In early November 2019, ��ͷ��app was honored to welcome Patrick Kennedy and Tom Insel, MD, as speakers at our All Leader Conference in Oakland, CA.

Our leadership staff were joined by a wonderful group of long-term ��ͷ��app customers, stakeholders, and family and consumer advocates, to think about the future of behavioral health — and how we can individually and collectively make our systems and services more powerful and empowering for the people we serve.

Our interactions with Patrick and Tom left us newly energized to rise to the challenge. We hope you feel the same way, too.

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Senator Richard Pan (D-Sacramento), far left, hosts a forum at the state capitol on february 28, 2018. .

On February 28, ��ͷ��app’s President and CEO, , presented at Mental Health Delivery: The Global Forefront, a forum hosted by Sen. Richard Pan (D-Sacramento) in partnership with the at the California state capitol. Anne’s presentation focused on system innovations that have been taken to scale in California as a result of MHSA and SB82 funding. In particular, she highlighted the success of Full Service Partnership programs (FSPs) and crisis programs which California counties have deployed in partnership with providers like ��ͷ��app.

“The goal of the briefing was both to educate and inspire,” . “With bold new leadership in key sectors of the mental health community, California stands at a pivotal juncture to transform and advance our own system of care. We believe there are lessons for our state in understanding how these innovators have succeeded in shifting the tide.”

In addition to Anne, the forum featured Dr. Roberto Mezzina, Director of the in Trieste, Italy; Dr. Nicole Sherren, Scientific Director of the in Canada; Dr. Pat McGorry, Executive Director of ; Dr. Anne Sullivan, Commissioner of the N.Y. State Office of Mental Health; Dr. Steven Adelsheim, Director of the ; and John Boyd, Chair of . In attendance were other state legislators, Senator Scott Wiener (D-San Francisco), District 6 Assemblyman Kevin Kiley, and Sacramento’s Mayor Darrell Steinberg.

Below is a brief summary of Anne’s presentation. You can view the entire forum video by , and download a copy of Anne’s presentation by .

Full Service Partnership (FSP) Programs

• Funded by the MHSA and tied to specific outcomes, FSPs have dramatically contributed to reductions in hospitalizations, incarcerations and homelessness statewide. Statewide, approximately 30,000 individuals per year have been able to make strides in their recovery due to services funded by the MHSA.

• Demonstrated success serving co-occurring and complex populations, including those with significant substance use and justice involvement.

• Represents an innovative model which was taken to scale because of state leadership.

“Pay for Success”

• ��ͷ��app is honored to run the nation's first Pay for Success behavioral healthcare program, located in Santa Clara County, CA.

• Introducing value-based performance measures into the behavioral health field

• Has more than paid for itself through positive outcomes; over $500k to date contributed to the system of care.

SB82 Investment in Mental Health Wellness

• Sponsored by Senate Pro Tem Darrell Steinberg, SB82 provided both capital and operating state funds to create comprehensive systems of crisis services using proven program models.

• These programs have been very successful reducing the need for emergency hospital care and discharging individuals back to their community setting.

• ��ͷ��app’s crisis residential and crisis stabilization programs in Riverside County are outstanding examples of how counties have deployed these funds creatively.

Anne Bakar, ��ͷ��app's President and CEO, presenting at the California Future Health Workforce Commission. .

��ͷ��app CEO Anne Bakar, speaking as a commissioner and advocate for mental health policy, recently presented some the efforts of the at a special forum hosted by the and . The forum explored the challenges facing California’s mental health workforce and innovative strategies for rethinking and adapting traditional models of care. In attendance were representatives for leading policymakers, health organizations, hospital systems, research institutes, government agencies, mental health providers, and advocacy groups.

In addition to Anne, the forum featured presentations from Darrel Steinberg, Steinberg Institute founder and Mayor of Sacramento; Dr. Patrick Courneya, Executive Vice President and Chief Medical Officer at Kaiser Permanente; Dr. Don Mordecai, National Leader for Mental and Behavioral Health at Kaiser Permanente; Joe Parks, M.D., Medical Director,; Karen Larsen, LMFT, Director, ; Beth Phoenix, RN, PhD, FAAN, Vice-Chair, Dept. of Community Health Systems, ; Susan Chapman, RN, PhD, FAAN, Professor, UCSF School of Nursing; David Liu,  Faculty Physician, ; Scott Zeller, M.D., Vice President, Acute Psychiatric Medicine, ; & Seth Thomas, M.D., Director of Quality and Performance, Vituity; and Glen Moriarty, CEO and Founder, .

As a commissioner, Anne communicated the key Workforce Commission strategies that are being recommended for behavioral health:

• Enhance behavioral health professions education
• Support educational/career pipeline for unlicensed staff
• Remove workforce licensing and technology barriers
• Advance models of integrated care

Anne advocated specifically for legislation regarding:

• Peer certification
• Continuing MHSA Workforce Education and Training (WET) funding
• Full scope of practice for nurse practitioners (NPs)

You can view the entire presentation by or scrolling through the slideshow to the above right. You can download the forum’s resources and agenda by .

By Anne Bakar, President & CEO

��ͷ��app’s new mission statement is moving us forward on many fronts: , , and . But it’s also intended to move us forward in the care of people with serious mental illness (SMI) and substance use issues.

At ��ͷ��app, we estimate that at least 75% of the people we serve have a serious mental illness and a co-occurring substance use issue.
 
At least 75%.
 
That means that at least 75% of our clients are trying to manage two very daunting recovery challenges. At least 75% are at risk of having their health compromised and their lives cut short. At least 75% may be facing shame, stigma, and punitive program rules that make it hard for them to be honest about their lives and get the help they need.
 
It’s unacceptable.
 
Our new mission statement reflects our focus not just on mental illness but on substance use as well.
 
We are focusing on bridging systems and closing gaps in care by training our staff about evidenced-based approaches to integrated care. This includes things like motivational interviewing and recognizing there are “stages of change” in substance use recovery: times when clients are ready to consider treatment for their addiction and times when they are not.
 
In addition to training staff about new tools and interventions, we are introducing Medication Assisted Treatment (MAT) to our practice. This is a vital intervention that we are well suited to provide as a professional organization with a wholly owned led by Dr. Jeff Gould. Consistent with this direction, we recently completed a pilot program on how detox could be accomplished through outpatient telemedicine.
 
In this month’s newsletter, you will learn more about how we are moving this aspect of our mission forward. You can read about our three-year SUDS plan, meet our new SUDS Director, and get more detail about these new approaches.
 
We hope you enjoy this preview, and we look forward to sharing our learning and growth.

By Anne Bakar, President & CEO

We hear so much about the need for integrated mental and physical healthcare these days, that we sometimes forget all the reasons why this is absolutely imperative for the wellness of individuals and communities.

It is not only the higher mortality rate among individuals with serious mental illness due to physical health issues that is cause for alarm. The concern is also rooted in the untreated mental illness that frequently underlies chronic health conditions such as diabetes, metabolic syndrome, obesity, pain management, and addictions.

At ��ͷ��app, our new mission statement is focused on building awareness of how these health problems overlap, as well as how we can treat them more effectively.

Historically, our recovery philosophy focused on helping those we serve to recover their hopes and dreams. And now, the language in our new mission statement speaks to engaging clients in recovering their “health, hopes and dreams,” a clear reference to the fact that recovery involves the whole person: body and mind.

We are operationalizing this new vision today primarily with an “education initiative” as our ��ͷ��app of Operations, says. Through e-training, we are educating our 3,200+ employees on the physical health conditions that are most common among our members, as well as providing tools to support healthy lifestyle changes.

This month’s newsletter provides detailed information about our education curriculum, along with some profiles of how our leaders are thinking about this new mission and direction. We hope you enjoy this preview, and we look forward to sharing our learning and growth.

Last month, we highlighted the ways we plan to enhance our focus on providing  services. This month, we continue our series with a deeper look into how we are expanding the scope of our services to include individuals with more complex needs.

By Anne Bakar, ��ͷ��app President & CEO

Over the past 30 years, ��ͷ��app has developed a specialized reputation for serving individuals with more serious and complex mental health needs. These are individuals that often come out of acute care settings or state hospitals, and have a hard time finding appropriate treatment in the community. These individuals frequently incur expensive system-wide costs due to repeated hospitalizations and/or incarcerations.

��ͷ��app has provided many successful interventions to serve individuals with complex needs through evidence-based Assertive Community Treatment (ACT) programs, and our Recovery-Centered Clinical System (RCCS). These service models have reduced system-wide costs and have helped thousands of individuals each year regain their sense of hope, acquire stable housing, reduce their substance use, and move forward towards their educational or vocational aspirations.

At the same time, our success in achieving these goals has been limited by our expertise in serving the whole person, whether their needs include justice involvement,
co-occurring substance use, developmental disabilities, or co-occurring physical health care problems. Our ongoing commitment to broaden our capacity to meet these needs is at the heart of our new mission statement when we reference engaging those with "complex needs."

This newsletter is specifically focused on justice-involved endeavors: How do we better serve individuals with serious and complex needs coming out of the criminal justice system?

We hope you enjoy hearing about some of our early work, and look forward to sharing our continued journey in this area of great national importance.  Please feel free to reach out to us and let us know your thoughts and ideas. 

Last month, . This month, we offer a deeper view into what it means to provide excellent and effective services.

By Anne Bakar, ��ͷ��app President & CEO

To be an excellent service organization, we have always focused on learning and growing our capabilities.

In particular, we continuously work to improve in three major areas:

• Providing excellent clinical quality,
• Delivering excellent services to our partners, and finally,
• Creating an environment that is a great place for employees to work.  

Although we measure our progress in these priority areas over time, with the additional focus on effectiveness we see the opportunity to be more systematic and rigorous in our approach.

This means delivering care that makes a measurable difference in people’s lives, and can be demonstrated with outcomes. Internally, we also recognize that data can be used operationally to make more informed decisions and improve practice.

While this is a long-term focus that will involve new technology and tools, there are specific ways we are working on excellence and effectiveness right now: from new program models, to new leadership, and more. This issue includes several of our latest efforts and we will continue to share more in the months ahead.

Please feel free to reach out to us and let us know your thoughts and ideas. We encourage and welcome your feedback.

By Anne Bakar, ��ͷ��app President and CEO

The past year, we made the important decision to review and refine our organizational mission, to reflect our future direction — and how we are meeting the changing needs of the clients, customers, and communities we serve.

We are happy to share our new mission statement with you today.

Here are some highlights of what's new and improved.

• Behavioral Health: We’re broadening our orientation beyond serious mental illness to include co-occurring substance use issues.

• Excellent & Effective: We’re focusing on outcomes and measurable results as well as striving for excellence.

• Complex Needs: We’re expanding our services to address the multi-faceted, complex needs of our clients including physical health issues, substance use education and treatment, intellectual disabilities, justice involvement, and a myriad of social needs that can impact a person’s stability and recovery.

• (Health) Hopes & Dreams: We’re actively moving toward whole person care, and explicitly recognizing that hopes and dreams are what motivate people.

We will share more detail about the changes it contains in the months to come. In the meantime, we welcome and encourage your thoughts on our mission. Please feel free to reach out and share your feedback.

On January 24, ��ͷ��app was thrilled and honored to attend Patrick J. Kennedy’s special presentation, .

��ͷ��app’s President and CEO, Anne Bakar, and ��ͷ��app of Development, Faith Richie, were honored to be invited to this galvanizing event.

Held in Washington, D.C. at , the event focused on creating and unifying a bold Frontier Plan to advance parity enforcement, early intervention and prevention, and an integrated system of care — and give Congressional members a guide on what they can do, regardless of their party, to address mental health and addiction issues, which are having profound impact on our nation and millions of individual people every single day.

“Patrick Kennedy is an inspiration and a visionary on so many levels,” said Anne Bakar. He is personally inspiring because of the powerful way he talks of his own recovery and the challenges he overcame to reclaim his life and his family.  However, like the Kennedys before him, he is a powerful political agent of change. He had powerful allies at the Forum from both sides of the aisle, including Senator John McCain and Congresswoman Nancy Pelosi. He also had a comprehensive guide for the 115th Congress regarding how we, as a nation, can provide the tools, treatment and support to transform the system and transform lives.”

Faith Richie said, “He’s an amazing reminder to all of us that in times of uncertainty, we have to double down, and recommit to our purpose. He shows us that it all starts with the individual and their personal story of recovery. From there, everything is possible. Our job is to respect the individual and do whatever we can to support that journey.”