Where the Heck are We Going?: Prevention's Emerging Road Map - PowerPoint PPT Presentation

1 / 28
About This Presentation
Title:

Where the Heck are We Going?: Prevention's Emerging Road Map

Description:

... (infants begin to understand own/others emotions, to regulate ... skills, and expertise of the prevention workforce to implement the SPF and related ... – PowerPoint PPT presentation

Number of Views:48
Avg rating:3.0/5.0
Slides: 29
Provided by: Estrad3
Category:

less

Transcript and Presenter's Notes

Title: Where the Heck are We Going?: Prevention's Emerging Road Map


1
Where the Heck are We Going? Prevention's
Emerging Road Map
  • Carlos A. O. Pavao, MPA
  • Southeast Regional CAPT
  • October 7, 2011

2
What is the Purpose of the CAPT?
To strengthen the capacity of States, Tribes,
Jurisdictions, and other CSAP grantees. To
strengthen the knowledge, skills, and expertise
of the prevention workforce to implement the SPF
and related accountability systems for measuring
performance
3
An Integrated CAPT System
  • The CAPT combines centralized core capacity to
    ensure overall program direction, management
    efficiency, and consistency with a decentralized
    regional network systemRegional Resource
    Teamslocated in each of the five National
    Prevention Network regions.

4
CAPT Regions
NE
WA
WA
CENTRAL
ME
ME
ND
MT
MN
VT
NH
WI
OR
NY
MA
Northern Mariana Islands
SD
ID
RI
MI
MI
CT
WY
WY
PA
IA
NJ
DE
IN
NV
OH
NV
IL
IL
NE
Guam
UT
UT
MD
WV
WV
Marshall Islands
CA
District of Columbia
CO
VA
CO
KS
KY
KY
MO
MO
NC
Palau
TN
TN
AZ
AZ
OK
SC
NM
NM
AR
SE
AL
GA
MS
Micronesia
Puerto Rico
TX
TX
LA
LA
Hawaii
FL
FL
American Samoa
WEST
US Virgin Islands
SW
Designates tribal grantee
5
SAMHSAs Strategic Prevention Framework
6
Learning Objectives
  • As a result of participating in this workshop
    participants will be able to
  • Outline the key concepts of the Institute of
    Medicine's report, Preventing Mental, Emotional
    and Behavioral Disorders Among Young People, and
    its implications for prevention practice.
  • Describe the eight SAMHSA Strategic Initiatives,
    their prevention implications, and their
    relationship to prevention of substance abuse

7
Learning Objectives (contd)
  • As a result of participating in this workshop
    participants will be able to
  • Provide a brief description/overview of
    Affordable Care Act and its implications for
    prevention

8
2009 Institute of Medicine Report
9
2009 Institute of Medicine Report
  • Scope of Prevention redefined (include health
    promotion)
  • MEB (mental, emotional, and behavioral disorders)
    encompasses mental illness, substance abuse and
    associated problems and behaviors
  • Neuroscience and Prevention Collaborations (the
    testing of hypotheses across disciplines)
  • Collaboration Across Agencies (opportunities for
    cross-disciplinary and multi-agency research to
    streamline funding and reflect a comprehensive
    developmental approach)

10
2009 Institute of Medicine Report
  • Focus on Implementation and Dissemination (moved
    from efficacy to effectiveness trials and studies
    of implementation approaches)
  • Community Relevance (develop partnerships to
    evaluate interventions).
  • Inclusion of analysis of costs and cost
    effectiveness/cost benefit

11
Prevention of Mental, Emotional, and Behavioral
(MEB) Disorders/Problems
  • MEB includes DSM-IV diagnosable mental illness
    and substance abuse and problems associated with
    them (such as violence, aggression, and
    antisocial behavior).
  • More than ½ of adults reporting MEB disorders
    during their lifetime report onset occurred in
    childhood or adolescence.
  • 14-20 of young people report with MEB disorders
    in any given year

12
Prevention - Interventions that occur prior to
the onset of a disorder that are intended to
prevent or reduce risk for the disorder.
13
SAMHSAs Strategic Initiatives
http//store.samhsa.gov/shin/content//SMA11-4629/0
1-FullDocument.pdf
14
SAMHSAs Strategic Initiatives
  • Prevention of Substance Abuse and Mental Illness
  • Trauma and Justice
  • Military Families
  • Recovery Support
  • Health Reform
  • Health Information Technology
  • Data, Outcomes, and Quality
  • Public Awareness and Support

Leading Change A Plan for SAMHSAs Roles and
Actions 2011-2014 http//store.samhsa.gov/shin/con
tent//SMA11-4629/01-FullDocument.pdf
15
SAMHSAs SSIs
  • Align with HHS Strategic Plan
  • (1) improving the Nations behavioral health,
  • (2) transform health care in America, and
  • (3) achieve excellence in operations.
  • Public Health Approach (population level -
    achieve nationwide improvements in health)

16
SAMHSAs SSIs continued
  • Accountability - Evidence Based (improve
    practices / demonstrate change - reduce the
    impact of mental and substance use disorders on
    Americas communities)
  • Diversity - address the disparities in access,
    quality, and outcomes of care for vulnerable
    populations that historically have been
    underserved or inappropriately served.

17
SAMHSAs SSIs
  • http//store.samhsa.gov/shin/content//SMA11-4629/0
    1-FullDocument.pdf

18
Affordable Care Act
  • Signed March 23, 2010
  • The Affordable Care Act (ACA) expands coverage of
    preventive services both within private health
    insurance plans and within Medicare and Medicaid,
    so more people can benefit from these services.

19
Preventive Services What's Covered Under the
Affordable Care Act?
  • As of September 23, 2010, the health reform law
    requires new private health insurance plans to
    fully cover the costs of 45 recommended
    preventive services.
  • As of January 1, 2011, the new law will also
    require coverage for a new annual wellness visit
    under Medicare and eliminates cost sharing for
    recommended preventive services covered by
    Medicare.
  • Additionally, the new law gives state Medicaid
    programs financial incentives to cover preventive
    services for adults and supports initiatives to
    improve public understanding of the benefits of
    lifetime preventive services.

20
Opening New Doors
  • What does all this mean for prevention?

21
What does this mean forSubstance Abuse
Prevention (SSI)
  • Need to develop a behavioral health workforce
    focused on the prevention of substance abuse and
    mental illness and the promotion of health and
    wellness.
  • Need for all to adopt evidence-based practices
    deliver health education related to prevention.
  • Build capacity to support the development of
    Prevention Prepared Communities (PPCs)

22
What does this mean for Substance Abuse
Prevention?
  • How can we position ourselves to take advantage
    of the opportunities presented by the Affordable
    Care Act and the growing evidence base behind
    prevention?
  • Affordable Care Act is also putting a heavy
    focus on prevention and promotion activitiesat
    the community, State, Territorial, and Tribal
    levels. What opportunities might this open for
    those of us at the state and local levels?

23
Major Trends We can Prepare for
  • Health Care Reform (Selective and Indicated
    Interventions)
  • Reduced Resources (Funding)
  • Linkages to Primary Care
  • Medical Home Model of Service Delivery
  • Electronic Records
  • Fee for Service Delivery System/Client Pays

24
Major Trends (contd)
  • Focus on Behavioral Health Care
  • Prevention Across All Behavioral Issues
  • Recovery Oriented Systems of Care (Completing the
    Circle of Care)
  • Systems Linkages by Necessity

25
Resources Must Read
26
Resources Continued
27
Resources Continued
1994 IOM Report
28
For more information
Carlos A. O. Pavão, MPA SAMHSA CSAP's Southeast
Region CAPT 160 Clairemont Avenue, Suite
200 Decatur, GA 30030 Tel 678-954-5823 Email
cpavao_at_edc.org
Write a Comment
User Comments (0)
About PowerShow.com