In a transformed mental health system, all Americans will share equally in the best available servic

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In a transformed mental health system, all
Americans will share equally in the best
available services and outcomes, regardless of
race, gender, ethnicity, or geographic location.
New Freedom Commission on Mental Health
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Transforming Mental Health Care for AA/PI
Communities
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Asian American/Pacific Islander (AA/PI)
Communities in the United States

• Rapidly growing
• Diverse
• Wide range of strengths and risk factors
• Unique mental health needs 

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Transforming Mental Health Care for AA/PI
Communities
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Mental Health Challenges in AA/PI Communities

• Lack of accurate data about mental health needs
• Shortage of trained, bilingual personnel who can
  provide culturally competent services
• The need to identify, design, and implement
  successful intervention strategies
• The need to address the issue of stigma and shame
  

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Transforming Mental Health Care for AA/PI
Communities
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Culturally Competent Mental Health Services Are
a Public Health Priority 
from Mental Health Culture, Race, and Ethnicity
Supplement to Mental Health A Report of the
Surgeon General, 2001
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Achieving the Promise
Transforming Mental Health Care in America

• Mental health services must actively facilitate
  recovery
• A call for system transformation
• The goal Hope for a full life in the community
• Services and supports are consumer/child/family
  centered
• Focus of care must increase illness
  self-management and build resilience

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Transformation Goals
Goal 1 Americans understand that mental health
is essential to overall health. Goal 2 Mental
health care is consumer and family driven. Goal 3
Disparities in mental health services are
eliminated. Goal 4 Early mental health
screening, assessment, and referral to services
are common practice. Goal 5 Excellent mental
health care is delivered and research is
accelerated. Goal 6 Technology is used to
access mental health care and information.
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Transforming Mental Health Care for AA/PI
Communities
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Goal 3  Disparities in Mental Health Services are
Eliminated
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Transforming Mental Health Care for AA/PI
Communities
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To Transform the Mental Health System, We Need
Leaders and Partners in

• Housing
• Criminal Justice
• Health
• Juvenile Services
• Labor
• Education
• Veterans Affairs
• Medicaid/Medicare

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Transforming Mental Health Care for AA/PI
Communities
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Federal Partners
Department of Health and Human
Services AoA NIH/NIDA ACF NIH/NIMH
AHRQ HHS/OS CDC - ASPE CMS - OCR
HRSA - OD IHS - OPHS SAMHSA
Other Partners Department of Agriculture Departmen
t of Education Department of Defense Department
of Housing and Urban Development Department of
Justice Department of Labor Department of
Transportation Department of Veterans Affairs
Social Security Administration
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Transforming Mental Health Care for AA/PI
Communities
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The Federal Action AgendaFundamentally Altering
the Mental Health System

• Provides a model and promotes shared
  responsibility for change at the State and local
  levels
• Features the five principles around which the New
  Freedom Commission on Mental Health framed its
  vision cross walked with the NFCs six goals
• Describes the state of success for each
  principle
• Highlights current activities and proposes Year-1
  action steps for each principle

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First Federal Action Steps

• Respond to refugees mental health needs 
• Include eliminating disparities in mental health
  services as part of the Close the Gap
  Initiative
• Initiate a project to examine cultural competence
  in behavioral health care education and training
  programs
• Review standards and set guidelines for
  culturally competent care
• Create a National Strategic Workforce Development
  Plan to reduce mental health disparities
• Advance efforts to integrate mental health and
  primary care services for racial and ethnic
  minorities
• Conduct research to reduce mental health
  disparities

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Transforming Mental Health Care for AA/PI
Communities
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The SAMHSA/CMHS Response  2005 Priorities for
Transformation

• Mental Health Transformation State Incentive
  Grants
• Transformation Action Initiative
• Comprehensive State Mental Health Plans
• Individualized Plans of Care
• Transformational Leadership
• Workforce Development
• Elimination of Disparities
• Science to Services Initiative

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Transforming Mental Health Care for AA/PI
Communities
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Workforce Development
Vision
An ethnically and racially diverse workforce,
including consumers as staff, will be trained and
supported in evidence-based practices. This
workforce will respond to and help shape a mental
health policy and practice environment that
supports recovery.
FY 2005 Proposed Activities

• Develop a draft National Strategic Plan with
  consumers and key constituents
• Provide technical assistance to the field
• Develop toolkits for field use and to monitor
  progress and evaluate success

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Transforming Mental Health Care for AA/PI
Communities
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Disparities Reduction/Elimination
Vision
Providers will become more effective in working
with communities of color so that these
communities will no longer be underserved.
FY 2005 Proposed Activities

• National Strategic Plan on the elimination of
  disparities
• Workforce training curricula evaluation
• Workforce development task force
• Cultural competence standards and guidelines
• Behavioral health care training program
  assessment
• Public education program description
• Evidence-based practice adaptation and
  implementation

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Transforming Mental Health Care for AA/PI
Communities
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Strategic Transformational Leadership
Vision
Effective behavioral health care leadership will
be developed at the State and local levels. CMHS
will build and sustain this leadership by
developing a support model that moves away from
the train and hope approach.
FY 2005 Proposed Activities

• Educate individuals and groups in leadership
  theory and techniques
• Maintain the network of leaders to ensure
  continuity of support for sustaining systems
  change
• Provide access to a wide range of current
  leadership curricula from programs such as
  Harvard, the Center for Creative Leadership, and
  the Office of Personnel Management
• Develop consumer leadership at all levels

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Transforming Mental Health Care for AA/PI
Communities
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Essentials for Transformation

• A willingness to risk and a readiness for change
• A strong commitment to transformation by
  leadership with the authority to convene partners
  and hold them accountable for their performance
• Senior-level administrators willing to invest
  time and resources to transform systems
• A dynamic, practical, and visionary leader
• Meaningful consumer and family participation
• A commitment to cultural competence and to
  eliminating disparities
• Plans to sustain the transformed infrastructure

Transforming Mental Health Care for AA/PI
Communities
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Mental Health System Transformation
Share with us your vision of the change you would
like to seeand then be that change.
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