MINNESOTA
National Alliance on Mental Illness
There’s
No Turning Back
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Have Made Progress
• MN MHAG Initiative – 2006 & 2007
– ARMHS, ACT, CTSS, Crisis Teams, Schoollinked grants, Respite Care, CBHH, etc.
• Evidence-practices such as IMR, IDDT, IPS
• MH Parity
• 2013 Year of Children’s Mental Health
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Facing Barriers
• DHS viewing all disabilities the same
• Workforce shortage
• People with mental illnesses viewed as
violent
• Push for “places” or “beds” to put people
• Lack of intensive services, especially for
first episodes, covered by insurance
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Potential Positive Impacts
• Health Care Exchange – MNSure
• MA Expansion & MNCare changes
• Shift of county dollars to supportive
services not treatment
• Attitudes shifting, MakeItOk Campaign.
IOOV, community conversations
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Potential Positive Impacts
• RAISE study, new interest in first episode
• Integration of MH, SA, physical health
• Behavioral health homes
• Olmstead Plan
• Housing
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Moving Forward Not Backward
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• 2013 Legislative Session Banner Year for
Children’s Mental Health!
• Response to Sandy Hook
• Collaboration among all parties
• 12 bills & 27 provisions
• A true Mental Health Movement
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• ARMHS w parenting skills
• Maternal Depression – educate
professionals
• Home visiting program expanded to
moms with mental illnesses
• Case management transition plan and
extension to age 21
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• Intensive treatment in foster care for up
to age 20, assess for trauma
• MH First Aid Training for Youth
• Student support services report
• Crisis services increase of $1.5 M
• Rate increases for MH providers
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• School-linked mental health grants 50%
then 100% increase - $7.434M increase
• Text message crisis line $1.25 M
• Mental Health education
• Safe School Levy increase and can be
used for co-locating
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• Workforce shortages addressed
– MH Behavioral Aide Certification
– Family Peer Specialists
– Foreign Trained licensure program
– MH Workforce Summit
– MERC funding expanded to psychologists,
clinical social workers
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• Changes to MA:
– Autism Early Intensive Intervention Benefit
– Clinical care consultation
– Family psychoeducation services
– In-reach
– Mental Health Service Plan development
– Psychologists can provide consultation
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• People w Schizoaffective added to CM
• Changes to IRTS to specialize
• Primary care to do SBIRT
• EE-SMI additional $1M
• Workers Comp – PTSD
• Bridges funding increase $400,000
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• Advance Practice Nurses practice
independently
• NEMT – protected transport
• Bonding bill for St Peter
• Competency exams and commitment
exams can be done at the same time
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Continuing to Make Progress
• 2014 Session moved us forward
• Online training on the commitment act
• Crisis teams earlier intervention and cooccurring disorder
• Funding to reduce use of prone restraints
• Money for uninsured children w mental
illness
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
2015 Session
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
2015 + Years for Mental Health
• Immediate crisis
• Health promotion and prevention
• Clinical service infrastructure
• Community supports
• Workforce recommendations
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Immediate Crisis
• Children’s residential – PRTF
• Vulnerability of intensive services,
especially rate structure
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Health Promotion & Prevention
• Embed MH professionals in natural
settings – child care, youth shelters, etc.
• Expand intergenerational pilot
• Focus on early episode of psychosis
• Encourage smoking cessation programs
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Clinical Infrastructure
• Address rate issues – EBP enhanced
rates, reform rates for CM, use quality
measures
• Eliminate host county contracts for
ARMHS
• Expand service eligibility to SMI not just
SPMI
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Clinical Infrastructure
• Determine need for expansion and
benefits for ICRS
• Expand school-linked mental health
• Uniform standards for crisis teams, more
crisis mobile and homes, and one crisis
line and texting
• Upgrade CMH Centers
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Community Supports
• Expand housing support services
• Expand IPS
• Open CFSS
• Expand peer specialists
• Develop MH standards for waivers
• Expand respite grants
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Community Supports
• Determine community services to divert
admissions to AMRTC, expedite
discharges, increase flexibility
• Address transportation issues (day
treatment and protected transport)
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Community Supports
• Enact recommendations from MI&D
report
– Automatic reviews every 3 years
– Review barriers to progress
– Increase resources and treatment
– Ensure representation
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Summer/Fall Planning Process
• DHS Mental Health Reform Group
(Advocates, Providers, Counties, Health
Plans, etc.)
• DHS Working Groups: Criminal Justice &
Payment Rates
• Workforce Summit
• DHS Regional Roundtables
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Workforce Summit
• Some Key Recommendations:
– Increase Psychiatry Resident Slots
– Create Common Supervision Certificate
– Expand Education options in Greater MN
– Provide Mental Health Career information in
public schools
– Improve and measure cultural competence
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
MHLN/NAMI
• Bridges housing - $1.4 million
• Supported housing
• Day treatment
• MH Parity, Plans and MH benefit set
• MA for clubhouses
• Alternative DA’s for culturally specific
groups
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
MHLN/NAMI
• FACT teams, expand youth teams
• GRH reform
• Criminal justice reforms – CIT training,
SROs, medications in jail, etc.
• NEMT
• Suicide data
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
We make
the
road by
walking
Antonio Machado
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Never doubt that a small group of
thoughtful, committed citizens can
change the world; indeed, it's the
only thing that ever has.
Margaret Mead
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
There is No Turning Back
• Not returning to the institutions
• We believe in recovery and resiliency
• Everyone brings something to the table
• Equity and equality are important
• Just because what we have isn’t fully
working doesn’t mean what we had
before worked better
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
Moving Forward
• Change laws and Attitudes
– Still more to do
– Collaborate with NAMI
– Join the movement
– Educate public officials
– Sign up for and respond to Action Alerts
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
The true meaning of life is to plant trees under
whose shade you do not expect
to sit
National Alliance on Mental Illness
MINNESOTA
National Alliance on Mental Illness
NAMI Minnesota
800 Transfer Road, Suite 31
St. Paul, MN 55114
651-645-2948
1-888-NAMI-HELPS
www.namihelps.org
National Alliance on Mental Illness