LOUISIANA Community Mental Health Services Block Grant ...

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are to reduce youth criminal activity, reduce antisocial behavior, and achieve these outcomes as a cost savings by decreasing rates of incarcerations, hospitalizations, and out of home placements. Medicaid has developed and maintained close collaborative relationships with both the Office of Community Services and the Office of Juvenile Justice, and anticipates additional requests and opportunities to develop evidence based mental health services for youth within Medicaid. These positive collaborations will likely also result in increased utilization of available Medicaid behavioral health services by recipients assisted by those agencies. The transition of the Office of Mental Health and the Office for Addictive Disorders into one Office of Behavioral Health will result in increasing access to evidence based services for those adults with severe and persistent mental health issues, youth with emotional/behavioral disorders and those of all ages affected by substance abuse issues. Similarly, Louisiana's movement toward the medical home model should help with integration of primary medical and behavioral health services, improving the system of care and coordination of services. Block Grant funds were reduced by 11.7% for the 2009 (and 2010) fiscal year, followed by another reduction of $142,012 in 2010 (and 2011). In an attempt to understand the reductions, it is believed that it is a result of several converging elements that occurred after the hurricanes in 2005. The devastation in the Gulf Coast area caused an infrastructure and housing shortage which lead to a temporary post-hurricane boom in construction jobs as well as a temporary influx of money from government sources and industry. In addition, there was a temporary decrease in the numbers of people living in Louisiana. The reality is that these changes were indeed temporary, and the resultant cut has meant a reduction in needed services that had been previously supported by Block Grant money. Louisiana has also faced significant budget cuts in the Medicaid allowance in the 2011 fiscal year. In 2011, the federal stimulus package also ends, and Louisiana is indeed facing some lean economic times. PART C LOUISIANA FY 2011 PAGE 58 SECTION I: ADULT & CHILD/ YOUTH –DESCRIPTION OF STATE SERVICE SYSTEM NEW DEVELOPMENTS & ISSUES
SECTION I – DESCRIPTION OF STATE SERVICE SYSTEM LEGISLATIVE INITIATIVES & CHANGES LOUISIANA FY 2011 - ADULT & CHILD/ YOUTH PLAN LEGISLATIVE INITIATIVES AND CHANGES Implementation of several legislative initiatives from last year‟s legislative session, the 2009 Fiscal Only Regular Session of the Louisiana Legislature included: ACT 384: Completed. Transfers the office of mental health and office for addictive disorders into a newly-created office of behavioral health.. ACT 230: Completed. Allows the Department of Health and Hospitals, upon court order, to use restraints on certain children during transport.. ACT 251: Completed. Transfers the regulation of medical psychologists from the State Board of Examiners of Psychologists to the Louisiana State Board of Medical Examiners and provides for requirements for and rights acquired by licensure, prescribing drugs, and other regulations for such profession.. Within the fiscal budget bill was contained language that allowed OMH to close the New Orleans Adolescent Hospital (NOAH). This was completed last year by moving the few child and adolescent patients to Southeast Louisiana Hospital (SELH) and also the adult acute unit patients at NOAH were moved to the adult acute units at SELH. The savings in operational costs allowed for the opening of three new community mental health clinics for children and adolescents in locations convenient to consumers in the New Orleans area. The 2010 Regular Session of the Louisiana Legislature that ended June 21, 2010, had 2,301 bills filed and 849 resolutions. Bills that passed the 2010 Louisiana Legislature that may impact persons with mental illness are as follows: ACT 419: Provides relative to standards for inpatient hospitalization at Feliciana Forensic Facility when a person is charged with certain felonies and misdemeanors.. In this case, this law modifies under what circumstances a person can be determined to be incompetent to proceed to trial and receive competency restoration services in an outpatient setting rather than being required to be hospitalized in the forensic hospital. It also establishes criteria by which a person determined not to be restorable can be released to the community vs. being required to be hospitalized. HSR5: Requests the House Committee on Health and Welfare to study potential reforms to this state's system of child and adolescent psychiatric care. ACT 894: Provides relative to the conduct of examinations and execution of emergency commitment certificates in certain parishes. Actually permits the coroner in one LA parish to perform evaluations for an emergency certificate via teleconference under certain circumstances. ACT 907: Create a Coroner's Strategic Initiative for a Health Information and Intervention Program in the office of the coroner in each parish. Actually only allows for the creation of a community service arm of the coroner‟s office in one LA parish. Requires hospitals within this parish to provide information of this service to persons being discharged. PART C LOUISIANA FY 2011 PAGE 59 ADULT & CHILD/ YOUTH – DESCRIPTION OF STATE SERVICE SYSTEM LEGISLATIVE INITIATIVES & CHANGES
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LOUISIANA FY 10-11 Community Mental
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Table of Contents - Continued Page#
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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 and 28: STATE MENTAL HEALTH PLANNING COUNCI
Page 29 and 30: throughout the state. The JBGBR com
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: 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
Page 79 and 80: The Office of Behavioral Health is
Page 81 and 82: portion of their day on school grou
Page 83 and 84: Some progress toward a better under
Page 85 and 86: into ten equal amounts (i.e., 1/10
Page 87 and 88: SECTION II - IDENTIFICATION & ANALY
Page 89 and 90: the ecosystem for their livelihoods
Page 91 and 92: Office of Client Affairs This offic
Page 93 and 94: Nearing the end of the sixth year e
Page 95 and 96: GUIDING PRINCIPLES 1) We can and wi
Page 97 and 98: CRITERION 1 COMPREHENSIVE COMMUNITY
Page 99 and 100: SAMHSA/FEMA also required CCPs to c
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Page 103 and 104: Although the CMHC‟s operate with
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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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