The Power of Partnerships
in today’s changing health care landscape
Rebecca Glathar, NAMI Utah
Angela Kimball, Oregon Health Authority
Delia Rochon, Intermountain Healthcare
Change the FRAME Summit
NAMI Annual Convention
San Antonio, Texas
June 27, 2013
Why is health care changing?
Everyone wants to achieve the Triple Aim
goals:
What is changing?
• New models of financing
• New models of delivering care
Why is this important to NAMI?
• When financing and delivery changes, it
changes who gets money and who makes
decisions
What can NAMI do?
Leverage your strengths as:
• Educator
Partners’
Interests
• Supporter
• Connector
• Navigator
• Advocate
NAMI’s
Strengths
New
Opportunities
Behavioral Health Program for
the Uninsured
Access
NAMI National Conference
June 26, 2013
Treatment Works but Inaccessible
for Many
Percent Receiving Treatment
for Different Diagnoses
84%
75%
70%
38%
11%
Diabetes
Heart Disease Hypertension
Any Mental
Illness
Substance Use
Disorders
The Challenge in Utah
∼101,657 adults and children in Utah are in need of,
but not receiving, mental health treatment services
∼45,085 individuals were served by the public
mental health system, or less than 31% of the
current need
∼ 16,454 individuals were served by the public
substance abuse system, or less than 17%, working
at capacity
Utah Division of Substance Abuse and
Mental Health 2011 Annual Report
Uninsured people with mental illness
in Utah
52% receive no treatment at all
48% ER visits, community clinics
Utah Division of Substance Abuse and
Mental Health 2009 Annual Report
Interventions
Crisis Intervention / Emergent Care
Home
School
Community
Organization
Outpatient
Primary Care
Mental
Clinic
Emergency
Room
Health
Day
Treatment
Residential
Facility
Settings
Inpatient
Unit
Key Stakeholders
Intermountain Healthcare Community Benefit
NAMI
Family Counseling Center
Cornerstone Outpatient Services
Volunteers of America – Detoxification Services
4th Street Clinic – Homeless Outpatient Services
Salt Lake County Human Services
Understanding the Challenge
Navigating the system – knowing where to go for
help
Timely access to treatment
Fragmented system of care
Salt Lake Valley Demonstration Program
Increase timely access to appropriate care for the uninsured
1. Patient advocate in Hospital



Meet with patient to review discharge instructions
Make appointments for treatment/other essential services
Follow patient until connected with services
2. Timely access to treatment

Follow up appointments within seven days
3. Integrated services in a coordinated network


Partnership to increase access to services
Funding to provide a comprehensive spectrum of services
NAMI’s Role
Patient Advocate
Education Classes
Support from mentors
Interventions
Toward Continuum of Care
NAMI
USARA
Home
Over 20
Agencies
School
Family
Counseling
VMH
Neighborhood Clinic
4th Street Clinic
Community
Organization
Primary Care
Clinic
Outpatient
Mental
Health
Day
Treatment
Cornerstone
Residential
Facility
Coordinated Network
Settings
VOA
Inpatient
Unit
Improved Access to
Appropriate Services
Baseline
Program
(n = 1,000)
23%
72.9%
% of referrals with scheduled appointment or already in treatment
Timelier Access to Outpatient
Psychiatric Services
Baseline
Program
42 days
8.6 days
Average days until first available appointment - outpatient psychiatric services provider
Better Engagement in Outpatient
Psychiatric Services
Baseline
Program
1.8
4.6
Average number of sessions attended at outpatient psychiatric services provider
Reduced ED Visits and Admissions
12 months prior to
intial referral
12 months after
initial referral
193
98
# of ED or inpatient unit admissions among patients who attended
at least one session at O/P psychiatric services provider
Integrated Services in a Community Network
Before the program
Family
Counseling
Cornerstone
VOA
NAMI
USARA
VMH
Silo System
4th Street
Clinic
Other
Services
Integrated Services in a Community Network
After the program
Counseling
Medication
Day
Treatment
Detox
Services
Support
Groups
PCP
Community System of Care
Wellness
The power of partnerships
The Utah collaboration is mutually beneficial; it helps
people living with mental illness, it promotes NAMI and it
adds value for community partners
The power of partnerships
NAMI Utah’s collaboration with Intermountain builds on
NAMI’s strengths as an:
• Educator
• Supporter
• Connector
• Navigator
• Advocate
Make your own
opportunities…