The Mental Health Association in Michigan

is the only statewide, non-governmental agency concerned with the broad spectrum of mental illness across all age groups.

October 4, 2016

Calley Workgroup (Budget Sec. 298) Design Element Recommendations, Oct. ‘16

{NOTE: All Calley Workgroup recommendations required a two-thirds super-majority to be adopted. Virtually all of the items below received far more than two-thirds support. The total number of Design Element recommendations approached 30. However, a number of these dealt with similar issues and used duplicative language. Additionally, there were five separately stated person-centered planning recommendations. By combining those five into one, and by eliminating duplicative language when and where it appeared, the number of design elements has been narrowed to 17 for the list provided here.}

  1. Carve in physical health services to the CMHSPs for persons with behavioral health and physical health care needs.
  1. Have an independent, state-level entity for all grievances, appeals, and rights complaints of CMHSP and Medicaid Health Plan (Medicaid HMO) service applicants/recipients.
  1. Retain state administration of all Medicaid mental health and epilepsy drugs.
  1. Streamline administrative requirements, reduce paperwork, and provide uniform related training.
  1. Evaluate the efficacy of multi-tier administration & oversight in the CMH system (i.e., state, PIHPs, intermediate managers, local administrators) toward improving access and meeting needs.
  1. Develop uniform administrative, service, and other policies, procedures, and operational definitions for the entire public behavioral health system.
  1. Ensure efficiencies and savings are re-invested in service delivery; maximize available community resources toward efficiencies (e.g., learning to cook through a community college rather than a paid nutritionist)
  1. Include geographic, consumer, and provider representation to ensure public oversight is tied to local communities.
  1. Integrate at the level of the person (deliver services when/where needed and provide care coordination)
  1. Recruit and retain a high-quality workforce; certify and adequately compensate  direct care staff.
  1. Elevate peer supports and peer voices as a core element to be included in all service delivery options.
  1. Offer individualized, person-centered planning and coordinated supports for all consumers; assure person-centered planning is done with integrity; and educate professionals re people-first language, person-centered planning principles, and trauma-informed care.
  1. Within confines of privacy protections, require all providers to coordinate care with other providers, regardless of the health system or who is paying for services; coordinate whole-person care (behavioral and other medical) through local and rapid access to all levels of care, consistent with parity and utilizing standardized release forms, shared electronic records, and telehealth.
  1. Increase scope and availability of SUD services to all persons at all sites.
  1. Increase early intervention (pre-crisis) services for adolescents.
  1. Increase and incentivize outcome-based service delivery models rather than encounter-driven ones.
  1. Standardize behavioral health screening, assessment, and treatment in primary care.