Center for Mental Health Services
National Advisory Council
Washington, D.C.
DIRECTOR'S REPORT
December 1995
Introduction
The way of progress is neither swift nor easy.
--Marie Curie, Polish-born chemist
The months since the last meeting of the Center for Mental Health
Services (CMHS) National Advisory Council have marked a time of
tremendous change and uncertainty at CMHS.
CMHS, a component of the Substance Abuse and Mental Health Services
Administration, continues to adjust to the rapid shifts that are
occurring in the financing and delivery of mental health services in the
United States. Despite these momentous events, CMHS remains committed
to meeting the complex and unique needs of people with mental illnesses.
Much of the Center's energy is focused on assuring the quality,
accessibility, and acceptability of mental health services delivered in
managed systems. Nearly every initiative at CMHS has been redefined and
retooled to promote collaboration with other Federal agencies, the
States, consumers, family members, providers, community-based
organizations, national advocacy groups, and constituent associations.
CMHS is building whatever bridges are necessary to ease the transition
to managed care systems in States and communities across the Nation.
Meanwhile, CMHS is maintaining normal, day-to-day operations at the same
time that it is actively engaged in several other processes that
directly impact the future of our programs.
Fiscal Year 1996 Budget
The President submitted his FY 1996 budget proposal to Congress a number
of months ago. His budget plan called for merging the Mental Health
Services Block Grant Program and the Projects for Assistance in
Transition from Homelessness Program better known as PATH under one
legislative authority the Performance Partnership Grant. It also called
for a consolidated demonstration authority that would combine all of our
knowledge development activities into a single legislative authority.
The Protection and Advocacy Program and the Children's Mental Health
Services Program would remain separate line-item entities under the
President's plan.
The full House and the Senate Appropriations Committee came up with two
strikingly different budget proposals for CMHS.
The House proposed level funding for the Mental Health Services Block
Grant; the Senate called for a cut of nearly $50 million dollars. The
House proposed to eliminate the PATH Program; the Senate proposed a $2.3
million cut in funding from FY 1995.
The House did not specifically fund CMHS demonstration activities with
the exception of the HIV/AIDS Mental Health Services Demonstration
Program. Instead, they proposed a total of $142 million in SAMHSA
demonstrations without language regarding how the funds would be used
for mental health or substance abuse. These programs were funded at
more than $500 million in FY 1995. The Senate, on the other hand,
proposed only $38 million for CMHS demonstrations.
The House language made it clear that it wants CMHS to support new
demonstration activities and to terminate existing continuation
projects. The Senate wants the Center to complete its current
demonstration projects.
Both the House and Senate proposed cuts for the Protection and Advocacy
Program 11 percent and 8 percent respectively. The House also proposed
level funding for the Children's Mental Health Services Program, while
the Senate proposed a 2.7 percent reduction.
All in all, the House proposed $356 million in funding for CMHS in FY
1996. The Senate proposed $370 million. Total funding for CMHS in FY
1995 was $439 million.
The FY 1996 program management House appropriation for CMHS is
approximately $13 million which is a reduction of $1 million from the FY
1995 appropriation level of $14 million. This also resulted in a
reduction of 11 full time equivalents (FTEs) from 151 to 140.
The Continuing Resolution under which CMHS currently operates expires
December 15. The CMHS budget has not yet made it to the Senate floor.
Once the full Senate takes action, a conference between the House and
Senate will be required to work out discrepancies between the two
proposals.
Since the CMHS budget is part of the same appropriations bill as
Medicare and Medicaid, there is speculation that the differences between
the White House and Congress over balancing the budget and cutting
Medicare and Medicaid may not be easily resolved. If agreement on the
budget is not reached by December 15 and if another Continuing
Resolution is not signed then it is possible that the Federal Government
may have to close down again.
Meanwhile, all CMHS programs are operating at about 21 percent of the
budget passed by the House, permitting CMHS to continue supporting our
children's activities, HIV/AIDS projects, the Protection and Advocacy
Program, and the Block Grant Program. The Continuing Resolution
includes language promoting the Consolidated Substance Abuse and Mental
Health Demonstration concept proposed by the House.
Reauthorization
On August 10, Sen. Nancy Kassenbaum (R-KS) introduced a bill re-
authorizing SAMHSA. While patterned after the Clinton Administration's
proposal, Sen. Kassenbaum's bill included an outpatient civil commitment
provision. This controversial provision was stricken when SAMHSA's
reauthorization bill was marked up October 12 by the Senate Committee on
Labor and Human Resources.
The Committee report is complete but awaits clearance from the
Committee's Legislative Director and the other Committee members. The
bill cannot be brought to the full Senate until the report is issued.
Current indications are that even if the bill makes it to the Senate
floor, the House will not consider it before the end of the calendar
year. Until SAMHSA is re-authorized, our appropriations will
effectively serve as reauthorization.
Staff Changes
Mr. Michael English is the new Director of the CMHS Office of Policy and
Planning (OPP). Mr. English comes to CMHS from the Office of the
Assistant Secretary for Management and Budget. Dr. Jeffrey Buck, who
served admirably as Acting OPP Director over the past few years, will
now focus his energies exclusively on the daunting task of coordinating
the Center's managed care activities.
Due to Dr. Raymond Patterson's recent resignation as Director of the
Division of Demonstration Programs (DDP), Mr. English is also serving as
Acting DDP Director.
Accomplishments
Partners for Change
During the last Council meeting in September, CMHS was coordinating
SAMHSA's "Partners for Change" conference. Mrs. Tipper Gore
served as Chairperson.
This conference designed the foundation for a new and ongoing
collaboration among mental health, substance abuse, and Medicaid
officials in the States. "Partners for Change" provided a forum
during which State representatives discussed the massive changes that are
occurring across this Nation, and exchanged ideas about managed mental
health and substance abuse services and how these services could be
delivered effectively in managed systems.
This conference also served as the backdrop for the first-ever meeting
of the boards of the national associations of State mental health,
alcohol and drug abuse, and Medicaid directors. During the conference,
these three national associations formalized their commitment to work
together closely in the future to promote quality and comprehensiveness
in the delivery of mental health and substance abuse services.
CMHS and the Center for Substance Abuse Treatment have recognized the
need for follow-up regional meetings to foster continued collaboration
and cooperation between and among State mental health, substance abuse,
and Medicaid representatives.
Managed Care Activities
"Partners for Change" is the latest in a series of steps CMHS is
taking to help guide the mental health system through the transition from a
fee-for-service mechanism to managed care arrangements.
Many of our activities fall into the category of technical assistance
and training for providers, purchasers, family members, and consumers.
Some of these activities include:
- clearance to produce a brochure for consumers to help them make
informed decisions about the care they receive in managed systems;
- a range of surveys, including those on the characteristics of
persons receiving mental health services in managed care settings, and
inventories of specialty organizations such as rehabilitation or
employment programs and their participation in managed care;
- several studies on issues of access, utilization, cost-
effectiveness, and outcomes;
- increased collaboration with the Health Care Financing
Administration to promote quality, comprehensive services for Medicaid
populations served by managed care systems;
- a review of State waiver applications and contribution to the
development of performance measures for Medicaid managed care programs;
- evaluation of State 1115 Medicaid demonstrations, which provide
CMHS with an opportunity to promote appropriate balance between cost-
containment and effective outcomes;
- a consumer-sensitive report card for monitoring managed care
access, use, costs, and outcomes;
- participation in the development of the Health Plan Employer Data
and Information Set Standards, a series of about 60 performance measures
being developed primarily by the National Committee for Quality
Assurance, CMS, and the American Public Welfare Association's State
Medicaid Directors Association;
- the December 14 release of the International Association of
Psychosocial Rehabilitation Services' (IAPRS) and the Human Services
Research Institute's "Toolkit," which will document outcomes in
psychosocial rehabilitation programs;
- collaboration with IAPRS to produce a report on best practices in
psychosocial rehabilitation;
- development of a national tracking system to monitor State efforts
in the area of managed care; and
- a Community Support Programs-sponsored "National Forum on Case
Management and Managed Care Systems" in cooperation with the National
Association of Case Management, during which experts in the field of
case management and managed care presented papers on designing managed
care systems that support good case management practice and developed
recommendations concerning the role of the case management process in
managed behavioral care settings.
These are just a few of the activities being undertaken by CMHS. There
is still much more to be done. CMHS staff are continually generating
new, innovative ideas for contracts and reports that would cultivate and
synthesize useful knowledge that the States can use as they adapt to
managed care systems.
SAMHSA's National Mental Health Information Center
CMHS's Information Center is growing exponentially. In addition to evolving into the
key information dissemination point for the Center, the Information Center is now actively
involved in supporting the forthcoming CMHS children's campaign "Caring
for Every Child's Mental Health: Communities Together."
The Information Center is establishing collaborative working relationships with all of our
technical assistance centers; State, local, and other Federal agencies;
education and research institutions; consumer and family organizations;
and the general public.
Information is available through both an 800 number inquiry line and
through an Electronic Bulletin Board service.
"Caring for Every Child's Mental Health"
CMHS is planning to launch its children's public information and
education campaign, "Caring for Every Child's Mental Health:
Communities Together," early in 1996. Mrs. Gore, Secretary Shalala, and
Dr. Chavez have agreed to participate in the campaign launch.
The Center's most recent effort of the children's campaign was the first
meeting of the campaign's Public Affairs Coordinating Network, which was
held November 28. CMHS brought together communications and children's
services professionals from 50 organizations, agencies, and associations
to align their support. The group resoundingly backed the campaign and
the messages CMHS wants to communicate, and offered many suggestions for
expanding the campaign. It is our hope that the Public Affairs
Coordinating Network will play an important role in promoting the mental
health of the Nation's children and reducing the stigma associated with
mental health problems.
Protection and Advocacy Report
The Protection and Advocacy Program, Division of State and Community
Systems Development, has recently released its 1994 Annual Report which
highlights the activities and achievements of protection and advocacy
programs nationwide. The report, which is included in the appendices,
includes a discussion of impediments, unmet advocacy needs, notable
achievements, advisory council and governing board activities, and
training and technical assistance activities.
GAINS Center
CMHS is collaborating with the Center for Substance Abuse Treatment and
the National Institute of Corrections to launch the GAINS Center, which
will provide a unified national locus where comprehensive information
and technical assistance will be available to improve mental health and
substance abuse services for individuals who encounter the criminal
justice system.
During its first year of operation, the GAINS Center, which stands for
Gather, Assess, Interpret, Network, and Stimulate, will focus on five
interrelated areas:
- marketing gains to key constituent organizations;
- creating a comprehensive database of innovative programs, key
experts, and major studies;
- developing products that synthesize all of the information
available into formats that are practical and useful to the field;
- forging cross-system networks of individuals and associations; and
- stimulating changes in practice, research, and policy.
Faith Community Meeting
In September, the Center convened "Faith Communities: Caring for
Persons with Mental Illness" a two-day series of lectures and work-
groups. Groups discussed issues such as mental health awareness;
empowerment, support, and inclusion; agenda items for faith and mental
health communities; strategies for implementing an agenda for mental
health and faith community collaborations; and models of such
collaboration.
Gay, Lesbian, Bisexual, and Transgender Youth
The Prevention and Program Development Branch convened a work-group to
identify the unique mental health needs of gay, lesbian, bisexual, and
transgender youth. CMHS recognizes that there may be a role for us in
providing national leadership in meeting the needs of gay, lesbian,
bisexual, and transgender youth perhaps in part through the Children's
Campaign. This meeting gave us an opportunity to hear what the needs
are out on the front lines and to generate ideas on how we might be able
to address those concerns.
Grants and Contracts
Since mid-September, CMHS has awarded 27 new grants, 1 competing
renewal, 23 competing supplements, and 5 contracts.
New grants support work in many areas, including crisis counseling
programs in California and Louisiana; outreach services for under-served
groups, such as coal miners and their families; and mental health
training for HIV/AIDS treatment providers. Competitive supplements
were awarded to programs dealing with issues such as dual diagnosis,
homelessness and systems improvement, and to those programs working with
young children, consumer organizations, and veterans. Among the new
grants awarded are:
- Consumer and Family Supports and Network Building Projects include
consumer and family network capacity building in Alaska, a consumer and
family network in Connecticut, systems improvement through consumer and
family input in Maryland, and a National Consumer Technical Assistance
Project in Massachusetts;
- Crisis Counseling Grants were awarded for counseling programs in
areas affected by last winter's storms in California and by spring
flooding in Louisiana;
- HIV/AIDS Mental Health Training Projects Grantees in Atlanta,
Baltimore, Cincinnati, New York City, and Richmond are working on
projects addressing mental health training for providers who treat
HIV/AIDS patients and their families and friends; and
- Managed Care Projects Grantees are working on various aspects of
managed care, including implementation in State mental health plans as
well as data collection and analysis. Delaware, for example, is
developing a decision support system for managed care; New Hampshire is
conducting a mental health care reform data integration project; and
Oklahoma is developing a behavioral health care report card.
Several grantees providing services to vulnerable and at-risk
populations received supplemental grants. These projects include:
- Integrated Services for Young Children (Illinois);
- Village Early Intervention Project (South Carolina);
- Evaluation of Dual-Diagnosis Residential Treatment Programs (California);
- HIV/AIDS Training Programs (UCLA);
- Intensive Case Management Model for the Homeless (Colorado);
- Treatment for Homeless, Dually Diagnosed Clients (Connecticut); and
- Crisis Hostel Project: An Alternative to Hospitalization (New
York).
Several major contracts were awarded, including one for the 1996
Client/Patient Sample Survey, SAMHSA's National Mental Health Information
Center, the Service Analysis for Translation
to Health Care Reform, and Medicaid/Medicare and Managed Care Analyses.
Conclusion
Throughout the year, I have spoken to various groups on the issue of
stigma and mental illness. A few weeks ago, The New York Times ran a
compelling story about Michael B. Ladour, a 32-year old graduate of Yale
Law School who describes himself as a "flaming schizophrenic."
Ladour recently completed a three-year postdoctoral associateship at Yale,
where he was also a senior editor of the law review. According to the
Times, Ladour's success can be attributed to the efficacy of new drugs,
the support of family, friends, and colleagues, and Ladour's own refusal
not to be overcome by the disease.
Ladour has contended with the issue of whether or not to reveal his
illness to potential employers, and concluded that such revelations were
necessary to do "[his] part to heal the world." He says, "
People with schizophrenia are negated constantly, and I can be a role model.
I can stand up and say I am a person with schizophrenia who has been a senior
editor of The Yale Law Review, who is a reasonable candidate to be a law
professor. And if I am not doing that, I will be doing something else
of value to society."
As professionals in the field of mental health, we have each experienced
first-hand the valuable contributions people with mental illnesses make
each day at home, school, and work, and in their communities. Stories
such as Ladour's are inspirational and exceptional. His story, and
others like it, must be told again and again until the stigma of mental
illness is eliminated.
Stigma is a real problem, one that exacts a great toll on people who are
struggling with mental illness. Stigma leads to barriers to treatment,
to discrimination, to fear and isolation. Through the many projects
CMHS supports, from studies of State managed care initiatives to the
"Communities Together: Caring for Every Child's Mental Health"
campaign, CMHS will continue its efforts to educate the public about mental
illness and mental health, to ensure that people with mental health
problems seek and get treatment.
CMHS Staff Changes and New Employees
Office of the Director
Office of the Associate Director for Medical Affairs
Heidi Burch, Secretary
Ms. Burch is the secretary to the Associate Director for Medical
Affairs. Her previous experience includes working in the Budget Office
for the Deputy Chief Engineer for Logistics, Naval Sea Systems Command
in the Department of Defense. While caring for her two young children,
she worked part-time as an assistant manager for a women's clothing
store.
Office of Resource Management
Financial Management Branch
Pauline Baumgartner, Budget Analyst
Ms. Baumgartner joined the staff in October and is responsible for
budget execution, including planning, tracking, and monitoring CMHS
budget expenditures for the current fiscal year. She comes to CMHS after
22 years with the Department of Defense, where she most recently spent
eight years with the Army Research Laboratory.
Grants Management Branch
LouEllen Rice Grants, Management Officer
Before joining CMHS, Ms. Rice worked in the Contracts Office at the
National Institute of Mental Health (NIMH). While at NIH, she won a
Public Health Service Special Recognition Award for Productivity. Her
primary responsibility at CMHS is to ensure that all grants are
processed expediently and properly.
Office of Policy and Planning
Michael English, Director
Mr. English came to the Office of Policy and Planning from the Office of
the Assistant Secretary for Management and Budget, where he worked on
issues such as Government Performance Review Act (GPRA), Performance
Partnership Grants, and other departmental organizational issues. He is
also Acting Director of the Division of Demonstration Programs. He
brings new skills, talents, and energy to CMHS.
Brenda Kunkel, Public Health Analyst
Ms. Kunkel graduated from the Presidential Management Internship Program
on November 2. She will be responsible for a variety of policy and
directiives.
Division of Demonstration Programs
Homeless Programs Branch
Seth Hassett, Public Health Advisor
Mr. Hassett graduated from the Presidential Management Internship
Program on November 2. He is a Project Officer for the ACCESS program.
Child, Adolescent and Family Branch
Sue Martone, Public Health Advisor
Ms. Martone is a graduate of the Presidential Management Intern Program.
In that program, she worked for various agencies, including HRSA, the
Office of Juvenile Justice and Delinquency Prevention in the Department
of Justice, the Office of National Drug Control Policy, and the Senate
Committee on Labor and Human Resources. Her background is in social
work. Before joining the Government in 1988, she was a prerelease/job
placement counselor for women offenders and the manager of programmatic
operations at a nonprofit social service agency. She will be serving as
a Project Officer on the Children's Mental Health Services grants and
will be the lead person for activities related to early intervention.
Division of State and Community Systems Development
Survey and Analysis Branch
Viola Jacobs, Automation Clerk
Ms. Jacobs has worked as a secretary in the Bureau of Health Professions
at the Health Resources and Services Administration (HRSA) and as an
administrative clerk in the Management Policy and Services Branch for
the Bureau of Maternal and Child Health at HRSA.
Allen Keme, Public Health Advisor
As a Public Health Advisor, Mr. Keme is responsible for ensuring that
mental health statistics and analyses adapt to reflect the changing
environment within which mental health care is provided. Before joining
CMHS, Mr. Keme was a Program Analyst for the Office of the Assistant
Secretary for Health, Executive Secretariat. He has also worked as an
auditor of Federal Disaster Assistance Programs in the Federal Emergency
Management Administration in San Francisco and as a Peace Corps
volunteer in the Fiji Islands.
Division Highlights: Managed Care Activities
CMHS is very involved in activities that promote SAMHSA's Managed Care
Initiative, which is monitoring and collecting data on the evaluation
and effect of managed care systems on substance abuse and mental health
services. SAMHSA staff are identifying the needs of States and local
service providers and offering technical assistance in a number of
areas, including the formation of joint managed care ventures, quality
assurance, and behavioral health care accreditation guidelines. The
initiative also focuses on evaluating the effectiveness of managed care
in improving access, utilization, cost effectiveness, and outcomes,
especially for vulnerable and high-risk groups.
CMHS division activities in the past several months and for the coming
year reflect an agency-wide commitment to assessing and evaluating
managed care. CMHS is engaged in a range of activities, including:
- providing technical assistance and training to States, communities
and professionals, especially in promoting consumer education, advocacy,
and inclusion in developing policies and programs in State mental health
plans as the States move to managed care;
- planning and conducting conferences and workshops;
- conducting surveys and research; and
- developing publications for consumers, professionals, and the public.
Division of Demonstration Programs
Community Support Systems Branch. Twelve States and the District of
Columbia have received multiyear grants to work on programs that promote
consumer and family knowledge and awareness of managed care in mental
health services, as well as their involvement in developing programs,
policies, quality assurance activities, and other aspects of State
mental health plans as the States move to managed care. Participating
States are Alaska, Connecticut, Idaho, Illinois, Maryland, Minnesota,
New Hampshire, Ohio, Oregon, Rhode Island, West Virginia, and Wisconsin.
Branch staff conducted a workshop for housing experts, "Best Practices
in a Changing Environment," designed to identify effective practices in
housing for people with psychiatric disabilities. The workshop focused
on issues related to the need for increased State involvement in the
context of managed care and a changing Federal environment.
Branch staff also convened a conference on the role of case management
and managed care systems. The proceedings of this meeting should be
available later this month.
Division of State and Community Systems Development
Human Resource Planning and Development Branch. In January, the Branch
will convene a three-day training conference in Houston for Protection
and Advocacy (P&A) staff and consumers on managed care. Sessions will
include basic training on managed care and efforts to identify the
changing role of P&A staff in the managed care environment.
The Branch has worked on various training programs, including the
Managed Care and Workforce Training Project, whose goals are to identify
workforce competencies needed to operate effective public health
services and to ensure that the current and future work-forces are
educated and trained to adapt to the changing environment.
Survey and Analysis Branch. Many of CMHS's surveys and data collection
efforts include an element of managed care analysis. The 1996 National
Conference on Mental Health Statistics will again focus on managed care.
Field work is underway on the 1994 Inventory of Mental Health
Organizations and General Hospital Mental Health Services. The 1994
Inventory will collect the first information available on the
participation of mental health organizations with managed care and the
proportion of their revenue derived from managed care entities. The
1996 Client/Patient Sample Survey will provide information on the
characteristics of people and of mental health services, both within and
outside of managed care organizations and networks.
The Medicare, Medicaid, and Managed Care Analyses is an ongoing project
to acquire, analyze, and present national Medicare data, State Medicaid
data (from four to six States), and private sector managed care data.
The project will provide much-needed data from these major funding
streams, as well as baseline information on managed care.
The Branch will begin work on a study to examine the public mental
health system and its linkage to the private sector, a study that is an
expansion of 15 State pilot projects on State hospital inpatient
episodes. It will focus on the collection of community service
utilization data in a site with a 1115 Waiver and one without a waiver.
State hospital data will be added to provide a complete perspective, to
look at the effects on service utilization and provision of ancillary
services such as housing and costs.
The Branch is working to complete the Mental Health Report Card to be
implemented by States in managed care settings. A Phase II Task Force
Report was prepared and presented at the 1995 Conference on Mental
Health Statistics.
The Branch is developing technical assistance documents on managed care
and will convene small meetings to discuss key issues relevant to
managed care.
Division of Special Populations and Projects
Prevention and Program Development Branch. Through an interagency
agreement with the National Institute of Mental Health (NIMH), a report
on the effect of health care reform on ethnic minorities was completed
and is awaiting publication. The report examines the effect of managed
care proposals on ethnic minority access to mental health services and
the quality of those services. The Branch also is sponsoring a
conference that will lead to guidelines for providing managed care
services to ethnic populations. Its goals include generating and
disseminating information on managed care and ethnic minorities, as well
as identifying models that effectively provide mental health managed
care services to minority groups.
The Branch has proposed a study on cultural competence and managed care.
The study will fund historically black colleges and universities through
developing technical assistance materials for the States and the private
sector on developing service guidelines in cultural competence and
managed care for ethnic minorities.
Office of Policy and Planning
The Office of Policy and Planning is conducting several studies of
various aspects of managed care, including:
- a review of Medicaid waiver policies concerning consumer access and
rights;
- a literature review of State mental health planning requirements
and summary of Medicaid waivers;
- Medicaid waivers and strategic plan information; and
- an evaluation of State-based training of local stakeholders.
In the area of policy development, the office is working with State
mental health commissioners, State child mental health directors,
Medicaid directors and managed care executives on ways to expand the
concepts of managed care to meet the long-term needs of children and
adolescents with serious emotional disturbances and their families.
The office is also developing a national conference for State
delegations representing consumer, family, and citizen organizations
concerned with preserving appropriate and flexible behavioral health
care services under managed care. Follow-up activities will then be
conducted at the State and local levels.
Office of External Liaison
The Office of External Liaison is developing and disseminating various
publications. Forthcoming materials include Managed Mental Health Care:
What to Look For, What to Ask, a pamphlet for consumers on the basics of
managed care, and A Managed Care Overview, a document adapted from the
CMHS managed care training module.
1995 Grants Awarded (New)
SM51897-01 Alaska Department of Health & Social Services 701 E. Tudor
Rd. # 260 Anchorage, AK 99503 Alaska Consumer and Family Networks
Capacity Building Robert Hammaker
SM51871-01 University of Arizona 816 East University Blvd. Tucson, AZ
8572 Integrated Employment Supports Michael S. Shafer
SM00080-01 California Department of Mental Health 1600 9th St., Room 250
Sacramento, CA 95814 Crisis Counseling Winter Storms Linda Fain
SM19950-01 Health Initiatives for Youth 1242 Market St. San Francisco,
CA 94102 The HIFY Interdisciplinary Training Center Janet Shalwitz
SM51916-01 State of Connecticut 90 Washington St. Hartford, CT 06106
Consumer and Family Network Karen A. Kangas
SM51936-01 Department of Health & Social Services First Floor Administration
Building 1901 N. Dupont Highway New Castle, DE 19720 Delaware Decision
Support System for Managed Care Maurice L. Tippett
SM19977-01 Emory University Office of Sponsored Programs 1784 North
Decatur Rd. Suite 510 Atlanta, GA 30322 HIV Mental Health Training
Projects J. Stephen Mc Daniel
SM51938-01 Department of Health & Welfare P.O. Box 83720 Boise, ID
83720 Idaho Community Support Project (IDCSP) Cynthia R. Clapper
SM51942-01 Farm Resource Center INC 230B Main St. P.O. Box 87 Mound
City, IL 62963 M.H. Outreach to Coal Miners, Farmers, and Families Roger
W. Hannan
SM51881-01 Illinois Department of Mental Health & Developmental
Disabilities 401 Stratton Building Springfield, IL 62765 CSP
Demonstration Grant Richard Nance
SM00081-01 Louisiana Department of Health & Hospitals 1201 Capitol Access Rd.
P.O. Box 4049, Bin #12 Baton Rouge, LA 70821 Crisis Counseling Flood Tony
Speier
SM51914-01 Northeast Independent Living Program, I 20 Ballard Rd.
Lawrence, MA 01843 National Consumer Technical Assistance Project Daniel
Fisher
SM19970-01 Department of Health & Mental Hygiene 500 N. Calvert St. 5th
Floor Baltimore, MD 21202 Health Care Provider Education in HIV/AIDS in
Maryland Carol S. Christmyer
SM51883-01 Department of Health and Mental Hygiene Mental Hygiene
Admin. 201 W. Preston St. Baltimore, MD 21201 Systems Improvement
Through Consumer and Family Input Donna C. Wells
SM51845-01 Maine Medical Center 22 Bramhall St. Portland, ME 04102
Effects of an Employers' Consortium William Mc Farlane
SM51939-01 North Carolina Department of Human Resources Division of
MH/DD/SAS 101 Blair Dr. Raleigh, NC 27603 North Carolina Grant to
Implement State Mental Health Deborah D. Merrill
SM51940-01 New Hampshire Division of Mental Health and Developmental
Services 105 Pleasant St. Concord, NH 03301 New Hampshire Mental Health
Care Reform Data Integration Project Gregory B. Teague
SM19974-01 Cicatelli Associates, Inc 505 Eighth Ave. Suite 2001 New
York, NY 10018 Mental Health Issues in HIV Affected Families Training
Project Barbara Cicatelli
SM19983-01 Columbia University New York 630 West 168th St. New York, NY
10032 Columbia University HIV Mental Health Training Project Francine
Cournos
SM51831-01 Fountain House, Inc 425 West 47 St. New York, NY 10036
Experimental Comparison of the Act and Clubhouse Models Cathaleene
Macias
SM19955-01 University of Cincinnati Office of Sponsored Programs P.O.
Box 670553 Cincinnati, OH 45267 Greater Cincinnati HIV/AIDS Provider
Education Program Warren M. Liang
SM51929-01 Oklahoma Department of Mental Health & Substance Abuse P.O.
Box 53277 Oklahoma City, OK 73152 Behavioral Health Care Report Card
Initiative Stephen P. Davis
SM51911-01 University of Pittsburgh 350 Thackeray Hall Pittsburgh, PA
15260 Evaluating Medicaid Managed Care for Seriously Emotionally
Disturbed Youth Kelly J. Kelleher
SM51836-01 Texas Department of Mental Health and Mental Retardation
P.O. Box 12668 Austin, TX 78711 Texas Earns: Employment Assistance
Through Reciprocity Marcia G. Toprac
SM51944-01 National Association of State Mental Health Program
Directors 66 Canal Center Plaza Suite 302 Alexandria, VA 22314
Cooperative Agreement for a Technical Assistance Center Bruce D. Emory
SM19947-01 Virginia Commonwealth University Office of Sponsored
Programs P.O. Box 980568 Richmond, VA 23298 AIDS Mental Health Training
Program Deborah L. Haller
SM51933-01 DHSS/Bureau of Community Mental Health Division of Community
Services 1 W. Wilson St. P.O. Box 7851 Madison, WI 53707 Wisconsin's
Mental Health Data Project Martha Mallon
1995 Grants Awarded (Competing Renewal)
SM13735-21 American Psychiatric Association 1000 Wilson Blvd., Suite 1825,
Arlington, VA 22209-3901
Minority Fellowship Clinical Training in Psychiatry Robert T.
Phillips
1995 Grants Awarded (Competing Supplement)
SM51622-02-1 Illinois Mental Health Developmental Disabilities 160 N.
Lasalle St. 10th Floor Chicago, IL 60601 Integrated Services for Young
Children Sharon Tanaka
SM51631-02-1 Kansas Department of Social and Rehabilitative Services
915 SW Harrison St. Fifth Floor North Topeka, KS 66612 Competitive
Supplements for Integrated Child and Family SR Jack W. Martin
SM51385-03-1 South Carolina State Department of Mental Health 2414 Bull
St. P.O. Box 485 Columbia, SC 29201 Village Early Intervention Project
Jerome H. Hanley
1995 Grants Awarded (Administrative Supplement)
SM51800-02-1 Bonita House, Inc Box 3780 Berkeley, CA 94703 Evaluation
Dual Diagnosis Residential Treatment Program Richard Crispino
SM51673-02-1 Charles R. Drew University of Medicine and Science 1621 E.
120th St. MP #19 Los Angeles, CA 90059 HIV/AIDS Mental Health Services
Demonstration Program Eric G. Bing
SM19943-02-1 The Regents of the University of California Box 951772 Los
Angeles, CA 90095 UCLA AIDS Health Training Program Charles E. Lewis
SM19709-05-1 Human Interaction Research Institute 1849 Sawtelle Blvd.,
#102 Los Angeles, CA 90025 CA HRD Center for Mental Health HRD Knowledge
Utilization Thomas E. Backer
SM50465-03-1 California Department of Mental Health 1600 Ninth St.,
Room 120 Sacramento, CA 95814 Conjoint Client/Family Self-Help Groups CA
SSSI William Derisi, Ph.D.
SM51804-02-1 Vietnam Veterans San Diego, Inc. 4141 Pacific Highway San
Diego, CA 92110 Treatment Program for Homeless Veterans Abuse/Mental
Illness Jon Nachison
SM51803-02-1 Arapahoe House, Inc 8801 Lipan St. Thornton, CO 80221
Connections Intensive Case Management Model for Homeless Michael W.
Kirby
SM51802-02-1 Connecticut Department of Mental Health 90 Washington St.
Hartford, CT 06106 Treatment for Homeless, Dually Diagnosed Clients
Susan M. Essock
SM47644-03-2 Connecticut Department of Mental Health 90 Washington St.
Hartford, CT 06106 Peer Support and Severe Mental Illness Larry Davidson
SM13833-22-1 American Psychological Association 750 First St., NE
Washington, DC 20002 Minority Fellowship Clinical Training in Psychology
James M. Jones
SM50489-03-2 State of Louisiana P.O. Box 4049, Bin #12 Baton Rouge, LA
70821 Extending Family and Consumer Support LA SSSI Tony Speier
SM47669-03-2 Michigan State Department of Mental Health Lewis Cass
Building 6th Floor 320 South Walnut St. Lansing, MI 48913 A Comparison
of Three Approaches to Supported Education Carol T. Mowbray
SM51898-01-1 National Mental Health Consumers Self-Help Clearinghouse
1211 Chestnut St., Suite 1000 Philadelphia, PA 19107 National Consumer
Technical Assistance Center Joseph Rogers
SM51758-02-1 Research Foundation for Mental Hygiene, Inc. 44 Holland
Ave. Albany, NY 12229 Resource Center for Systems Advocacy Darby J.
Penney
SM50050-03-3 Research Foundation for Mental Hygiene, Inc. 44 Holland
Ave. Albany, NY 12229 Crisis Hostel Project: An Alternative to
Hospitalization Jeanne M. Dumont
SM51756-01-1 Ohio State Department of Mental Health 30 East Broad St.
8th Floor Columbus, OH 43266 Mental Health Systems Improvement
Demonstration Grants Wilma Townsend
SM51756-02-1 Ohio State Department of Mental Health 30 East Broad St.
8th Floor Columbus, OH 43266 Mental Health Systems Improvement
Demonstration Grants Wilma Townsend
SM51793-02-1 Mental Health Services West 710 S.W. 2nd Ave. Portland, OR
97204 Evaluation of Interventions Dually Diagnosed Homeless Claudia
Krueger
SM51757-02-1 Commonwealth of Pennsylvania Office of Mental Health P.O.
Box 2675 Harrisburg, PA 17105 Strengthening Family and Consumer Networks
in Pennsylvania Barbar Dean-Johnson
SM19916-04-3 South Carolina Department of Mental Health P.O. Box 485
Columbia, SC 29202 South Carolina Department of Mental Health Judy Cooke
McMaster
1995 Active Contracts Awarded
280-95-0006 9/29/95-9/28/97 Abt Associates 4800 Montgomery Ln. Hampden
Square, Suite 500 Bethesda, MD 20814 Service Analysis for Translation to
Health Care Reform D. Earl Brown, Jr., M.D.
280-95-0008 9/28/95-9/28/98 Social & Scientific Systems, Inc 7101
Wisconsin Ave. Suite 1300 Bethesda, MD 20815 1996 Client/Patient Sample
Survey Herbert J. Miller
280-95-0011 9/29/95-9/28/97 Nedstat Group 4401 Connecticut Ave. NW,
Suite 400 Washington, DC 20008 Medicaid/Medicare, and Managed Care
Analyses Claude A. Bowen
280-95-0013 9/29/95-9/28/96 The CDM Group, Inc 5530 Wisconsin Ave.
Suite 1600 Chevy Chase, MD 20855 SAMHSA's National Mental Health Information
Center, Barry Levine
280-95-0017 9/29/95-9/28/96 HMR, Inc 1 Constellation Center 6009 Oxon
Hill Rd. Suite 212 Oxon Hill, MD 20745 Logistics/Administrative Support
Services Conferences
Recent CMHS Publications - September 1995-December 1995
The Community Mental Health Services Block Grant. 1995. (Brochure)
Davis, Maryann; Yelton, Susan; Katz-Leavy, Judith; and Lourie, Ira
S. "Unclaimed Children Revisited: The Status of State Children's Mental
Health Service Systems." Journal of Mental Health Administration. Vol. 22, No. 2, Spring 1995. (Journal
(article reprint)
Federal and State Legislative and Program Directions for Managed Care:
Implications for Case Management. October 1995. (Report)
The State of Computerization Among Managed Behavioral
Healthcare Companies: A National Survey. September 1995.
(Executive Summary and Survey)
Randolph, Frances L. "Improving Service Systems Through
Systems Integration: The ACCESS Program." American
Rehabilitation. Spring 1995. (Journal article reprint)
Speaking with a Common Language: Past, Present, and Future
Data Standards for Managed Behavioral Healthcare. July 1995.
(Book chapter)
Managed Behavioral Health Services: An Annotated Bibliography.
1995. (Bibliography)
Calendar Of Events
9/12-14 Administration on Developmental Disabilities (ADD) Regional
Meeting and Commissioners' Forum Washington, DC Natalie Reatig attended
and participated at the ADD Regional Meeting & Commissioners' Forum.
The meeting was open to ADD regional office staff, P&A Agencies,
Developmental Disabilities Councils and University Affiliated Programs
funded under the Developmental Disabilities Act. Natalie Reatig 443-3667
9/13-15 Co-Occurring Mental Health and Substance Use Disorders Training
Institute Crystal City, VA The Center for Mental Health Services and the
Center for Substance Abuse Treatment co-sponsored a conference/training
institute. The conference presented, examined, and discussed emerging
integrated treatment models of care for homeless persons with co-
occurring disorders. The targeted audiences were the Homeless Programs
Branch and CSAT Target Cities grantees and community service providers.
Dr. Larry Rickards 443-3706
9/14-16 Leadership Conference and Fall Components Meeting of the
American Psychiatric Association (APA) Washington, DC Dr. Mel Haas
represented CMHS at various council, commission, and committee meetings
of APA. Dr. Mel Haas 443-2440
9/17-19 Meeting of State Government Protection and Advocacy Systems
Washington, DC Natalie Reatig and Carole Schauer attended and
participated at the meeting with approximately thirty Executive
Directors/Administrators of P&As that are designated as agencies of
State Governments. The meeting was sponsored by the Advocacy Training
and Technical Assistance Center and co-funded by the Center for Mental
Health Services, the Administration on Developmental Disabilities, and
the Rehabilitative Services Administration. Natalie Reatig 443-3667
9/18-20 Emergency Services Committee Meeting Annapolis, MD The
Emergency Services and Disaster Relief Branch convened a special
workgroup committee of selected key State mental health officials, FEMA
officials, and disaster mental health experts. The committee was part
of a comprehensive project to review the application and review process
for all crisis counseling projects, the end result of which was an
interim report presented to FEMA Headquarters officials on October 31.
Brian Flynn 443-4735
9/21-22 Veterans' Administration Task Force Meeting San Francisco, CA
Dr. Mel Haas represented CMHS/SAMHSA as a member of the Veterans'
Administration Task Force on Mental Health and HIV/AIDS. Dr. Mel Haas
443-2440
9/21-24 1995 Behavioral Healthcare Tomorrow National Dialogue
Conference Dallas, TX Dr. Bernard Arons attended and participated in
this national leadership conference. Dr. Bernard Arons 443-0001
9/22 Systems Integration Technical Assistance Workshop Leesburg, VA The
Center for Mental Health Services sponsored a technical assistance
workshop for the Access to Community Care and Effective Services and
Supports (ACCESS) grantees who comprise the nine Systems Integration
sites receiving ACCESS funding. The workshop enhanced understanding and
implementation of effective systems integration models to better serve
homeless persons with severe mental illnesses. Dr. Frances Randolph 443-
3706
9/25-27 Site Visit Bismark, ND Carole Schauer made a site visit to the
North Dakota P&A System to provide technical assistance. Carole Schauer
443-3667
9/27-28 Partners for Change: Building Quality State Managed Mental
Health and Substance Abuse Systems Washington, DC The Substance Abuse
and Mental Health Services Administration sponsored a national
conference on the shift of State health care systems to managed care and
its impact on public mental health and substance abuse services. The
conference was chaired by Mrs. Tipper Gore. The conference was intended
to assist State mental health, alcohol and drug abuse, and Medicaid
directors as they attempt to restructure State health care systems. The
conference also addressed broad health and social services policy issues
that impact individuals with mental and addictive disorders as well as
more specific issues around State managed behavioral health care
systems. The conference fostered networking and collaboration within
and among States and provided technical assistance to senior State
program administrators. Attendance was by invitation. Targeted
audiences included State mental health, alcohol and drug abuse, Medicaid
directors, and other senior State officials designated by Governors'
offices; substantive experts; representatives of constituency groups,
foundations and private managed care companies; consumers; and family
members. SAMHSA participants included: Dr. Chavez, Dr. Arons, Mr.
Mactas, Dr. Johnson, and other SAMHSA staff involved in managed care
activities. Dr. Jeff Buck 443-2440
9/28-29 "Faith Communities: Caring for Persons with Mental Illness"
Meeting McLean, VA The meeting focused on aspects of mental health and
faith community collaborations. Among the topics examined were:
appropriate roles for the faith community for systems of care for
persons with mental illness; the role of the Federal and State
Governments in the promotion of mental health knowledge, training and
service utilization within faith communities; effective models of mental
health knowledge dissemination; and consumer and family empowerment. Dr.
Harriet McCombs 443-7990
10/2 Association of Mental Health Administrators Annual Meeting Boston,
MA Presentation on managed care and Medicaid waivers Dr. Jeff Buck 443-
2440
10/2-3 Demonstration Program Steering Committee Meeting Alexandria, VA
Dr. Mel Haas convened a meeting of the CMHS HIV/AIDS Mental Health
Services Demonstration Program Steering Committee. The grantees gave
progress reports. Dr. Mel Haas 443-2120
10/7 Annual Mood Disorders Conference Washington, DC Dr. Bernard Arons
gave a presentation on the "Impact of National Policy on Treatment of
Depression" and participated in a panel discussion at the annual
conference. Dr. Bernard Arons 443-0001
10/11 Grand Rounds St. Charlestown, MA Dr. Bernard Arons, gave a
presentation entitled "The Stigma of Mental Illness: Words Really Do
Hurt After All" at the Psychiatry Grand Rounds at Massachusetts General
Hospital. Dr. Bernard Arons 443-0001
10/16-17 National Forum on Case Management and Managed Care Systems
Bethesda, MD The Community Support Programs Branch sponsored the
National Forum on Case Management and Managed Care Systems. The meeting
was coordinated by the National Association of Case Management. Dr.
Ronald W. Manderscheid, along with other experts in the field of case
management and managed care, presented papers on the question "How Do We
Design Managed Care Systems to Support Good Case Management Practice?"
Discussions followed the presentations, and the group developed
recommendations concerning the role of case management process in
managed behavioral care settings. Dr. Ronald W. Manderscheid 443-3343
10/16-19 Wisconsin Block Grant Exit Interview Wisconsin Ilze Ruditis,
Project Officer, State Planning and Systems Development Branch, CMHS,
participated in the exit interview of the Mental Health Block Grant
Program of Wisconsin. The Program was monitored by a group of
consultants who were selected by the TA Contractor. The monitoring
visit was intended to identify strengths and areas needing improvement
in the State community mental health service delivery system, as well as
to provide recommendations for Federal technical assistance in the areas
identified. Ilze Ruditis 443-4257
10/17-18 Academic and State Partnerships for Culturally Competent
Services McLean, VA A meeting to review, synthesize, and disseminate
best-practice information on the delivery of culturally competent mental
health services and to develop guidelines related to future directions
and strategies for promoting cultural competence within the system of
care for mental health nationally Dr. Harriet McCombs 443-7790
10/17-19 Regional Consultative Peer Reviews Baltimore, MD Dr. Carol
Bush, Chief, State Planning and Systems Development Branch, and CMHS
Block Grant Project Officers held regional consultative peer reviews in
Baltimore, MD. The FY96 Block Grant applications for Connecticut,
Massachusetts, District of Columbia, Maryland, Maine, New Hampshire,
Vermont, New Jersey, Rhode Island, Pennsylvania, Delaware, West
Virginia, and New York were reviewed. Dr. Carol Bush 443-4257
10/17-20 American Academy of Child and Adolescent Psychiatry New
Orleans, LA Dr. Bernard Arons attended and presented at the annual
meeting. There were approximately 3,000 attendees from various
backgrounds in Child Psychiatry, Pediatrics, Social Work, and Nursing.
The CMHS exhibit was also displayed. Dr. Bernard Arons 443-0001
10/18 Federal Partnership for Children's Mental Health Crystal City,
VA Gary DeCarolis convened the semi-annual meeting of the Federal
Partnership for Children's Mental Health to discuss continued Federal
collaboration on behalf of children and adolescents with serious
emotional disturbances and their families. Gary DeCarolis 443-1333
10/18-20 Meeting of the Applied Research Ethics National Association
(ARENA) and Public Responsibility in Medicine and Research (PRIM&R)
Boston, MA Natalie Reatig was honored as a founding member of ARENA on
its tenth anniversary. The ARENA and PRIM&R meetings focused on
training and substantive discussion concerning ethical issues relating
to the protection of human subjects in biomedical and behavioral
research sponsored by Federal Government agencies. The protection of
human subjects has many overlapping issues with protection and advocacy
activities, most particularly in regard to informed consent, research
ethics in social sciences, and the emergent problems developing from
genetic research: how to develop public health policy around the
applications and consequences of findings. Other attendees included
individuals who serve on Institutional Review Boards at universities,
hospitals, and pharmaceutical manufacturers. These boards are
responsible for reviewing the ethics and protection for human subjects
in research conducted at or by their organizations in accordance with
Federal regulatory requirements. Natalie Reatig 443-3667
10/20 Refugee Mental Health Issues Portland, ME Dr. Dina Birman gave a
presentation on Refugee Mental Health Issues at the Maine Medical
Center. This meeting was sponsored by the Maine Mental Health
Initiative for Ethnic Newcomers, and Maine Medical Center's Social Work
Department and International Clinic. The audience were mental health
and refugee resettlement providers in the Portland area. Dr. Dina Birman
443-7790
10/23-24 Mental Health Statistics Improvement Program (MHSIP) Meeting
Washington, DC Quarterly committee meeting of the MHSIP Ad Hoc Advisory
Group; the purpose was to receive advice on program operations. Dr. Ron
Manderscheid 443-3343
10/24-26 Regional Consultative Peer Reviews Madison, WI Regional
consultative peer reviews were held in Madison, WI. The FY96 Block
Grant applications for Ohio, Indiana, Minnesota, Michigan, Wisconsin,
Illinois, North Dakota, South Dakota, Iowa, and Nebraska were reviewed.
Dr. Carol Bush 443-4257
10/24-26 Mental Health Skills Workshop Norcross, GA Meeting sponsored
by CMHS and the Office of Refugee Resettlement, Administration for
Children and Families, DHHS. Special topics covered included mental
health issues of Bosnian refugees and issues for refugee women. The
target audience were refugee resettlement service providers who
encounter mental health problems among the refugees to whom they provide
social and employment services. Dr. Dina Birman 443-7790
10/25 Performance Partnership Methodology Meeting Washington, DC The
Center for Mental Health Services convened an invitational meeting in
Washington, DC. Participants assisted the Center in developing a
methodology to estimate the prevalence of serious emotional disturbance
in children and adolescents for use by the States in preparing their
Performance Partnership Program applications. Gary DeCarolis 443-1333
10/27 CMHS Staff Educational Seminar Rockville, MD Dr. Bernard Arons
introduced presenter Dr. Tom McGlashan. The topic discussed was "Early
Detection and Intervention in Schizophrenia". Peggy Clark 443-3653
10/28-29 Meeting of the American Association of Chairmen of Departments
of Psychiatry (AACDP) Washington, DC Dr. Bernard Arons gave a
presentation at the meeting of the American Association of Chairmen of
Departments of Psychiatry (AACDP). Dr. Mel Haas also attended the
meeting. Dr. Bernard Arons 443-0001
10/29-11/2 American Public Health Association 123rd Annual Meeting San
Diego, CA Dr. Tom Bornemann gave a presentation "CMHS Update: Mental
Health Issues in State Health Care Reform Part I," and Jean Hochron
participated in a panel discussion on "Ending Homelessness Through
Systems Reform: Early Findings from the ACCESS Evaluation". Dr. Tom
Bornemann 443-0001
10/31-11/2 Regional Consultative Peer Reviews Albuquerque, NM Regional
consultative peer reviews were held in Albuquerque, NM. The FY96 Block
Grant applications for Kansas, Utah, Colorado, Montana, Arizona,
Missouri, Oklahoma, Texas, New Mexico, and Wyoming were reviewed. Dr.
Carol Bush 443-4257
11/1 Twelfth Annual Society for Education and Research in Psychiatric-
Mental Health Nursing Meeting Alexandria, VA Dr. Ronald Manderscheid,
Chief, Survey and Analysis Branch, Division of State and Community
Systems Development, CMHS, gave a speech that provided an overview of
managed behavioral healthcare. Attendees included 250 registered nurses
interested in psychiatric-mental health nursing education, research,
advanced psychiatric nursing practice, and/or public policy. The
meeting theme was "Opportunities for Innovation in a Time of Rapid
Change". Dr. Ron Manderscheid 443-3343
11/1-4 National Association for Rights Protection and Advocacy Annual
Meeting Madison, WI Natalie Reatig attended and served on a panel on
"Protection and Advocacy for Individuals with Mental Illness (PAIMI)
Programs A Look Back at Ten Years of Advocacy and a Look Ahead to New
Challenges". Other presenters were two consumer P&A panelists who
looked back over the past ten years and discussed what has changed and
what issues still need to be addressed. Additionally, there were
workshops addressing topics directly related to protection and advocacy,
including forced treatment, the consumer/survivor movement, advance
directives, recent developments in mental health law, and
experimentation in psychiatric hospitals. Other attendees were
consumers/survivors, disability rights and P&A lawyers and advocates,
and mental health professionals. Natalie Reatig 443-3667
11/2-3 World Health Organization Task Force on Mental Health Data
Standards Meeting Washington, DC Dr. Ronald Manderscheid, Chief, Survey
and Analysis Branch, Division of State and Community Systems
Development, CMHS, served as chairperson of a World Health Organization
Task Force on Mental Health Data Standards Meeting. The purpose of the
meeting was to develop international data standards for mental health.
Dr. Ron Manderscheid 443-3343
11/5 Tennessee Association of Mental Health Organizations Annual
Meeting Nashville, TN Dr. Manderscheid gave the keynote address of the
Tennessee Association of Mental Health Organizations Annual Meeting and
Trade Show, Nashville, TN. Dr. Manderscheid discussed recent Federal
and State legislative and program developments and their implications
for the evolution of managed care. Approximately 500 community mental
health professionals, support staff, and State department
representatives attended. Dr. Ron Manderscheid 443-3343
11/7-9 Regional Consultative Peer Reviews Portland, OR Regional
consultative peer reviews were held in Portland, OR. The FY96 Block
Grant applications for Washington, Guam, Marshall Islands, Alaska,
Northern Marianas, Idaho, Micronesia, Nevada, Hawaii, California, Palau,
American Samoa, and Oregon were reviewed. Dr. Carol Bush 443-4257
11/7 CMHS Staff Educational Seminar Rockville, MD Dr. Bernard Arons,
Director, Center for Mental Health Services, gave welcoming remarks and
introduced presenter Dr. Barbara J. Burns, Duke University Medical
Center. The seminar focused on the UNOCCAP Study (Multisite Study of
Mental Health Service Use, Need, Outcomes and Costs in Child and
Adolescent Populations). Peggy Clark 443-3653
11/9-10 National Council of Social Work Education Meeting New York, NY
Dr. Ronald Manderscheid, Chief, Survey and Analysis Branch, Division of
State and Community Systems Development, CMHS, gave a speech on managed
care and outcome measures at the National Council of Social Work
Education in New York, NY. There were approximately 200 attendees; the
purpose was to provide an overview of outcomes work in mental health.
Dr. Ron Manderscheid 443-3343
11/14-16 Regional Consultative Peer Reviews Atlanta, GA Regional
consultative peer reviews were held in Atlanta, GA. The FY96 Block
Grant applications for Alabama, Virgin Islands, Arkansas, Louisiana,
Georgia, North Carolina, Puerto Rico, Mississippi, South Carolina,
Tennessee, Virginia, Kentucky, and Florida were reviewed. Dr. Carol Bush
443-4257
11/15-16 Eleventh Annual Rosalynn Carter Symposium Atlanta, GA Dr.
Bernard Arons attended and participated in a symposium entitled:
"Managing Care in the Public Interest." About 250-300 conferees
attended, including leaders of the major mental health consumer
organizations, family members, mental health advocates, professionals,
and policy makers, as well as representatives from managed care
organizations, State Medicaid offices, and other managed care
stakeholders. Dr. Bernard Arons 443-0001
11/15-16 Multiple Diagnoses Among African Americans McLean, VA Trends
in providing services to ethnic minority individuals with multiple
behavioral health problems and diagnoses were examined by
representatives of Federal and State agencies with responsibilities
related to mental health programs; consumers; family members; and
representatives of professional organizations which have direct
responsibility for providing services to ethnic minority groups. Dr.
Harriet McCombs 443-7990
11/17 University of Maryland Crisis Counseling Conference Baltimore, MD
Dr. Bernard Arons, Director, Center for Mental Services, gave a
presentation on "Crisis Counseling for Families of Patients with Chronic
Medical Illnesses: Public Policy Issues and Managed Care". The meeting
was sponsored by the University of Maryland at Baltimore, Department of
Psychiatry. Participants learned how to apply medical crisis counseling
to patients and families of patients suffering from such long-term
serious illnesses as cancer, neurological disorders, cardiac conditions,
pain, HIV, and Alzheimer's disease. Dr. Bernard Arons 443-0001
11/17-19 Federation of Families For Children's Mental Health Seventh
Annual Conference Washington, DC Conference theme: "Redefining Advocacy:
New Challenges, New Directions." Velva Spriggs conducted a workshop at
the conference entitled "Beyond Cultural Competence: Confronting the
Politics of Difference." Gary DeCarolis 443-1333
11/28 "Caring for Every Child's Mental Health: Communities Together"
Campaign, Public Affairs Coordinating Network Rockville, MD More than 50
public affairs and children's services organizations, associations, and
agencies participated in a briefing and offered support and suggestions
for the campaign. Valna Montgomery 443-2792
11/29-30 Mental Health in Early Childhood Atlanta, GA The Center for
Mental Health Services, with assistance from the National Technical
Assistance Center for Children's Mental Health at Georgetown University,
convened a meeting with six invited States to discuss promising early
intervention practices, structures, and strategies. Gary DeCarolis 443-
1333
11/30-12/1 Gay and Lesbian Service Needs Workshop Washington, DC This
workshop convened a workgroup to develop policy and program
recommendations for mental health services for gay and lesbian youth.
The target audiences were Government health and mental health service
program administrators, as well as mental health and health service
delivery organizations in the public and private sectors. Maury
Lieberman 443-7990
12/4-8 South Carolina Block Grant Exit Interview South Carolina Marie
Danforth, Project Officer, State Planning and Systems Development
Branch, CMHS, participated in the exit interview of the Mental Health
Block Grant Program of South Carolina. The Program was monitored by a
group of consultants who were selected by the TA Contractor. The
monitoring visit was intended to identify strengths and areas needing
improvement in the State community mental health service delivery
system, as well as to provide recommendations for Federal technical
assistance in the areas identified. Marie Danforth 443-4257
12/4-8 Oregon Block Grant Exit Interview Oregon Doris Steward, Project
Officer, State Planning and Systems Development Branch, CMHS,
participated in the exit interview of the Mental Health Block Grant
Program of Oregon. The Program was monitored by a group of consultants
who were selected by the TA Contractor. The monitoring visit was
intended to identify strengths and areas needing improvement in the
State community mental health service delivery system, as well as to
provide recommendations for Federal technical assistance in the areas
identified. Doris Steward 443-4257
12/5-6 *Postponed Managed Care: Implications for Ethnic Minorities
McLean, VA This was a meeting to generate and disseminate information on
managed care, capitation, and expanded insurance coverage and the impact
on mental health service delivery to ethnic minorities and to identify
and report models which effectively provide mental health services under
managed care to ethnic minorities. Representatives of Federal and State
agencies with responsibilities related to mental health programs,
consumers, and family members, as well as representatives of
professional organizations and private sector companies which have
direct responsibility for providing services to ethnic minority groups
were in attendance. Dr. Harriet McCombs 443-7790
12/6-8 Perspectives on Employment of Persons with Disabilities Meeting
Bethesda, MD The meeting was sponsored by a number of Federal agencies.
The focus was on development of new strategies for Federal managers who
deal with disability issues to enhance educational and employment
opportunities. Workshops addressed HIV/AIDS in the workplace;
disability rights in the Federal sector; employment of people with
psychiatric disabilities; and reasonable accommodation. Carole Schauer
443-3667
12/7-8 CMHS National Advisory Council Meeting Bethesda, MD Quarterly
meeting of Council for contract and grant review, Agency updates and
Center initiatives and reports. Gloria Yockelson 443-7919
12/7-8 Managed Behavioral Healthcare Executive Education Training
Program McLean, VA The Center for Mental Health Services, CentraLink,
and the Institute for Behavioral Healthcare cosponsored an executive
education training program entitled "How to Acquire, Implement, and
Administer Managed Behavioral Healthcare Services". Dr. Ronald
Manderscheid, Chief, Survey and Analysis Branch, Division of State and
Community Systems Development, Center for Mental Health Services,
participated in the meeting. The program was the first National forum
on negotiating the purchase and installation of managed behavioral
health care services in the public sector. The program provided the
necessary training and technical assistance to States, counties, public
sector payors and purchasers, and private sector behavioral health care
executives with leading strategies and solutions for acquiring,
implementing, and managing Government-sponsored behavioral health care
contracts. There were approximately 150 attendees. Dr. Ron
Manderscheid 443-3343
12/11-12 "Partners in Prevention and Treatment of Youth Violence"
Meeting Crystal City, VA The Child, Adolescent, and Family Branch, CMHS,
in collaboration with the Center for Substance Abuse Prevention, the
Health Resources and Services Administration's Maternal and Child Health
Bureau, and the U.S. Justice Department's Office of Juvenile Justice and
Delinquency Prevention, will hold a meeting on the prevention and
treatment of youth violence. The meeting will bring together delegations
of major child-serving systems to develop strategic plans to address the
critical issue of youth violence within their state. Velva Spriggs 443-
1333
12/12 Human Resources Data Workgroup for Mental Health Services
Washington, DC The purpose of this meeting is to advance the development
of quality human resources data for mental health. Dr. Ron Manderscheid
443-3343
12/13-14 Access to Community Care and Effective Services and Supports
(ACCESS) Workshop Rockville, MD Staff from the Homeless Programs Branch,
Center for Mental Health Services, will convene a meeting of the ACCESS
grantees from the Systems Integration sites to give a technical
assistance workshop on "Developing a Project Management Plan". Dr.
Walter Leginski 443-3706
1/11-13 Protection and Advocacy Winter Meeting Houston, TX A three-day
intensive training on advocacy and consumer rights under managed care
will be presented. Participants will be Executive Directors, Advisory
Council members, lawyers, and advocates working for P&A systems around
the country. Natalie Reatig 443-3667
1/11-14 American Association of Directors of Psychiatric Residency
Training Meeting San Francisco, CA Dr. Mel Haas, Associate Director for
Medical Affairs, CMHS, will meet with the Executive Council and also
present a brief overview of CMHS at the Orientation for new Training
Directors, new Associate Training Directors, and Fellowship Directors.
Dr. Mel Haas 443-2120
1/17-18 Depression and Bipolar Support Alliance (NDMDA)
Annual Meeting Washington, DC Dr. Bernard Arons, Director, Center for Mental
Health Services, will participate in a consensus conference on depression,
organized and sponsored by the National Depressive and Manic-Depressive
Association. The purpose of the conference will be to investigate
reasons for the substantial gap between our scientific knowledge on the
diagnosis and treatment of depression and the actual treatment received
by those suffering from depression. Dr. Bernard Arons 443-0001
1/17-18 Access to Community Care and Effective Services and Supports
(ACCESS) Grantee Meeting Bethesda, MD Staff from the Division of
Demonstration Programs, CMHS, will sponsor an ACCESS grantee meeting.
The meeting is an opportunity for information sharing and reviewing the
status and progress of grantees. Dr. Frances Randolph 443-3706
1/19-20 Access to Community Care and Effective Services and Supports
(ACCESS) Workshop Bethesda, MD Staff from the Homeless Programs Branch,
Center for Mental Health Services, will convene a meeting of the ACCESS
Grantees from the Systems Integration sites to give a technical
assistance workshop on "Managing the Strategic Planning Process"
Dr. Frances Randolph 443-3706
KEN95-0038
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