and substance use treatment programs in community behavioral health. She has been responsible for clinical program development, quality improvement, and directly supervised clinical managers and therapists.

Dr. Lasky earned her masters and doctorate in counseling psychology from the University of Denver and a master’s degree in public leadership with a specialization in multi-sector management from George Washington University. She is the current Past President of the Board for The College for Behavioral Health Leadership.

Lori Raney, MD, Principal, Health Management Associates
Dr. Lori Raney is a board-certified psychiatrist and Principal with Health Management Associates in Denver, Colorado. She is considered a leading authority on the collaborative care model and the bidirectional integration of primary care and behavioral health. Her work focuses on service evaluation, gap analysis and design and training of multidisciplinary teams to implement evidence based practices to improve the identification and treatment of mental illness in the primary care setting and improve the health status of patients with serious mental illness behavioral health settings. She has worked with clients implementing 2703 Health Home State Plan Amendments for behavioral health populations, state innovation model (SIM) and transforming clinical practice initiatives (TCPI), and provided training for personnel implementing Primary and Behavioral Health Care Integration (PBHCI) grants. She is the editor of two books Integrated Care: Working at the Interface of Primary Care and Behavioral Health and Integrated Care: A Guide for Effective Implementation. In addition she has published numerous articles in peer reviewed journals on topics related to integration. She was selected to be a Master Trainer for the American Psychiatric Association’s Support and Alignment grant to train 3,500 psychiatrists in the collaborative care model. Her current work also includes evaluating hospitals and clinics in recognizing and developing strategies to deal with the impact of behavioral health across health care systems including the design and implementation of integrated care in their primary care practices.

Dr. Raney served for 15 years as the medical director of a community mental health center in rural Colorado, where she fostered the development of a full range of evidence-based services including the development of a telepsychiatry program, working in and deploying psychiatric providers in corrections settings, developing an inpatient psychiatric treatment unit, managing the psychiatric medical team in implementing prescribing best practices including metabolic monitoring, encouraging medication assisted treatment of substance use disorders, and establishing hospital-based psychiatric consultation. In her administrative capacity she has extensive experience in psychiatric medical leadership, innovative strategies for hiring and retaining the psychiatric workforce, established performance measures for good psychiatric care and implemented strategies to meet key performance indicators required by Medicaid. During her tenure, she led efforts to implement the collaborative care model of integrated care in diverse primary care locations including Federally Qualified Health Centers, a Rural Health Center, tribal clinics, and school-based health centers, and has served as a consultant psychiatrist at these locations. Dr. Raney participated in the design of a fully integrated healthcare facility that combined primary care and traditional behavioral health, which made it possible for her to rapidly address the physical health issues in patients with serious mental illness.

She has worked for over 15 years with tribal populations with the Indian Health Service in remote clinics in the Southwest and continues her clinical work with the Ute Mountain Ute tribe in Towaco, Colorado. She also worked both as a staff psychiatrist and as the Clinical Director for an ambulatory care center in rural Arizona on the Navajo Reservation.

As leaders we are constantly faced with challenges, whether it is a workforce issue, fostering better relationships on our teams, or even knowing how and who to ask for help. Few of us have led through crises of the magnitude we are faced with today due to the COVID-19 pandemic. So how do we continue to ensure our teams are receiving the support they need, when as leaders, we are also feeling burned out and anxious about what lays ahead? 

One way to find support and solve difficult problems during this time is to leverage the experience and wisdom of our colleagues. Peer-to-peer coaching helps with discovering everyday solutions, revealing patterns, and refining prototypes. This peer-to-peer coaching session will use a Liberating Structures method called Troika Consulting, where you can gain insight – and help others – on issues faced by unleashing shared wisdom to address them.

While coaching sessions are not recorded, the attached PowerPoint presentation includes the Liberating Structures tools and prompts used in our May 12, 2020 session for replication with your own teams.

Culture is largely recognized as an important factor in an organization’s success. However, few leaders have an in-depth understanding of what it is and how it works, let alone intentionally investing in building a high-performance culture. Additionally, in today’s environment, it is important to meaningfully connect you, and your organization’s high performing culture with the larger ecosystem in which you operate. The intent of this interactive webinar is to critically review and discuss organizational culture in a manner designed to support taking learnings back to your own organization to further your success.

Key themes to explore:

• How do I define and recognize a “culture of high-performance”? What are the measures, actions and results of a culture of high-performance?
• What does this look like within my organization, particularly in light of new norms as a result of the current environment?
• As a leader, how do I translate this to working with other organizations and stakeholders to develop a culture of high-performance, action, and results-orientation.
• What is my role in the larger ecosystem as a leader among leaders?

Learning Objectives: 

Our Presenter

Dr. Jay Roundy, MA, DPA (Chief Operating Officer of P2 Performance Plus) is a counseling psychologist and organizational behaviorist by training, a servant leader by nature, and a performance coach by choice.  Jay is a transformational performance expert with extensive senior level leadership, management, coaching, consulting and training experience with individuals, teams, and organizations. He has a unique ability to apply results-producing performance improvement strategies and demonstrated ability to lead others to achieve transformational performance in the midst of a demanding, complex, and constantly changing environment by inspiring a common purpose, vision, strategy, and execution.

Presented by Ron Manderscheid (Executive Director, National Association of County Behavioral Health and Developmental Disability Directors) and Greg Moore (Chair, Dickinson Wright’s Behavioral Health Care Practice Group and Founding Member of AVANT Consulting, LLC)

What: With many changes affecting American businesses during the coronavirus pandemic, it can be difficult to keep up. Complex new laws, programs and regulatory changes have raised questions and concerns amongst healthcare providers trying to continue necessary services for their customers while staying ahead of the rapidly evolving environment.

New obligations to employees under the Families First Coronavirus Response Act (FFCRA) and/or unemployment; opportunities for business relief like the Paycheck Protection Program, Economic Injury Disaster Loan, and grant programs from SAMHSA, the CDC and others; and regulatory relaxation under the 1135 Waiver during Federal and State emergency declarations – including telehealth and payment for services – have left employers/providers scrambling for the latest information.

This webinar will explore:

• Frequent questions and concerns related to the new laws, programs and regulatory changes;
• General themes related to how States have used the 1135 waiver, and implications for providers;
• An overview of National and State resources and how they can be accessed by providers.

Who Should Attend?
Healthcare leaders involved in organizational planning and decision-making.

Learning Objectives

• Understand key employer obligations, business opportunities and regulatory changes impacting providers through COVID-19.
• Gain awareness of 1135 waiver themes across states and how this may impact your healthcare / behavioral health organization.
• Learn new resources available to support you and how to access them.

Our Panelists:

Ron Manderscheid, Ph.D ., serves as the Executive Director of the National Association of County Behavioral Health and Developmental Disability Directors. The Association represents county and local authorities in Washington, D.C., and provides a national program of technical assistance and support. Concurrently, he is Executive Director of the National Association for Rural Mental Health, Adjunct Professor at the Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, and Adjunct Professor, School of Social Work, University of Southern California. Dr. Manderscheid serves on the boards of the Cosmos Club, the Employee Assistance Research Foundation, the Danya Institute, the Council on Quality and Leadership, the NASMHPD Research Institute, and the National Register of Health Service Psychologists. He also serves as the Co-Chair of the Coalition for Whole Health. Previously, he served as the Director of Mental Health and Substance Use Programs at the Global Health Sector of SRA International and in several federal leadership roles at the U.S. Department of Health and Human Services. Throughout his career, he has emphasized and promoted peer and family concerns.

Dr. Manderscheid is a former Member of the Secretary of Health and Human Services Advisory Committee on Healthy People 2020, Past President of the Federal Executive Institute Alumni Association (FEIAA) Foundation, Past President of FEIAA, past Chair of the American Public Health Association (APHA) Mental Health Section and a past member of the APHA Governing Council. He has also served previously as the Chairperson of the Sociological Practice Section of the American Sociological Association, as President of the Washington Academy of Sciences and the District of Columbia Sociological Society, and as President of ACMHA: The College for Behavioral Health Leadership.

Recently, he co-edited a new text, Outcome Measurement in the Human Services: Cross-Cutting Issues and Methods in the Era of Health Reform, and contributed to a second new text, Public Mental Health. Previously, he served as principal editor for eight editions of Mental Health, United States. He has also authored numerous scientific and professional publications on services to persons with mental illness and substance use conditions. He serves on the Editorial Board and prepares a periodic blog for Behavioral Healthcare Executive.

Greg Moore, JD , chairs Dickinson Wright’s Behavioral Health Care Practice Group and is a Founding Member of AVANT Consulting, LLC, a behavioral health boutique consulting firm. Greg has been a consultant and practicing health care attorney since 1991. During his entire career, he has focused on representing and counseling providers of all types and sizes including behavioral health care provider companies, facilities, and networks.

Greg has been recognized as a thought leader and innovator when it comes to the integration of behavioral and physical health care. With 25 years of experience serving clients in the industry, his practice covers the full spectrum of regulatory, transactional, and litigation services.

In January 2009, Mr. Moore created a Behavioral Health Care Law focused Practice Group, the first of its kind in a national law firm. The group continues to be leaders in educating and counseling clients as parity and the integration of behavioral health and physical health take center stage.

What: COVID-19 has changed the world in which we live and work. Leaders and front-line healthcare professionals alike are facing new and more complex challenges as we adapt to a rapidly changing environment of care, while the level of uncertainty and ambiguity continues to grow. We are forced to make more difficult decisions, work in new ways and care for our own families, all while motivating our workforce to stay the course. So how do we collectively cultivate resiliency in order to remain strong and thrive while in stressful conditions, particularly when connection to others must be made from a distance? In this webinar, we will hear from three professionals to explore the dynamics of COVID-19 and how we can continue to support the development of our best selves as leaders through crisis. We will also learn about a model of peer to peer support developed to support Chinese healthcare professionals, and an upcoming opportunity to virtually build resilience together.

Who Should Attend?

Healthcare leaders, community leaders, leaders of front-line workers, and others involved in the COVID-19 response

Learning Objectives:

• Understand the conditions necessary to cultivate resiliency as leaders and thrive through crisis.
• Learn about an innovative model to provide peer to peer support utilizing social media developed for Chinese healthcare professionals fighting the virus at the front line in Wuhan.
• Learn about “Stronger Together – Resilience Circle,” an opportunity to virtually build resilience through mindful gratitude practices

Our Panelists:

Cyra Perry Dougherty “Perry” is the founder and CEO of Rootwise Leadership , where she serves as the lead coach, consultant, facilitator, and teacher. With more than 15 years of experience working with global executive teams in the entrepreneurial, public, and social sectors, Perry enriches cutting-edge leadership and organizational development theory and practice with a deep understanding of the power of awareness, creativity, storytelling, and play. She pursues her work with transformation as both means and end.

In addition to her work with Rootwise Leadership , Perry is an Instructor at the Harvard T.H. Chan School of Public Health , founder of The Collective Leadership Certificate Program , a Senior Partner at Still Harbor , ordained interspiritual minister and spiritual director. She is also founding Editor of Anchor magazine and Editor of The Anatomy of Silence , Red Press 2019. At home, she is a mother to three, ages 3, 10, and 15, a meditator, and a writer. Get in touch with Perry directly at perry@rootwiseleadership.com .

Pu Cheng, M.D., FAPA is the Inpatient Director at Meridian Health Services and a volunteer Clinical Assistant Professor of Psychiatry at the Indiana University School of Medicine in Muncie Indiana. He received his medical degree from Shanghai Medical University and has been in practice for more than 10 years.

During the crisis of COVID-19 in Wuhan, China, Dr. Cheng led a team to immediately assemble a team of 45 credentialed mental health workers from the USA, Canada and Australia, dedicated to peer-to-peer support for first line Chinese healthcare professionals who were fighting this epidemic crisis. They employed intervention techniques, via a novel method of social media, and received a good response. This innovative approach can have wide acceptance, is ideal for rapid response, and is suitable in situations where communication is done at a distance and due to a highly contagious epidemic. This model also faces some unique challenges previously unknown. It has the potential be further developed into a widely-adopted and easily modifiable model that can be applied immediately to fight what is now global pandemic.

Shannon Mong, PsyD is passionate about making it easier for healthcare leaders to achieve their goals. An experienced consultant, she engages leaders and teams to solve complex problems in rapidly evolving environments. Shannon’s career spans multiple industries and clients — beginning in media and educational technology leadership before becoming a licensed psychologist. A former direct service provider and program administrator in the public behavioral health system and leader in a large provider organization, Shannon knows the challenge of managing day-to-day work while fostering innovation.

As a Principal at HMA, Shannon’s focus is on guiding system transformation and healthcare optimization initiatives from initial concept to full execution. Areas of expertise include: improving outcomes of high utilizer populations, integrating physical health and substance use into behavioral health, value-based care, leadership and team development, stakeholder processes, strategic planning, and workforce development. A certified facilitator and conference presenter, Shannon also leads workshops to enhance organizational wellness.

In 2013, the American Psychiatric Association’s DSM-5 included an Outline for Cultural Formulation (OCF), revised from the one included in DSM-IV, and a new Cultural Formulation Interview (CFI) of 16 questions to help clinicians obtain information for the OCF. The OCF includes (1) cultural identity, (2) cultural concepts of distress, (3) cultural stressors and supports, (4) cultural features of the clinician-patient relationship, and (5) overall assessment for diagnosis and treatment planning. Francis Lu, MD, Kim Professor in Cultural Psychiatry, Emeritus, UC Davis, reviewed the rationale for these two clinical tools to incorporate cultural issues in diagnosis and treatment, a roadmap to where cultural issues appear in DSM-5, and an overview of the OCF and CFI.

College member Clare Miller, director of the American Psychiatric Association’s Partnership for Workplace Mental Health, has recorded an interview on Safe Space Radio. Clare works with employers to help them do everything they can to identify and treat depression among their employees. During the show, Clare and Anne,  a board-certified psychiatrist in Portland, Maine and the show’s host, discuss how to reduce the stigma of depression and the value of people coming forward with their own stories. Clare tells the story of how colleagues helped her to get treatment for her own depression, and how this has made her a more effective advocate for others with untreated mental health issues.

On January 14, 2016, The College for Behavioral Health Leadership presented a webinar on the social determinants of mental health with Ruth Shim, MD, MPH. The presentation focused on the social determinants of mental health and mental illnesses; those factors stemming from where we grow, live, work, learn, and age that impact our overall mental health and well-being, and those factors that contribute to mental illnesses. Although there has been considerable recent focus on the social determinants of physical health, there has been surprisingly little emphasis on the social determinants of mental health. Special consideration was given to the social determinants of mental health, as they are largely neglected with regard to their role in causing and worsening mental illnesses. These underlying causes of mental illnesses are modifiable precursors to behavioral risk factors, and are largely responsible for social injustice and mental health inequities. Dr. Shim provided an overview of important concepts and present evidence that supports the existence of these determinants. She will also discuss research, policy, and practice-based solutions. A technical issue prevented the webinar from beginning until the fifth slide; we apologize for the inconvenience.

This recording is from a webinar presentation on November 12, 2015. The webinar provided an approach and resources to facilitate authentic communication between service recipients and providers. This new approach and resource is called “Cultural Activation Prompts,” a type of consumer health activation tool that affirms personal cultural views on health and supports the need for these views to be incorporated into all aspects of health care, particularly behavioral health care. Since the achievement of health literacy should take place in the context of culture and community, cultural activation is a necessary part of the process. This presentation will:

1. Provide the definition of the new “Cultural Activation Prompts” tool,
2. Describe how to facilitate culturally-oriented discussions utilizing these new cultural activation prompts, and
3. Illustrate the intricate role of the peer specialist in this process.

Presenters:

• Moderator: Vivian Jackson, PhD, Adjunct Assistant Professor, Georgetown University Center for Child and Human Development
• Lenora Reid-Rose, MBA, Director, Cultural Competency and Diversity Issues, Coordinated Care Services, Inc.
• Carole Siegel, PhD, Former Director, NKI Center of Excellence in Culturally Competent Mental Health; Research Professor, NYU School of Medicine, Department of Psychiatry
• Sandra Mitchell, Chairperson, Disability Committee, National Action Network

On February 4, 2015, ACMHA members Harvey Rosenthal, Tom Hill, and Patrick Hendry offer a one-hour webinar about the new Peer Services Toolkit released by the College and supported through the funding of Optum. Materials from that webinar are available from the links below.

Peer-run services that promote wellness and recovery from mental health and addiction-related conditions have emerged as an essential key element in new designs aimed at improving health care outcomes and qualities. The “Peer Services Toolkit: A Guide to Advancing and Implementing Peer-run Behavioral Health Services” looks at the nature of peer support, its origins, essential elements, core values, training and certification, outcomes, providing services within peer-run and traditional agencies, state-level advocacy for peer support services, working with managed care companies, and much more.

Downloads

• Webinar Recording
• Slide Deck
• The Peer Services Toolkit: A Guide to Advancing and Implementing Peer-run Behavioral Health Services