LOUISIANA Community Mental Health Services Block Grant ...

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in improving the structure and productivity of Planning Council meetings, as well as serving as a resource for Regional Advisory Councils (RACs). A Planning Council Liaison continues to work full time, promoting communication between OBH, the state Planning Council, and the RACs. The Liaison organizes Planning Council meetings, maintains communication with Council members, and provides training, education, and support to Planning Council members as well as to RAC members. The Liaison attends RAC meetings throughout the state and provides onsite training and assistance to assure that all 10 RACs are viable, functioning organizations. The Liaison continues to educate Planning Council and RAC members, as well as regional administrators as to their roles and responsibilities in mental health planning. With the addition of the Liaison, communication between the Regions/LGEs, the Office of Behavioral Health and the Planning Council has improved significantly in the past few years. In the past, Block Grant funds were distributed across Regions unevenly, based on practices and a rationale that was rooted in a history that no longer has any real relevance that resulted in some Regions/LGEs receiving significantly more Block Grant funds than others. At the May, 2009 Planning Council meeting, a resolution was passed to appoint a Special Committee to make recommendations to the Assistant Secretary regarding the allocation formula for Block Grant funds. After much study and review of alternate scenarios, the Special Committee, with the authority of the full Planning Council, recommended re-allocating Block Grant funds by awarding each Region/LGE an equal percentage of the Block Grant funds. This choice was heavily influenced by the fact that the statewide impact (to any of the regions/ LGEs) would be less detrimental than allocating by population. Another factor that was considered was that the more rural Regions, while not having as large a population, generally have more difficulty with access to services, transportation, and recruitment of staff. Additionally, funding based on population could vary significantly, particularly in a state that has already experienced much population shift due to hurricane displacement. The Assistant Secretary took the Special Committee‟s recommendation under advisement, and decided to accept their recommendation. Therefore, on June 29, 2009 a memo was sent to each Regional Manager and LGE Executive Director informing them of the reallocation that would take place gradually over three years, beginning with the 2011 Block Grant. Changes are outlined in Appendix A. Members of the Planning Council have also discussed the importance of Regional Advisory Councils (RACs) playing a more active role in initiating ongoing dialogue with their Regional Managers/Executive Directors. The RACs ideally are in communication with Regional/ LGE leadership and contract monitors to support the use of best practices, and funding of programs that reflect the priorities of the Planning Council. It is through this personalized local / regional partnership that the Council can ensure that consumers are receiving the necessary access to services and best quality of care. Improved communication is an initiative that has continued, and each RAC reports on regional activities at quarterly Planning Council meetings. The Joint Block Grant Budget Review Committee (JBGBRC), which was established by state policy in 2006 to monitor the expenditure of Block Grant funds, includes members of the OBH Planning Division, the OBH Fiscal Division, and the Finance Committee of the Planning Council. The committee is charged with overseeing Block Grant budget allocations and Intended Use Plans; however, in the past year, the committee has been dormant, due in part to other priorities within the office, and loss of staff members responsible for providing information to this committee. During FY 2009, the Louisiana Block Grant was reduced by 11.7 percent, creating budgeting challenges PART B LOUISIANA FY 2011 PAGE 28 ADULT & CHILD/ YOUTH – ADMINISTRATIVE REQUIREMENTS, FISCAL PLANNING ASSUMPTIONS, AND SPECIAL GUIDANCE PLANNING COUNCIL REQUIREMENTS
throughout the state. The JBGBR committee was integral in the process of deciding how the budget reductions would be made within the Regions and LGEs. Requests from the Finance Committee for more detailed information from the Central Office of OBH regarding the expenditures of Block Grant monies were not fulfilled; again due to staffing shortages. Rather than providing the information requested at the state level, the Committee was referred back to the RAC level where the Intended Use Plans and contracts are actually developed and monitored. At this level, detailed information would be more meaningful, and could include such things as goals and performance measures for contracts and programs. In responding to this request, the Assistant Secretary applauded the Planning Council‟s diligence and dedicated interests in monitoring Block Grant funds. The activities presented above highlight the interactive and valuable relationship between the Planning Council and the Office of Behavioral Health. Within this document, the Planning Council‟s membership is listed, along with the duties, responsibilities, roles and charge as described in the Planning Council By-Laws and Rules. PART B LOUISIANA FY 2011 PAGE 29 ADULT & CHILD/ YOUTH – ADMINISTRATIVE REQUIREMENTS, FISCAL PLANNING ASSUMPTIONS, AND SPECIAL GUIDANCE PLANNING COUNCIL REQUIREMENTS
Page 1 and 2: LOUISIANA FY 10-11 Community Mental
Page 3 and 4: Table of Contents - Continued Page#
Page 5 and 6: Table of Contents - Continued Page#
Page 7 and 8: PART A: FACE SHEET FISCAL YEARS COV
Page 9 and 10: LOUISIANA FY 2011 BLOCK GRANT PLAN
Page 11 and 12: PART B LOUISIANA FY 2011 PAGE 11 AD
Page 13 and 14: (C)(1) With respect to mental healt
Page 15 and 16: Section 1943: (1) the purposes for
Page 17 and 18: (f) Taking one of the following act
Page 19 and 20: ASSURANCES - NON-CONSTRUCTION PROGR
Page 21 and 22: PUBLIC COMMENTS ON THE CONTENT OF T
Page 25 and 26: III. Maintenance of Effort (MOE) Re
Page 27: STATE MENTAL HEALTH PLANNING COUNCI
Page 31 and 32: Criminal Justice 6 Larisey, Sue Sta
Page 33 and 34: REGIONAL ADVISORY COUNCIL REPRESENT
Page 35 and 36: INDIVIDUAL MEMBERS AT-LARGE At-larg
Page 37 and 38: Article I: NAME The name of this or
Page 39 and 40: Louisiana Mental Health Planning Co
Page 41 and 42: LOUISIANA MENTAL HEALTH PLANNING CO
Page 43 and 44: LOUISIANA MENTAL HEALTH PLANNING CO
Page 47 and 48: Public Health, the Office for Citiz
Page 49 and 50: Adolescent Hospital was closed in 2
Page 51 and 52: OBH REGIONS & LOCAL GOVERNING ENTIT
Page 53 and 54: MENTAL HEALTH CLINICS AND OUTREACH
Page 55 and 56: DHH Org Chart Ssss PART C LOUISIANA
Page 57 and 58: SECTION I - DESCRIPTION OF STATE SE
Page 59 and 60: SECTION I - DESCRIPTION OF STATE SE
Page 63 and 64: and Rita. The final document, A Roa
Page 65 and 66: Cornerstone Quality Management Init
Page 67 and 68: PRESIDENT‟S NEW FREEDOM COMMISSIO
Page 69 and 70: PRESIDENT‟S NEW FREEDOM COMMISSIO
Page 71 and 72: SECTION II - IDENTIFICATION & ANALY
Page 73 and 74: Etc. o Medical Director approval A
Page 75 and 76: expected to be the foundation for p
Page 77 and 78: SED/ EBD is a national designation
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The Office of Behavioral Health is
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portion of their day on school grou
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Some progress toward a better under
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into ten equal amounts (i.e., 1/10
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SECTION II - IDENTIFICATION & ANALY
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the ecosystem for their livelihoods
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Office of Client Affairs This offic
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Nearing the end of the sixth year e
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GUIDING PRINCIPLES 1) We can and wi
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CRITERION 1 COMPREHENSIVE COMMUNITY
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SAMHSA/FEMA also required CCPs to c
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assessment and treatment services f
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Although the CMHC‟s operate with
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services related to housing support
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Employment Programs Serving SMI by
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develop housing support services fo
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conservative estimate, on any given
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SERVICES FOR PERSONS WITH CO-OCCURR
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2. All individuals with co-occurrin
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integrating administration and oper
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levels of emotional and physical pa
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OTHER ACTIVITIES LEADING TO REDUCTI
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units within general public hospita
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CRITERION 2 MENTAL HEALTH SYSTEM DA
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the capacity for local, state, and
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System. It has not yet been decided
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Note: For purposes of medical eligi
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Louisiana Population and Prevalence
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Region/District PARISH CHILD/YOUTH
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POPULATION STATISTICS FY 2011 - ADU
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Data Source: OMHIIS, JPHSA, and MHR
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CASELOAD SERVED BY OMH COMPARED TO
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ADULT POPULATION Previously, the me
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shelters in the DCFS database. In 2
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in the past, however, there have be
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Region/ LGE RURAL MENTAL HEALTH PRO
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33 Many Mental Health Telemed Sabin
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provide expanded crisis services an
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MENTAL HEALTH FACILITIES, BEDS, FUN
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Numbers of Community Professional S
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OMH Community Staff Liaisons on Jun
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CRITERION 5 MANAGEMENT SYSTEMS - EM
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which has been put to the test with
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CRITERION 5 MANAGEMENT SYSTEMS - GR
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LOUISIANA FY 2011 BLOCK GRANT PLAN
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ADULT - GOALS TARGETS AND ACTION PL
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LOUISIANA FY 2011 BLOCK GRANT PLAN
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that provides funds for up to nine
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animal recovery sites, emergency op
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Black: 1,346 52.6% Pacific Islander
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collaboration with OCS, OJJ, OBH, D
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Multisystemic Therapy (MST) is bein
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OMH has recently been combined with
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housing needs. The State also has n
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SERVICES FOR PERSONS WITH CO-OCCURR
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Other examples of services provided
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provided to clinic clients. The ICF
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through formal and informal network
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local interagency team or for a cli
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Juvenile Court-Drug Court provides
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health care for children with the C
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PART C LOUISIANA FY 2011 PAGE 221 S
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no longer need use paper service ti
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eviews of proprietary and open-sour
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Persons Receiving Services: The num
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POPULATION ESTIMATES. According to
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Estimated State Population and Esti
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Region/District PARISH CHILD/YOUTH
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Louisiana Community Mental Health C
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REGION CAHSD CMHC ADULT CASELOAD SI
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CRITERION 2 MENTAL HEALTH SYSTEM DA
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CRITERION 3 CHILDREN‟S SERVICES -
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SOCIAL SERVICES FY 2011 - Child/You
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not provided at the school site. A
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Approximately 3888 (duplicated) stu
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Some progress toward a better under
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The Truancy Center is an early inte
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of Public Health, and Citizens with
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CRITERION 4 TARGETED SERVICES TO RU
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Both private and public agencies ar
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In Louisiana, expanded definitions
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Region/ LGE RURAL MENTAL HEALTH PRO
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30 Mansfield Mental Health Clinic D
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MENTAL HEALTH FACILITIES, BEDS, FUN
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Numbers of Community Professional S
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OMH Community Staff Liaisons on Jun
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CRITERION 5 MANAGEMENT SYSTEMS - EM
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which has been put to the test with
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CHILD - GOALS TARGETS AND ACTION PL
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Intended Use Plan Allocations Summa
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Block Grant Application FY 2011 CHI
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State of Louisiana Fiscal Year 2010
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