MACMHB Governance and Leadership Development Program Public Policy

1
MACMHB Governance and Leadership Development
ProgramPublic Policy

• Presented by
• Kathleen Reynolds
• reynoldk_at_ewashtenaw.org

2
Learning Objectives

• Understand policy levels
• Understand the history of mental health policy
  and/or answer the question, How did we get to
  where we are today?
• Understand the role of the CMH Board in local
  policy setting
• Understand the interplay between how we view
  consumers, funding and policy setting

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Definition of Policy

• A policy is a statement or expression of a
  value in terms of an idealized future state of
  affairs.as broad, general statements that create
  a sense of common purpose
• Agency policy
• Local policy
• Societal Policy
• State
• National

4
Four Factors that Significantly Impact on Policy

• Political Idealism policy decision based on
  philosophy of proper role of government in
  society
• Political Pragmatism targeting of existing
  resources to increase effectiveness of treatment
  for specific disorders rather than large service
  delivery system
• Implementation Expertise skills and operations
  of the care providers
• Research Data Base studies and services research

5
Consumer Perspective
6
Services Available
7
Funding Mechanisms
8
Governance/Policy Setting
9
The 1950s
10
The 1960s
11
The 1970s
12
The 1980s
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The 1990s
14
The 2000s
15
Summary of Trends

• Cyclical Nature of policy
• The overall CMH system lags behind in
  implementing federal policy
• The Michigan system leads in creating policy
• Devolution of policy, planning and funding
• Increasing recognition of the role of consumer in
  their own treatment
• Use (or lack of use) of research within the
  system below federal level
• Lack of focus in commissions leads to lack of
  leadership, strategies and effective
  implementation
• Implication of loss of federal direction and
  planning as compared to FQHCs

16
The Future

• What does it mean that Boards set policy?
• How do you go about doing that locally?
• Where do you see for the future of
• The system
• Your CMH
• How can we influence that direction as individual
  boards, an association and as consumers?