LOUISIANA Community Mental Health Services Block Grant ...

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Hospitals has developed and continues to revise rules and regulations for certifying juvenile competency restoration providers, and has developed and recently revised a training module patterned after national best practices. Sixty-eight licensed mental health professionals were trained and certified as competency providers in 2009-2010. An additional sixteen unlicensed mental health professionals were trained to work with youth who are incompetent due to lack of education rather than behavioral health issues. The state continues to closely study issues relating to juvenile competency and to review programs in other states. The Office of Behavioral Health received a $40,000 grant in June 2010 to implement a pilot program in Orleans, St. Bernard, Plaquemines, Jefferson and Caddo parishes for youth found incompetent to stand trial who are in need of a more restrictive environment, but do not meet the criteria for hospitalization. The pilot program will provide therapeutic foster homes (mentor homes) for a limited number of youth who are found incompetent to stand trial and need intensive supervision, as well as wrap-around services, including but not limited to individual, group and family therapy. In addition, the state‟s Law Institute Subcommittee on the Children‟s Code continues to meet in order to study the same issues while developing additional legislation regarding training as well as the protection of children‟s rights. Additionally, the Office of Behavioral Health in collaboration with the Metropolitan Human Services District and the Orleans Parish Juvenile Court are in the process of developing a Court Clinic which will screen, evaluate and provide treatment or refer for additional services youth who are charged with crimes and housed at the Youth Study Center, the local detention center in New Orleans. This will ensure that judicially involved youth in need of mental health or substance abuse services will be identified quickly and referred for appropriate services. Louisiana Youth Suicide Prevention The Louisiana Partnership for Youth Suicide Prevention (LPYSP) is a program that is geared towards reducing child and adolescent suicide; however, adults have benefitted from the program also. In 2006, Louisiana was awarded funds under the Garrett Lee Smith Memorial Act from the Substance Abuse and Mental Health Service Administration (SAMHSA) to implement statewide youth suicide intervention and prevention strategies. Applied Suicide Intervention Specialist Training (ASIST), is one of several trainings which were initiated by this funding initiative. ASIST is a unique program that teaches a concise, face-to-face suicide intervention model that focuses on the reduction of the immediate risk of suicide. Participants in the training learn about their own attitudes concerning suicide, how to recognize and assess the risk of suicide, how to use an effective suicide intervention model, and about available community resources. ASIST is a model of suicide intervention for all gatekeepers and caregivers utilizing techniques and procedures that anyone can learn. The training is designed to increase skill levels, improve the ability to detect problems, and provide meaningful support to individuals experiencing emotional distress and serious mental health problems. The workshops are offered to educators, law enforcement, mental health professionals, clergy, medical professionals, administrators, volunteers, and anyone else who might be interested in adding suicide intervention to their list of skills. The program has been made available to all government agencies, consumer/advocacy agencies, emergency service providers, schools and families to help reduce the incidence of suicide in Louisiana. A 20-member training group has conducted ASIST, Safe Talk, and Suicide Talk Trainings statewide. This series of evidenced-based trainings has reached over 2,500 people. Through the successful development of five suicide prevention coalitions in Shreveport, Lake Charles, Lafayette, Jefferson and Baton Rouge, the Partnership assisted communities to develop competence related to suicide risk identification and prevention activities; improved local collaboration; and promoted the coordination of culturally appropriate resources and services for the prevention of suicide. PART C LOUISIANA FY 2011 PAGE 90 SECTION II: ADULT & CHILD/ YOUTH IDENTIFICATION & ANALYSIS OF SERVICE SYSTEM’S STRENGTHS, NEEDS, & PRIORITIES RECENT SIGNIFICANT ACHIEVEMENTS
Office of Client Affairs This office continues to actively work towards the development and statewide implementation of Peer Support Specialists, Wellness Recovery Action Planning (WRAP) and other initiatives that seek to encourage consumer/family choice and empowerment throughout the system of care as Louisiana moves towards a recovery modality. As of 2010, the Office of Behavioral Health has implemented Peer Support Services throughout the majority of Louisiana, using the curriculum developed by Recovery Innovations. Currently, there are 101 trained and certified Peer Support Specialists, 52 of whom are now employed in a variety of capacities throughout the system of care. Examples of job duties include conducting Peer Support and WRAP groups, working with clients on an individual basis to develop goals and serving as a bridge for clients when first entering the clinic. In addition to the Peer Support program, the Office of Behavioral Health has also actively been integrating WRAP within the system of care. Currently, there are 69 trained WRAP Facilitators many of whom are conducting groups across the state. Since the inception of the WRAP is it approximated that over 1000 individuals have been introduced to the concepts of WRAP in some capacity. For 2010-2011, it is the goal of the Office of Behavioral Health to continue to fully support and certify peers and to ultimately train peers as trainers for both WRAP and Peer Support so that the programs can achieve long-term sustainability. Transition to Local Governing Entities (LGEs) Legislation was passed during the 2006 legislative session calling for DHH to develop a plan to facilitate the remaining geographic regions to transition to local governing health care districts or authorities. Act 373 of the 2008 regular legislative session provided for a specific process for the remaining regions of the state to become LGEs (Local Governing Entities). Based on this law, staff of the then OMH Division of Policy, Standards, and Quality Assurance developed a complete Readiness Assessment Toolkit. This toolkit contained flowcharts, copies of the applicable law and regulatory agreements, documents that guide the development of a governing board, policies/procedures, and a Readiness Assessment fidelity tool and user manual. The Director of the Division along with the Bureau Chief for Workforce Development within the Division formed the leads for a Readiness Assessment team consisting of representatives of OAD, OMH, OCDD, DHH legal division, and DHH fiscal and policy departments. Using the toolkit, the Readiness Assessment team completed a Phase I, II, and III assessment of a region and as of July 1, 2010, the former Region 3 consisting of the Houma/Terrebonne area of the state begins Phase IV of the LGE transition process as South Central Louisiana Human Services Authority (SCLHSA). That makes five LGEs, with five Regions remaining that are in various stages of preparation to become LGEs. Local governing entities (LGEs) have the responsibility for providing services to persons with mental illness, substance use and abuse disorders, developmental disabilities, and some functions of public health. The newly created Office of Behavioral Health will modify the organizational structure at the administrative level and align leadership to achieve strategic directions and support transition to Human Service Districts. Provision of Appropriate Medications OBH now has a policy that allows non-physician professionals who have prescriptive authority to prescribe within OBH facilities. The inclusion of Medical Psychologists and Advance Practice Nurse Practitioners allows patients and consumers greater access to the care they need. Several mental health clinics have taken advantage of this added resource to the benefit of their clientele. The pharmacy continues to offer an unrestricted formulary of medications for mental illness, which includes all of the newer antipsychotics, antidepressants, and mood stabilizers. The ability to offer PART C LOUISIANA FY 2011 PAGE 91 SECTION II: ADULT & CHILD/ YOUTH IDENTIFICATION & ANALYSIS OF SERVICE SYSTEM’S STRENGTHS, NEEDS, & PRIORITIES RECENT SIGNIFICANT ACHIEVEMENTS
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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#
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PART A: FACE SHEET FISCAL YEARS COV
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LOUISIANA FY 2011 BLOCK GRANT PLAN
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PART B LOUISIANA FY 2011 PAGE 11 AD
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(C)(1) With respect to mental healt
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Section 1943: (1) the purposes for
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(f) Taking one of the following act
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ASSURANCES - NON-CONSTRUCTION PROGR
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PUBLIC COMMENTS ON THE CONTENT OF T
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III. Maintenance of Effort (MOE) Re
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STATE MENTAL HEALTH PLANNING COUNCI
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throughout the state. The JBGBR com
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Criminal Justice 6 Larisey, Sue Sta
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REGIONAL ADVISORY COUNCIL REPRESENT
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INDIVIDUAL MEMBERS AT-LARGE At-larg
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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 45 and 46: LOUISIANA FY 2011 BLOCK GRANT PLAN
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 61 and 62: LOUISIANA FY 2010 BLOCK GRANT PLAN
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: the ecosystem for their livelihoods
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
Page 101 and 102: assessment and treatment services f
Page 103 and 104: Although the CMHC‟s operate with
Page 105 and 106: services related to housing support
Page 107 and 108: Employment Programs Serving SMI by
Page 109 and 110: develop housing support services fo
Page 111 and 112: conservative estimate, on any given
Page 113 and 114: SERVICES FOR PERSONS WITH CO-OCCURR
Page 115 and 116: 2. All individuals with co-occurrin
Page 117 and 118: integrating administration and oper
Page 119 and 120: levels of emotional and physical pa
Page 121 and 122: OTHER ACTIVITIES LEADING TO REDUCTI
Page 123 and 124: units within general public hospita
Page 125 and 126: CRITERION 2 MENTAL HEALTH SYSTEM DA
Page 127 and 128: the capacity for local, state, and
Page 129 and 130: System. It has not yet been decided
Page 131 and 132: Note: For purposes of medical eligi
Page 133 and 134: Louisiana Population and Prevalence
Page 135 and 136: Region/District PARISH CHILD/YOUTH
Page 137 and 138: POPULATION STATISTICS FY 2011 - ADU
Page 139 and 140: 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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ADULT - GOALS TARGETS AND ACTION PL
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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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