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February 5, 2021

In this issue:

The latest #CrisisTalk

State Spotlight: TN Recovery Congregations Toolkit

COVID-19, Unemployment, and Behavioral Health Conditions: The Need for Supported Employment

Signs of Mental Health Newsletter

ALA's State of Tobacco Control 2021

Resources from the SMI Adviser

Crisis Services: Meeting Needs, Saving Lives

The IPS Employment Center

COVID-19 Information for SAMHSA Grant Recipients

NASMHPD Welcomes New Commissioners

NASMHPD 2020 Technical Assistance Coalition Working Papers

NASMHPD EIP Resource Center
 

Don't Miss These Headlines
 
Announcements:

2021 TTI Awardees Announced

NIMH Launches EPINET

Surgeon General Releases Call to Action on National Suicide Prevention Strategy

SAMHSA Releases Use of MAT in EDs

ASPIRE Program Applications Due February 17

CDC's Releases A Comprehensive Approach to Increase Adult Tobacco Cessation

UPSPSTF Releases Values & Action Statement on Systemic Racism in Preventive Care
 

Meetings and Webinars:

Innovative Practices to Support Hospital Staff during COVID-19 Crisis

Addressing the Adverse Impacts of COVID-19 on Children with SED

Coordinating Care to Reduce Crisis
 

Policy Updates:

HHS Likely to Extend PHE through 2021

HHS Announces SEP for PHE

Admin. Rescinds Recent Buprenorphine Guidance

Appropriations Act Seeks to Ensure MHPAEA Compliance

MACPAC Presentation on MHPAEA Implementation

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

NQF Seeks Input on Same-Day Access for Primary Care and Mental Health Services Measurement Framework

Dr. Robert Roca on How Older Adults Are Faring During the Pandemic


January 26, 2021

The Philanthropy That Set About to Change  Crisis Care in MD


February 2, 2021
From the onset of the pandemic, Dr. Roca notes there’s been a tension between avoiding contagion and the need to mitigate the toxicity of isolation. His patients frequently share two common concerns: fear of the virus and distress from separation from family and friends. Many Americans, especially older adults, he says, must carefully assess the costs and benefits of their decisions.
Read the January 26 #CrisisTalk.
Nikki Highsmith Vernick and Glenn E. Schneider of the Horizon Foundation share how the philanthropy set out to change behavioral health crisis care in Maryland amidst spikes of hospital readmissions and psychiatric boarding. GBRICS, the Greater Baltimore Regional Integrated Crisis System Partnership, is a collaborative effort that includes 17 hospitals and 4 counties. Read the February 2 #CrisisTalk.

Town Hall: Innovative Practices to Support Hospital Staff during COVID-19 Crisis


February 11, 2021, 3:00-4:30pm Eastern
Register here

COVID-19 has changed all of our lives in so many ways. Hospital staff, especially, have been impacted greatly by this crisis. This has brought additional challenges to direct care staff caring for individuals restricted to units as treatment malls, cafeterias and activities have been adjusted to minimize COVID-19 spread.  Please join us for a Town Hall meeting to learn about innovative practices for outreach and support used by hospital leadership from around the country. This forum will also provide attendees the opportunity to share with one another creative ways facilities have provided support for staff who are required to be on site during this unprecedented time.

State Spotlight: 

Tennessee Recovery Congregations Toolkit


The Tennessee Department of Mental Health and Substance Abuse Services (TDMHSAS) has developed a toolkit designed to equip, connect, and empower faith-based organizations that wish to serve people who are struggling with addiction. Since 2014, Tennessee's Director of Faith-Based Initiatives, Dr. Monty Burks, has been traveling the state organizing, growing, and inspiring faith communities to come together and fight a common enemy plaguing our country. TDMHSAS has welcomed any community of faith to join the TN statewide network of Certified Recovery Congregations, with 740 achieving this status to date. Developed under Dr. Burk's leadership, this toolkit compiles what TN Faith-Based Initiatives has learned about how to engage and equip faith-based organizations to begin providing vital recovery supports. Download the toolkitLearn more about TN's Faith-Based Initiatives

2021 TTI Awardees Announced

NASMHPD would like to congratulate the recipients of the forty SAMHSA Transformation Transfer Initiative (TTI) awards for FY 2021.
 
Topic A: Bed Registries
These awardees will establish and expand comprehensive, crisis psychiatric bed registry programs. Such efforts should track and monitor the availability of psychiatric beds but can also include the tracking of other crisis service supports such as crisis assessment centers, crisis residential programs, respites, mobile crisis teams, and centralized crisis call centers. The Topic A recipient states/territories are: District of Columbia, Hawaii, Louisiana, Minnesota, Pennsylvania, South Dakota, and Washington.
 
Topic B: Diversion from Jail
These awardees will use SAMHSA’s 2020 Crisis Services Guidelines and Toolkit to develop or expand state or territorial diversion programs.The Topic B recipient states/territories are: Alabama, Connecticut, Delaware, Florida, Hawaii, Kansas, Kentucky, Massachusetts, Mississippi, Montana, New Jersey, New Mexico, New York, Oklahoma, Pennsylvania, Puerto Rico, South Carolina, Texas, Utah, and Washington.
 
Topic C: Improving Mental Health Services within Jails
These awardees will expand or develop better services within correctional facilities and enhance their coordination between behind the walls treatment and transitioning back into the community. The Topic C recipient states/territories are: Colorado, Connecticut, Delaware, Florida, Mississippi, Missouri, New Jersey, Ohio, Oklahoma, Palau, Puerto Rico, South Carolina, and Washington.

Congratulations to all awardees! We look forward to working with you.

SAMHSA-Sponsored Webinar: Addressing the Adverse Impacts of COVID-19 on Children with Serious Emotional Disorders

 



Presented by the National Council for Behavioral Health and NASMHPD
March 3, 2021, 1:00 pm Eastern

Since March 2020, children across the country have been isolated at home participating in distance learning. The impacts academically, socially and emotionally have been staggering, particularly for children with pre-existing serious emotional disorders and their families. There has been a reduction in referrals to child protective services, an increase in isolation, depression, anxiety, and a decrease in engagement which can lead to lower academic success. What do all of these things mean in the short-term and the long-term? What can be done to attempt to mitigate some of these adverse effects? Join our Roundtable Discussion as we provide information and answer your questions.

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
 

Surgeon General Releases Call to Action on National Suicide Prevention Strategy

On January 19, the U.S. Department of Health and Human Services (HHS) and the Office of the Surgeon General—in collaboration with the National Action Alliance for Suicide Prevention (Action Alliance)—released The Surgeon General’s Call to Action to Implement the National Strategy for Suicide Prevention. The goal of the Call to Action is to broaden the vision of suicide prevention to include environmental, social, and individual factors contributing to suicide. 

The Call to Action focuses on strengthening protective factors for preventing suicides and increasing resiliency that include:
  • Help other people build life skills and resilience; 
  • Increase social connectedness and support;
  • Identify and support people at risk; 
  • Support lethal means safety;
  • Support access to effective care; 
  • Seek help, support, and care when experiencing suicidal thoughts; and 
  • Support individuals who have been affected by a suicide attempt or death. 
Read the Call to Action. 

COVID-19, Unemployment, and Behavioral Health Conditions: The Need for Supported Employment

Robert Drake, Lloyd Sederer, Deborah Becker, Gary Bond

The COVID-19 pandemic has exacerbated pre-existing behavioral health (mental health and substance use) disorders for many people and created new disorders for others. Unemployment and social distancing have added to stress. Although policy changes have increased health care and unemployment benefits, most people want jobs and self-sufficiency rather than handouts. A robust evidence base shows that supported employment combines vocational and behavioral health supports to enable unemployed people with behavioral health conditions find appropriate, competitive, integrated employment. Many more U.S. citizens will need these services as the pandemic recedes and jobs open up. Government attention to supported employment is necessary now more than ever. Read the full white paper.

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. 

Applications are due on February 24, 2021.

Learn more and apply 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.
Click for current funding opportunity announcements
Click for webinars, trainings, and resources from our partners

HHS  Likely to Extend PHE for Duration of 2021

On January 22, Acting Health and Human Services (HHS) Secretary Norris Cochran said, in a letter to governors, that HHS will likely extend the public health emergency throughout 2021. Read the letter to governors. 

HHS Announces Marketplace Special Enrollment Period for COVID-19 PHE

On January 28, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced a Special Enrollment Period for Marketplace coverage in response to the COVID-19 Public Health Emergency (PHE). Read the news release.

SAMHSA Releases Use of Medication-Assisted Treatment in Emergency Departments

The Substance Abuse and Mental Health Services Administration (SAMHSA) released a new guide, Use of Medication-Assisted Treatment in Emergency Departments, that examines emerging and best practices for initiating medication-assisted treatment in emergency departments. It also reviews the existing literature and science of the topic, identifies gaps in knowledge, and discusses challenges of implementation. View the guidance.

Biden Administration Rescinds Recent Buprenorphine Guidance

The Substance Abuse and Mental Health Services Administration (SAMHSA) posted a statement rolling back the previously released Practice Guidelines for the Administration of Buprenorphine for Treating Opioid Use Disorder, stating these were issued prematurely but reaffirming the administration's commitment to improving access to buprenorphine. Read the statement. Learn more about becoming a buprenorphine provider.

Signs of Mental Health, Newsletter from the Alabama Office of Deaf Services

Signs of Mental Health is the Alabama Office of Deaf Service's quarterly newsletter. It contains information about what ODS is doing, what is happening in the Department of Mental Health in general, and information about important events in the field of mental health and deafness in Alabama and around the world. Read the latest edition and subscribe hereLearn about Alabama's Mental Health Interpreter Training Project.

Appropriations Act Seeks to Ensure MHPAEA Compliance

The Consolidated Appropriations Act, 2021, Section 203, includes a requirement for group health plans to ensure compliance with the Mental Health Parity and Addiction Equity Act (MHPAEA). Section 203 goes into effect on February 10, 2021. Read more. 

MACPAC Presents on Implementation of MHPAEA in Medicaid and CHIP

At a Medicaid and CHIP Payment and Access Commission (MACPAC) meeting on January 29th, staff told commissioners that while the mental health parity requirements have helped raise beneficiaries’ awareness of mental health access, they haven’t actually improved their ability to use services. Stakeholders across states identified challenges with conducting parity analyses and said they had underestimated the scope of federal parity requirements. View the MACPAC Presentation.

Webinar: Coordinating Care to Reduce Crisis


February 24, 2021, 12:00-1:00 pm Eastern
Register here


This webinar will explore how states have innovated to break down barriers between agencies and providers to positively impact the crisis continuum. This panel of experts 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. Panelists will include Dr. Joe Parks, Medical Director with the National Council for Behavioral Health, Dr. Laura Young, Chief Nursing Officer with the TN  Department of Mental Health and Substance Abuse, and Angie Stuckenschneider, Director of Prevention with the Division of Behavioral Health, Missouri Department of Mental Health.

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. 

Comments are due February 16. 

Learn more and submit comment.

NQF Seeks Input on Same-Day Access for Primary Care and Mental Health Services Measurement Framework by February 15

The US Department of Veterans Affairs (VA) has engaged with Atlas Research and the National Quality Forum (NQF) to develop the Same-Day Access for Primary Care and Mental Health Services Measurement Framework. The goal is to identify and promote effective, prioritized performance measurement and quality improvement strategies, and to develop and recommend a quality measurement framework for use at the VA. NQF is soliciting public comment on the draft measurement framework report.

Comments are due February 15. 

Learn more and submit comment

American Lung Association's State of Tobacco Control 2021

The 19th annual American Lung Association State of Tobacco Control report evaluates states and the federal government on the proven-effective tobacco control laws and policies necessary to save lives. The report serves as a blueprint for what state and federal leaders need to do to eliminate the death and disease caused by tobacco use. This year's report focuses on the importance of ending tobacco use amid the pandemic, as smoking is a risk factor for the most severe COVID symptoms. This is especially important for those populations and communities most impacted overall by tobacco use and secondhand smoke, who are also facing a disproportionate burden from the pandemic. The report also discusses the actions the new Biden Administration and states need to take to prevent and reduce tobacco use. See how your state compares.

A Comprehensive Approach to Increase Adult Tobacco Cessation

The U.S. Preventive Services Task Force has updated its recommendations and supporting evidence review on the screening and treatment of tobacco use and has reaffirmed the importance of clinician action in the prevention of tobacco-related disease. Read the full JAMA editorial here. 

USPSTF Releases Values & Action Statement on Systemic Racism in Preventive Care

On January 25,  the U.S. Preventive Services Task Force (USPSTF) published The USPSTF Values Statement and Actions to Address Systemic Racism Through Clinical Preventive Services. Authored by members of the Task Force, the editorial affirms that, while clinical preventive services improve health and wellbeing, systemic racism in the healthcare system prevents many Black, Indigenous, and Hispanic/Latino people from fully benefitting from these services. The editorial also advances a roadmap designed to address systemic racism and help eliminate health inequities. Read the full statement.

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.
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.

 

Recent Recorded Webinars:
Don't Miss These Headlines:

Poll: Nearly Half of American Adults Now Want the Covid Vaccine — ASAP
Phil Galewitz | Kaiser Health News
Data as of February 1 on State Vaccinations by Race/Ethnicity
Kaiser Family Foundation
To Improve COVID-19 Vaccine Distribution, Engage Behavioral Health Providers
Jonathan D Brown | Health Affairs
Mobile Vet Centers Deployed at Capitol to Provide Mental Health Resources for Siege Survivors, Responders
Howard Altman | Military Times
A Systematic Approach: Biden Signs Broad Executive Order On Racial Equity
Dawn Siler-Nixon, Nancy Van Der Veer Holt & Cymoril White | Mondaq
Racial and Ethnic Health Disparities Related to COVID-19
JAMA
Association of Psychiatric Disorders With Mortality Among Patients With COVID-19
JAMA Psychiatry
Addressing the Consequences of the COVID-19 Lockdown for Children’s Mental Health: Investing in School Mental Health Programs
Psychiatric Services
Meeting Maternal Mental Health Needs During the COVID-19 Pandemic
JAMA Psychiatry
New CDC director outlines 6 big fixes needed to crush COVID-19
Tanya Albert Henry | AMA
Supreme Court Names Health Endowment Fund’s Lynda Zeller to ‘Justice for All’ Commission
Michigan Courts
Adaptive Screener May Help Identify Youth at Risk of Suicide
CDC
CMS Rate Announcement for MA and Part D Plans Includes Significant Increase In Plan Payments For 2022
Theresa E. Thompson | Mondaq
Re-Introducing The Protecting Access To Post-Covid-19 Telehealth Act
Matthew M. Shatzkes & Kimberly Rai | Mondaq


 

NASMHPD Welcomes New Commissioners


NASMHPD extends a warm welcome to the following Commissioners, who were appointed in the month of January:

Kimberly Boswell
Commissioner, State of Alabama Department of Mental Health

Shivana Gentry
Interim Assistant Secretary for Substance Abuse and Mental Health, Florida Department of Children and Families
 
Dr. Carlos J. Rodriguez-Mateo
Administrator, Puerto Rico Mental Health Services and Anti-Addiction Services Administration

Thomas Killian, Jr.
Director, Delaware Division of Substance Abuse and Mental Health

Wendy Bailey
Executive Director, Mississippi Department of Mental Health

NASMHPD also wishes to congratulate Diana Mikula, former Executive Director of the Mississippi Department of Mental Health, on her retirement. We wish you well!

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
Connect with NASMHPD:
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Website
National Association of State Mental Health Program Directors
66 Canal Center Plaza, Suite 302
Alexandria, VA 22314
703-739-9333
Submissions? Please send by email to nasmhpd.news@nasmhpd.org

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