Continuing Education Credits: Social Work: The Michigan Association of Community Mental Health Boards (MACMHB), provider #1140, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. MACMHB maintains responsibility for the program. ASWB Approval Period: 10/10/16-10/10/19. Social workers should contact their regulatory board to determine course approval. Social workers will receive 3 continuing education clock hours for participating in the pre-conference institute (2/6/17). Course Delivery Method: Face-to-Face Seminar. Social workers will receive 6 continuing education clock hours for participating in the full conference (2/7/17 & 2/8/17). Course Delivery Method: Face-to-Face Conference.Substance Abuse Professionals: MACMHB is approved by Michigan Certification Board for Addiction Professionals (MCBAP). MACMHB maintains the responsibility for the program and content. Substance Abuse Professionals participating in this pre-conference institute (2/6/17) may receive a maximum of 3 contact hours. Substance Abuse Professionals participating in this full conference (2/7/17 & 2/8/17) may receive a maximum of 10 contact hours. Conference Attendance: This conference includes board members, CEOs, COOs, CFOs, medical directors, clinical directors, case workers, supports coordinators, and children’s supervisors as well as other disciplines. Contains content appropriate for clinical staff at basic, intermediate and advanced levels all levels of practice. Evaluation: There will be an opportunity for each participant to complete an evaluation of the course and the instructor. If you have any issues with the way in which this training was conducted or other problems, you may note that on your evaluation of the training or you may contact MACMHB at 517-374-6848 or through our webpage at www.macmhb.org for resolution.

Conference Objectives: To identify strategies in preparing for or implementing value-based (outcome) payment systems. To identify advocacy efforts at the local, state, or federal level, including self advocacy. To spotlight programs highlighted in the Mental Health and Wellness Commission Report (any with partnerships with local CMHs) including

Training program for local CMHs/jails/courts regarding Crisis intervention training and Assisted Outpatient Treatment. To identify innovative initiatives designed to increase access to substance use disorder services. To discuss the plans to address the challenges and opportunities emerging due to the federal Home and Community Based Services rules and

the “mega” Managed Care rule changes. To address efforts to further the aims of state and federal policy initiatives, including: healthcare reform, healthcare integration, and health

homes. To provide examples of local efforts to improve healthcare outcomes through a range of healthcare integration efforts such as: initiatives

between CMHs, PIHPs, and BHIDD provider organizations and physical healthcare providers and payers such as FQHCs/Rural Health Centers/Hospitals/Medicaid health plans/Primary care physicians.

To focus on evidence-based, best and promising practices by: 1) identifying strategies for overcoming barriers to EBP implementation; 2) showing how communities have embedded existing EBPs into their system for sustainability; and 3) increasing understanding of the ways in which continuous quality improvement in EBPs can improve outcomes and performance measures.

To identify ways to use data and data analytics to improve outcomes and care and focus on the needs of persons with patterns of super/high healthcare utilization.

To increase participants’ awareness, knowledge, and skills, related to mental illness, developmental disability, substance use disorders, and trauma informed care.

CONFERENCE AGENDAMonday, February 6, 2017

12:30pm Registration for Pre-Conference Institute($30 registration fee - see separate registration form)

1:00pm – 4:00pm Pre-Conference Institute: Person-Centered Planning Reboot: How New Federal Rules will Affect the PCP Process in Michigan

Qualifies for 3 CE hours for Social Workers and 3 Related for Substance Abuse Contact Hours Ellen Sugrue Hyman, JD, Self Development Coordinator, Consultant, MI Department of Health and

Human Services2016 marked the 20th anniversary of person-centered planning (PCP) being required by the Michigan Mental Health Code. In 2014, two new sets of rules, the HCBS Final Rule and the ACA Guidance, provided new requirements for person-centered planning. This pre-conference institute will describe these rules in detail and discuss how they will affect the person-centered planning practice in Michigan. Participants will be able to: 1. Identify 5 requirements of the HCBS Final Rule related to PCP; 2. Identify 5 requirements of the ACA Guidance related to PCP; and 3. Describe 3 ways the new rules will change practice in Michigan.

4:00pm – 4:45pm Board Chairperson Roundtable & Networking (there is no fee for this meeting)4:00pm – 6:00pm Earlybird Registration for MACMHB Winter Conference6:00pm MACMHB Members: Executive Board MeetingTuesday, February 7, 2017

7:30am – 5:00pm Conference Registration and Exhibits Open

7:30am – 8:15am Group Breakfast8:15am – 8:30am Conference Welcome8:30am – 9:30am Plenary Session: No Letting Go

Qualifies for 1 Related for Substance Abuse Contact Hour Randi Silverman, Co-Founder and CEO, The Youth Mental Health ProjectOver the past ten years, Randi Silverman has organized and led community-based campaigns and support groups on the issue of child and adolescent mental health. As the mother of a child with a mental health disorder, she has experienced first-hand the challenges and struggles faced by families with a loved one who struggles with mental illness. In 2011, Randi co-founded a local community Parent-to-Parent Support Group for parents raising children who have issues with anxiety, depression, and/or mood disorders, which has served over 800 families in Westchester, NY. As a graduate of the University Of Pittsburgh School Of Law, Randi also uses her knowledge of the law to help parents advocate for the educational needs of their children who suffer from mental health challenges. A believer in the power of storytelling, Randi used her real life experiences to co-write and produce the multi-award winning film, NO LETTING GO. Randi’s personal goal in sharing her story on the big screen was to create community conversations around the vitally important issues of youth mental health. As a result, the producers are working with The Youth Mental Health Project to utilize the film as part of a social impact campaign that will bring screenings to communities all over the country and beyond.

9:30am – 10:00am Exhibitor Refreshment BreakConcurrent Workshops:

10:00am – 11:30am 1. Transforming Systems to Transform Lives: Children’s System of Care Design and Development in Wayne County Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Carlynn Nichols, LMSW, Chief Clinical Officer, The Children’s Center Catherine Liesman, LLP, PhD, Chief Operating Officer, The Development Centers Crystal Palmer, LMSW, Director of Children’s Initiatives, Detroit Wayne Mental Health AuthorityThe System of Care approach transforms communities through community partnerships, comprehensive services, and client voice, choice and ownership. Through interactive discussion, participants will discover the key elements required in their practice to transform services for children, youth and families using a community based model of system transformation. Participants will be able to: 1. Develop a comprehensive understanding of System of Care values and principles; 2. Develop an understanding of importance of family involvement and family driven care and how to sustain it; and 3. Understand the key components needed to maintain system transformation initiative.

10:00am – 11:30am 2. Not Guilty by Reason of Insanity (NGRI): Where We've Been and Where We Are Today Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Cynthia Kelly, Director, Bureau of State Hospitals and Behavioral Health Administrative Operations, MI Department of Health and Human Services

Lisa K. Morse, Consultant, Michigan Association of CMH BoardsThis workshop will provide participants with a full scale look at how the NGRI process works. From its inception, the criminal act, the interface with Incompetent to Stand Trial (IST), the reporting requirements, time lines and communication needs. The outline of this process hopes to offer consistency to the system with a clear picture of how the Center for Forensic Psychiatry (CFP), regional hospitals (RH) and the CMHs work together.

10:00am – 11:30am 3. CareConnect360: Integrated Health Coordination Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Jackie Sproat, MSW, CSWM, Manager-Data, Payment & Integrity Section, Behavioral Health and

Developmental Disabilities Administration, MI Department of Health and Human Services Linda Tilot, MA, LMSW, Director of Care Management and Quality Systems, Saginaw CMH Authority Jim McEvoy, OptumCareConnect360 (CC360) is a web-based, statewide integrated care tool hosted by MDHHS, available free to PIHPs, CMHs, and their provider networks. It’s a view into the MDHHS data warehouse: claims/ encounters, eligibility, home help, pharmacy, vital records, etc. CC360 supports improved outcomes through: 1. Facilitating care coordination across payers through identifying jointly served high need consumers and supporting care plan development and monitoring; 2. Providing broad, historical health information at a consumer level for use in level of care determinations; 3. Helping supervisors and clinicians monitor the health of special populations such as Home Help recipients, HSW enrollees, children involved in foster care or prescribed anti-psychotics; and 4. Providing a framework for identifying consumers to include in Performance Improvement Plan studies, or Key Performance Indicators. CareConnect360 provides actionable consumer-level information for care managers, including ER visits and inpatient stays,

recently filled prescriptions, well child visit history, and contact information for primary care and dental providers. CMH and PIHP quality management and utilization review staff can use the tool to quickly see lists of high ED utilizers, consumers with 3+ chronic conditions, and recently deceased consumers. Future enhancements planned include implementing ADT message alerts, and expanding access to Medicare claims/encounter data. Participants will be able to: 1. Deliver integrated care for high risk consumers/patients; 2. Coordinate care with one or more other payer/provider organizations; and 3. Monitor the health of special populations through building custom filters.

10:00am – 11:30am 4. If Your Name’s Not On The Bottle They’re Not Meant For You To Swallow! Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific for Substance Abuse Contact Hours

Grenae Dudley, PhD, President & CEO, The Youth ConnectionThe Non-Medical Use of Prescription Drugs is impacting the long-term well-being of our adolescents, college students and our communities. Identifying who owns the problem and understanding the benefits, risk and impact of prescription drugs is key to effectively addressing the issues. It is important to bring together the nontraditional partners who view this crisis from different perspectives in order to access the knowledge, skills, and opportunities necessary to implement system and community change. It will also present a way to successfully engage youth to help spread the word to their peers about the dangers involved in the non-medical use of prescription drugs and encourage them to become part of the solution. Participants will be able to: 1. Apply MAPS data to determine the concentration of prescription drugs in their zip codes; 2. Discuss the need to create nontraditional partnerships to understand and collectively impact prescription drug abuse; and 3. Implement an interactive community awareness campaign that even engages youth.

10:00am – 11:30am 5. Evaluating the Impact and Reach of Mental Health First Aid in Wayne County Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Andrea Smith, MSW, Adult & Youth Mental Health First Aid Instructor, Director of Clinical Practice Improvement, Detroit Wayne Mental Health Authority

Carmita Brown, MSW, Adult & Youth Mental Health First Aid Instructor, Data Coordinator, Detroit Wayne Mental Health Authority

The MHFA program aims to widen the base of people with the knowledge and skills to provide basic assistance to people in the community with mental health problems and in the early stages of a mental health crisis (Jorm, Kitchner & Mugford, 2005). Since 2013, Detroit Wayne Mental Health Authority has contributed to the training of over 10,000 individuals in Mental Health First Aid. To obtain a better understanding of the effect and impact of the training, a survey was sent to individuals who participated in the training within the 3-year time period. The aim of this project was to evaluate the impact of Mental Health First Aid on the faith based community, first responders, educators, and the community as a whole in Wayne County. We looked at how the training impacted the attitudes of people and how their knowledge level was affected by the information on mental health challenges or crises. Our hypothesis was that participants would have increased knowledge of mental disorders, and decreased negative attitudes towards people with mental disorders. Participants will be able to: 1. Recognize the impact of Mental Health First Aid; 2. Identify methods of reducing stigma; 3. Implement and sustain the program; and 4. Summarize the main outcomes of Mental Health First Aid in a community.

10:00am – 11:30am 6. The Epidemic of Loneliness and its Effects on Health and Healing Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Kym Juntti, BBL, Director of Training & CPLS, MORC, Inc.Loneliness is not a formal diagnosis or specific disability. However, it is a common condition coexisting with disabilities and it can have potentially serious medical and emotional implications. Loneliness is a universal human emotion, yet it is both complex and unique to each individual. In order to provide supports where those we serve can experience connectedness and community we must examine the effects of loneliness and strategies to connect on a much deeper level. Participants will be able to: 1. Identify 3 significant health risks association with loneliness; 2. Utilize the UCLA Loneliness scale to identify the degree of loneliness in populations served; and 3. Describe 3 measures that can be utilized to decrease levels of loneliness.

10:00am – 11:30am 7. Senior Reach: Lessons Learned So Far in Michigan Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Michael Vizena, MBA, Coordinator, Senior Reach Grant Chelsey Edwards, MSW, LMSW, Senior Reach Clinician, Lapeer County Community Mental Health Carol Haas, MSW, LMSW, Senior Reach Clinician and Program Coordinator, Van Buren CMH

Authority Melody Munro-Wolfe, LMSW, MSW, Senior Reach Lead Manager and Communications Specialist for

CMH, Lapeer County Community Mental HealthSenior Reach is a 2 year grant funded program awarded in 12 counties by MACMHB and the Health Endowment Fund, including rural, suburban, and urban settings. It is a clinical program bringing mental health counseling and case management to homebound older adults. The program uses a short term, solution focused therapy to treat depression, loneliness, anxiety and other mild to moderate issues. It also provides training in the community of “partners” who can identify seniors in need and make referrals to the program. Launched in May of 2016, a suburban site and a rural site will present on their experiences so far with this new evidence-based treatment program. Participants will be able to: 1. Define short term, solution based therapy with older adults; 2. Discuss and recognize the difference between traditional and nontraditional referral sources from the community and how they can become gatekeepers; 3. Summarize the 3 tenets of Senior Reach programs; and 4. Describe the 3 indicators for improved quality of life for seniors participating in Senior Reach Michigan programs.

11:30am – 12:20pm Group Lunch12:20pm – 1:20pm Plenary Session: Engagement: Vital Components within Community Behavioral Health

Qualifies for 1 Specific for Substance Abuse Contact Hour Debra A. Pinals, MD, Medical Director of Behavioral Health and Forensic Programs, MI Department of

Health and Human ServicesIn this presentation, the critical nature of engagement will be emphasized, examining trends within community mental health, population complexity and needs, as well as strategies for collaboration utilizing person-centered planning, trauma sensitivity, and integration across systems to enhance engagement and maximize the positive avenues of recovery. A focus on individuals with criminal justice involvement and co-occurring mental health and substance use disorders will be highlighted. In Michigan, overarching trends to engage in partnerships and develop policy highlight positive directions to enhance the lives of individual service recipients.

Concurrent Workshops:1:30pm – 3:00pm 8. Evidence-Based Practitioners in Mental Health and Substance Abuse Treatment Settings

Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Specific + Supervision Substance Abuse Contact Hours

Mark Lowis, LMSW, Evidence-Based Practices Implementation Specialist, MI Department of Health and Human Services:

Jennifer Harrison, PhD, MSW, LMSW, CAADC, Faculty, School of Social Work, Western Michigan University

Darren Lubbers, PhD, Consultant, IHA Consulting; Adjunct Psychology Professor, Wayne State University; Internship Supervisor, Department of Statistics, Grand Valley State University

Lori Ryland, PhD, LP, CAAC, CCS-M, Chief Clinical Officer, Southwest Michigan Behavioral Health Heidi Wale Knizacky, MS, LLP, Owner, Apprecots (Applied Research Consultants)This presentation will be a panel discussion that interacts with the participants and takes the practitioner beyond a rudimentary understanding of “Evidence-Based” and broadens that definition. The participant will be able to describe the way in which “Evidence-Based” applies to programs, practices and intervention with a specific focus of the way in which the individual practitioner makes use of evidence at the contact level (dialog) to strengthen practice. Participants will be able to: 1. Describe 3 applications of the term “evidence- base” in mental health and substance abuse treatment; 2. Describe 3 common elements in modern evidence-based practices; and 3. Describe the way “evidence” is used in dialog to strengthen outcomes for behavior change.

1:30pm – 3:00pm 9. Utilizing Youth Peer Support as a Medicaid Service with Children, Youth and Families Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Kim Batsche-McKenzie, LMSW, Manager of Programs for Children with Serious Emotional Disturbance, MI Department of Health and Human Services

Kristina Dristy, BS, Statewide Youth Peer Support Coordinator, The Association for Children’s Mental Health

Sara Reynolds, Certified Adult Peer, Youth Peer Support Lead Trainer, The Association for Children’s Mental Health

Youth Peer Support (YPS) is a new Medicaid service designed to support youth with a serious emotional

disturbance involved in the PIHP/CMHSP system. This peer delivered service is provided by trained Youth Peer Support Specialists who must have lived experience navigating behavioral health systems. The goals of YPS include supporting youth empowerment, assisting youth in developing skills to improve their overall functioning and quality of life, and working collaboratively with others involved in delivering the youth’s care. The Youth Peer Support Specialist role will be identified and the benefits of adding Youth Peer Support will be shared and discussed. Interactive discussion and hands on exercises will be utilized throughout the presentation. Participants will be able to: 1. Identify the Youth Peer Support Medicaid Service; 2. Define the role of the Youth Peer Support Specialist; 3. Learn about the benefits of Youth Peer Support in Michigan; 4. Identify how to bring this service to your community; and 5. Describe the positive impact that parents and youth with lived experience are making on our public mental health system.

1:30pm – 3:00pm 10. Development to Early Implementation of a Mobile-Focused Pre-Admission Review and Community-Based Crisis Stabilization Service Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Carol DiGiuseppe, MS, LLP, Chief Operating Officer, Hegira Programs, Inc. Janet Sims, BSN, RN, PMHN-BC, Administrator of Crisis Services, Hegira Programs, Inc.Established in March 2016 as a community partner program funded through the Detroit Wayne Mental Health Authority, Hegira Program, Inc.’s Community Outreach for Psychiatric Emergencies (COPE) was created to provide a comprehensive, county-wide, single point of entry, mobile-focused, crisis response service system to improve the quality of services offered to Wayne County’s adults experiencing a behavioral health crisis. Services include a 24-hour crisis stabilization unit, mobile face-to-face preadmission review services in the community’s EDs, and post-ED visit community-based mobile stabilization service. As the starting point for the approximate 1,150 monthly inpatient authorization requests, COPE is the direct line of contact for all of metropolitan Detroit’s 20+ emergency departments for eligibility determination and level of care authorization (LOC). This presentation will introduce the planning, implementation, integration of the components and early outcomes of COPE’s first 9 months of services. Information covered will include: identifying community needs, evaluating capacity, choosing a model, costing, engaging partners, staffing patterns, recruiting, supporting services, setting goals, educating and maintaining communication with community stakeholders, staff training, timeliness, diversion rates, and year 2 goals. Participants will be able to: 1. Determine the size and scope of a mobile focused service to meet their community pre-admission screening needs; 2. Determine the variables and quantities of components needed to establish an initial budget; and 3. Identify and evaluate valuable outcome measures.

1:30pm – 3:00pm 11. Supported Decision Making—Practical Alternatives to Guardianship Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Paul Newman, BS, LMSW, Chief Operations Officer, Community Living Services Kathy Lentz, BA, MM, Senior Executive Officer, Kalamazoo Community Mental Health & Substance

Abuse ServicesMany adults with Intellectual/Developmental Disabilities request or require assistance from others to help make decisions regarding supports and services received. Different options for assistance in decision making will be explored, with emphasis on those that maintain the highest level of freedom and authority for the individual. Guardianship, the option that strips individuals of their legal rights, is an option more people are familiar with, although it is the most restrictive. Michigan has some of the highest use of guardianships for individuals with Intellectual/Developmental Disabilities among all states (NCI, 2015). This session will provide tools for using alternatives to guardianship that provide support to individuals without removing legal rights. Participants will be able to: 1. Understand the current/historical use of guardianships within the State of Michigan; 2. Understand the implications of guardianship for self-determination, empowerment and self-advocacy; 3. Learn the different options under Michigan law for supporting individuals to be as independent as possible in decision-making; and 4. Provide examples for documentation decision making support.

1:30pm – 3:00pm 12. Self-Advocacy in Action Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Stacie Rulison, MS, MEd, BCBA, Board Certified Behavior Analyst; Autism & Behavior Consultant Ryder Rulison, Self-Advocate with Autism Spectrum DisorderThis is a co-presentation by a parent and professional with her 12-year old son, Ryder, with Autism Spectrum Disorder (ASD). He and his brother developed his personalized self-advocacy presentation and delivered it initially to his 4th grade classmates to inform them about his autism, from his own perspective. It was life-changing and elicited a peer understanding that had been unparalleled for Ryder. This presentation was the result of a requested “sensitivity training” to his class at his elementary school. The parent presenter had been conflicted about asking Ryder, at 10 years, to leave the room while there was a discussion about his disability with peers. Ryder was aware he had autism and of his challenges and suggested he tell others in his own words. Ryder has presented numerous times to educators, clinicians, parents, and students at his school, MSU, WMU, ISDs, START, and MetroParent. This presentation is now

a template for the Statewide Autism Resources and Training (START) project and being used by educators and students across Michigan. Background and supporting evidence will be presented and then Ryder will complete his presentation. Participants will be able to: 1. Describe how self-advocacy can promote independence of individuals with disabilities including ASD; 2. Describe how to adapt a self-advocacy presentation to meet diverse needs of individuals with disabilities including ASD; 3. Describe how self-advocacy may impact peer acceptance of individuals with disabilities including ASD; and 4. Describe how expectations by families and educators can impact outcomes of individuals with disabilities including ASD.

1:30pm – 3:00pm 13. Tobacco Pathway: An Online Tool to Help Your Clients Quit Smoking Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific for Substance Abuse Contact Hours

Missy Gallegos, BS, Certified Prevention Specialist, Freedom from Smoking Facilitator; Mental Health First Aid Instructor; Public Health Educator, Public Health Muskegon County

Danielle Hoekwater; MS, Public Health Educator, Public Health Muskegon County Judy Kell, HUB Operations Manager, Pathways to Better Health, Lakeshore Regional EntityThe presentation will introduce the Tobacco Pathways website—an online tool designed to bring together smoking cessation resources pertaining to each stage of The Transtheoretical Model (Stages of Change). It embraces a different avenue to fundamentally capture reputable evidence-based resources from various organizations’ websites. Tobacco use is associated with greater depressive symptoms, a greater likelihood of psychiatric hospitalization and an increase in suicidal behavior. Abstaining from cigarettes, on the other hand, can help people with other addictions maintain sobriety, as Prochaska reported in 2010 in Drug and Alcohol Dependence. This presentation can help participants learn to provide a brief intervention for this population and provide the appropriate tobacco cessation resources for their clients. The underlying root for the development of this tool and a yearly training plan was to increase the capacity of community health workers to address tobacco cessation needs among Michigan Pathways to Better Health referred individuals. This project provided evidence-based tobacco reduction strategies and available resources to address client concerns related to tobacco use, second hand exposure, and related chronic disease. Participants will be able to: 1. Examine the effects of tobacco use on the lungs (Lungs at Work); 2. Describe the 5 A's Intervention; 3. Identify the five stages of change; and 4. Navigate tobacco cessation resources on the online tobacco pathway.

1:30pm – 3:00pm 14. Boardworks 2.0: Leadership - Participatory Governance and Ethical Implications (formerly Character) Does NOT qualify for CEUs

Clinton Galloway, Board Member, The Right Door for Hope, Recovery and Wellness (formerly Ionia CMH)

Robert S. Lathers, MSW, LMSW, Chief Executive Officer, The Right Door for Hope, Recovery and Wellness (formerly Ionia CMH)

This workshop is designed to mirror the nature of successful leadership in the public sector responsible for community well-being. The inherent wisdom of the participants will be engaged in the dynamics of addressing the following subjects and exploring, “How do we do that?” Participants will be able to: 1. Learn the qualities of leadership; capturing the passion for justice and healthy communities; 2. Cultivate the values and intent of public policy; 3. Discuss the board’s commitment to the promotion and protection of the intended beneficiary’s individual rights and responsibilities of full citizenship; 4. Explore ethical issues of special interests, influence, conflict of interests and operating outside the role and responsibilities of the Board’s defined authority; 5. Learn how to distinguish matters of Board and community ethical considerations from issues of personal morality; and 6. Discuss ethical responsibility of identifying and developing core competencies for governance members.

3:00pm – 3:20pm Exhibitor Refreshment BreakConcurrent Workshops:

3:30pm – 5:00pm 15. Using Data to Improve Access to Psychiatric Inpatient Care Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Carolyn Watters, MA, Director of Provider Network Management Systems, Mid-State Health Network Cynthia Kelly, MPA, Director, Bureau of Hospitals and Administrative Operations, MI Department of

Health and Human Services Elizabeth Nagel, MA, Division Director, Office of Planning, MI Department of Health and Human

ServicesIn February 2015, Mid-State Health Network (MSHN – Region 5) entered into an agreement with the CON Commission and Behavioral Health and Developmental Disabilities Administration (BHDDA) to pilot the collection of psychiatric inpatient denial data in MSHN region. The goal of the pilot was to address issues surrounding appropriate and immediate access to inpatient psychiatric care, for the State to investigate and resolve patterns of inpatient admission difficulties, and to reduce the number of inpatient denials. All 12

CMHSPs within MSHN participated in the pilot from 3/1/16 – 9/30/16. As a result of the data collected, the CON Commission began investigating patterns of denials to determine if claims were substantiated, resulting in additional compliance action. To address the needs of specific populations, the CON commission proposed a statewide pool of 400 additional psychiatric beds to meet the needs of special population groups: adult DD, child/adolescent DD, geriatric, adult medical, and child/adolescent medical. BHDDA was interested in expanding data collection state-wide, therefore, MSHN submitted an application under the Health Innovation Grant. Grant approval was awarded in November, 2016 and MSHN along with BHDDA expects to roll out the new data collection process effective April, 2017. Participants will be able to: 1. Examine common reasons for psychiatric inpatient admission denials; 2. Explain how the data collected during the pilot is being used to improve access to psychiatric inpatient care; and 3. Understand the plan to implement data collection state-wide.

3:30pm – 5:00pm 16. Addiction 101 for Young People – What to Know and What to Do - Understanding Addiction, Progression and Recovery in the Prescription Age Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Specific + Supervision Substance Abuse

Contact Hours Brian Spitsbergen, MA, LLPC, CAADC, Director, Community Relations, Growth Works, Inc.Levels of substance use progression and understanding levels of readiness for recovery differs for young persons who have abused substances. This population is currently experiencing consequences that are unique to them as a result of the current trend of Opiate/Benzodiazepine and over-the-counter drug (OTC) use. This presentation will provide in depth explanations toward: substance use trends, understanding addiction, what prevents young people from seeking help, impact on individuals and families, helping consumers make informed decisions about their care, understanding complex levels of life impairment, identifying readiness for treatment, recognizing ASAM criteria & symptoms within this population, recognizing differences recovery process for young adults people who initiated use during adolescence, and exploration of promising approaches for success with this population. Participants will be able to: 1. Recognize 10 specific diagnostic indicators unique to substance use disorder persons up to age 25; 2. Differentiate indicators into 4 stage matched treatment recommendations; and 3. Summarize at least 3 new promising approaches to successfully impacting this population.

3:30pm – 5:00pm 17. How to Bring Crisis Intervention Team Training to Your Community Using the Collaborative as Cash Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Ericanne Spence, LMSW, CAADC, CSS, Director Substance Abuse Services & Corrections Mental

Health, CMHA of Clinton, Eaton and Ingham Counties Darin Southworth, BA, Criminal Justice/Psyc; MA, Ed Tech/Professional Development, Captain,

Lansing Police Department Melissa Misner, LLMSW, GCDF, CSOTS, Vocational Counselor, CMHA of Clinton, Eaton and Ingham

CountiesA Crisis Intervention Team (CIT) program is a model for community policing that brings together law enforcement, mental health providers, hospital emergency departments and individuals with mental illness and their families to improve responses to people in crisis. CIT programs enhance communication, identify mental health resources for assisting people in crisis and ensure that officers get the training and support that they need. This presentation will assist community mental health services programs in developing a plan of action to bring Crisis Intervention Team Training to their communities. The presenters will discuss the current Crisis Intervention Team Training that took place in Clinton, Eaton and Ingham Counties and how that training took place without external grant funding. This discussion will include; using the Sequential Intercept Model to assist with gap analysis and collaboration, gathering key community partners, development and importance of a steering committee, strategies for requesting and accepting donations from the community and overall CIT training development. The presentation will also explore the strengths and weaknesses of developing a grass roots effort. Participants will be able to: 1. Define and understand Crisis Intervention Team Training and how it benefits consumers with behavioral health diagnoses; 2. Explore community readiness using the Sequential Intercept Model; and 3. Organize a collaborative community approach to CIT training.

3:30pm – 5:00pm 18. Parent Support, Education and Empowerment Tools to Improve Family and System Outcomes Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Kim Hunt, GED, State of Michigan PSP Certificate; Program Director, Family Alliance for Change Debora Martinez; State of Michigan PSP Certificate; Parent Support Partner Team Leader, Family

Alliance for Change Marquita Felder, MSW, Children, Youth & Families Program Director, Southwest Counseling SolutionsSystems of Care (SOC) are a recognized evidence-based practice (EPB) for families whose children have special health care needs, including serious emotional disturbance (SED). Research finds Parent Support Partners (PSPs) play valuable roles in SOCs; including increasing families’ early engagement and

promoting retention in behavioral and chronic health services. Engagement and retention are key drivers of treatment success and cost-effectiveness. Family Alliance for Change (FAFC) PSPs’ are out-stationed at ten community mental health agencies (CMHA) delivering direct services to families, facilitating trainings, group activities, or attending SOC meetings. FAFC’s Medicaid billing for wraparound services and PSP encounters exceeds those of other Michigan PSP providers. In 2011, FAFC’s Program Director and PSP Supervisor designed a 16-week SOC training to prepare Wayne County PSPs and the CMHA’s employing PSPs for their joint roles in children’s SOCs. The training has three target audiences: parents, staff and administrators. Training modules include: Building Partnerships, Parent Advocacy, Confidentiality, Boundaries, Documentation, Communication, Participating on Wraparound Teams, Group Facilitation, Trauma, Mental Health Stigma in Culturally Diverse Communities, Leadership, Presenting at Conferences, Funding, and Working Effectively with Parents. Participants will be able to: 1. Describe the principles and values of children’s Systems of Care; 2. Understand the role of Parent Support Partners in engaging and retaining families in physical and behavioral health, education and other services; 3. Know how to integrate PSP’s Medicaid billable services into agency practice teams; and 4. Utilize PSPs as change agents within the organization and in the larger systems environment.

3:30pm – 5:00pm 19. Communicating Effectively with Your Legislators No CEU credits. Alan Bolter, Associate Director, Michigan Association of CMH Boards

Term limits brought a significant turnover in the Michigan House with 43 new faces. Add to that a lame duck governor, and major changes expected from the federal government and this year’s budget and policy priorities will face many new challenges. It has never been more important to maintain consistent and effective communications with our state and federal legislators. New faces every two years under the Dome demand a constant education on mental health, developmental disability and substance use disorder issues. Most importantly, legislators listen to, and are influenced by, their constituents. We may not be able to compete with large political campaign contributions, but we do have the power of passionate advocates and voters. This workshop will present the most effective strategies and tactics for communicating with today’s lawmakers as well as highlight MACMHB’s new electronic communications tool - VoterVoice.

3:30pm – 5:00pm 20. The Audacity of Consumer Empowerment Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Daniel K. Arnold, BA, Board of JIMHO; CEI-CMHA Recipient Rights CAC; Mid-State Health Network RCAC; (Volunteer) Justice In Mental Health Organization

Nicholas Hendrickson, Outdoor Homeless Mental Health Consumer; Peer Assistant; Justice In Mental Health Organization Consumer

A rare glimpse is provided into life of the mental health consumer. Presenters are composed of peers who have a passion to represent the peer-run drop-in world from their perspective, out of their own volition. This special educational opportunity touches on mental illness, substance abuse, peer support, and the modeling of the nation’s longest peer-run mental health organization. Distinct features of Justice in Mental Health Organization are stressed. An open forum is provided at the end for presenters to answer questions from the consumer point of view. Participants will be able to: 1. Identify 4 distinct advantages of peer-support care from the point of view of consumers; and 2. Interpret needs of the consumer body in drop-in centers as modeled for the 60 drop-in centers around the State of Michigan.

3:30pm – 5:00pm 21. Polyvagal Theory-Based, Trauma-Informed Yoga Instruction: Rationale and Tools for Survivors and Their Therapists Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Marianna Maver, MAT, RYT-200, Trauma-Informed Yoga Teacher (TIYT), Overcome Anxiety (OAnx)

Facilitator, MAT, RYT-200, TIYT, Allegan County Community Mental HealthThis workshop will describe how Polyvagal Theory, as defined by Dr. Stephen Porges of University of North Carolina, is applied in Trauma Informed Yoga instruction. It will discuss the physical manifestations of trauma and stress, and give a rationale for adding a practice that allows the consumer to focus on sensation and body awareness, in addition to their cognitively-based talk therapy, as a way to learn to self-regulate, and to manage triggers and flashbacks. The six principles of Trauma-Informed Yoga instruction and the rationale for building Trauma-Informed Yoga classes around them will be explained. Participants will be able to experience (if they choose, or observe if they don’t), basic Yoga Touchstone poses. The rationale for teaching these specific Yoga poses and avoiding others will be discussed. Participants will be instructed on Yogic tools – basic breathing techniques (Pranayama) and Yoga hand gestures (Mudra) that they can carry with them, back into their own lives and into their practices. Participants will be able to: 1. Explain the reasoning behind offering Trauma Informed Yoga instruction, concurrent with traditional talk therapy, based on Polyvagal Theory; 2. Think through the pro’s and con’s of at least 2 common Yoga poses, based on the discussion of Touchstone Poses, and the discussion of Safety First (the first of the six principles of Trauma-Informed Yoga instruction); and 3. Demonstrate, and describe the benefits of, at least one breathing

technique and 1 Yoga hand gesture from the several that are offered.

Wednesday, February 8, 20177:45am – 12:00pm Conference Registration and Exhibits Open7:45am – 8:45am Breakfast Activities (full breakfast buffet will be served until 8:45am)

Regional Breakfast MeetingsProvider Alliance Breakfast Meeting1Non-Member and Staff Networking Breakfast

8:50am – 9:00am Boardworks Certificate Presentations9:00am – 10:00am Plenary Session: Changes and Constants in National Behavioral Health

Qualifies for 1 Related for Substance Abuse Contact Hour Ron Manderscheid, PhD, Executive Director, NACBHDD and NARMH; Adjunct Professor, Johns

Hopkins UniversityToday, many long-term givens for behavioral health are in flux as a consequence of our recent national elections. At the same time, other elements of our field likely will remain constant. This presentation will provide an up-to-date overview of these potential changes and constants. Most of the potential changes we are likely to confront address how we insure and fund healthcare, including behavioral health. These include the Affordable Care Act, as well as our national Medicaid and Medicare Programs. How are they likely to change? How should they change? Most of the likely constants address how care actually is delivered. These include integrated care, prevention and promotion interventions, the culture of well-being, and population health management. How are they likely to remain the same? Should they remain the same? As a field, we need to have opinions on each of these topics, and we need to engage in vigorous advocacy to support our point of view.

10:00am – 10:20am Exhibitor Refreshment BreakConcurrent Workshops:

10:30am – 12:00pm 22. MIPS Improvement Activities: Building Blocks for Value and Quality Care Qualifies for 1.5 CEU hours for Social Work, Nursing +/or Related + Supervision Substance Abuse

Contact Hours Cindy Buege, BS, BA, CPHIMS, CHPS, Health Information Technology Project Manager, Michigan

Public Health Institute Krista Hausermann, LMSW, CAADC, Health Information Technology Specialist, Michigan Public Health

InstitutePresenters will provide a basic overview of Merit-Based Incentive Payment System (MIPS) and Meaningful Use tailored for the CMH system. Presenters will help participants utilize current strengths and requirements of the CMH system to enhance their performance on Advancing Care Information (Meaningful Use Objectives) and Clinical Quality Measures. Participants will also be provided with ideas that will strengthen their clinical practice while maximizing their performance on MIPS. Participants will be able to: 1. Summarize MACRA/MIPS and Medicaid MU requirements; 2. List at least 4 improvement activities that will improve their clinical practice and their performance outcomes; and 3. Identify at least 2 to 3 strategies for integrating MIPS in their agency.

10:30am – 12:00pm 23. Clinical and Cost Outcomes Comparison of Partial Hospital Program (PHP) as an Alternative to or Following Inpatient Hospitalization in Key Diagnostic Segments Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

David Harris, MD, Medical Director, New Oakland Family Centers Gregory Sendi, BA, Vice President, New Oakland Family CentersAmong mental health consumers of all ages, for many diagnoses of Serious Mental Illness (SMI), Partial Hospitalization Programs (PHPs) have long been understood to be either (a) an important therapeutic alternative to inpatient hospitalizations or (b) an effective post-hospitalization care path useful for creating a strong foundation for community re-integration and decreasing the potential the consumer will require future inpatient readmission. Based on a review of New Oakland’s EMR database of more than 12,000 FACE to FACE PHP consumers from 2013-2016, the presentation will provide an analysis of cost and outcomes with data illustrating the potential benefits of PHP as an alternative to or in concert with inpatient care among a variety of diagnostic and age segments. Participants will be able to: 1. Better understand the clinical circumstances under which PHP is an appropriate course of care; 2. Better understand the most constructive interconnections between inpatient hospitalization and PIHP care; and 3. Understand the potential resource and cost benefits of PHP care when applied effectively.

10:30am – 12:00pm 24. Michigan Children’s Health Access Program (MI-CHAP) Concepts, Statewide Implementation and the Intersection with Community Mental Health Qualifies for 1.5 CE hours for Social Workers and 1.5 Related for Substance Abuse Contact Hours

Laura Kilfoyle, BS, Master of Public and Nonprofit Administration, MI-CHAP Director, Michigan Association of United Ways (MAUW)

Dianne Shaffer, BA, MSW, Director of Systems Development, Kalamazoo Community Mental Health & Substance Abuse Services

The Michigan Children’s Health Access Program (MI-CHAP) is designed to improve the health outcomes of Michigan’s children on Medicaid by connecting families to resources and services to help them access primary care. MI-CHAP, building on best practices from Kent CHAP, which has been in operation since 2008, provides for the expansion/launch of CHAP programs in 8 other geographic areas of Michigan. Also, MI-CHAP has launched a Virtual CHAP service within 2-1-1 to provide services to those who aren’t able to access a local CHAP. Specifically highlighted within this presentation will be the implementation of a CHAP Program within Kalamazoo Community Mental Health & Substance Abuse Services, outlining the intersection between CHAP services with community mental health. Participants will be able to: 1. Explain the foundation of the CHAP model and its ability to improve health outcomes of children on Medicaid; 2. Describe the areas which local CHAP teams are located and the services of Virtual CHAP within 2-1-1; and 3. Discuss the intersection of CHAP within community mental health services.

10:30am – 12:00pm 25. Integrated Care: Life After Treatment Qualifies for 1.5 CE hours for Social Workers and 1.5 Specific for Substance Abuse Contact Hours

Chandra Carr, PhD, MSW, Project Director, Integrated Care Services (PrimeCare), Adult Well-Being Services

Jesse Washington, Jr, MA, CADC, Program Supervisor, Substance Use Disorder Services, Adult Well-Being Services

Nicola Walker, MA, CPC-M, Project Director, Collaborate and Prevent (CAP) HIV, Adult Well-Being Services

This presentation will include dialogue, information and activities on integrating medical services, levels of substance use disorder treatment and risk reduction services on a continuum. The stages of change will be discussed as it relates to addressing client’s need after care and treatment. Facilitators will discuss how motivational techniques and addressing risk reduction can foster retention and successful aftercare. In addition, participants will be involved in a thought-provoking scenario to discuss best treatment approaches. Participants will be able to: 1. Identify resources for clients to stay connected after treatment and care; 2. Express their own biases around stigma related to behavioral health services to better treat the client; and 3. Recognize where clients are in the treatment continuum and be okay with “meeting them where they are at.”

10:30am – 12:00pm 26. Drum Up Your FeelingsTM

Does NOT qualify for CEUs Mike Veny, Founder, TransformingStigma.com; Mental Health Advocate; Drumming FacilitatorThis program is designed exclusively as a leadership program for adults. Drumming creates a profound sense of energy with self and synergy others. That’s right, the simple act of having people gather in a circle and bang out a beat can be tremendously uniting, motivating, and downright fun. Participants will learn simple music skills, rhythms, and how to work as a team. Most importantly, everyone will learn rhythms by repeating inclusive phrases out loud, such as, “I Feel Happy When I’m With Friends!” By the end of this session, participants will be able to perform a complex percussion rhythm as a group, perform an original percussion composition, and feel a stronger bond with participants. Lots of music will be made with percussion instruments. Participants will experience smiles, laughter, and excitement through interactive games.

10:30am – 12:00pm 27. Boardworks 2.0: Current and Future Funding for CMHSPs and PIHPs (Previously Budgets) Does NOT qualify for CEUs

Carol Mills, MPA, MBA, Chief Operating Officer, Newaygo County Mental Health CenterThis workshop will center on the public policy driven financing and accountability expectations for which the board serves as the fiduciary. Participants will be able to 1. Examine and explore state, federal and local public revenues including each source of revenue, definition as derived by statute, contract and/or public policy directive, conditions for use, determination of amounts to be distributed/available, method of distribution/receipt, application in practice, risk implications, reporting and accounting and audit requirements; and 2. Explore current state initiatives and proposals regarding pending changes to the funding of the CMH system and its potential implications for CMHSPs and PIHPs.

12:00pm – 1:00pm Group Lunch1:00pm – 2:00pm Plenary Session: Transforming Stigma into Strength™

Qualifies for 1 Related for Substance Abuse Contact Hour Mike Veny, Founder, TransformingStigma.com; Mental Health Advocate; Drumming FacilitatorMike’s story of how his anger, depression, anxiety, and obsessive compulsive disorder were both indispensable and beneficial to a successful music career. Mike is fiercely committed to wellness, suicide prevention, and helping people work together more smoothly. Mike is an advocate who speaks boldly and

truthfully about his journey and his mental health struggles. He is an entrepreneur who makes a living inspiring others. Mike is a drummer who breathes deep inside his spirit when he lives through his music. Not only does he wrestle with his own set of mental health challenges, but he also wrestles with the idea of what it is to be a man with mental health challenges in today’s society. Mike fights every day to bust the Stigma Cycle™: “Stigma starts with shame. Shame leads to silence. Silence leads to self-destructive behavior and suicide.” The process repeats and it becomes an endless, downward spiral. Mike Veny is also a lifesaver. The first life he saved was his own. Now he’s making it his mission to use his life’s journey to help save others.

2:00pm Conference Adjourns