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April 2, 2021

In this issue:


Don't Miss These Headlines

#CrisisTalk: Tweaking Doesn’t Cut It to Change Practice in Crisis Care

#CrisisTalk: GA’s Crisis System Transformation and Lessons Learned in Anticipation of 988

State Spotlight: Georgia's Paint and Prevent Virtual Event

Division Spotlight: Medical Directors Division Presentation on the Impact of COVID-19 on Black and Brown People



Announcements:

New IIMHL/IIDL President and CEO

New Report - Understanding and Managing Risks for People with Behavioral Health Needs: FAQs for Local Prosecutors

New Report - Roadmap to the Ideal Crisis System

Tennessee Governor Renews Proposal for Mental Health Trust Fund

Review Finds Smoking Cessation Associated with Improvement in Mental Health

Study Finds Family-Centered Preventive Interventions Protective for Black Adolescents

Recent Dementia or MCI Diagnosis Linked to Greater Suicide Risk


Policy Updates:
Murthy and Levine Confirmed to HHS Posts

2021 Special Enrollment Period for Marketplace Coverage Extended to August 15


Webinars:
Using IPS to Assist Job Seekers and Workers with Mental Health Conditions

Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries

Town Hall Series: Innovative Practices to Support Behavioral Health Peer and Direct Care Staff during COVID-19 Crisis


Resource Roundup:
NIMH Offering Free Mental Health Information in Spanish

COVID-19 Vaccine Resources

EPINET

SMI Adviser

IPS Employment Center

Crisis Services: Meeting Needs, Saving Lives

COVID-19 Information for SAMHSA Grant Recipients

NASMHPD 2020 Technical Assistance Coalition Working Papers

NASMHPD EIP Resource Center

Tweaking Doesn’t Cut It to Change Practice in Crisis Care

March 30, 2021
Michelle Edwards, Lived Experience Lead at Gold Coast Mental Health Specialist Services (GCMHSS), and Dr. Kathryn Turner, Clinical Director for GCMHSS, talk with #CrisisTalk about their publication "Gold Coast Crisis Reform: A Strategic Approach to Transforming Mental Health Crisis Care." "Choice," says Edwards, "is important, and crisis care systems need to make the full gamut of services available. Choice means having a variety of professions available, including peers, all of whom are able to provide the level and type of support the person desires." Read the March 30 #CrisisTalk.

GA’s Crisis System Transformation and Lessons Learned in Anticipation of 988

March 23, 2021
The Georgia Crisis and Access Line or GCAL is a call center integrated into the local healthcare system with 24-hour mobile crisis response coverage within 100 miles of every community. It’s allowed the state to react quickly to Covid challenges and is a striking match for the vision of 988. Judy Fitzgerald, the commissioner of DBHDD, and Debbie Atkins, director of Crisis Coordination at DBHDD, share Georgia’s crisis system transformation and the lessons they’ve learned in anticipation of 988.
Read the March 23 #CrisisTalk.

2021 Special Enrollment Period Extended to August 15 and Reduced Costs for Marketplace Coverage

On March 23, 2021, President Biden announced that the Centers for Medicare & Medicaid Services (CMS) is extending access to the Special Enrollment Period (SEP) until August 15 – giving consumers additional time to take advantage of new savings through the American Rescue Plan. This action provides new and current enrollees an additional three months to enroll or re-evaluate their coverage needs with increased tax credits available to reduce premiums.

On April 1, 2021 Secretary Becerra announced an average of four out of five consumers currently enrolled in a plan will be able to find a plan for $10 or less per month, and an average of three out of five uninsured adults eligible for coverage may be able to access a zero-premium plan.
 
Consumers who want to access the SEP to enroll in coverage can visit HealthCare.gov or CuidadoDeSalud.gov. Consumers can also call the Marketplace Call Center at 1-800-318-2596, which provides assistance in over 150 languages. TTY users should call 1-855-889-4325. Consumers can also find a local assister or agent/broker in their area.

State Spotlight: Georgia’s Paint & Prevent Virtual Event


The Georgia Department of Behavioral Health and Developmental Disabilities Office of Behavioral Health Prevention and Federal Grants (OBHPFG) and the Georgia State Opioid Response (SOR) hosted an innovative program, Paint & Prevent, designed as an opportunity for youth of all ages to have the chance to be creative through virtual paint instruction and learn key substance use prevention information. Art supplies were provided and mailed to participants to facilitate an accessible event. Local artists known in the community directed the artmaking and the discussion was led by Nykia Greene-Young, Substance Abuse Prevention Senior Coordinator at OBHPFG, Brian Le, SOR Senior Coordinator, and other members of the SOR Team.
 
The event was extremely successful, with 800 individuals registering. The Department plans to host two more Paint & Prevent events to accommodate those on the waiting list during National Prevention Week and for Mental Health Awareness Month in May. Feedback was overwhelmingly positive, with reactions such as “It was awesome! Have more events like this,” and “I really enjoyed the webinar. Painting and talking about positive life events and sharing crisis resources was thought provoking from my perspective.”
 
See more on this event and other innovative programs by Georgia at their website or on Facebook.

IIMHL/IIDL Board of Directors Appoints New President and CEO 

NASMHPD congratulates Steve Appleton who has been appointed as the new President and CEO of the International Initiative for Mental Health Leadership and the International Initiative for Disability Leadership (IIMHL/IIDL). 
 
Mr. Appleton will begin his new role in April. He has worked for IIMHL/IIDL as the European Regional Lead and he brings extensive experience in mental health, substance misuse and disability. 
 
IIMHL/IIDL will be working on a transition plan from now until March 2022 when Fran Silvestri retires from being President and CEO.

Congratulations Steve, and we look forward to our continued partnership with IIMHL/IIDL!

NASMHPD Town Hall Series: Innovative Practices to Support Behavioral Health Peer and Direct Care Staff during COVID-19 Crisis

Please join us for our Town Hall series to learn about innovative practices for outreach and support of peer and direct care staff during the epidemic. These forums will be led by peers and direct care staff from hospital and community settings around the country. Learn more about the town hall topics.

All Events held from 2p-3:30p Eastern
  • 4/16  - Providing Equitable Community Based Peer Support during COVID-19
  • 4/30  - Receiving Equitable Community Based Peer Services during COVID-19
  • 5/13 - Perspectives & Experiences from Inpatient and Individuals in Congregate Settings during COVID-19
  • 5/26 - Innovative Practices to Support Hospital Staff during COVID-19 – Part 2

Using IPS to Assist Job Seekers and Workers with Mental Health Conditions


Webinar Recording from the LEAD Center
The LEAD Center hosted a webinar offering an introduction to Individual Placement and Support (IPS) and exploring the role of the workforce system in its implementation. The benefits of IPS for all stakeholders were discussed, including job seekers, employers, and workforce programs. Subject matter experts highlighted promising implementation practices, including involvement of the workforce development system in securing IPS supports. Speakers included international IPS expert Robert Drake and experienced practitioners from Illinois and Missouri. View the webinar recording above.

Division Spotlight: Medical Directors Division Presentation on The Pandemic(s) and the Mental Health of Black and Brown People 

On March 18, 2021, Dr. Charles Dike, Chief Medical Officer, Office of the Commissioner, CT DMHAS/Associate Professor of Psychiatry, Law and Psychiatry Division of Yale School of Medicine, presented on - The Pandemic(s) and the Mental Health of Black and Brown People to the NASMHPD Medical Directors Division. View the presentation at the link above.

SAMHSA-Sponsored Webinar:  Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries



 
April 13, 2021, 2:00-3:30 pm Eastern
Register here


As states struggle to find available appropriate crisis services including inpatient and crisis beds to treat behavioral health disorders, more and more of them are establishing a web-accessible, electronic database of beds, “bed registry” to organize and monitor critical behavioral health resources, direct individuals in crisis to available treatment settings, and improve communication among providers. NASMPHD administered Transformation Transfer Initiative (TTI) grants, funded by SAMHSA, to 23 states in 2019 to help them launch or expand bed registries. Please join us for a nationwide webinar to explore this new technology and how states are using it to improve crisis care.

Recent Dementia or MCI Diagnosis Linked to Greater Suicide Risk

Veterans 50 years and older with a recent mild cognitive impairment (MCI) or dementia diagnosis were found to be at a higher risk of attempting suicide, according to a longitudinal study published online March 24 in JAMA Psychiatry. Amy Byers, PhD, MPH, with the University of California San Francisco and the San Francisco Veterans Administration Health Care System, and colleagues found that the risk for attempting suicide was 23 percent higher for study participants with a recent dementia diagnosis and 34 percent higher for those with a recent MCI diagnosis. Patients with MCI or dementia and a co-occurring psychiatric disorder (i.e., depression, PTSD, anxiety) were not at an elevated risk of attempting suicide.
 
The study’s findings highlight the need for clinicians to be mindful of the psychological impact these diagnoses have on patients. They authors recommend involving support services at the time or shortly after a dementia or MCI diagnoses to mitigate the risk of suicidal behaviors. Read the study.
 
Click for current funding opportunity announcements
Click for webinars, trainings, and resources from our partners
Click for NASMHPD's Job Board

Murthy and Levine Confirmed to HHS Posts

Last week, the US Senate confirmed two Department of Health and Human Services (HHS) appointments, Dr. Vivek Murthy and Dr. Rachel Levine, to the posts of Surgeon General and Assistant Secretary for Health, respectively. Murthy previously served as Surgeon General for the Obama administration, and has said he will focus on the mental health effects of the pandemic. Levine previously served as Secretary of Health for Pennsylvania during the opioid and COVID-19 pandemics, and is now the highest-ranking openly transgender official in US history.

Understanding and Managing Risks for People with Behavioral Health Needs: FAQs for Local Prosecutors

New Brief Released by CSG and APA
Prosecutors play an important role in determining how the criminal justice system responds to people with behavioral health needs, but they may have questions about what they can do in cases that involve this population or any risks associated with recommending alternatives to incarceration. This brief, developed by The Council of State Governments Justice Center and the Association of Prosecuting Attorneys with funding from the Bureau of Justice Assistance, provides research about people with behavioral health needs and the stigmas they face. It also presents practical steps prosecutors can implement to improve the outcomes for this population, reduce risk, and maintain public safety.

Tennessee Governor Renews Proposal for Mental Health Trust Fund

$250 million to support services in K-12 schools
Tennessee Governor Bill Lee re-introduced the Mental Health Trust Fund in a renewed proposal to assist K-12 families who are facing significant mental health issues in the wake of COVID-19. This proposal allocates $250 million in available funds to create strong mental health services for school-aged students through a system-wide, evidence-based approach. View the press release.

Review Finds Smoking Cessation Associated with Improvement in Mental Health

A review published in Cochrane Library on March 9, 2021 found "very low‐ to moderate‐certainty evidence that smoking cessation is associated with small to moderate improvements in mental health.  These improvements are seen in both unselected samples and in subpopulations, including people diagnosed with mental health conditions". Read the review.

Study Finds Family-Centered Preventive Interventions Protective for Black Adolescents

A study published in JAMA on March 24, 2021 underscores the susceptibility of Black adolescents who frequently encounter racial discrimination to elevated mental health symptoms. It also found participation in family-centered preventive interventions attenuated the association between frequent exposure to discriminatory behaviors and subsequent mental health problems among Black adolescents. Read the study.

NIMH Offering Free Mental Health Information in Spanish

NIMH offers basic information on mental disorders and related topics in Spanish for patients and their families, health professionals, and the public. Printed materials can be ordered free of charge and are available in bulk quantities for distribution at clinics, schools, and community events. Learn more and order resources.

New Report: Roadmap to the Ideal Crisis System

A newly-released report, Roadmap to the Ideal Crisis System: Essential Elements, Measurable Standards and Best Practices for Behavioral Health Crisis Response, authored by the Committee on Psychiatry and the Community for the Group for the Advancement of Psychiatry, and published by the National Council for Behavioral Health, provides guidance on building crisis service response. Read it 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.

 

COVID-19 Vaccine Resources

NASMHPD has compiled various resources that may be useful to state behavioral health leadership as they work to effectively and equitably distribute COVID-19 vaccines. View them here

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.

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. Learn more.
EPINET is a national learning health care system from the National Institutes of Mental Health (NIMH) 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
 
Don't Miss These Headlines:

Behavioral healthcare utilization changes during the COVID-19 pandemic
S. Davenport et al. | Milliman

Biden administration builds volunteer network to boost vaccine confidence
A. Cancryn | Politico
Healthy and Ready to Learn: Prevalence and Correlates of School Readiness among US Preschoolers
Women's Experiences with Health Care During the COVID-19 Pandemic
B. Frederiksen et al. | Kaiser Family Foundation
Anxiety, depression have increased among mothers since onset of COVID-19 pandemic
J. Gramigna | Healio
Symptoms of Anxiety or Depressive Disorder and Use of Mental Health Care Among Adults During the COVID-19 Pandemic
A. Vahratian et al. | CDC
Visit the SMI Adviser website for evidence-based education, consultation, and resources on serious mental illness (SMI). Request a free clinician-to-clinician consultation. Access dozens of online courses and earn free continuing education credits. Learn about the My Mental Health Crisis Plan app. See data on serious mental illness in the U.S. Find resources on COVID-19clozapine, and long-acting injectables.   

Myths vs. Facts on Serious Mental Illness. These new infographics on Technology and Psychopharmacology from the SMI Adviser address common myths around serious mental illness.

 
 

Crisis Service Resources: NASMHPD's 2020 Technical Assistance Coalition Working Papers


NASMHPD's 2020 TAC papers continue the Beyond Beds theme, highlighting different aspects of crisis services: 

NASMHPD’s 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

These TA resources were developed with support from SAMHSA.
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