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The CLMHD Newsletter we will publish bi-weekly
for the remainder of the summer.  

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The New York State Conference of Local Mental Hygiene Directors   
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Beefed Up Gun Control Law Survives Challenge

  

NYC: Handgun Fees Are Upheld by Court    

 

NY Medicaid 'rife with waste,' DiNapoli says; system overpaid $11.4M to health care providers 

    

NYS Justice Center E-News  

Orange County Veterans Food Pantry receives two grants

  

Franklin County targeting tobacco usage  

  

Researchers Look at Why Poor Patients Prefer Hospital Care  

 

More single dads than ever head US households   

 

New Mental Health First Aid Rural Guide Released:

 
Poll: Many Uninsured Are Unaware of Individual Mandate
 

 

Medical marijuana for kids? Some praise results while others worry about risks 

 

WEBINARS:

 

New 5-Hour Online Primary Care Course for Substance Use Professionals

Begin the Course Anytime 

Register  

 

International Association of Peer Supporters (iNAPS) Webinar

Peer Support and Wellness

July 12  noon-1pm  

Improving Quality and Access to Integrated Care for Racially Diverse and Limited English Proficiency Communities

July 16  2-3:30
Register

Building Community Resiliency and Healing: Preparing for, Responding to, and Recovering From Community Trauma and Disasters
July 23  11-12:45
Register

Improving Suicide Prevention for the Military and Their Families
July  30, 2-3:30
Register


New York: HHS/Health Center Outreach & Enrollment Assistance 56 awards totaling $7,243,004

New York State has 57 health centers with 591 sites that served 1,588,439 patients last year, 22.91 percent of them uninsured. With new Outreach and Enrollment funding, the health centers listed below expect to hire 133 additional workers, who will assist 137,637 people with enrollment into affordable health insurance coverage.  See the list 

 

 

New Report:  

"Networks in New York and the Affordable Care Act"


A new United Hospital Fund report, supported by NYSHealth, examines the extent of public and private health insurance plans' provider networks and current State standards and processes for determining the adequacy of these networks. As the New York Health Benefit Exchange readies itself for open enrollment beginning October 1st, it is important that the Exchange's health plans have the necessary provider networks in place to meet the health care needs of enrollees.

 

The report provides data on existing networks for plans in the public insurance market and the commercial market across New York State. It also finds that New York State can leverage a well-developed regulatory infrastructure to review health plans, and offers important short- and longer-term policy considerations for New York as it implements health reform.

 

Access the report.


Nearly 25% of Youths Injured in Assaults Own a Firearm 


Gun violence is a leading cause of death among young people in the USA, and with it comes notably high rates of gun possession, a survey finds. Read more.  


 

Commission to Build a Healthier America's City Maps Show Dramatic Differences in Life Expectancy

 

Just a few metro stops can mean the difference between an extra five to ten years added to your lifespan. Using new city maps, the Commission to Build a Healthier America, which reconvened recently after a four year hiatus, is illustrating the dramatic disparity between the life expectancies of communities mere miles away from each other. Where we live, learn, work and play can have a greater impact on our health than we realize.Read on...

 

CLMHD Calendar

 

JULY
July 23rd
Director's Meeting
10:30 - Noon
Executive Committee
12:30 - 2:00
41 State Street
Albany NY Suite 505
Go To Meeting available TBD

AUGUST
No Meetings in August

SAVE THE DATE:
CLMHD Fall Full Membership Meeting:

Monday-Tuesday

September 23-24, 2103
Genesee Grande Hotel
Syracuse, New York


The New York State Conference of Local Mental Hygiene Directors advances public policies and awareness for people with mental illness, chemical dependency and developmental disabilities.  We are a statewide membership organization that consists of the Commissioner/ Director of each of the state's 57 county mental hygiene departments and the mental hygiene depart
ment of the City of New York.
 
Affiliated  
  

July 11, 2013
 
The Office of Mental Health issued its plan for restructuring of the state operated psychiatric center which calls for the reduction in the number of psychiatric centers (PCs) from 24 to 15 and to move state-operated services into the community.  Access the OMH Regional Centers of Excellence Plan HERE.
  

The plan for Regional Centers of Excellence (RCE) calls for HUBs of services in the community where state-operated PCs would be either closed or converted to forensic use.

 

The Conference is analyzing the report and will provide more detailed information in the near future.  One of the key components for LGUs is the creation of Regional Centers of Excellence Teams in each of the regions Co-Chaired by an OMH Senior Executive, a County Commissioner of Mental Health/Director of Community Services and an a member of the community.

 

The RCE Teams mirror the model of the Medicaid Redesign Team and will be comprised of 15 members, in addition to the Co-Chairs. This RCE Teams will be charged with, among other things, identifying regional priorities, service expansions, developing regional outcome metrics and alternative use plans for state real property.

 

The Teams will begin work no later than August 1, 2013 and submit finding to the Commissioner by October 1 2013.

 

Science Marries
Social Services
Profile: Chemung County System of Care (SOC) 
Brian Hart, DCS, Chemung County


It's been two years since Chemung County began its System of Care (SOC) Collaborative. It began as part of CLMHD's initial Learning Collaborative cohort with the goal of "Transitioning Youth Successfully into Adulthood."
     

 

This towering goal to improve the lives of children and families in Chemung County followed a systematic and scientific path towards ultimate success. Before creating a plan, charting a course or spending a dime they called in the data geeks.     

      

First things First

Led by Brian Hart, Director of Community Services for the Chemung County Mental Health Department, Chemung County began by conducting an environmental scan.  Brian explains, "Our mission was to develop a better understanding of SOC and how to use the model locally to first set and then to realize our project goals."  To gather this information Brian and his team designed and implemented  a survey process that collected and analyzed community knowledge and understanding of the existing programs and services.  According to Brain "We were surprised to learn that people were pleased with the services they had utilized, but were shocked when we realized that most people had no idea about the extent of services available."  Seeing a potential solution to overcoming this information disconnect, the Chemung SOC Collaborative applied for an Innovations Grant offered by NYS SUCCESS,  to build a technology infrastructure that will aid in program and service information sharing among the members of the community.    

 

What is NYS Success?

In 2012, SAMHSA awarded Upstate New York with a four-year grant to support broad-scale operation, expansion and integration of systems of care. Additional funding has also been provided by the NYS Office of Mental Health to support these efforts. What originated as the Upstate New York System of Care Expansion Project has now given way to the creation of a permanent cross-county system, known as NYS Success: Connecting Systems of Care with Children and Families 

 

Enter the Geeks

Brian continues, "We knew that our locally designed environmental scanning survey didn't come close to addressing the dilemma we faced of analyzing data from multiple systems to guide our goal of systemic changes." That's when Chemung County began working with Mansoor A. F. Kazi, Ph.D, Lead Evaluator for the NYS Success grant.  "Dr. Kazi has been able to provide us with the technical assistance to use our available data from multiple systems while meeting the SAMHSA requirements of universal outcomes data analysis.     

 

How did Chemung County reach their desired goals in a time when resources are so stretched? Brian continued, "The answer lies in the fact that determining what to do is the most challenging part of starting up any SOC collaboration, second only to identifying funding to implement the identified project or intervention.  The in-depth data retrieval and analysis available free through our SOC grant meant success for Chemung County."

 

To help with the funding challenge, each SOC Learning Collaborative county gets a $5,000 mini grant from CLMHD to provide seed money to assist with start-up activities, such as (like Chemung) conducting a community or readiness survey or holding a training on ways to engage youth and families. Funding is also available from the SAMSA funded NYS SUCCESS Innovation Grants to enhance the system of care for youth ages 5 -21 with serious emotional challenges and their families. Those awards will generally range between $5,000 and $25,000.     
 

This year the collaborative goal is to "Maximize Utilization of Existing Services for Youth" by promoting the availability of services in your county through the development of an AROUNJA website for your community.  

 

Learn more about the capabilities of SOC Evaluation and how they helped Chemung County:
Systems of Care (SOC) Evaluation Webinar:Thursday, July 18th 10 to 11am

Webinar Link:  https://www3.gotomeeting.com/join/316309862  

 

Who is Presenting?

Fellow DCS and current SOC devotee, BRIAN HART, LCSW-R/Chemung is a member of the NY SUCCESS Advisory Council comprised of state representatives, Conference members, providers, parents and advocates.  He co-chairs the NYS Success Evaluation Workgroup with Marleen Radigan, Deputy Director, Office of Performance Measurement and Evaluation, NYS Office of Mental Health.  Brian is a member of the CLMHD Executive Committee and Chair of the CLMHD Mentoring Program.    

 

NYS System of Care Expansion Lead Evaluator, MANSOOR A. F. KAZI, PhD.  Dr. Kazi is Research Associate Professor & Director of the Program Evaluation Center (University at Buffalo).   Dr. Kazi explains the in-depth data retrieval and analysis (offered free to SOC counties), how its' methodology can transform your community service structure and how it has already transformed communities throughout New York State.       

 

What Will You Learn?  
Learn how your county can embrace SOC and benefit from the free evaluation.  Brian Hart will provide an overview of the NY SUCCESS Evaluation and explain how Dr. Kazi's work is benefiting the Chemung County SOC.

Meet Teisha Cook, Director of Community Services for Madison County

  

Teisha is one of the Conference's newest members. She's been on the job since January of this year (but insists it feels much longer). Teisha's been with Madison County for over 6 years, starting as a staff social worker, senior staff social worker and then supervising social worker before being named DCS. She is also the Children's SPOA coordinator.

 

 

"I worked as a social worker at Elmcrest Children's Center, a residential and community based center in Syracuse for about ten years before comingto Madison County and was part of a team that started a specialized program for adolescents who have

 

committed sexual offenses. She explains, "Most of my experience is with children and adolescents, but for several years I also provided services for adult sex offenders." Before becoming a social worker, I worked for many, many years as a lifeguard and swim instructor!  

 

She received her B.S in Psychology from St Lawrence University and her MSW from Syracuse University.  "When I was an undergrad, I knew that I needed to go to grad school for something, since you couldn't really do much with an undergrad psychology degree. Syracuse University was in my hometown and had a greatMSW program. I actually considered becoming an English teacher, but I didn't want to be around kids all day!   Ironic since at Elmcrest I worked exclusively with kids for ten years! I'm so happy that I followed the MSW path. It has exposed me to so many experiences and different kinds of people and has helped make me a well-rounded person and clinician.    
 
 

Teisha's most indulged hobby is cooking, "I'm Italian, it's in my blood and my last name is Cook. Why fight it?" Baking and Italian cooking are my specialties but I'll make anything and my kids will eat it (and not because they have to, they are very adventurous eaters. They like it all; sushi, quiche, radishes, you name it!" A Syracuse native Teisha is the oldest of three and here's a curious fact: Teisha doesn't know how to ride a bike. "Never learned." And no, as a matter of fact, it is not on her bucket list.      

 

 

She's been married for almost ten years to Tim Cook, who is a probation officer for Onondaga County. They have two children: Jack, almost 8, and Lillie, who is 4. 

 

So how is being the DCS of Madison County (the geographical center of New York State) been for Teisha Cook so far? "I think the best (and worst) part of my job is that I have always been a person that people have come to in order to help them solve problems. And now I am actually in a position where I can make changes, and address issues in order to improve the functionality of the clinic, or in order to help people feel better and more valued. That's a good thing."

 

 

 

Fighting Drug-Based Births
Emerging Clinics Target Pregnant Women Addicted to Prescription Painkillers   

 A handful of clinics are offering something new for pregnant women like Teresa Starks who are battling prescription-drug addiction: obstetrical care combined with counseling and addiction treatment. 

 

When Tara Lee Bailey, a longtime pain-pill addict, became pregnant last year, she tried to quit cold turkey. But she said the experience was so miserable-with vomiting, cold sweats and aching bones-that she went right back to using.

Then she learned about a program at the new Maternal Addiction and Recovery Center at Marshall University's medical school here and signed up.

It's one of a small but growing number of clinics for mothers-to-be cropping up around the country in response to the prescription-drug epidemic, which has triggered a rise of addicted mothers giving birth to drug-dependent babies.  Read more (may require a subscription).
 

  

The Half-Trillion-Dollar Depression

There are plenty of days when Eliza can't manage to get herself out of the house. On others, she can't even get out of bed. And in between, she often can't sleep, can't concentrate and can't remember things. She definitely can't hold down a job. At least not right now.  Mental illness has been an increasingly significant health concern over the past several decades, but it's now becoming an economic one too. The number of Americans who receive Social Security Disability Insurance for mental disorders has doubled during the past 15 years. Eliza is now one of an estimated 11.5 million American adults with a debilitating mental illness, on whom the country spends about $150 billion annually on direct medical costs - therapy, drugs, hospitalizations and so forth. But the biggest blow to the overall economy are the many hidden, indirect costs. Read more.