Governor Hochul Announces Award of More Than $5.8 Million for New Addiction Treatment Programs in New York State
Governor Kathy Hochul on Monday announced the awarding of over $5.8 million to providers across New York State to establish comprehensive integrated outpatient treatment programs for addiction. This funding is being distributed through the State's Opioid Settlement Fund. Comprehensive integrated outpatient treatment programs provide more opportunities to access person-centered comprehensive services, including medication treatment for opioid use disorder. Programs receiving this funding will operate both an outpatient treatment program and an opioid treatment program (OTP) at the same site. Read more here.
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New Study: Behavioral Health Workforce Shortage Will Negatively Impact Society
New survey data from the National Council for Mental Wellbeing, conducted by The Harris Poll, finds that the vast majority (83%) of the nation’s behavioral health workforce believes that without public policy changes, provider organizations won’t be able to meet the demand for mental health or substance use treatment and care. The survey (attached), conducted among 750 behavioral health workers and more than 2,000 U.S. adults, also warns of a potential exodus of behavioral health workers due to burnout. Read more here.
Related: Building a Better World: How MSW Graduates Can Make a Difference in New York
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Substance Abuse Treatment Could be Strengthened in New York Prisons
Treatment, support and transition programs for substance abuse disorder could be designated as essential medical services in New York's prisons under a measure approved unanimously Wednesday in the state Senate. The measure is meant to address what lawmakers said are gaps in treatment programs currently available in correctional facilities. Treatment programs like medication-assisted treatment using methadone and buprenorphine can aid in treating substance abuse disorder, but when a person enters prison, they can experience painful withdrawal symptoms. Read more here.
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The NYS Office of Addiction Services and Supports and the NYS Department of Health Launch Buprenorphine Assistance Program (Bupe-AP)
The New York State Office of Addiction Services and Supports (OASAS) and the New York State Department of Health (DOH) on Tuesday announced the launch of the Buprenorphine Assistance Pilot Program to assist New Yorkers with the cost of buprenorphine for the treatment of opioid use disorder (OUD). Bupe-AP will cover the cost of buprenorphine for eligible uninsured and under-insured individuals with no out of pocket costs for their medication. Buprenorphine is used to help manage OUD involving substances such as heroin, fentanyl, and prescription opioids, and decreases the risk for opioid-related mortality (overdose). Read more here.
Related: Buprenorphine Initiation Rates Stall Despite Policy Efforts to Boost Uptake
NYS OASAS Releases New Video Showcasing Opioid Treatment Providers and Success Stories of Individuals in Treatment
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Study: Rural Healthcare Access Lacking for Minority Populations
For residents in rural communities, getting to healthcare is a challenge. Researchers in a new study have found it’s even more of a challenge for minority populations. The report, from the Rural and Minority Health Research Center, looked at how close some ZIP codes were to different kinds of health care. Then they looked at what access looked like in areas with higher proportions of racial and ethnic minorities. What the study found, said Janice Probst, lead author, was that the availability of different kinds of healthcare was worse for rural minorities. Read more here.
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Pain, Hope, and Science Collide as Athletes Turn to Magic Mushrooms
WAKEFIELD, Jamaica — The boxer felt broken. Every day, he was waking up in pain. Some days, it was debilitating headaches. Other times, it was his back. Or his fists. His ribs. His nose. On top of that, he had mood swings. Depression. Anxiety. Mike Lee didn’t regret his career. He had been one of the best professional fighters in the world in his weight class. He’d gone 21-1 professionally and fought in Madison Square Garden and in front of millions on TV. But it had been more than two years since he’d been inside a ring, and every day was a reminder of the cost. At one point, Lee was taking eight prescription medications, all of them trying to help him cope. In his lowest moment, on a night when he was in the depths of an addiction to painkillers, he said, he contemplated driving his car into the median of a Chicago freeway at 140 mph. He was willing to do anything to escape the hell he felt trapped in. Read more here.
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Payers Must Create Infrastructure to Support Behavioral Health Providers Moving Towards Value-Based Care Contracting
While the medical community agrees that integrating behavioral health and primary care is critical to better patient outcomes, making that happen means disrupting the status quo. Industry stakeholders are rethinking the current reimbursement structure to promote integrated care. But to shift the current paradigm, payers and providers must work together to navigate uncharted territory. Roughly 15% of primary care visits in the U.S. address a behavioral health concern, according to recent data from Health Affairs. Yet, full integration of services is rare, making it difficult for primary care providers to help patients find appropriate behavioral health services. Read more here.
Related: Strategies Used by States to Link Medicaid Managed Care Plan Payment to Performance in Behavioral Health Service Delivery
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The IMD Exclusion—One More Time
Eliminating the Medicaid institutions for mental disease (IMD) exclusion for both mental health and addiction treatment would cost the Federal government about $4 billion per year, or so. This is one of the many findings of a new Congressional Budget Office (CBO) analysis, Budgetary Effects Of Policies To Modify Or Eliminate Medicaid’s Institutions For Mental Diseases Exclusion. The “IMD exclusion” has been around since the Medicaid program started in 1965. The rule prohibits states from using Medicaid to pay for care provided IMD—defined as psychiatric hospitals/residential treatment facilities with 16 or more beds. The Medicaid rule was designed to disincentivize the treatment of the mentally ill in large institutions and shift the costs for psychiatric treatment from the federal government onto the states. Currently, states have four options to pay for behavioral health services in these specialty treatment settings. Read more here.
Related: The federal government can — and should — help the mentally ill
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The Truth About Teens, Social Media and the Mental Health Crisis
Back in 2017, psychologist Jean Twenge set off a firestorm in the field of psychology. Twenge studies generational trends at San Diego State University. When she looked at mental health metrics for teenagers around 2012, what she saw shocked her. "In all my analyses of generational data — some reaching back to the 1930s — I had never seen anything like it," Twenge wrote in the Atlantic in 2017. Twenge warned of a mental health crisis on the horizon. Rates of depression, anxiety and loneliness were rising. And she had a hypothesis for the cause: smartphones and all the social media that comes along with them. "Smartphones were used by the majority of Americans around 2012, and that's the same time loneliness increases. That's very suspicious," Twenge told NPR in 2017. Read more here.
Related: A Devastating Report on Teen Mental Health: Many Causes Require Many Responses
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Incorporating Community-Based Organizations in Medicaid Efforts to Address Health-Related Social Needs: Key State Considerations
State Medicaid programs are increasingly connecting the dots between the medical, behavioral, and social components of health to achieve the goal of more equitable, whole-person care that addresses the health-related social needs (HRSN) of Medicaid enrollees. Medicaid agencies increasingly require health care organizations (HCOs) to partner with CBOs. New guidance from the Centers for Medicare & Medicaid Services on HRSN services will likely expand the impact of these relationships. This Center for Health Care Strategies report explores insights from early state innovators to help guide states, HCOs, and CBOs in shaping and navigating successful CBO-HCO relationships. The report draws from an examination of leading-edge state Medicaid programs requiring formal CBO-HCO partnerships, as well as stakeholder and expert interviews, to identify best practices and implementation considerations for other states interested in strengthening CBO-HCO partnerships.
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Families, Activists Call for Increased Access to Care for Young Adults with Autism
The national organization Autism Speaks has been working for many years to correct the false assumption that autism is a childhood condition that can be outgrown. People with autism and their support networks will tell you that as they grow, so do the supports they need. For Jelani Jones-Moore, a 21-year-old with autism, finding his purpose is challenging. Navigating the transition from school-age to young adult has been difficult for Jones-Moore. He was an early intervention student. In grade school, there were built-in services and supports. Today, he and his family are struggling to find resources. Read more here.
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UPCOMING EVENTS & TRAININGS
Behavioral Health Parity 101
April 27, 12 - 1:30 pm, NYCDHMH
CORE Virtual Regional Learning Session - Western
April 27, 12 - 1:30 pm, OMH/NYTAC
Mental Health Workforce - Shortages, Disparities, & LGBTQ+ Care
April 27, 1 - 2 pm, NIHCM
Determining Level of Care within Crisis Services
April 27, 2 - 3 pm, National Council for Mental Wellbeing
Harm Reduction Office Hours with Providers
April 27, 2 - 3:30 pm, OASAS
Peer Recovery Support Series, Part 3: Inclusive Outreach for Beginners - How to Create More Diverse Spaces in the Recovery Community
April 27, 3 - 4:30 pm, NAADAC
Access to Care for Justice-Involved Pregnant People With a Substance Use Disorder
May 1, 2 - 3 pm, Manatt
Investigation Basics for State Oversight and Provider Agency Staff Day 1
May 2, 9:30 am - 12 pm, The Justice Center
Strategies for Providing Whole Child Care: A Blueprint for Meeting Children’s Social Needs
May 2, 3:30 - 4:30 pm, Manatt
Investigation Basics for State Oversight and Provider Agency Staff Day 2
May 3, 9:30 am - 12 pm, The Justice Center
PSYCKES for BHCCs and Other Networks
May 3, 1 - 2 pm, OMH
Intergenerational Family Mental Health: MHANYS Innovative Programming
May 4, 12 - 1 pm, MHANYS
OASAS SAPT Supplemental Grant Information Session
May 4, 1 - 2 pm, OASAS
Labor of Love: Experiences of Harm Reduction Workers Using PhotoVoice
May 6, 4 - 6 pm, Peer Network of New York
WHAT'S GREAT IN OUR STATE 2023: A Celebration of Children's Mental Health
May 9, 9 am - 12:30 pm, OMH
PSYCKES for Health Homes and Care Management Agencies
May 9, 10 - 11:30 am, OMH
Sexual Misconduct: Boundaries and Ethics in Addiction Counseling – “Where’s the Line”
May 10 - 11, 9 am - 4 pm, OASAS
The State of Our Children’s Health
May 10, 1 - 2 pm, NICHM
Diagnosis and Treatment of Gaming Use Disorder
May 10, 3 - 4:30 pm, NAADAC
Equitably Identifying Individuals for Care Management: Strategies for CalAIM and Beyond
May 15, 2 - 3 pm, Center for Health Care Strategies
Rural Telehealth & M-Health for Children & Youth
May 16, 2 - 3 pm, National Council for Mental Wellbeing
Enhancing Harm Reduction Services in Health Departments: Fentanyl Test Strips and Other Drug Checking Equipment
May 16, 3 - 4 pm, National Council for Mental Wellbeing
Impact of the End of the COVID-19 Public Health Emergency on Opioid Use Disorder Treatment
May 16, 3 - 4:30 pm, FORE
Engaging Families in SUD Services: A Treatment Improvement Protocol (TIP 39) Training
May 17 - 18, 9 am - 4 pm, OASAS
Supporting Individuals Living With A Mental Health Condition Through 988 & Mental Health Education
May 18, 12 - 1 pm, PsychU
2023 Let's Talk About Health: Caring for Seniors in Rural New York - Virtual Conference
May 19, 8:30 am - 3:45 pm, University of Rochester Medical Center
Faces Of Depression In Primary Care: Depression Symptomology & Functional Outcomes From Early To Late Adulthood
May 24, 12 - 1 pm, PsychU
A Fire Within: Working With the Rage of Trauma and Oppression
May 24, 3 - 5 pm, NAADAC
Peer Recovery Support Series, Part 4: Peer Supervision - Leadership and Lived Experience
May 25, 3 - 4:30 pm, NAADAC
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CLMHD CALENDAR
MAY
Quarterly LGU Billing Staff Call
May 2: 11 am - 12 pm
Executive Committee Meeting
May 3: 8 - 9 am
Developmental Disabilities Committee Meeting
May 4: 1 - 2 pm
LGU Clinic Operators Call
May 9: 10 - 11:30 am
CLMHD Spring Full Membership Meeting
May 10 - 12, Embassy Suites, Saratoga Springs
Children & Families Committee Meeting
May 16: 11:30 am - 1 pm
Deputy DCS Call
May 23: 10 - 11 am
CLMHD Office Closed - Memorial Day
May 30
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