HomeMy WebLinkAboutAgenda - 04-29-2002 - 4b pff xm:,>7,an?ab
OPC & System Reform
APri1200
OPC Moves Forward In Planning For System
Reform
Reform of the public mental health system UPCOMING EVENTS
as outlined in Carmen Hooker Odom's State
Plan 2001:Blueprint for Change is moving .MenMl Health Association in orange County
forward across North Carolina. Orange, Hosts Public Meeting
Person. and Chatham counties have
converted a local steering committee Apri115,ROOT 7:00 pm
comprised of County Commissioners, County Southern Human Services complex
Managers,the OPC Area Director and Board 35ot Homeslea i rswa Chapel N01
Chair, as well as a representative from the
Consumer& Family Advisory Committee. Speaker:rim Wlalems,MSW
The Steering Committee, which has had two Director at Mensal H""/Substance Abuse
meetings, will provide oversight and servleae
management&the local reform process. OPC Area program
The Consumer &Family Advisory Committee,
which has also met Mice, is changed with the The Manel Heats Associalon la hosting an
responsibility Of Obtaining Consumer and information session on Me rim State Plan being
family input, as well as advising and reporting proposed. rim Williams will facilitate Me meeting,
to the State on the local planning process, which will ME open mall friends of MHAKIC.
The Local Management Entity(LME) Work
Group has developed a strategic planning . Mental Health Asimclagpn in Orange County
Process(see pages 2 and 3),and identified Hosts Legislative Breakfast
responsible parties for the multiple tasks.
The work group has also started to compile Saturday Apol 30,2002 Mllam-10:00am
and analyze service provision data of the CM1Umh of Reconciliation
existing system (see inserts), as well as 110 N.EIOon Roed Chapel Hill
developed a preliminary list of stakeholders in
the local community. Members of the work leynow speaker: Dr.Beth Mekhir
group have started meeting with OPC staff to Director of Government Beastmns
discuss the requirements of the Stale Plan Material Alliance for Me Mentally 111
and elicit feedback for the planning process.
each year,shortly Were Me Legislature mesb,
the Mental Health AssOdagon hosts a Legisimnis
Brealass,In which community members,mental
NOTHING IN D EE roar HapErr5.Y0a EEIEE To HAVE health consumers and amexafts,and Blotted
'HE SfAMINATO MEE'rTHE 0341ALCUSIrND officials exchange areas on the unmet mental
OVERCOME THEA1 health needs in the community.
-GOEDAMEIR
OPC&System Reform April 2002
Orange, Person, & Chatham Counties
Strategic Planning Process
(Response to State Plan 200h Blaeprfntfor Change)
_ STEPS THE FRAMES FOR PE6PoNSBLE
COmPLEIION _ PEM1WNS
• Organic LIFE shot process Ianmry Sits Tam MonaN,Are
• Educate Cook E cUp a Area hoard regarding the Slane Plan Dimcmr
• Develop lemons outline whh OPC Am Dowd
• Obui,Baor CUP, voI fimmnml,T dcm of holds Ne¢d
m development&Mplemematlw of local immes plan
• Fro itate the development of a consumer&parody ndvimry m1mmry 2002
mom"
• 1'a line the establishment of a local steams onaon" Pebwuy2002
rvmp6ed of Co"S Commissioners&Comity Mang
OPC Arta Dim1m,and IRmd chair well as
Commandant from me Cmrmmer&Family Advisory
Commmm
• Compile&amilyre son ICU Fm on Ron of eda'mg system Amil tons prehirst LME Wink GRam
Cumin srvees Emotional mods
Service mix'by dimmostic smso Chem
Iwo year history of serene provision dameaphice
• Gaectwenee&eEicleocy of son ice",in-former...y Diagwsm
&service cost electronic
• Penenauon most I Mapping of
• unmet need: services
Gldissi Ofinpan"t""i'm Fula value of
Indict over rory m, 'm^t°s
system re,ow dam May 2002-•
• Outcomes Ali other service
Pro,mm dew of
exis
• Identify major sekehoWets aM implemm omlufu&ed Febnary,No outer Consumer&
u mmummmon plan FamlFamily• btdivid�sl&gmupmeehig5 FeGUVy�November Advimry
Public6rvou SPremMrit Committee'
NaJa&6np msessmenw November Sieving
• Newsletter Mmch- May Commune'
Febmarr� DUE Wok
Cm
Caner aervia'e pmvlekn4y dlmbiliry and age in do fallowing rismat i¢; by diaQners&GAD eouniy or
ewn With ne ompmryi'a aftem 111,CRI,be•ri ng elpaimel,COCO oednotm ml cR JU involvement,
tler(o):swvioo lac npeyor,T Wiflarymvtnws:ing ^Ievv.m,iro thoddyl
Room rnmeGroup;TOm Maywd.Tim WWium,Ceb Fertirwb .0.waPNh .IWYFroIeq Prt Far In.
Kevinm en& and lady
I Consumer&Femlly Advent imy Cummins; t&e ancys crest dm Caring:imrs,&ison-Kar O'Nxl
mmi CommilyA Cmnty c=Coioners&oams, Mawgrs;OPCAm Dirtcn&FOW Chen,
Conwnv&family AtivifoO Commltltt rtpteuorenva
Strategic Plming N,,,,
OPC&Synem Reirnrisi s
April 2002
STEPS TENLE FRAMES FOR RESPONSIBLE
COMPLETION PERSONS
> Cuspids Strummed uwlysis Apd12002 LMEWork Gawp
I ti a n xs&we ssc.,swu0a
oproMryaies&thedu Lr ytm,
Rneazeh how to me d beget popma0w HMIs -
ReseareM1 ,nd,mnsoliinfloa oemommies
> Cnmpilc in6mwlipn for Ml drzA of ml bermes LefE Work Gawp
plmao mGWe
• how LME will manage cmcvmiav&wvisc Iure2002 Consumer&Firmly
prcvislon t,amgetpppulediom AdvimryCUmmillec
ahe design fora
• emprehen 1001
wk
$mein-Commmec
1,111m,Mr laei mweg
si send ID01
wdVWIiy
• I deoig.6rmvlu mustering&eriluader, hlay2002
wcll av acompgr ive Sutliry
,mmmene prow.. y3Po2
• IsySlcm ft,mfatonGOn wish insurability
tWnen Iunc2002
• the dsipp fwnenifom wwl ofx«es
➢ Summit pechminmy fe,mol plw w Rviswn July 1002 Lp¢WOrk Grmp
Sian GmmiRS
D Cnmple&awl&e 0zi dmROf kwO bminm Augurs 2002 LM Wmk Group
gust 10 a11iM1kcholde
D R irc Ilse dmft"lawl busdues plus end review stoodd c2W2 L46 Work Gawp
with key sukehoddem
Suing Commixes
C mwwr&Family
Ad,ismyConsamace
> Ewh county submits howl inert widening (NMAx 00E County Cnmm'vVwM
MS of Lh@
➢ Submit must draft of kcal businec Flmm Cwnry November 1,2002 LIdE Work Gmp
Commiaalnnm m,di..emm.mn,.M ublm
>
war[of heal business plan SubtlmW w She January 1.203 saeGl,Igco,nmMee
Di,inion consensus me following d....ms:
• 5mItigiv pm,for system reform Lh6 WOrh Cmm,p
• Provider mmo,kd,wimmmt
Service mMg&owoiVs
Evaluuionn
Cnlleb..mmn
➢ Plmell aflo[alominessplmi svhmimtl satM1e April Stbr Ssedngcomm"M
Dinspn WMaining ceveiems in me tie r,dommr
aM meduslveof three a61itional element: Lhff Work Group
Smvimmmugemem
• Financialmuagemen[@uaounmdEry
Aa
Sumgic Marring PO[ett
ORC&whom Return Apra 2001
Report From The Convivial& Each member present introduced themselves to
Family Advisory Committee the group and briefly described their connection to
the committee. The committee men discussed
ways to mumaze the committee. The pros and
February Me-an iniful meeting was held at the cons of dividing into disability Monte were
OPC Administrative Offices in Carr Mill Mall discussed It was decided that for sub-commMee
About 25 consumers and family members heard a work in the future,the groups va uM spilt up into
presentation about the State Plan by Tom groups representing developmentally disabled,
Maynard, milowed by a quest'a i and answer mentally ill, and substance abuse. They would!
"salon and discussion about the committee's then would come beck to the larger group where
mle they could have a stronger voice. The deaf
embers expressed a need to not be overdosed
March 2V-Sandra Hening, interim chair, by me community. It was generally agreed that it
opened Me meeting of the OPC Consumer& is important the committee be representative of all
Family Advisory Committee at Carr Mill Mall, groups and that a continued afford be made to be
Twenty-five attended. Karen O'Neal, staff liaison inclusive. The committee asked Karen and On
to me committee,gave a brief update on the to provide more information to me committee
State budget effe is on On and oWNed her about demographics,waiting lists, Medicaid rates,
supportive role as a rwncomnimee member. OPC updates, atM aftemativea model programs.
Sandra passed along Information updates from The next meeting was scheduled far April 2Td.
Me On State Plan Steering Committee and
provided other information about the State Plan.
OPC BUSINESS PLAN: STATE PLAN 2001
Geographic Distribution of Clients Served in Calendar Years 2000 and 2001
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OPC BUSINESS PLAN: STATE PLAN 2001
Volume of Services Provided in Calendar Years 2000 and 2001
Units of Service and OPC Service Charge
Sum
Standard Estimated
Calendar Year Units(Hours) Service Value
2000 1,031,959 $21,173,780
2001 1,231,886 $23,898,702
Calendar Year 2000 Calendar Year 2001
Sum Sum
Standard Estimated Standard Estimated
Type of Service Units(Hours) Service Value Type of Service Units(Hours) Service Value
ACT TEAM 5,600 $195,256 ACT TEAM 9,220 $368,701
ADMINISTRATIVE 38 $254,460 ADMINISTRATIVE 548 $2,262
CASE MANAGEMENT 12,086 $2,569,864 CASE MANAGEMENT 40,420 $3,125,929
COMMUNITY SUPPORT 29,511 $2,103,252 COMMUNITY SUPPORT 153,301 $3,344,410
COURT RELATED SERVICES 238 $19,644 COURT RELATED SERVICES 471 $37,273
CRISIS SERVICES 1,277 $110,671 DAY SERVICES 91,781 $1,082,193
DAY SERVICES 24,431 $117,317 DETOX 3,680 $65,320
DETOX 11,568 $205,332 DWI SERVICES 3,027 $118,542
DWI SERVICES 1,230 $112,922 EVALUATION 1,961 $191,957
EVALUATION 119 $10,229 GROUP TREATMENT 18,067 $769,025
GROUP TREATMENT 21,969 $661,763 INDIVIDUAL THERAPY 23,395 $2,332,567
INDIVIDUAL THERAPY 21,503 $1,945,284 INTAKE 763 $211,622
INTAKE 631 $222,564 MEDICAL SERVICES 6,567 $631,302
MEDICAL SERVICES 6,140 $559,177 PREVENTION t5 $1,131
PREVENTION 0 $10 PSYCHOSOCIAL REHAB 76,953 $769,530
PSYCHOSOCIAL REHAB 13,921 $520,047 RESIDENTIAL 578,369 $7,145,667
RESIDENTIAL 813,666 $10,180,379 RESPITE 11,197 $50,579
RESPITE 6,438 $128,959 SPECIAL THERAPIES 5,978 $542,590
SPECIAL THERAPIES 1,334 $166,221 SUPPLIES $148,727
SUPPLIES $186,845 TRAVEL 5,548 $216284
TRAVEL 1,841 $81,372 VOCATIONAL SERVICES 202,609 $2,743,090
VOCATIONAL SERVICES 58,420 $812,213
Total 1,231,888 $23,898,702
Total 1,031,959 $21,173,780
OPC BUSINESS PLAN: STATE PLAN 2001
Demographic Characteristics of Clients Served in Calendar Years 2000 and 2001
Sex of Clients Receiving Services
SEX
F M Total
Services In calendar 2830 3251 6081
year 2000 46.6% 53.5% 100.0%
Services in calendar 2725 3287 6012
year 2001
46.3% 54.7% 100.0%
Census 2000 52.0% 48.0% 10010%
Age of Clients Receiving Services
AGE
65 years and Missing or
Birth-2 years 3-5 years 6-17 years 18-64 years older unknown Total
Services in calendar 167 213 1265 4210 210 16 6081
year 2000 2.7% 3.5% 20.8% 69.2% 3.5% .3% 100.0%
Service§in calendar 219 195 1214 4200 181 3 6012
year 2001
3.6% 3.2% 20.2% 69.9% 3.0% .0% 100.0%
i
3/18/2002
Age of Clients Receiving Services by(Census Age Categories)
AGE
17 years and 65 years and Missing or
under 18.64 years older unknown Total
Services in calendar 1645 4210 210 16 6081
year 2000 27.1% 69.2% 3.5% .3% 100.0%
Services in calendar 1628 4200 181 3 6012
year 2001
27.1% 69.9% 3.0% .0% 100.0%
Race of Clients Receiving Services
RACE
Native
Asian/Pacific Amedcan/Alaskan Missing or
White Black Hispanic Islander Native Other unknown Total
Services in calendar year 2000 3788 1985 130 26 17 104 31 6081
62.3% 32.6% 2.1% .4% .3% 1.7% .5% 100.0°k
Services in calendar year 2001 3757 1969 83 44 23 121 15 6012
62.5% 32.8% 1.4% .7% .4% 2.0% .20/9 100.0%
16.4% _-- 5-2% 5-0% 0-4% 1 4%
Hispanic Ethnic Distribution of Clients Receiving Services
ETHNIC
Mexican
Hispanic other American Not Hispanic Puerto Rican Unknown Total
Services In CY 2000 59 23 5957 4 38 6081
1.0% 4°k 98.0% .1% .6% 100.0%
Services in CY 2001 66 41 5598 6 301 6012
1.1% .7% 93.1% .1% 5.0°k 100.0%
r.onC11Q 2QQQ 1.5% 3.8°/ 44 7% Z$ 100.0%..
Note: The number of Hispanic nic clients in the Race table does not exactly match the number in the Hispanic Ethnic table.i P
The information comes from two separate questions and there may be nconsistencies in the way people answer and/or
record the answers.
3/18/2002
CONSUMER VIEWPOINTS
A lot of people got tired of the way mental health services in North
Carolina were, and complained to their lawmakers enough that a reform law was
passed. The goal of this reform law is to create a whole new system of care that
is fair, uniform throughout the state, easier to access, aimed at those who need
help most and available regardless of People's ability to pay. It is still in the
planning stages and it is called the State Plan.
Part of the law states that consumers will have a big part in planning and
overseeing the whole system, both at the state level and in their own
communities. Consumers will have real power because it is built into the new
law. The law states that mental health officials must seek our input and opinions
and prove they are listening to us in every step of building the new system.
That's why it really does matter that you speak up and say your opinion about the
services you get and the way want them to be in the future.
You can go to the local committee meetings, call yourArea Program
Office, or call orwrhe to the State Division of Health and Human Services. They
are listening because they have tol
You can visit www came state nc memhddsas for information.
Laura Eaateding
Most of the broad outlines of what the new State Plan comprises have and
will be defined, descnbel, or delineated in Raleigh. However, each Local
Management Entity(WE) has responsibility for creating a local business plan.
The group creating this local business plan has a strong desire to hear
comments, complaints, and the occasional compliment before it sends Its
proposed plan to Raleigh. They'd rather hear it now than later. Thus,the
Consumer and Family Advisory Group was born, people who are interested
themselves and who also are interested in getting input from other people who
don't happen to be in the room at the time.'
The group has met twice so far and elected a set of officers. The group
intends to assemble comments regarding the process of making a local business
plan, the proposed plan, and later the plan as it impacts the public. It may not do
anything, but hopefully it will point out what we think should be done. At least
from a couple dozen points of view.
- Stephen Haabig