February 23, 2023

Gov Budget Proposes More Mental Health Beds; Advocates Say They Need More Staff First

Supporting New Yorkers' mental health has become a big topic of conversation, and getting bi-partisan support at the capitol. The governor's budget proposed upwards of $30 million for more mental health beds; and 150 new adult beds in state operated psychiatric hospitals. Those proposals are the largest expansion of mental health facilities in decades for New York state in decades.

“In general NAMI NYS was happy with the governor's budget, especially with the investments in restoring the beds that were cut during COVID,” said Mary Bartlett, NAMI New York State Board of Directors President. “Unfortunately, even before COVID there were not enough hospital beds for the needs of New Yorkers." Read more here.

Related: New York Sen. Samra Brouk says the mental health budget should focus on workforce

US Plans to Allow Medicaid for Drug Treatment in Prisons

The federal government is planning to allow states to use Medicaid funds to provide drugs to combat addiction and other medical services for people at state jails and prisons in an effort to help some of those most at risk of dying in the nation’s overdose epidemic.

Dr. Rahul Gupta, director of the White House Office of National Drug Control Policy, announced Tuesday that states would be encouraged to submit proposals for how to use money from the joint federal-state low-income health insurance program for incarcerated people. Those that do would be required to provide mental health and drug treatment and would have the option to add some other services. Read more here.

HANYS: The Scope of Complex Case Discharge Delays in New York State

Hospitals across the country have reported an alarming rise in patients who become caught in limbo in emergency departments and inpatient units for weeks, months and even years after they are medically ready for discharge. These delays most often occur due to a lack of care options, the inability to pay for post-discharge care and/or administrative gridlock. Complex case discharge delays are devastating for patients, exacerbate bed shortages and result in enormous, unnecessary costs. To learn more about the scope of complex case discharge delays in New York, HANYS conducted a three-month data collection pilot in 2022 with hospitals statewide. The scope of complex case discharge delays in New York state includes a summary of the pilot findings and a framework to focus solutions. Read more here.

Inside the Medical Examiner’s Office, Where Opioids Fuel Surge in Deaths

In the operations center of the Office of the Chief Medical Examiner on a recent Wednesday, a large dashboard showed that 39 people had died unexpectedly across the city — at home, or accidentally, or violently — over the last 24 hours. That was more than on Sunday, but fewer than the 45 deaths on Monday, almost always the office’s busiest day of the week. Four years ago, numbers that high would have been a disturbing aberration in the city’s regular pulse of life and death. Today, they are the “new normal,” says Dr. Jason Graham, New York City’s chief medical examiner. Read more here.

Health Care Policy In 2023: Five Areas To Watch

The 2022 election proved once again that the United States is a divided nation. With a new Congress with very narrow margins of victory, the rule of the day is a divided government. While one could assume that little will be accomplished in the absence of a strong majority, there are a host of health care issues with bipartisan backing. With both parties needing to show wins heading into the 2024 presidential election cycle, what follows are five policy areas in health care that Health Affairs believe should be tackled. Read more here.

Understanding Racial Trauma, the Mental and Emotional Injury of Racism

When CNN Chief Medical Correspondent Dr. Sanjay Gupta was growing up in a small rural town in Michigan, he wanted to change his name to Steve — hoping that would put an end to the anti-Asian taunts he faced at school from the time he was 6 or 7 years old, he said in a summer episode of his podcast, “Chasing Life.”

“There was nobody that looked like me, that had a name that was like mine, that ate the foods we ate,” Gupta said. “If I changed my name to Steve, it was going to solve all my problems. … I would be just totally assimilated.”

Psychology professor Monnica Williams said she also weighed a big change when she experienced racism as an adult in a past academic position, through a colleague who would block Williams’ students from opportunities and discourage them from working with Williams. Read more here.

Related: A New Podcast on Racism, Mental Health, and the Importance of Tough Conversations

The Life-and-Death Consequences of the Shortage of Black Mental Health Workers

Over-the-Counter Narcan Will Save Lives, Experts Say. But the Cost Will Affect Access.

A drug used to reverse opioid overdoses could soon be sold over the counter. A committee of advisers to the Food and Drug Administration this week voted unanimously in favor of making Narcan, a nasal-spray version of the generic drug naloxone, available without a prescription. The FDA is weighing the move after fast-tracking an application from Emergent BioSolutions, the maker of Narcan, to let it sell the drug over the counter.

Making Narcan more widely available is an important step in addressing the opioid overdose crisis, public health experts say, but that ultimately the cost of an over-the-counter Narcan product will determine how many people actually benefit from it. Read more here.

OUD Providers Fail to Find Consensus on Addressing the Digital Divide

There is still no consensus regarding opioid use disorder (OUD) providers’ approach to addressing digital equity issues preventing patients from accessing telehealth. A survey report published in the health policy journal Health Affairs found that 77% of OUD clinicians used one or more strategies to address barriers to video-based telehealth visits. However, solo practitioners were much less likely to use any strategy. Researchers also found that no one strategy was in use by the majority of respondents. Read more here.

Harvard Business Review: The Hidden Toll of Microstress

A few years ago, we interviewed a pharmaceuticals executive who seemed to have built an ideal life. She was excelling at work, her personal life was rich and full, and she was able to take regular vacations, whose destinations were chosen by virtue of where she and her husband could run marathons together. In our interview, she was happy and her energy was off the charts.

Her story was great to hear but perhaps not surprising — the interview was part of our research into what makes high performers different from the rest of us. She was, we thought, a case study in having it all. But as it turned out, we didn’t know the full story. This interview also led us to discover something we weren’t looking to find. Something bigger. Read more here.

Related: The Many Mental Benefits of Decluttering

ALBANY: New York state funding expands access to substance abuse help

ALBANY: UAlbany launches student-to-student suicide prevention and substance use program

DUTCHESS: “Dutchess HELPLINE” App Helps Residents Struggling with Addiction

ERIE: Crisis Services sees uptick in calls after Buffalo mass shooter sentencing

ERIE: Buffalo State hosting 'Fresh Check Day' for mental health on Feb. 27

ERIE: Community leaders look to help minority communities overcome health disparities

GENESEE: Getting real about the dangers of social media and kids

MONROE: A new approach to treating those in mental health crisis

NYC: Breaking the Stigma: Children and Mental Health - Harlem teens take action, bring plan to lawmakers

SARATOGA: Saratoga Co. takes Narcan tutorials on the road: effort to prevent continuing overdoses

STEUBEN: Steuben County Health Department to mail out free Narcan kits

TOMPKINS: Cornell, CCE responding to farming mental health crisis

WESTCHESTER: New York Ketamine Infusions Opens Third Location In Westchester County to Serve Community's Mental Health Needs

WESTERN NY: Mental Health 2023: Mental Behavioral Health Providers Caring For a Post-COVID Reality

WESTERN NY/FINGER LAKES: ROME Makes Inroads Towards Mental Health Crisis Response and Recovery

Just Released: The New Adolescent SBIRT Curriculum 

As key members of an adolescent’s healthcare team, practitioners in the fields of nursing, social work, medicine, and interprofessional care have an obligation to help prevent and reduce substance use and identify mental health risks. Asking about substance use and discussing its impact can prevent harmful effects to the adolescent’s developing brain and potential future.

Asking about mental health and identifying risk early can prevent delay of receiving services and supports. Current and future generations of healthcare professionals need to learn the skills to have these essential conversations with youth. In response

to this need, the Adolescent SBIRT Initiative by NORC at the University of Chicago, Kognito, and other partners developed the Adolescent Screening, Brief Intervention and Referral to Treatment (SBIRT) Curriculum. Read more here.

Related: New York mental health advocates want half of budgeted $1B for youth services

March is Problem Gambling Awareness Month – Help us Shine A Light on Problem Gambling!

In honor of Problem Gambling Awareness Month (PGAM), the New York Council on Problem Gambling (NYCPG) is encouraging everyone across New York State – individuals, agencies and communities alike – to come together to shine a light on problem gambling. With gambling opportunities expanding at rapid rates in New York State and beyond, it’s imperative that all factions of the community, in all geographic areas of the state, join forces around the issue of problem gambling. We need to collaborate to raise awareness of problem gambling, prevent any additional problems related to gambling, and get those in need to adequate support services in their own community. Read more here.

A Fraught New Frontier in Telehealth: Ketamine

ONC creates SDOH toolkit for communities

How Point32Health Is Pioneering Autism, Substance Use Disorder Value-Based Contracting

Is the Brain Wired Differently in People With Addiction?

Report: Rural Homelessness Increased from 2020 To 2022


Using PSYCKES Quality Indicator Reports

February 23, 10 - 11 am, OMH

What are Peer Support Services Across the Lifespan?

February 23, 12 - 1:15 pm, MCTAC

A Crucial Conversation: Children's Crisis Residential Services

February 23, 1 - 2 pm, Crisis Residential Association

Financing the Future of Integrated Care - Q &A

February 23, 1 - 2 pm, National Council for Mental Wellbeing

Collaborative Care Management Foundations: A 101 primer on the practices and possibilities

February 23, 1 - 2:30 pm, National Council for Mental Wellbeing

Beyond 12-Steps: The Neuroscience of Recovery Coaching

February 23, 3 - 4:30 pm, NAADAC

Harm Reduction Office Hours Series for OASAS Providers: Cannabis and Harm Reduction

February 23, 2 - 3:30 pm, OASAS

One Size Doesn’t Fit All: Providing Tailored Support for Individuals with Intellectual and Developmental Disability (IDD) in the Criminal Justice System

February 24, 12:30 - 2 pm, SAMHSA's GAINS Center

One Size Doesn’t Fit All: Providing Tailored Support for Individuals with Intellectual and Developmental Disability (IDD) in the Criminal Justice System

February 25, 12:30 - 2 pm, SAMHSA's GAINS Center

Bright Futures Let’s Talk: Healthy Mental & Emotional Development Webinar Series

February 27, 12 - 1 pm, HRSA

Leveraging the Untapped Potential of Peer Services in Integrated Care

February 28, 12 - 1 pm, National Council for Mental Wellbeing

Finding the Way Home: Accessing Housing Resources to Support Individuals with Justice Involvement in Reentry

February 28, 1:30 - 3 pm, SAMHSA's GAINS Center

Community-Driven Crisis Response: A Workbook for Coordinators

February 28, 2 - 3:30 pm, CSG Justice Center and BJA 

Introductory/Refresher Virtual YSBIRT Training

February 28, 2 - 5 pm, National Council for Mental Wellbeing

Augmenting Behavioral Health Treatment With Telehealth: New Research Findings

March 1, 12 - 1 pm, Manatt Health

Repurposing a Rural Hospital Closure to Revitalize Services and Jobs to a Community

March 1, 1:30 - 3 pm, National Council for Mental Wellbeing

MyCHOIS Consumer Access for “My Treatment Data”

March 1, 2 - 3 pm, OMH

Introductory/Refresher Virtual SBIRT Training

March 6, 2 - 5 pm, National Council for Mental Wellbeing

Sustaining Statewide Certified Community Behavioral Health Clinic Programs

March 6, 3 - 4 pm, Center for Health Care Strategies

Consent, Emergency, Quality Flag: PSYCKES Levels of Access

March 7, 1 - 2 pm, OMH

Exploring the Tobacco Endgame - Implications for Behavioral Health

March 7, 2 - 3 pm, National Council for Mental Wellbeing

Family Ties: Substance Use Disorder from the Family's Perspective

March 8, 1 - 2 pm, National Council for Mental Wellbeing

Enhancing the Effectiveness of Public Safety-led Overdose Prevention in Black, Indigenous and People of Color Communities

March 8, 2 - 3 pm, National Council for Mental Wellbeing

A 6-Part Series on LGBTQ+ Care in Substance Use Disorder Treatment Programs

March 8 - April 11, 2 - 3 pm, OASAS

Peers: Hiring and Onboarding

March 9, 12 - 1:15 pm, MCTAC

Beyond X-ing the X-Waiver

March 9, 3 - 4:30 pm, FORE

Adding Up the Cost of Health Inequity

March 15, 2 - 3 pm, National Council for Mental Wellbeing

PSYCKES for BHCCs and Other Networks

March 16, 2 - 3 pm, OMH

Justice Center Code of Conduct Train-the-Trainer Session

March 22, 9:30 am - 12:30 pm, NYS Justice Center

Peer Support Service Models Success in Integrated Care Settings

March 23, 3 - 4 pm, National Council for Mental Wellbeing



Executive Committee Meeting

March 1: 8 - 9 am

Mentoring: "What Every DCS Should Know About Mental Hygiene Law"

March 8: 11:30 am - 2:30 pm

Addiction Services & Recovery Committee Meeting

March 9: 11 am - 12 pm

Mental Hygiene Planning Committee Meeting

March 9: 1 - 3 pm

Mental Health Committee Meeting

March 9: 3 - 4 pm

LGU Clinic Operators Call

March 14: 10 - 11:30 am

IOCC Meeting - IN-PERSON (Albany)

March 15: 1 - 3:30 pm

Children & Families Committee Meeting

March 21: 11:30 am - 1 pm

Deputy DCS Call

March 28: 10 - 11 am

Save the Date: CLMHD Spring Full Membership Meeting - May 11-12 in Saratoga Springs

The Conference of Local Mental Hygiene Directors advances public policies and awareness for people with mental illness, chemical dependency and developmental disabilities. We are a statewide membership organization that consists of the Commissioner/ Director of each of the state's 57 county mental hygiene departments and the mental hygiene department of the City of New York.

Affiliated with the NYS Association of Counties (NYSAC)
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