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January 22, 2021

As of January 20, Tom Coderre has been named the Acting Assistant Secretary for the Substance Abuse and Mental Health Services Administration (SAMHSA). Read the announcement.

Mom and Teen on Navigating Behavioral Health Crisis Care in MD

January 12, 2021

Data Scientists Ask, “What if We Could See the Entire Crisis System?”

January 19, 2021
Reina Chiang and her mother, Kana Enomoto, share their experience navigating the MD crisis care system. Chiang and Enomoto talk about what programs made a difference and the accessibility challenges kids face getting into them. Read the January 12 #CrisisTalk.
Data scientists Prof. Martin Connor and Dr. Christopher Ogg are using real-time data to eliminate long wait times, bottlenecks, and service delays in crisis care. The end-game, says Connor, "is to see the entire system."
Read the January 19 #CrisisTalk.
State Spotlight:
All Texas Access Report

The All Texas Access report documents the implementation of Senate Bill 633, 86th Legislature, Regular Session, 2019 (S.B. 633). This report is the result of ongoing collaboration between the Texas Health and Human Services Commission (HHSC), local mental health authorities (LMHAs) and local behavioral health authorities (LBHAs). The report explores how access to mental health services could be improved in various rural Texas communities and how increasing regional capacity for mental health services could impact:

  • The cost to local governments of providing services to people experiencing a mental health crisis;
  • The transportation of people served by an LMHA/LBHA to mental health facilities;
  • The incarceration of people with mental illness in county jails; and
  • The number of hospital emergency room visits by people with mental illness.

The All Texas Access Report  includes a background, All Texas Access data, regional plans, a statewide analysis, legislative recommendations and appendices.

The All Texas Access Background Report  provides a general overview of mental health services in Texas. The background is designed to provide context for the rest of the report.

FCC Seeks Input on Providing Broadband Service and Devices to Low-Income Households by February 16

The Federal Communications Commission (FCC) is seeking to provide broadband service and devices to low-income households. The program would reimburse participating companies for providing discounted broadband service and connected devices to eligible households during the COVID-19 pandemic, and will also purchase a device (such as a phone, laptop, or tablet) to connect to the Internet. Participating providers will receive reimbursement from the Emergency Broadband Benefit Program for the discounts provided. 

Find more information about this request for comment.

Comments are due February 16. 

Division Spotlight: 
NASMHPD's Children, Youth & Families Division
Dr. Brian Sims, Louise Johnson, and Diana Cockrell presented on systemic racism and disparities in behavioral health at the NASMHPD 2020 Children, Youth and Families Division Meeting. Watch the recorded presentation above. 

NIMH Launches the Early Psychosis Intervention Network (EPINET): A National Learning Health Care System

Over the past 10 years, there has been rapid growth nationally in the number of clinical programs focused on support for individuals who are experiencing a first episode of psychosis. A critical addition to this national focus on early psychosis programs is the launch of the Early Psychosis Intervention Network (EPINET) by NIMH. EPINET is a national learning health care system that links early psychosis clinics through standard clinical measures, uniform data collection methods, data sharing agreements, and integration of client-level data across service users and clinics. Clients and their families, clinicians, health care administrators, and scientific experts now have the opportunity to partner within EPINET to improve early psychosis care and conduct large-scale, practice-based research. Learn more about EPINET. Download a shareable flyer about EPINET
 

Webinar Save the Date: Coordinating Care to Reduce Crisis


Jointly Sponsored by Netsmart and NASMHPD
February 24th at 12 noon EST


While the coming 988 hotline line will provide a long-awaited and much needed capability to serve at-risk behavioral health clients, it brings a risk of overwhelming state resources. It is imperative to find ways to reduce the number of individuals who fall back into another crisis situation or better yet to avoid having even the first moment of crisis. Different organizations use terms such as whole-person, integrated care or person-centered care, all which focus on coordinating care among many different providers and between state agencies.

Join NASMHPD and Netsmart as we discuss how states and counties have innovated to break down barriers between agencies and providers to positively impact the crisis continuum. We will have a panel of agency experts who will share how they took a holistic approach to work with multiple organizations to provide a more person-centered, integrated care network that optimized the outcomes for their clients.

Study Finds Higher Rates of Suicidal Behaviors Among Individuals with ASD and Psychiatric Comorbidities

Individuals with autism spectrum disorder (ASD) had higher rates of attempted and completed suicides than individuals without ASD, according to a Danish study. Females with ASD were more than four times as likely to attempt suicide in comparison to males. The presence of psychiatric comorbidities was found to be a major risk factor, with more than 90 percent of individuals with ASD who attempted or completed suicide having a comorbid psychiatric condition. The most common comorbidities included attention deficit-hyperactivity disorders; anxiety, dissociative, stress-related and somatoform disorders; and affective disorders. The researchers wrote, “It is essential to expand support and services for adults with ASD, especially those with psychiatric comorbidity, considering the higher risk of suicide attempt throughout the life span.” The full study was published online January 12 in JAMA Network Open. Read it here. 

President Biden Announces Emergency Legislative COVID-19 Relief Package

President Biden announced his American Rescue Plan, which would provide funding for vaccinations, direct relief to families, and support struggling communities. Notably, the plan aims to expand access to behavioral health services, saying:

"The pandemic has made access to mental health and substance use disorder services more essential than ever. The president-elect is calling on Congress to appropriate $4 billion to enable the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration to expand access to these vital services." 

Read Biden's American Rescue Plan.

ASPIRE Program Applications Due February 17

The Office of Disability Employment Policy (ODEP) at the U.S. Department of Labor (DOL) is sponsoring a new initiative called Advancing State Policy Integration for Recovery and Employment (ASPIRE). ASPIRE seeks to expand evidence-based employment services and increase competitive integrated employment for people with mental health conditions. The ASPIRE initiative will provide training and support to selected States to develop and implement strategic plans to support and expand evidence-based practices, such as the Individual Placement and Support model of supported employment, or other promising models. ASPIRE is a valuable opportunity for states interested in aligning state policy, program, and funding infrastructures to promote competitive integrated employment. 

Learn more and apply here.
Applications are due on February 17, 2021.

ODEP is hosting a webinar on Thursday, January 28, 2021 at 2:00 p.m. EST to answer questions for states that are interested in applying. Register here.

 
The team at the IPS Employment Center has defined the Individual Placement and Support (IPS) approach to supported employment. The center’s activities focus on employment for people with serious mental illnesses. The center offers training, educational materials, and consultation services.  
Learn more about training available through the IPS Employment Center.



SAMHSA-Sponsored Webinar:
 
Innovation, Collaboration, and Partnership between Crisis Services and 1st Responders in Harris County, Texas


A SAMHSA sponsored webinar presented by the National Council for Behavioral Health, will take place Thursday, January 28, 2021 at 2:30pm Eastern Time called Innovation, Collaboration, and Partnership between Crisis Services and 1st Responders in Harris County, Texas.

The Harris Center for Mental Health and IDD, located in one of the most diverse communities in the United States, Houston, Texas, has a long history of effective and innovative collaboration with first responders.  Some of their most recent innovations include the CORE program which is a strategy of responding to mental health crisis calls using a tablet and a HIPAA-approved technology platform to connect a law enforcement first responder with a mental health clinician in the community at the time of the 911 dispatch; a new Respite, Rehab, and Re-Entry facility which provides pre-charge jail diversion in partnership with many collaborators including The Houston Police Department and Harris County Sheriff’s Office; and a 911 Crisis Call Diversion program in partnership with the Houston Fire Department and Houston Police Department.  During this webinar we will talk about how The Harris Center was able to coordinate with first responder partners to bring these programs to fruition and the outcomes they are seeing in their community due to these collaborations.
Visit the SMI Adviser site for information, resources, and training on COVID-19, clozapine, long-acting injectables, and many more topics. Request a free clinician-to-clinician consultation. Earn free continuing education credits via their Education Catalog.
The SMI Adviser recently released the My Mental Health Crisis Plan app, an easy way for individuals to create and share a psychiatric advanced directive (PAD). The app is  available for download in the Apple App Store or Google Play. 
Upcoming Webinar Opportunity:

Peer Respite Houses: A Safe and Welcoming Alternative to Crisis Care
January 29, 2021 from 12:00-1:00pm ET

More information here
In this issue:

The latest #CrisisTalk
All Texas Access Report
Crisis Services: Meeting Needs, Saving Lives
Pandemic Self-Care
FCC Seeks Input on Providing Broadband Services and Devices to Low Income Households
CYF Division Presentation on Systemic Racism
NIMH Launches EPINET
Webinar: Coordinating Care to Reduce Crisis
Workbook: A Survivor's Guide to Getting through Crisis during COVID-19
Higher Rates of Suicidal Behaviors Among Individuals with ASD and Psychiatric Comorbidities
Rethinking Crisis: Strategies to Move from Crisis to Empowerment
Netsmart Overview: Healthcare Information Blocking Final Rule
CMS Releases COVID-19 Medicaid and CHIP Data Snapshot
Emergency Legislative COVID-19 Relief Package
HHS Expands Access to MAT
ASPIRE Program RFA
COVID-19 Relief and FY2021 SAMHSA Appropriations
HHS Renews PHE
CMS Guidance for States to Address the Social Determinants of Health
Webinar: Innovation, Collaboration, and Partnership between Crisis Services and First Responders in Harris County, Texas
CMS Guidance on Post-PHE Medicaid and CHIP Operations
SMI Adviser Resources
Webinar: Tobacco Product Use and COVID-19
COVID-19 Information for SAMHSA Grant Recipients
Don't Miss These Headlines
2020 Technical Assistance Coalition Working Papers
EIP Virtual Resource Center
Click for current funding opportunity announcements
Click for webinars, trainings, and resources from our partners

SAMHSA Resource: Crisis Services: Meeting Needs, Saving Lives

SAMHSA has published Crisis Services: Meeting Needs, Saving Lives, composed of SAMHSA’s National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit and related papers on crisis services.

Breakdown of COVID-19 Relief and FY2021 SAMHSA Appropriations

On December 27, 2020, a $900 billion COVID-relief and $1.4 trillion government funding package was signed into law. The package includes COVID-19 relief provisions and FY2021 appropriations for the Substance Abuse and Mental Health Services Agency (SAMHSA). View a breakdown here. 
Pandemic Self-Care: Tips and Resources from the CDC

The Centers for Disease Control and Prevention have released various resources on coping with pandemic-related stress:

A Survivor's Guide to Getting through Crisis during COVID-19 Workbook

Developed in a collaboration between Promise Resource Network Inc. and NASMHPD, this workbook will help readers in congregate settings understand what COVID19 is and how to tap into their inner strength in order to get through this crisis by providing strategies to stay well physically, emotionally, intellectually and spiritually in challenging environments.  As well as how to provide peer support to those around us during this time. Access the workbook.

Rethinking Crisis: Strategies to Move from Crisis to Empowerment

Developed in a collaboration between Promise Resource Network Inc. and NASMHPD, this workbook provides needed space for self-reflection and awareness, exposure to information and tips, and ideas of wellness tools and activities to build your own resilience for physical, emotional, intellectual and spiritual well-being while experiencing a crisis or just emerging from one. Access the workbook. 

Healthcare Information Blocking Final Rule:  Brief Overview for State Mental Health Leaders by Netsmart 

As the COVID-19 pandemic neared the 3-month mark, mental health and other providers facing unprecedented challenges serving their communities learned details about new regulations that will significantly impact how they manage consumer health information. On May 1, 2020, the Office of the National Coordinator for Health Information Technology (ONC) published a Final Rule as required by Congress in the 21st Century Cures Act that sets requirements related to Information Blocking. Learn more from Netsmart.
 

CMS Releases COVID 19 Medicaid & Chip Service Utilization Data Snapshot

On Friday, January 15th, the Centers for Medicare & Medicaid Services (CMS) released a Medicaid and Children’s Health Insurance Program (CHIP) COVID-19 data snapshot with data from the beginning of the public health emergency (PHE) through July 31, 2020. View the data snapshot.
 

HHS Releases New Guidance to Expand Access to MAT for OUD 

On January 14, 2021, The US Department of Health and Human Services announced  it will publish 'Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder', to expand access to medication-assisted treatment (MAT) by exempting physicians from certain certification requirements needed to prescribe buprenorphine for opioid use disorder (OUD) treatment. Read the announcement.

HHS Renews Public Health Emergency

Effective January 21, 2021, the US Department of Health and Human Services extends the COVID-19 public health emergency declaration another 90 days. Read the announcement. 

CMS Releases Guidance for States to Address the Social Determinants of Health

The Centers for Medicare & Medicaid Services (CMS) issued guidance to state health officials designed to drive the adoption of strategies that address the social determinants of health (SDOH) in Medicaid and the Children’s Health Insurance Program (CHIP) so states can further improve beneficiary health outcomes, reduce health disparities, and lower overall costs in Medicaid and CHIP.  Read the guidance letter.

CMS Releases Guidance on Post-PHE Return to Normal Medicaid and CHIP Operations

The Centers for Medicare & Medicaid Services (CMS) has released guidance intended to help states restore regular Medicaid and Children’s Health Insurance Program (CHIP) operations after the COVID-19 public health emergency (PHE) ends. As of December 17th, CMS has approved over 600 state Medicaid and CHIP requests for temporary program flexibilities or waivers. When the COVID-19 PHE ends, many of the flexibilities and waivers granted to states will also end. CMS is releasing this guidance now to ensure that states have sufficient time to plan and prepare to transition back to normal operations. Read the guidance letter.

Webinar: Tobacco Product Use and COVID-19: An Overview of the Science and Public Health Implications

January 28, 2021, 2:00pm to 3:00pm EST
Register Here

In this webinar, participants will gain an understanding of the state of the science with regard to COVID-19 outcomes and tobacco product use, including cigarette smoking and e-cigarette use. The speaker will also provide participants with information about evidence-based strategies to prevent and reduce tobacco product use, including resources for healthcare providers and the general public.
 

COVID-19 Information for SAMHSA Discretionary Grant Recipients

SAMHSA is allowing flexibility for grant recipients affected by the loss of operational capacity and increased costs due to the COVID-19 crisis.
These flexibilities are available during this emergency time period. Flexibility may be reassessed upon issuance of new guidance by the Office of Management and Budget post the emergency time period.
Click here for more information.
Don't Miss These Headlines:

Surgeon Fills COVID-19 Testing Gap in Philadelphia’s Black Neighborhoods
Mary Chris Jaklevic | JAMA Network
CMS Withdraws Medicaid Fiscal Accountability Regulation
Federal Register
‘Peer Respites’ Provide an Alternative to Psychiatric Wards During Pandemic
Kaiser Health News | Sarah Kwon
AHRQ Releases a New Family of Data Files on Social Determinants of Health
Agency for Healthcare Research and Quality
Long-Term Neurologic Symptoms Emerge in COVID-19
Medpage Today | Judy George
New St. Louis program to divert mental health calls away from 911

St. Louis Post-Dispatch | Robert Patrick

Overcoming Vaccine Hesitancy in Communities of Color
WebMD

Most patients access telepsychiatry via video, but age affects preferences
Healio Psychiatry | Joe Gramigna 
Study Confirms Well-Known Suicide Risk Factors, Identifies New Risks
American Psychiatric Association

Crisis Service Resources: NASMHPD 2020 Technical Assistance Coalition Working Papers


NASMHPD's 2020 TAC papers continue the Beyond Beds theme, highlighting different aspects of crisis services. Access each of the 2020 working papers here:


Crisis Services - Meeting Needs, Saving Lives
Effective Crisis Care for Homelessness
Technology and Crisis Services
Addressing Substance Use in Behavioral Health Crisis Care
Legal Issues in Crisis Services
National Guidelines for Behavioral Health Crisis Care
Financing Mental Health Crisis Services
Diverse Populations in Crisis Settings
Improving Child and Adolescent Crisis Systems
Crisis Services in Rural and Frontier Areas
Crisis Services and Law Enforcement

NASMHPD’s Early Intervention in Psychosis (EIP) Resource Center


 
The Early Intervention in Psychosis virtual resource center, made possible by the Robert Wood Johnson Foundation is designed to provide reliable information for practitioners, policymakers, individuals, families, and communities in order to foster more widespread adoption and utilization of early intervention programming for persons at risk for (or experiencing a first episode of) psychosis. 

Visit the resource center on NASMHPD's website for more information. 


Access online training around EIP here.

Additional EIP Resources:

These TA resources were developed with support from SAMHSA.
NASMHPD Staff
NASMHPD Board of Directors
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