May is National Mental Health Month with the following special observances taking place throughout the month:
Patient and Family Education Resources
The resources listed at http://www.dshs.state.tx.us/mhsa/patient-family-ed/ are designed to help individuals and their families become better-informed about mental health issues.
2013 MHSA Contests
Throughout the year, DSHS works with state and federal partners and communities throughout Texas to support and enhance the availability of Mental Health services. Summary information on some of these initiatives is below:
How to Get Help
If you or your child need help, please contact your pediatrician or physician, or your local community mental health center.
To find your local community mental health center, search by county, city, or zip code at http://www.dshs.state.tx.us/mhsa-mh-help/.
YES Waiver- Youth Empowerment Services
The Health and Human Services Commission (HHSC) and Department of State Health Services (DSHS) is implementing a 1915(c) Medicaid Waiver entitled Youth Empowerment Services (YES) (www.dshs.state.tx.us/mhsa/yes). The YES Waiver allows more flexibility in the funding of intensive community-based services and supports for eligible youth ages 3-18 with serious
emotional disturbances and their families. The goals of the YES waiver include:
- Provide a more complete continuum of community-based services and supports for children with SED
- Prevent or reduce inpatient psychiatric admissions for children with SED
- Prevent entry and recidivism into the foster care system
- Reduce out-of-home placements by all child-serving agencies
- Improve the clinical and functional outcomes of youth and their families.
Texas Resilience and Recovery
“Hope, Resilience, and Recovery for Everyone” is the vision statement of the Mental Health and Substance Abuse Division (MHSA) of the Department of State Health Services (DSHS). This vision is aligned with the national movement to incorporate resilience and recovery-oriented services, supports, practices, and beliefs into publicly funded mental health service delivery systems.
In September 2012, to further reflect a commitment to these principles, the name of Texas’ mental health system was changed from Resiliency and Disease Management (RDM) to “Texas Resilience and Recovery” (TRR). The MHSA Division acknowledges that adults, children, and youth affected by mental illness and severe emotional disturbance (SED) are on a continuum of mental health and have natural supports and strengths which should be built upon to foster resilience and recovery. Through the promotion of mental health, early intervention, and the provision of quality mental health services, providers have the opportunity to support adults, children, and youth to achieve not only mental health but also their individual potential. TRR is a patient-centered approach that moves away from the historical “disease” focused model.
Texas Money Follows the Person Behavioral Health Pilot
Severe mental illness and substance use disorders can exact a great physical toll. Because people with behavioral health conditions are more likely than other Texans to suffer from chronic debilitating physical conditions, they are also at greater risk for being institutionalized in nursing facilities. The Texas Money Follows the Person Behavioral Health Pilot, funded under a federal grant, integrates behavioral and long term care services / supports to help people with mental illness and substance use disorders leave nursing facilities and live independently. Services include Cognitive Adaptation Training (CAT), to enable individuals to relearn daily living skills and substance abuse treatment services to address addiction issues and prevent relapse.
Read more about this pilot at Money Follows the Person - Texas Pilot (Journal of the American Society on Aging, Winter 2012) (PDF).
Wellness Incentives and Navigation (WIN)
WIN is a federally funded research study which provides incentives to help Medicaid clients with behavioral health conditions, such as severe mental illness, improve their health. WIN incentives include individual wellness planning facilitated by professional health navigators, who employ Motivational Interviewing (MI) techniques to help participants define and achieve their health goals and an $1150.00 / year flexible wellness account to support the individual’s health goals. Participants with more severe mental illnesses will be offered additional preparation in the form of Wellness Recovery Action Planning (WRAP) to enable them to take full advantage of person-centered wellness planning. WIN includes 1250 voluntary participants (randomly selected for the intervention or control group) and operates in the Harris managed care service delivery area.
Medicaid 1115 Transformation Waiver
Texas has a five-year Medicaid demonstration waiver (through September 30, 2016) that will enable hospitals, community mental health centers and other providers to earn up to $11.4 billion all funds for Delivery System Reform Incentive Payment (DSRIP) projects. DSRIP projects are designed to improve Texas’ health care delivery system, including access to care, quality of care, and health outcomes.
Texas emphasized behavioral healthcare in developing the waiver. Of the 1322 DSRIP projects submitted for federal consideration, 366 projects (over 27% of them) relate to behavioral healthcare and request to earn almost $2.1 billion all funds over four years. Initial federal approval is targeted for May 31, 2013. DSHS worked closely with HHSC in developing the menu of behavioral health DSRIP options and reviewing projects submitted. See http://www.hhsc.state.tx.us/1115-waiver.shtml for more information.
Youth Suicide Prevention Project
Funded through a grant by the Substance Abuse and Mental Health Services Administration, this program involves suicide prevention activities within several communities in Texas with higher suicide rates than the national average. The project provides training for key community leaders and health professionals in recognizing warning signs of suicide and referring youth to appropriate help, and evaluates strategies to provide screening for suicide risk and follow-up for youth seen in medical settings. Supported by the Youth Suicide Prevention Project and a grant from the Department of State Health Services, Mental Health America of Texas has posted the “Coming Together to Care” Suicide Prevention Toolkit, which can be found at http://www.texassuicideprevention.org/wp-content/uploads/2013/06/TexasSuicidePrevention-2012Toolkit_8-31.pdf (PDF).
Read more about DSHS’s suicide prevention efforts in "Lone Star State Engages the Public in Suicide Prevention" (PDF).
Systems of Care
The Systems of Care framework (http://www.txsystemofcare.org/about-us/) is already working in communities across the state, both urban and rural, from the Rural Children’s Initiative in northwest Texas, to Ft. Worth and its surrounding counties, to Houston, to the far west edge of the state in El Paso, to Central Texas. Now we need to make sure all Texas children and youth in need have access to a coordinated service delivery system.
That’s what Texas System of Care is all about. Texas partners are coming together to identify ways to help local communities address the needs of children and youth with serious mental health concerns using a system of care approach.
Texas System of Care is led by the Texas Health and Human Services Commission, Department of State Health Services, and the University of Texas at Austin, Center for Social Work Research in collaboration with child-serving state agencies, family and youth advocacy organizations and other stakeholders within the Texas children’s mental health service delivery system.
Via Hope: Texas Mental Health Resource
Via Hope (http://www.viahope.org/) provides training, technical assistance and consultation to individuals in recovery from mental illness, their family members, youth who are interested in mental health, organizations and mental health professionals throughout the state of Texas. Via Hope is working to transform the Texas mental health system into one that fosters resilience, promotes recovery, is person-centered, and is consumer, youth and family-driven.
The Raising Texas initiative (http://www.raisingtexas.com/) is a collaborative effort of government agencies, families, community organizations and other stakeholders, all working toward a goal of coordinating and strengthening Texas’ system of services so all children in Texas enter school healthy and ready to learn. Focused on children under the age of 6, the Raising Texas initiative has identified four primary areas: access to insurance and a medical home, social-emotional development and mental health, early care and education, and parent education and family support.
Community Resources Coordinating Groups
Community Resource Coordination Groups (known as CRCGs) are local interagency groups, comprised of public and private providers who come together to develop individual services plans for children, youth, and adults whose needs can be met only through interagency coordination and cooperation. CRCGs originated when the Texas Legislature passed Senate Bill 298 into law in 1987. This bill directed state agencies serving children to develop a community-based approach to better coordinate services for children and youth who have multi-agency needs and require interagency coordination. Find out more at http://www.hhsc.state.tx.us/crcg/crcg.htm.
Connecting to Mental Health Month via Social Media
Use the hashtag #mentalhealthmonth or visit the twitter feeds below: