Neuroscience of Behavior

8/12/2019 Neuroscience of Behavior

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Shaping the Future of BehavioralHealth: Understanding Drivers,Challenges and Opportunities

Pamela S. Hyde, .D.SAMHSA Administrator

Mental Health AmericaAnnual Conference

Washington, D.C. June 10, 2011


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CO!"#$" OF CH%! ' (

udget constraints, cuts and realignments !economic challenges li"e ne#er $efore

%o s&stem in 'lace to mo#e to scaleinno#ati#e 'ractices and s&stems changeefforts that 'romote reco#er&

Science has e#ol#ed( language andunderstanding is changing

)


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CO!"#$" OF CH%! ' )

*ntegrated care re+uires ne thin"ing a$outreco#er&, ellness, role of 'eers, res'ondingto hole health needs

%e o''ortunities for $eha#ioral health -arit& Health /eform ri$al a and rder Act %ational Action Alliance for Suicide -re#ention

3#ol#ing role of $eha#ioral health in healthcare

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D*+ #*S OF CH%! 5


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S"%-+!& FOCUS#D DU*+!&CH%!

6


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S% HS% S"*%"#&+C+!+"+%"+ #S

A*M7 *m'ro#ing the %ation8s eha#ioral Health1 -re#ention2 rauma and Justice

) Militar& 9amilies4 /eco#er& Su''ort

A*M7 ransforming Health Care in America5 Health /eform6 Health *nformation echnolog&

A*M7 Achie#ing 3:cellence in 'erations; Data, utcomes < =ualit&

> -u$lic A areness < Su''ort

;


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FOCUS %*#%S FO* "OD%-/SD+SCUSS+O!

*#CO #*-

D+SP%*+"+#S

BUD"

B0OC1 &*%!"

!%"+O!%0 B#H% +O*%0H#%0"H 2U%0+"-

F*% #3O*1

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*#CO #*-: 3O*1+!&D#F+!+"+O!

/eco#er& from mental health 'ro$lemsand

addictions is a 'rocess of change here$&

indi#iduals or" to im'ro#e their o nhealth

and ellness and to li#e a meaningful lifein a

?


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*#CO #*-: P*+!C+P0#S ' (

1. -erson@centered

2. ccurs #ia man& 'ath a&s

). Holistic

4. Su''orted $& 'eers5. Su''orted through

relationshi's

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*#CO #*-: P*+!C+P0#S ' )

6. Culturall& $ased and influenced

;. Su''orted $& addressing trauma

>. *n#ol#es indi#idual, famil&, andcommunit& strengths and

res'onsi$ilit&

?. ased on res'ect

10.3merges from ho'e

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*#CO #*- CO!S"*UC"12


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+!+"+%"+ #

*#CO #*- SUPPO*"/eco#er& domains/eco#er& 'rinci'les

/eco#er& month

/eco#er& outcome measures

/eco#er& A Center /SS ACSB

/eco#er& curricula for ith 'ractitioners

1)


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D+SP%*+"+#S

Dis'arities 3thnic minorities HHS Strategic Action -lan to /educe /acial < 3thnic

Health Dis'arities = 'o'ulations Coordinating Committee

A* A% *ssues ri$al Consultations Women and girls

ffice of eha#ioral Health 3+uit& @ Ee& Dri#ers


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BUD": F- )9(( to F- )9(

9ocusing on the Strategic *nitiati#es 9F 2011 $udget reductions < /9As 9F 2012 $udget 'ro'osal( S*s, *3*, mo#ing to

2014 9F 201) tough choices a$out 'rograms and

'riorities

/e#ised A''roach to rant@Ma"ing raided funding ithin SAMHSA < ith 'artners 3ngaging ith States, erritories < ri$es !

9le:i$ilit&

1?


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BUD": F- )9(( to F- )9( ' )

*m'lementing a heor& of Change a"ing 'ro#en things to scale S-9, S C, raumaB /esearching testing things here ne "no ledge

is needed

3fficient < 3ffecti#e Ise of imitedDollars Consolidating contracts < A Centers Consolidating 'u$lic information < data

collection acti#ities and functions/e ional -resence < Wor" ith States

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S% HS%/S "H#O*- OFCH%!

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B0OC1 &*%!"S: FOCUS

-romotes consistent 'lanning, a''lication, assurance andre'orting dates

a"e $roader a''roach ! reach $e&ond those historicall&ser#ed9le:i$ilit& ! one e#er& t o &ears # t o e#er& &ear-re'aration for 2014

dollars for 're#ention, treatment, reco#er& su''ortsand other ser#ices that su''lement ser#ices co#ered $&Medicaid, Medicare and 'ri#ate insurance9orm strategic 'artnershi's for $etter access to good andmodern $eha#ioral health ser#ices*m'ro#ing accounta$ilit& for +ualit& < 'erformanceDescri'tion of tri$al consultation acti#ities

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O*# % #*+C%!S 3+00 B#

CO #*#D

4-6

mil

2)


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CH%00#!S ' S"%"# H%s 4SS%s

+ndividuals Served

+nsured;?>

+ndividuals Served

Uninsured

;?>

?0@?5 'ercent ill ha#e o''ortunit& to $e co#ered$& Medicaid or through *nsurance 3:changes

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B0OC1 &*%!"7S8%PP0+C%"+O!

Comments /ecei#ed-ositi#e DirectionClarif&ing /e+uirements

imelines

/e'orting urden Concerns

-lans due Se'tem$er 1 for 20 months

-hased in 'lanning a''roach

Mo#ing to ard A'ril 1, 201) for ne:t t o@&eara''lication

Annual re'orting

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!%"+O!%0 B#H% +O*%0 H#%0"H2U%0+"- F*% #3O*1

%ational eha#ioral Health =ualit& 9rame or"! similar to %ational =ualit& 9rame or" for

Health SAMHSA funded 'rograms measures -ractitioner s&stem@$ased measures -o'ulation@$ased measures

We$cast istening Session Draft document on e$ .samhsa.go# June 157 )700 ! 5700 '.m. 3astern @

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http://www.samhsa.gov/http://www.samhsa.gov/


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!%"+O!%0 B#H% +O*%0 H#%0"H2U%0+"- F*% #3O*1 7@ont/d8

Ise of SAMHSA tools to im'ro#e 'ractices Models S-9, coalitions, S */ , S Cs, suicide

're#entionB 3merging science oral fluids testingB echnical Assistance AB ca'acit& traumaB

-artnershi's meaningful use( Medicaid < Medicare+ualit& measuresB

Ser#ices research as a''ro'riate

2;


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CO U!+C%"+O!S 4 #SS%

*nternal7 Communications o#ernance Council Consolidation of We$site >00 s ! sa#ing mone&

and increasing customer use and satisfaction

Social Media /e#ie of 'u$lications < materials

3:ternal7 -u$lic cam'aigns in 'artnershi' ithothers ! common messages, commona''roaches S - Act( What a Difference a 9riend Ma"es

2>


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*O0# OF B#H% +O*%0 H#%0"H +!

PUB0+C 0+F#ucson, 9ort Hood, Kirginia ech, /ed a"e, Colum$ine

Kiolence in school $oard and cit& council meetings, incourtrooms and go#ernment $uildings, on high school andcollege cam'uses, at sho''ing centers, in the or"'lace and

'laces of orshi'60 'ercent of 'eo'le ho e:'erience MH 'ro$lems and ?0

'ercent of 'eo'le ho e:'erience SA 'ro$lems 'ercei#e needfor treatment $ut do not recei#e care

Suicides are almost dou$le the num$er of homicidesAs man& 'eo'le need SA treatment as dia$etes, $ut onl& 1.6L# >4L recei#e care

SA and MH often misunderstood Discrimination

2?


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%!D %""+"UD#S: 3H%"

% #*+C%!S B#0+# # )0


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3H%" % #*+C%!S 1!O3

Americans ha#e general "no ledge of $asic firstaid $ut not ho to recogniNe M* or SA, or ho or

hen to get hel' for self or others Most "no uni#ersal sign for cho"ing( facial

e:'ressions of 'h&sical 'ain( and $asic terminolog& torecogniNe $lood and other 'h&sical s&m'toms ofillness and in ur&

Most "no $asic 9irst Aid and C-/ for 'h&sical healthcrisis

Most do not "no signs of suicide , addiction or

mental illness or hat to do

)1

C#*"% !" #S OF CH%! '


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C#*"%+!"+#S OF CH%! '(

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C#*"%+!"+#S OF CH%! ') ))


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S% HS% P*+!C+P0#S)4

www samhsa gov

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