Mental Health: Systems Transformation

VIRGINIA

Grant Information


Name of Grantee

Virginia Department of Mental Health, Mental Retardation and Substance Abuse Services

Title of Grant

Transforming Virginia's Mental Health Services System

Type of Grant

Mental Health: Systems Transformation

Amount of Grant

$300,000

Year Original Funding Received

2004

Contact Information


James M. Martinez, Jr., Director
Office of Mental Health
1220 Bank Street, 10th Floor
Richmond, VA 23219
804-371-0767
jim.martinez@co.dmhmrsas.virginia.gov

Subcontractor(s)

Virginia Organization of Consumers Asserting Leadership (VOCAL)
Mental Health Association of Virginia

Target Population(s)


Adults with serious mental illness.

Goals


  • Assure the State's mental health system transformation and restructuring are based on principles of self-determination, recovery, and empowerment.
  • Align the State's existing Medicaid Rehabilitation Option mental health services with the evidence-based practices of Assertive Community Treatment (ACT), Illness Management and Recovery (IMR), and Supported Employment (SE) to the maximum extent possible.
  • Maximize opportunities for peer specialists and consumer-operated programs to provide Medicaid reimbursable services and evidence-based practices, including a potential new adult peer support Medicaid service.

Activities


  • Develop and implement an advanced consumer empowerment and leadership training (CELT) academy.
  • Develop a recovery Web site within the Department of Mental Health, Mental Retardation and Substance Abuse Services (DMHMRSAS) and Virginia Organization of Consumers Asserting Leadership (VOCAL) housing resources to educate stakeholders.
  • Conduct surveys to evaluate the recovery orientation of mental health providers and staff.
  • Provide training and technical assistance to community mental health staff, peer specialists, and other stakeholders on Medicaid reimbursement that supports the State's Programs for Assertive Community Treatment (PACT) expansion.
  • Review and analyze federal and state regulations pertaining to vocational and employment services.
  • Resolve inconsistencies, gaps, and potential barriers between the state's evidence-based practices of IMR and SE implementation toolkits and existing funding streams.
  • Provide training to mental health and vocational rehabilitation partners, including consumers and other stakeholders, on the evidence-based practices of IMR and SE.
  • Identify national models and state-specific information about peer specialist and consumer-operated programs, and their roles in the delivery of community mental health services.
  • Resolve inconsistencies, gaps, and barriers to peer support and identify opportunities to provide peer specialist and consumer-operated programs in the state's existing Medicaid Rehabilitation Option community mental health services and evidence-based practices.

Abstract


The Virginia DMHMRSAS will use the grant project to strengthen the capacity of the State's mental health services system to provide integrated community services that embody self-determination, recovery, and empowerment. The project will focus on consensus and partnership building with multiple stakeholders and constituencies to develop (1) state-specific models of illness management and recovery and supported employment; (2) regulatory analysis and agency funding streams that will support programs on assertive community treatment, illness management and recovery, and supported employment services; (3) provider training, consultation, and technical assistance; and (4) process evaluation of project implementation.

Project activities are intended to increase the number of mental health consumers who assume policy, planning, evaluation, and leadership functions and roles at Community Services Boards and in mental health system transformation activities; provide Community Mental Rehabilitative Services (CMHRS) that include relevant components of IMR and SE; and are better able to access recovery-oriented and personalized supports leading to competitive employment and independence. The State estimates that approximately $5 to $10 million of existing CMHRS Medicaid reimbursement will ultimately be redirected to support more effective and efficient recovery-oriented community mental health services and supports.

Grant activities were developed collaboratively with consumers and are responsive to numerous recommendations in the President's New Freedom Commission on Mental Health Report and Virginia's One Community, the Olmstead Task Force Report.