October 23, 2016
4:00pm – 6:00pm / Earlybird Registration for MACMHB Fall Conference4:00pm – 4:45pm / CMH/PIHP Board Chairperson Roundtable & Networking
This roundtable will be an informal gathering of chairpersons to discuss the latest issues affecting board members. Hear solutions used by chairpersons to overcome challenges in their board. Compare notes and learn what works and what doesn’t. Bring your questions and be ready to be an active participant in this lively discussion! If the board chairperson is unable to attend, a board member may come in their place.
6:00pm / MACMHB Members: Executive Board Meeting
October 24, 2016
7:15am – 5:00pm / Conference Registration and Exhibits Open7:30am – 8:30am / Breakfast Activities(full breakfast buffet will be served until 8:30am)
Regional Breakfast Meetings
Provider Alliance Breakfast Meeting
Non-Member and Staff Networking Breakfast
8:40am – 9:00am / Conference Welcome
William Davie, President, Michigan Association of CMH Boards
Robert Sheehan, CEO, Michigan Association of CMH Boards
Board Member Longevity Recognition
9:00am – 9:45am / Plenary Session: State Legislative Panel - Key Policy Issues Facing Michigan
Jay Greene, Senior Reporter, Crain’s Detroit Business
Legislators to be announced
A great opportunity to hear directly from state lawmakers on the key policy issues facing the State of Michigan. What is the latest on the state’s integration efforts, status of section 298? How will the changes at the federal level impact the state’s Medicaid match, status of Use tax/HICA changes? How will the presidential election impact federal and state races, predictions? What are the other hot button issues the Legislature will address in the lame duck session?
9:45am – 10:15am
/ Exhibitor-Sponsored Refreshment BreakConcurrent Workshops
10:15am – 11:45am
/ 1.Treating the Youngest and Most Vulnerable Victims of a Man-Made Disaster: A Unique Medicaid Waiver PilotElizabeth Burtch, LMSW, MSW, IMH-E, Manager of Family Supports, Genesee Health System
Lauren Tompkins, PhD, LP, Chief Clinical Officer, Genesee Health System
The Flint water crisis is a man-made disaster that has deeply and irrevocably affected an entire community. Those most affected have likely not yet seen the full effects of that disaster yet, and may not for several years. In response to this crisis, the Federal and State Governments, in collaboration with the local CMH, created a first of its kind special Medicaid waiver. Genesee Health System (GHS) was chosen as the Designated Provider Organization to pilot this ground-breaking waiver. This presentation will detail how the key staff developed and implemented the program to treat the youngest, most vulnerable residents of the community. Process, lessons learned and results year-to-date will be presented. Participants will be able to: 1. Summarize the basics of the new Medicaid waiver pilot developed for and by GHS for the Flint water crisis; 2. Recognize and list the main symptoms of lead poisoning in young children; and 3. Describe the successes and challenges of implementing a first of its kind Medicaid benefit.
2.Three Counties – One Goal: A Collaborative Effort to Combat Emergency Department Psychiatric Boarding in Southeast Michigan
Jennifer M. Peltzer-Jones , PsyD, RN, Senior Staff Psychologist, Department of Emergency Medicine, Henry Ford Health System
Stephanie Brady, DNP, APRN-BC, Vice President of Care Transitions, St. John Providence Health System
Carmen McIntyre, MD, Chief Medical Officer, Detroit Wayne County Mental Health Authority
Matthew Owens, MA, LLP, LLPC, Chief of Network Operations, Oakland County Community Mental Health Authority
Emergency departments (ED) are healthcare safety nets in the US, both for medical as well as psychiatric care. Due to various factors, community mental health agencies are often not well connected with their local emergency departments. In 2015, leaders from several large healthcare systems met with the Medical Directors/Administrators for Wayne/Macomb/Oakland county community mental health agencies to brainstorm ways to address extended emergency department stays for psychiatric crises. Through this initial meeting, a “Tri-County” mental health group was formulated. This presentation will discuss the Tri-County Initiative and will include information about: ED psychiatric crisis care, challenges and opportunities with these ED-CMH collaborations; pathway to formulating the group, outcomes achieved via this group, and future directions of where this initiative will go next. Presenters will be a varied group of clinicians and administrators, hospital and CMH based, also from different counties. Participants will be able to: 1. Describe 2 contributing causes of psychiatric ED boarding; 2. Describe 2 positive outcomes which developed from the Tri-County initiative which could be replicated in your community; and 3. List at least 2 areas for opportunity to link with your local emergency department to improve patient care.
3.Supporting Your Consumers with Assistive Technology
Laura Hall, MSW, Program Manager, Michigan Disability Rights Coalition
Aimee Sterk, LMSW, Program Manager, Michigan Disability Rights Coalition
Interactive, hands-on workshop to learn about high and low tech apps and devices for mental health and substance use recovery and living with a developmental disability including resources for stress, anxiety, depression, PTSD, organization, task reminders, communication, emergencies, medication management, recovery and neurodiversity. Come ready to learn about and try out devices and see apps in use. Presenters will also provide an overview of resources for accessing assistive technology including funding. Participants will be able to: 1. Define Assistive Technology (AT); 2. Identify 3 AT options that will help their clients with developmental disabilities and clients in mental health and substance use recovery; 3. Describe considerations for helping people select and use AT; and 4. Identify resources including the state assistive technology program and partners to help people with disabilities access AT.
4.Michigan’s First Dedicated Mental Health Millage
Lynne Doyle, MPA, MA, LLP, Executive Director, Community Mental Health of Ottawa County
Anna Bednarek, MPA, Customer Services Coordinator, Community Mental Health of Ottawa County
Community Mental Health of Ottawa County (CMHOC) placed a dedicated Mental Health Millage for 0.3 mils on the March 2016 ballot and successfully passed the millage with nearly 60% of voters affirming it. CMHOC will provide information describing the steps taken from the initial idea of a millage, how to create buy-in with County Commissioners, and how to provide information and education to voters. We will also discuss the programs and services we will implement using millage funds. This presentation will discuss the limitations a public entity has when educating the community about ballot initiatives and the importance of having supportive community groups to provide advocacy. This presentation will give participants the tools necessary to pursue a dedicated mental health millage in their own communities.Participants will be able to: 1. Navigate the process of placing a millage on a local ballot; 2. Develop community understanding of a millage; and 3. Develop programs that can be funded with millage dollars.
5.Forecasting Changes in Supported Employment Services – 2017 & Beyond!
Joe Longcor, BBA, Supported Employment Specialist, Behavioral Health and Developmental Disabilities Administration, MI Department of Health and Human Services
This interactive session will focus on proposed Medicaid Provider Manual (MPM) changes related to employment services, a more liberal “face-to-face/on-behalf-of” definition for the HCPCS rules, growing focus on follow-along supports and special education to community, as well as understanding how Freedom to Work/MBI may be a great option for some people in spend-down. Participants will be able to: 1. Recognize likely Freedom to Work/MBI candidates; 2. Describe the new broader interpretation of “on-behalf-of” in the HCPCS codes and rules associated with “face-to-face;” and 3. Understand how the new Special Education to Community language helps youth/young adults and our PIHP/CMHSP system.
6.Creating Video to Spread the Message: Optimizing Mental Health Services for Deaf, Deafblind, and Hard-of-Hearing
Charlyss Ray, OTR-L, Specialist for Services and Supports for Persons with Developmental Disabilities, Behavioral Health and Developmental Disabilities Administration, MI Department of Health and Human Services
Suzanne Rondeau,Creative Director
This session will provide insight into key aspects of mental health services for deaf, deafblind, and hard-of hearing (DDBHOH) individuals. Using five original video clips, funded by a SAMSHA grant, topics include highlights of Deaf culture, recognizing signs of mental health symptoms, how to access services, what to expect at every turn and recipient rights. The process of making the videos will be discussed including grant procurement, the collaborative efforts of public, non-profit, and private sectors to write scripts, use storyboards, direct and film a cadre of amateur actors. The clips will be shown throughout the session and ultimately distributed through various forms of social media as well as posting on the MDHHS website. Participants will be able to: 1. State 4 unique aspects of Deaf culture; 2. Discuss 3 key elements of improving mental health care for DDBHOH persons; and 3. Learn 5steps in the process of video development to spread a public service message.
7.Getting Engaged: A Road to Recovery
John B. Moir, BA, CADC-M, Hospital Liaison, Community Network Services
Laura Moore, LLMSW, CADC, Case Manager ACT/IDDT, Community Network Services
The presenters will review a variety of barriers to engaging clients who have both mental health and substance use disorders. You will learn what these different barriers are and ways to address them. The presenters will address matching treatment to stage of change as a way of engaging clients in treatment. You will learn why it is important to address co-occurring issues concurrently, and the cost of not addressing co-occurring issues. This session will focus on skill development to improve engagement with the co-occurring population. Participants will be able to: 1. Identify barriers to engaging co-occurring consumers into treatment; 2. Summarize the extent of co-occurring issues in the United States; and 3. Apply 2 skills to improve their engagement.
8.Data Analytics 101: The Basics
Dale K. Howe, PhD, Owner, Dale K. Howe Consulting, LLC
Data Analytics has become so overused that it may no longer be at all clear what the term means. We will review both what analytics can do and what it cannot do. Long before the fancier and more complex analytical tools can be used effectively, you must go through the steps necessary to determine if the data is complete and correct. This not the most exciting part of the process, but it is the part that will determine how much you should trust the answers the more advanced tools may provide. This session is intended to step back a couple paces and review the basics of data analytics. Analytics attempts to draw answers from the data, it does not improve the quality of the data. What questions should you be asking about a proposed analytical process? What can you reasonably expect analytics tools to do for your organization? What are some of the more obvious limitations? How far out can you forecast data patterns? Participants will be able to: 1. List the basic steps in an analytics process; 2. Describe key factors used to determine how much to trust the computer’s answer; 3. List 3 basic measures of data quality; and 4. List 3 basic warning flags indicating data problems exist.
9.Boardworks 2.0 Foundations: Intended Beneficiary Command
Malkia Maisha Newman, Consumer Board Member, Oakland County CMH Authority; Member of Community Network Services Anti-Stigma Team
In this workshop you will focus on the public policy expectations of intended beneficiaries from the community system. Participants will be able to: 1. Describe the relationship between the Board and community and individual beneficiaries; 2. Identify at least 3 opportunities and/or strategies for promoting and supporting individual beneficiaries in leadership, administrative, management and in the provision of supports, services, care and treatment; 3. Identify at least 3 opportunities and/or strategies for promoting and supporting community and individual beneficiaries in community system assessment, evaluation, planning, implementation management, monitoring and improvement efforts; and 4. Identify at least 2 opportunities and/or strategies for promoting and supporting individual beneficiaries choice as an informed, responsible and prudent purchaser.
11:45am – 12:30pm / Networking Lunch
David LaLumia Outstanding Professional Service Award
Ed LaFramboise, Former CEO, Northeast Michigan CMH Authority
12:30pm – 1:30pm / Plenary Session: Panel Discussion – Direct Support Workforce Challenges
Hollis Turnham, Michigan Manager for PHI—Quality Care through Quality Jobs
Robert Stein, General Counsel, Michigan Assisted Living Association
Kathy Swantek, Executive Director, Blue Water Developmental Housing, Inc.
Recently a legislatively mandated and MDHHS sponsored workgroup concluded that the critically important frontline workforce delivering supports and services to Michigan’s most vulnerable residents is not stable and immediate action is needed to address the current and worsening challenges. Hear directly from leading experts about the increasing challenges participants and employers are facing regarding recruitment and retention of qualified and competent direct support staff and the unanimous recommendations of the workgroup. What impact are turnover and job vacancies having on Michigan’s community mental health system?
1:30pm – 3:00pm
/ Concurrent Workshops10.Update on the Statewide Transition Process for the Home and Community-Based Services
Belinda Hawks, BS, MPA, Manager, Federal Compliance, Behavioral Health and Developmental Disabilities Administration, MI Department of Health and Human Services
Angela Martin, LMSW, Community Support Specialist, Developmental Disabilities Institute, Wayne State University
In 2014, the Centers for Medicare and Medicaid Services promulgated a new rule regarding Home and Community-Based Services within Medicaid Waiver programs. The new rule requires residential and non-residential settings to meet a set of characteristics in order to be considered home and community-based under a Medicaid waiver. The Michigan Department of Health and Human Services is currently implementing a statewide transition plan for bringing all waiver settings in Michigan into compliance with the rule. The Department would like to provide an update to stakeholders on this process and identify opportunities and strategies for achieving compliance with this rule. Participants will be able to: 1. Understand where the Michigan Department of Health and Human Services is currently at in the implementation process for the Home and Community-Based Services rule; 2. Use the knowledge gained from this session to understand how and when their organizations or agencies will be affected by this rule; and 3. Discuss opportunities and strategies for coming into compliance with the rule and improving the delivery of home and community-based services in residential and non-residential settings.
11.When All Eyes Are On You: Leadership in Times of Crisis
Bob VandePol, MSW, Executive Director of Employee and Church Assistance, Pine Rest Christian Mental Health Service
When tragedy strikes an organization—a fatal accident, violence, or natural disaster —all stakeholders immediately look to its leadership for direction. How those leaders respond when all eyes are upon them offers both tremendous opportunity and serious risk for the subsequent outcomes. Reactions to their leadership will echo throughout the organization as others take their cue from the charted direction. People will go through the crisis with or without leadership. How do you address the human impacts and financial costs? How do you communicate in a way that demonstrates both competence and compassion? What should you do to mitigate tragedy’s occurrence and keep a bad situation from getting worse? This presentation will address crisis leadership skills that support individual and organizational resilience. Participants will be able to: 1. Demonstrate increased understanding for how doing the right thing impacts the bottom line; 2. Demonstrate understanding regarding the predictable individual and organizational symptoms of traumatic stress; and 3. Demonstrate increased understanding of effective crisis communication skills to foster resilience.
12.Children’s Behavioral Action Team (CBAT): Successes, Challenges and Lessons Learned
Dr. George Mellos, MD, Director, Hawthorn Center
Kim Batsche-McKenzie, LMSW, Manager of Programs for Children with Serious Emotional Disturbance, MI Department of Health and Human Services
John Lewis, LMSW, Transition Manager, The Children’s Behavioral Action Team, MI Department of Community Health
Eugenia Ward, LMSW, Project Coordinator, Children’s Behavioral Action Team, MI Department of Health and Human Services
In March of 2015, The Guidance Center was selected by the MI Department of Health and Human Services (MDHHS) as the recipient of a grant to create and implement a Children’s Behavioral Action Team (CBAT). The CBAT is responsible for developing successful community–based transition services and treatment which will allow children & youth in Hawthorn Center to return home to their families, or to the most family-like community setting. The target population of CBAT has expanded to serve up to 50 children and families annually. In this session, we will review the 19 month pilot project and examine successes, challenges and lessons learned. CBAT outcomes will also be reviewed. Multisystem collaboration with PIHPs, CMHSPs, MDHHS, child welfare, schools, courts, primary care and families will be discussed. CBAT works in conjunction with a state level CBAT Leadership Team, Hawthorn Center and multiple community providers. Participants will be able to: 1. Recognize the need for complex aftercare and transition plans for hospitalized youth and families; 2. Identify the successes and also the challenges identified after year one; and 3. Examine the CBAT year one pilot outcomes and review what we have learned so far.