COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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All organizations signing this memorandum of understanding agree to work on the action steps listed in this section over the next year in order to support the implementation of a welcoming system for individuals with co-occurring disorders. Stakeholders from the three regions of the department have identified the priority issues that they believe need to be addressed first as they plan for and implement a welcoming system for individuals with co-occurring disorders in their region. In the first year of implementation, all participating organizations agree to the tackle the following statewide priority issues: 1. Make sure the system is welcoming (with no wrong doors) for adolescents and adults with co-occurring disorders, through a process of examining resources and identifying service needs within the continuum of care to improve system integration. 2. Identify and advocate for removing barriers to access to and engagement in services for adolescents and adults with co-occurring disorders, particularly crisis, case management, and, in those areas where they currently exist, Assertive Community Treatment (ACT) Team services. 3. Assign staff to contribute to the development of regulations indicating how Medicaid funds for either mental health or substance abuse services can be used flexibly to reimburse services for individuals with co-occurring disorders. 4. Assign staff to comment on the content of, and contribute to the adoption of, proposed new licensing regulations for the provision of welcoming, accessible, integrated services for adolescents and adults with co-occurring disorders. 5. Develop regional training steps that will facilitate intra/inter-agency coordination to enable substance abuse and mental health agencies to provide services that are, at minimum, dual diagnosis capable and, in some instances, dual diagnosis enhanced. F. State Government Action Planning Over the next year, the department agrees to carry out the action planning steps listed in this section in order to support the implementation of a welcoming system for individuals with cooccurring disorders. 1. The department will review all of its initiatives, including requests for proposals, and ensure their alignment with all sections of the memorandum of understanding. 2. To support the statewide priorities identified in Sections E-1 and E-2, the department will move toward the collection of co-occurring disorders data for all the relevant services that it funds by: a) Reviewing the Enterprise Information System for its compatibility with data collection by the Office of Substance Abuse, with the aim of developing an infrastructure to support the collection of co-occurring disorders data; and b) Determining what data should be collected through grants and contract reporting and an infrastructure to support the collection of this data. 3. To support the statewide priority identified in Section E-3, the department will convene a group representing providers, consumers, and family members to work toward the adoption of regulations that indicate how Medicaid funds for either mental health or substance abuse services may be used flexibly to reimburse services for individuals with co-occurring disorders. 4. To support the statewide priorities identified in Sections E-1, E-2, and E-3, the department will advocate for funding parity by all mental health and substance abuse funding sources. 5. To support the statewide priority identified in Section E-4, the department will engage Page 3

participating organizations in the promulgation of licensing regulations for the provision of welcoming, accessible, integrated services for adolescents and adults with co-occurring disorders. 6. To support the statewide priority identified in Section E-5, the department will develop clinical pathways and ways to support co-occurring mental health and substance abuse professional competencies. 7. To support all five statewide priorities identified in Section E, the department will: a) Streamline documentation and paperwork requirements related to services for individuals with co-occurring disorders; and b) Provide technical assistance to participating organizations participating as they develop and implement policies and protocols to support a welcoming system of services for individuals with co-occurring disorders. G. Region I Action Planning Over the next year, the participating organizations located in BDS Region I agree to address the issues and implement the action steps listed in this section as they plan for and implement a welcoming system in their region. 1. Region I organizations will carry out the following action planning steps to implement the statewide welcoming priority stated in Section E-1: a) Adopt this memorandum of understanding as the guiding principles of the co-occurring disorders initiative. Circulate the approved memorandum of understanding to all staff, and provide training to all staff regarding the principles and the CCISC approach. b) Develop and implement screening protocols for co-occurring mental health and substance use disorders. c) Participate in regional planning for the collection of a minimal data set that is compatible with state-wide data collection planning on mental health, substance abuse and co-occurring disorders in the individuals they serve. d) Participate in a self-survey of their organization or department using the COMPASS annually to evaluate the current status of dual diagnosis capability. e) Each agency will develop an action plan that addresses co-occurring capacity and share action plan with other regional agencies participating in the initiative and with other stakeholders as appropriate. 2. Region I organizations will carry out the following action planning steps to implement the statewide barrier removal priority stated in Section E-2. a) Create an integrated planning process in Region I that will include current planning groups. b) Participate in regional meetings hosted by the Co-Occurring Collaborative of Southern Maine to identify barriers and gaps and plan for the expanded access in crisis services including emergency rooms, case management, outpatient services, residential services and ACT teams for individuals with co-occurring mental health and substance use disorders. c) Agencies and the department will develop plans to incorporate consumer and family stakeholder co-occurring voice in the planning and delivery of crisis, case management, and ACT team services and appropriate peer recovery activities. Page 4

participating organizations in the promulgation of licensing regulations for the provision of<br />

welcoming, accessible, integrated services for adolescents and adults with co-occurring<br />

disorders.<br />

6. To support the statewide priority identified in Section E-5, the department will develop<br />

clinical pathways and ways to support co-occurring mental health and substance abuse<br />

professional competencies.<br />

7. To support all five statewide priorities identified in Section E, the department will:<br />

a) Streamline documentation and paperwork requirements related to services for<br />

individuals with co-occurring disorders; and<br />

b) Provide technical assistance to participating organizations participating as they develop<br />

and implement policies and protocols to support a welcoming system of services for<br />

individuals with co-occurring disorders.<br />

G. Region I Action Planning<br />

Over the next year, the participating organizations located in BDS Region I agree to address<br />

the issues and implement the action steps listed in this section as they plan for and implement<br />

a welcoming system in their region.<br />

1. Region I organizations will carry out the following action planning steps to implement the<br />

statewide welcoming priority stated in Section E-1:<br />

a) Adopt this memorandum of understanding as the guiding principles of the co-occurring<br />

disorders initiative. Circulate the approved memorandum of understanding to all staff,<br />

and provide training to all staff regarding the principles and the CCISC approach.<br />

b) Develop and implement screening protocols for co-occurring mental health and<br />

substance use disorders.<br />

c) Participate in regional planning for the collection of a minimal data set that is<br />

compatible with state-wide data collection planning on mental health, substance abuse<br />

and co-occurring disorders in the individuals they serve.<br />

d) Participate in a self-survey of their organization or department using the COMPASS<br />

annually to evaluate the current status of dual diagnosis capability.<br />

e) Each agency will develop an action plan that addresses co-occurring capacity and share<br />

action plan with other regional agencies participating in the initiative and with other<br />

stakeholders as appropriate.<br />

2. Region I organizations will carry out the following action planning steps to implement the<br />

statewide barrier removal priority stated in Section E-2.<br />

a) Create an integrated planning process in Region I that will include current planning<br />

groups.<br />

b) Participate in regional meetings hosted by the Co-Occurring Collaborative of Southern<br />

Maine to identify barriers and gaps and plan for the expanded access in crisis services<br />

including emergency rooms, case management, outpatient services, residential services<br />

and ACT teams for individuals with co-occurring mental health and substance use<br />

disorders.<br />

c) Agencies and the department will develop plans to incorporate consumer and family<br />

stakeholder co-occurring voice in the planning and delivery of crisis, case management,<br />

and ACT team services and appropriate peer recovery activities.<br />

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