National Council Accomplishments

The National Council

―The most
effective way to
cope with
change is to
help create it‖

L.W. Lynett
www.TheNationalCouncil.org

Not for profit advocacy and
education association committed
to the delivery of behavioral
health services of the highest
quality that promote recovery and
full social inclusion


Lobbying

> US Chamber of Commerce
$52,750,000
> General Electric $23,660,000
> Pharmaceutical Research & Mfrs of
America $22,733,400
> American Medical Assn $22,132,000
> American Hospital Assn $19,734,545
> AARP $19,540,000

“Must Haves”

> Broad and engaged membership
> Effective communications -
actionable information
> Reputation for quality practices
> Strategic alliances
> Assertive public policy agenda


Membership Growth


Member Engagement Data Collected
> Annual Conference > National Council
Call for Papers Webinars
> Awards of Excellence > Mental Health First Aid
> CapWiz > Access & Retention
> Hill Day Primary Care
> International Collaborative
Exchange (08-09) > Primary Care Learning
> Job Bank Communities
> Bookstore Sales > Psychiatric Leadership
Program
> National Council
Magazine > Transition-Age Youth


Summary of 2010 Member Engagement

> 1,720 members
> 76% have participated in at least one
activity; 67% in 2009
> 27% involved in fifteen or more
activities/programs; 14% involved in
20 or more
> 24% (410) not involved


Highly Engaged Members
> Colorado West (Glenwood Springs, CO)
> Meridian Behavioral Healthcare (Gainesville, FL)
> NHS Human Services (Lafayette Hill, PA)
> Rushford Center, Inc. (Meriden, CT)
> Mental Health Center of Denver (Denver, CO)
> Oakland County Community MH (Auburn Hills, MI)
> Centerstone (Nashville, TN)
> The Center for Health Care Services (San Antonio, TX)
> Heritage Behavioral Health (Decatur, IL)
> Mental Health Center of Boulder and Broomfield Counties
(Boulder, CO)

Response to Action Alerts


Actionable Information
> Public Policy Update and Alerts
> National Council Magazine
> Technical Assistance Newsletter
> Addictions/Co-occurring Newsletter
> Compliance Watch
> Journal of Behavioral Health Services & Research
> Online Learning – Essential Learning
> Web site and communities, blogging, and tweeting
> Webinars – 1400 for ―Understanding Anxiety‖;604
―Contracting with VA‖ 414 ―Accountable Care‖

Compliance Watch Newsletter

> Quality & compliance best
practices
> Regulatory changes
> Enforcement and oversight
updates
> Annual subscription

41st National Mental Health and
Addictions Conference & Expo
May 2-4, 2011, San Diego, CA

San Diego: There’s no better place to be!
www.TheNationalCouncil.org/Conference 202.684.7457

Quality Practice Initiatives

> Health Promotion - Mental Health
First Aid
> Healthcare Homes - Healthcare
Collaborative/Learning Communities
> Leadership - Psychiatric Leadership
Project; CEO U; MMA; Emerging
Leaders and Health Disparities
> Capacity - Access and Retention
Initiatives

Health Promotion:
Mental Health First Aid USA

> 6,500+ Mental Health First
Aiders trained
> 800+ instructors certified
> 12-hour program for the
public
> 5-day training for instructors


2010 Mental Health First Aid
Instructor Trainings
> Washington, DC — June 28-July 2
> Houston, TX — July 12-16
> Chicago, IL - August 2-6
> San Francisco, CA — September 13-
17
> Atlanta, GA - September 27 - October
1
Or ask how we can bring training
program to your location,
info@mentalhealthfirstaid.org


Healthcare Homes: Learning
Communities
> 149 pairs of Community Behavioral Health
Organizations and Federally Qualified
Health Centers serving 98,000 consumers
> Increase screening, detection and treatment
of behavioral health disorders in primary
care
> Increase screening and treatment for
physical health issues in CBHOs
> Foster collaborative relationship of cross
system referrals and supports

Building Capacity: Access Redesign

Phase I
> Carlsbad – 20% capacity and revenue increase
Phase II
> 48 organizations- Wyoming, Florida, Ohio
> Average annual savings $199,989.43; 34% reduction
in staff time; and 40% reduction in consumer wait-time
Phase III
> 45 organizations in
Washington, Pennsylvania, Minnesota

Tipping Point…

> Behavioral Health is essential to health
> Prevention/early intervention is possible
> Treatment is effective
> People recover


Public Policy - Success 2008/09

> Community Mental Health Services
Improvement Act – 7 million for primary
care into mental health organizations***
> Medicaid Regulatory Moratorium***
> Medicare HR 6331 (2010 to 2014)
> Second Chance Act and MIOTCRA
> Veterans M H Outreach & Access Act
> M H Parity & Addiction Equity Act of 2008


Legislative Advocacy – Healthcare Reform

Amendments to reform that passed in one or both chambers:
> FQBHC (House Energy and Commerce Committee)
> Inclusion of therapeutic foster care in Medicaid (Senate Finance
Committee)
> $50 million authorization for behavioral-primary care integration
grants (Senate HELP Committee)
> CMHCs included as eligible providers in Medicaid medical
home demonstration program (Senate Finance Committee)
> Mental illness classified as eligible chronic illness for Medicaid
medical home demo (Senate Finance Committee)
> Melanie Blocker Stokes MOTHERS Act to combat postpartum
depression (Senate Finance Committee)

Success
HEALTHCARE REFORM
> SEC. 2703. STATE OPTION TO PROVIDE HEALTH HOMES
FOR ENROLLEES WITH CHRONIC CONDITIONS.
• State option; Includes persons with substance use
disorders & mental illness as eligible participants;
Community mental health centers eligible providers
> SEC. 5604. CO-LOCATING PRIMARY AND SPECIALTY CARE
IN COMMUNITY- BASED MENTAL HEALTH SETTINGS.
• Authorizes $50,000,000 SAMHSA program, already
funded at $14,000,000


Legislative Advocacy – Healthcare
Reform
> Federal parity applied to the Medicaid
expansion and state health insurance
exchanges
> CLASS Act to provide long-term care
insurance
> Ban on pre-existing condition exclusions
> Elimination of the Part D Donut-Hole
> Coverage of Young Adults


Stronger Recognition by Congress
and the Administration
> Rep. Tonko ―Dear Colleague‖ Letter Urging Congressional
Support for Strong Parity Regulations
> 37 Members of House Sign Dear Colleague Letter Support ing
Increased Funding for Mental Health Block Grant
> 11 Members of Congress Submit Letters to Regulating
Agencies Supporting Congressional Intent of Federal Parity
Law
> Secretary Sebelius remarks on importance of integration:
• “We know that these integrated care models can be especially effective when they
combine behavioral and physical health conditions. That’s because mental illnesses
and substance use disorders usually go hand in hand with other physical
conditions. We know that the sicker you are, the more likely you are to be
depressed… And we also know that when physical and mental health problems come
together, they usually make each other worse.”

President‟s FY11 Budget Requests Increase
Funding to Several Key Programs:
> Center for Mental Health Services, Programs of
National and Regional Significance: $374 million, a
$13 million increase over FY 2010
> Center for Substance Abuse Treatment, Programs of
National and Regional Significance: $487 million, a 34
million increase over FY 2010
> Children’s Mental Health Services: $126 million, a $5
million increase over FY 2010
> Treatment Drug Courts: $56 million, a $12 million
increase over FY 2010
> Ex-offender Reentry: $23 million, a $5 million
increase over FY 2010

Raising Awareness Through
Congressional Briefings
> Impact of The Economic Crisis on America’s Public
Mental Health Safety Net – February 24, 2010

> Policy Alternatives to End Chronic Homelessness –
March 23, 2010

> Information Technology and the Behavioral Health
and Substance Use Provider – June 30, 2010


Increasing Awareness Through the
Media
> Letter to the Editor of the New York Times
emphasizing importance of federal parity regulations:
• ―The current fight over parity foreshadows the larger health
care reform implementation battle; the outcome will
determine if parity and health care reform result in
meaningful access to care, or just business as usual for the
insurance industry.”
> Behavioral Healthcare interview on the passage of
reform:
• “Healthcare reform is really a „game changer,‟ something
that opens up wonderful new opportunities as well as a
range of important challenges”
> Reuters article on parity:
• "Now people in need won't have to go without treatment

Struggles…Fiscal Crisis


Struggles…FMAP Extension

ARRA included an increase in the FMAP
to help states with the financial crisis
• This increase will expire on Dec.
31, 2010 unless it is extended


HIT Extension for Behavioral Health
Services Act (HR 5040)
ARRA included over $19B in grants and Medicare and
Medicaid incentive payments to encourage the use of
EHRs - Only MDs and NPs practicing within CBHOs
would be eligible for the incentive payments
> Introduced in the House on April 15
> Would make psychiatric hospitals, behavioral and
mental health treatment facilities, and substance
abuse treatment facilities eligible for facility payments
> Would add psychologists and social workers to the
list of eligible professionals


New Paradigm – Federally Qualified
Behavioral Health Centers
> A parallel structure for
CBHOs, Federally
Qualified Behavioral
Healthcare Centers
(FQBHC), based on the
FQHC accountability and
payment structures
> 10 benefits and 8
responsibilities of FQHC
status

Implementing Healthcare
Reform’s Four Key Strategies…

U.S. health care reform is moving forward to address key issues

32

Success is not a matter of
spontaneous combustion, you must
set yourself on fire.”
Denice Torres


National Council Accomplishments

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