Past Summit Proceedings 2010

A New Era in Behavioral Health: Charting the Course

The 2010 ACMHA Summit will be your navigational guide or GPS (Global Positioning “Summit”) for the shifting behavioral health landscape. Inform, inspire, innovate, and interface with other behavioral health leaders from across the nation to map the waypoints toward a successful future for public and private behavioral healthcare. The 2010 Summit emphasizes engagement, participation, and cultivation of ideas from ACMHA members and other behavioral health leaders in attendance. Essential information presented by informed, recognized speakers will be balanced with group dialogue, spirited discussions, and “course-charting” activities.

Both negative and positive forces are impacting the behavioral healthcare system. Among the negatives are our uncertain economy and rising healthcare costs; positive forces include gains in recovery-infused approaches, interdisciplinary collaboration, and use of innovative technologies for quality care. In combination, such forces influence behavioral health resources, business strategies, service delivery approaches, and most importantly, the well-being of consumers and families. Therefore, it is critical that behavioral health leaders are actively involved in planning for the future. The ACMHA Summit is your opportunity to take part in essential conversations and strategy development that will help the behavioral health field navigate through the potential impacts and adapt to a changing environment. But more than that, it is a potential direction-setting event with your participation essential!

Presentations

Handouts

ACMHA is pleased to make available a number of background reports/papers for Summit attendees. Participants are encouraged to review the materials provided in preparation for Summit discussions. All documents are posted here as PDFs for easy download, viewing, and printing. Questions about these materials should be directed to the ACMHA office.

Summit Faculty

Ron Finch, EdD, is Vice President of the national Business Group on Health and has responsibility for business development; the Institute on Health, Productivity, and Human Capital; the Pharmaceutical Council; and behavioral health projects. The Institute on Health, Productivity, and Human Capital develops and shares solutions aimed at improving employee health and productivity. It examines and supports the business relationship between population health, engagement and organizational performance. The Pharmaceutical Council is comprised of Business Group corporate members, pharmaceutical companies, and pharmacy benefit management companies and functions to provide sophisticated tools and products for developing effective and efficient medications. The Business Group develops mental health and substance abuse tools and products for employer use in health plans, disability management, employee assistance programs, and health and productivity management programs. These products focus on the mental health needs of employees and their families.

Prior to joining the Business Group, Dr. Finch was the director of health care and the hospital administrator at Mount Carmel Guild Special Hospital where he designed, implemented, and directed the delivery of behavioral health and addiction services to more than 6,000 indigent, psychiatric Medicaid and Medicare patients each year. Before that, he was employed at PricewaterhouseCoopers. There he developed a comprehensive national behavioral health care consulting practice that included approaches for development of clinical and administrative systems and structures, outcomes measurement systems, regulatory compliance and accreditation, staffing methodologies, and quality management.

Dr. Finch has also been corporate director of managed benefits and director of employee assistance program at BellSouth Corporation where he developed, implemented, and directed the activities of a managed medical, dental, pharmaceutical, mental health, and vision system for 350,000 BellSouth employees, retirees and beneficiaries. Dr. Finch holds a BS from Memphis State University (University of Memphis). He also holds a MS in counseling psychology from the University of Tennessee and a Doctorate in counseling and personnel services from Memphis State University.

Pamela S. Hyde, JD, is Administrator of the Substance Abuse and Mental Health Services Administration (SAMHSA), US Department of Health and Human Services. Ms. Hyde was nominated by President Barack Obama and confirmed by the US Senate in November 2009 as Administrator of SAMHSA, a public health agency within the Department of Health and Human Services.  The agency’s mission is to reduce the impact of substance abuse and mental illness on America’s communities. As Administrator, Ms. Hyde leads SAMHSA’s staff of approximately 550 public health professionals and manages a budget of approximately $3.5 billion dedicated towards efforts and policies advancing the health and wellbeing of the American people.

Ms. Hyde comes to SAMHSA with more than 30 years experience in management and consulting for public healthcare and human services agencies. She has served as a state mental health director, state human services director, city housing and human services director, as well as CEO of a private non-profit managed behavioral healthcare firm. In 2003 she was appointed cabinet secretary of the New Mexico Human Services Department by Gov. Bill Richardson, where she worked effectively to provide greater access to quality health services for everyone. Ms. Hyde received her JD from the University of Michigan Law School (1976) and her BA from Southwest Missouri State University (1972).

Charles S. Ingoglia, MS, is Vice President of Public Policy for the National Council for Community Behavioral Healthcare. In his current role, Mr. Ingoglia directs the federal and state affairs function of the non-profit trade association as well as its policy and technical assistance outreach to nearly 1,700 member organizations across the nation. He also oversees a number of quality improvement initiatives designed to increase the efficiency of community based behavioral health organizations, and to increase access and quality of care. Prior to joining the National Council, Mr. Ingoglia provided policy and program design guidance to the Center for Mental Health Services at the Substance Abuse and Mental Health Services Administration under the US Department of Health and Human Services. He is an active member of ACMHA: The College for Behavioral Health Leadership. He is a member of ACMHA: The College for Behavioral Health Leadership.

Dale A. Jarvis, CPA, is a Managing Consultant at MCPP Healthcare Consulting, a Seattle-based consulting firm, and a member of the National Council for Community Behavioral Healthcare’s Consulting Services.  Mr. Jarvis has extensive experience helping health plans and healthcare providers redesign their administrative, fiscal, and information systems.  He has contributed articles to books and publications and is a co-author of The Primary Care Performance Management System and How to Thrive in Managed Behavioral Healthcare.  Mr. Jarvis has been a certified public accountant in the State of Washington and a member of the American Institute of Certified Public Accountants since 1982.

Currently Mr. Jarvis is working with states and at the national level to develop a framework for aligning the public behavioral healthcare safety net system with general healthcare reform to ensure that the needs of persons with serious mental health and substance use disorders are addressed. Prior to consulting, Mr. Jarvis worked in senior financial management positions in healthcare and social services provider organizations in Washington and Michigan. He is a member of ACMHA: The College for Behavioral Health Leadership.

Ed Jones, PhD, is Executive Vice President of the Commercial Division for ValueOptions. The company covers 23 million lives nationally through a variety of direct contracts with employers, health plans, labor and trust groups, as well as state and county agencies. ValueOptions specializes in EAP services and care management for all mental health and chemical dependency diagnoses. The Commercial Division includes 16 million members and five service centers dedicated to ensuring the highest quality care and service for those members. Dr. Jones is also accountable for commercial sales and account management.

Dr. Jones has worked as both a provider of care and a business executive during his career. He worked as a private practice psychologist during the 1980s and honed his business management skills as co-owner/co-director of a multi-disciplinary group practice founded in 1991. This business grew and merged with another group so that by 1997 he was serving as Executive Director of Behavioral Health Network (BHN), an integrated group practice providing services for patients in a seven-county southern California region.

Dr. Jones then moved to PacifiCare Behavioral Health (PBH) where he served as Vice President and Chief Clinical Officer. During his nine years with PBH he was responsible for the development and implementation of clinical policies and procedures, the operation of all four PBH service centers, and provider network management. Dr. Jones represented PBH on the board of the American Managed Behavioral Healthcare Association (AMBHA), and he served as the chairman of this organization in 2004.

Dr. Jones is a featured speaker at many national and state conferences on behavioral health and outcomes management. He has authored several articles on subjects such as improving detection of suicide and substance abuse risk, as well as improving clinical outcomes in large systems of care. Currently a member of the editorial board of Behavioral Healthcare magazine, Dr. Jones holds a BA from Cornell University and a doctorate in clinical psychology from Northwestern University. He is a member of ACMHA: The College for Behavioral Health Leadership.

A. Thomas McLellan, PhD, was sworn in as the Deputy Director of the White House Office of National Drug Control Policy in August 2009. As Deputy Director, Dr. McLellan serves as the primary advisor to the Director on a broad range of drug control issues and assists in the formulation and implementation of the President's National Drug Control Strategy. Dr. McLellan brings 35 years of addiction treatment research to the position, most recently at the Treatment Research Institute, a non-profit organization that he co-founded in 1992 to transform the way science is used to understand substance abuse. Dr. McLellan's contributions to the advancement of substance abuse research and the application of these findings to treatment systems and public policy have changed the landscape of addiction science and improved the lives of countless Americans and their families.

In his career he has published over 400 articles and chapters on addiction research. From 2000-2009 he was editor-in-chief of the Journal of Substance Abuse Treatment, and he has also served on several other editorial boards of scientific journals. Dr. McLellan is the recipient of several distinguished awards including the Life Achievement Awards of the American and British Societies of Addiction Medicine (2001 & 2003); the Robert Wood Johnson Foundation Innovator Award (2005); and awards for Distinguished Contribution to Addiction Medicine from the Swedish (2002) and Italian (2002) Medical Associations. Dr. McLellan holds a BA from Colgate University and his MS and PhD from Bryn Mawr College. He received postgraduate training in psychology at Oxford University in England.

Kathleen Reynolds, MSW, ACSW, is Vice President for Health Integration and Wellness for the National Council for Community Behavioral Healthcare in Washington, DC. In that role Ms. Reynolds’ primary responsibility is to coordinate and run national and state learning communities/collaboratives that assist local organizations in the integration of behavioral health and primary care services. For the 13 years prior to her current position, her primary emphasis was on developing Integrated Health Care Models for Medicaid and indigent consumers.

During that time Ms. Reynolds served as the Director of the Washtenaw Community Health Organization (WCHO) and as an Adjunct Clinical Instructor in the University of Michigan Department of Psychiatry. The WCHO is an integrated health system that includes a Community Mental Health Services Program, a Substance Abuse Coordinating Agency, and primary health care capitation dollars for Medicaid and indigent consumers.

With over 30 years experience in the mental health and substance abuse field, Ms. Reynolds also serves as the lead consultant for the National Council of Community Behavioral Healthcare on integrated health issues. In that role she has provided consultation to over 100 programs in a number of states. In addition, Ms. Reynolds coordinates work with philanthropic organizations across the country and is currently linked with 10 foundations.

Ms. Reynolds graduated from the University of Michigan, School of Social Work in 1982. She has presented at numerous conferences and conventions on integrated health and is the author/co-author of numerous articles on integrated health. She co-authored a manual on implementing integrated care entitled Raising the Bar: Moving toward the Integration of Health Care a Manual for Providers. Raising the Bar is in its second edition and is used widely to implement integration between the public behavioral health system and primary care providers. She is a member of ACMHA: The College for Behavioral Health Leadership.

Wilma Townsend, MSW, is President of WLT Consulting, a firm that specialized in Mental Health Recovery, Consumer Involvement, and Cultural Competence. Ms. Townsend is a board member of the National Leadership Council for African American Behavioral Health, a past board member of ACMHA: The College for Behavioral Health Leadership, and founding member of the Multiethnic Advocates for Cultural Competence in Ohio.

Ms. Townsend is a recognized international consumer leader in the recovery movement. She has written two books in this area, Emerging Best Practices in Mental Health Recovery, Edition 1 and 2. Her most recent book (2006) is entitled Consumers in the Mental Health Workforce: A Handbook for Community Providers. She also has written numerous articles on the subject as well as the prologue and epilogue for Treatment Planning for Person-Centered Care, The Road to Mental Health and Addiction Recovery. Ms. Townsend also has been a member of SAMHSA work groups that developed National Standards on Cultural Competence and the national paper on Mental Health Recovery.

In her work with WLT Consulting, she has provided system and provider level consultation on transformation to a Recovery Focus System in Pennsylvania (especially Allegheny and Philadelphia counties), Utah, North Carolina, Hawaii, Ohio, and Guelph, Ontario, Canada. WLT Consulting has also established a Recovery Training Institute in which individuals – professionals and consumers – come to Atlanta to be trained in recovery topics. Her recovery work is with consumers, clinicians, and administrators. In addition, she is also a national leader on issues of cultural competence, helping many organizations make changes so that disparities in access to care are minimized and the quality of care received by people of color is enhanced. She is presently working with a number of counties in North Carolina, Pennsylvania, North Dakota, and New Mexico in this area as well has she integrates it into all of her recovery work.

Summit Facilitation Team

Colette Croze, MSW, is a private consultant specializing in public resource management, focusing on purchasing and design options for managed systems of care.  Her work has taken her across the country to numerous states and counties who have re-engineered public systems through the use of care management and risk arrangements with both public and private organizations. Recent consultations include work on incorporating population-based planning and process improvement into recovery-oriented service systems; analyzing effective strategies for reducing emergency department presentations and inpatient admissions; and using performance management to improve provider practices.  Ms. Croze has over 30 years’ experience in the public behavioral health system, working for county government and several states in senior management positions. Prior to beginning her private practice, she was Senior Consultant to the National Association of State Mental Health Program Directors (NASMHPD) where she advised states on aligning public mental health systems with Medicaid managed behavioral healthcare initiatives.  She is a member of the Board of Directors of ACMHA: The College for Behavioral Health Leadership.

Allen Daniels, EdD, is Vice President of Scientific Affairs for the Depression and Bipolar Support Alliance (DBSA). DBSA is the nation’s leading patient-directed organization focusing on depression and bipolar disorder. Dr. Daniels works with the organization’s scientific advisory board, comprised of the nation’s leading researchers and clinicians in the field of mood disorders. He is responsible for communicating a clear, scientific understanding of mental illnesses to the professional and scientific communities and the general public. Dr. Daniels was Professor of Clinical Psychiatry at the University of Cincinnati, College of Medicine and the Chief Executive Officer of Alliance Behavioral Care, a regional managed behavioral health care organization affiliated with the Department of Psychiatry at the University of Cincinnati. Dr. Daniels is widely recognized for his work on the Institute of Medicine’s (IOM) report, Improving the Quality of Health Care for Mental and Substance Use Conditions.  He has twice served as Chair of the Board of the American Managed Behavioral Healthcare Association (now Association for Behavioral Health and Wellness). He is active on a number of boards and professional organizations. Additionally, he has extensively published in the area of behavioral health policy including managed care and group practice operations, quality improvement and clinical outcomes, behavioral healthcare workforce development, and behavioral health and primary care integration. He also lectures and consults both nationally and internationally on these subjects. Dr. Daniels is a graduate of The University of Chicago School of Social Services Administration and The University of Cincinnati.

Richard H. Dougherty, PhD, is the CEO of DMA Health Strategies and has consulted with various businesses and government agencies on strategic planning, change management, and quality improvement over the past 25 years.  He is currently working on projects in Massachusetts, Detroit/Wayne County, New York, and Minnesota and also leading several major projects for SAMHSA.  He has written strategic recommendations for redesign options in Washington State, Montana, and New York, and is currently doing similar work in Detroit/Wayne County. Dr. Dougherty is a national leader in advocating the increased use of quality improvement collaboratives, performance benchmarking, disparities reduction and consumer directed care. In addition to his work at DMA, he is a co-founder and president of BasicNeeds US, a non-profit international organization supporting community mental health services in eight low and middle income countries. Prior to forming DMA in 1987, Dr. Dougherty was a Senior Manager at BDO/Seidman where he helped build a regional non-profit consulting practice. Prior positions include Manager of Finance and member of the Board of Directors of National Mentor, Inc. and Program Manager for the MA Department of Social Services, in charge of residential procurement.   Dr. Dougherty has an AB with honors from Colgate University, an AM in Social Service Administration from the University of Chicago, and a PhD in Applied Social Psychology from Boston University. 

Jeannette S. Harrison, MSPH, is a private consultant with over 30 years’ administrative experience in the public behavioral health care system.  Formerly with the Ohio Department of Mental Health as Chief of Community Systems Development and Training, Ms. Harrison now works with public and private health care organizations throughout the country in the areas of strategic planning, workforce development, academic collaborations, recovery, organizational management, and local system development.  Ms. Harrison has a MS in Public Health from the University of Massachusetts and is trained in several group process and facilitation methods. Ms. Harrison is a former Board Member and Membership Chair of ACMHA: The College for Behavioral Health Leadership and returns to the board as Secretary in April.

Gail P. Hutchings, MPA, is the founding President and CEO of the Behavioral Health Policy Collaborative, a private consulting firm based in Alexandria, VA, whose clients are public and private sector organizations dedicated to improving mental health and substance abuse systems, services, and outcomes. She is a nationally recognized expert on national- and state-level behavioral health policy and practices as well as effective technical assistance for a wide range of topics and issues. Ms. Hutchings is the former Chief of Staff of the Substance Abuse and Mental Health Services Administration (SAMHSA) and the past Deputy Executive Director of the National Association of State Mental Health Program Directors. She served as an Alternate Commissioner on the President’s New Freedom Commission on Mental Health and was the senior content editor and contributing writer to the Commission’s Final Report, Achieving the Promise: Transforming Mental Health Care in America. In 2007, Ms. Hutchings was appointed to SAMHSA’s Advisory Council on Women’s Services and was recently appointed as a Foundation Associate in the Women Business Leaders of the US Healthcare Industry Foundation. She is a published author of several journal articles and book chapters on mental health and behavioral health issues. Ms. Hutchings is a former Board Member and Summit Chair of ACMHA: The College for Behavioral Health Leadership. Ms. Hutchings holds a Master’s Degree in Public Administration with a concentration in public management from the State University of New York at Albany.

John Morris, MSW, is an Independent Consultant with the Technical Assistance Collaborative, Inc., a national not-for-profit consulting group based in Boston, MA.  He is also Executive Director of the Annapolis Coalition on the Behavioral Health Workforce which provides leadership and technical assistance on workforce development nationally. He is currently Chair of the Board of Directors of Mental Health America. In 2009, Mental Health America’s South Carolina affiliate recognized him with its Distinguished Service Award. Mr. Morris is a past president of ACMHA: The College for Behavioral Health Leadership and the ACMHA Foundation, and in 2006 he was awarded the Saul Feldman Lifetime Achievement Award, ACMHA’s highest honor. He is a member of the National Advisory Council to the Georgetown University Technical Assistance Center for Children’s Mental Health and the National Leadership Forum on Mental Health and Criminal Justice. He was a member of the Mental Health Policy Research Network of the John D. and Catherine T. MacArthur Foundation from 2004 until its end in 2009. He is currently a consultant and member of the National Resource Bank for the MacArthur Foundation’s multi-site Models for Change juvenile justice reform project. Mr. Morris retired in 2007 as Professor and Director of Health Policy Studies in the Department of Neuropsychiatry and Behavioral Sciences at the University of South Carolina School of Medicine. He retains an appointment as Clinical Professor of Psychiatry.  Prior to joining the University, he spent more than 25 years in the public behavioral health field as a clinician, administrator, researcher, and educator.  A graduate of St. Mary’s Seminary and University in Baltimore, he graduated from the George Warren Brown School of Social Work at Washington University in St. Louis. Mr. Morris is an established author and respected editor in the field