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NC Healthy Carolinians 2020 ~ Mental Health

NC Healthy Carolinians 2020 ~ Mental Health. Susan E. Robinson NC Division of MHDDSAS / DHHS susan.robinson@dhhs.nc.gov Kathy McGaha Healthy Carolinians of Macon County kmcgaha@maconnc.org October 1, 2010. Healthy North Carolina 2020 Objective: Mental Health.

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NC Healthy Carolinians 2020 ~ Mental Health

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  1. NC Healthy Carolinians2020 ~ Mental Health Susan E. Robinson NC Division of MHDDSAS / DHHS susan.robinson@dhhs.nc.gov Kathy McGaha • Healthy Carolinians of Macon County • kmcgaha@maconnc.org • October 1, 2010

  2. Healthy North Carolina 2020 Objective: Mental Health • Communities hold the key to change • Essential grassroots & stakeholder involvement • Community Health Assessment • Strategic Plan • Take Action • Celebrate every success!

  3. Today’s Objectives: … Be familiar … See opportunity • Snapshot of current MH/DD/SA State Plan for 2010-2013 • Priorities & Initiatives • 2020 Mental Health Objectives - 3 • Process & Data • Community Connection – opportunity to promote health thru Mental Health

  4. What we know…. Child PrevalenceB-8 yrs in NC: • 1 in 6 young children with challenging behaviors are expelled from preschool/ child care settings • 17-20% of those children/youth served by public MH sector, ages 3-8 yrs. (13,000); most were not known to the CDSA, B-2 Part C services under IDEA.

  5. What we know…. Child/Youth Prevalence in NC: • 12 of every 100 youth, ages 9-17, experience most serious mental health disorders (60,000 – 90,000) • 2% of child deaths are due to suicides (22/yr) – 70% are 15-17 yrs & white • Health-related conditions lead to 75% of child deaths (CFTF 2010)- disparity • MVC & homicides –leading cause for oldest & youngest

  6. What we know…. In 2007, NC & nationally Suicide was: • 4 times higher in men than women. • 7th leading cause of death for men, 15th for women, Mid–to later age men esp. • the 3rd leading cause for 15-24 yr olds • effected by firearms, suffocation, & poison; these by far are the most common methods of suicide, overall. • rising in the military/guard/vets

  7. What we know…. In 2004, the percent of poor adult mental health in NC: Ranked:…………………………………….. #46   Kentucky:27.1 % #46 South Dakota:27.1 %   # 48   Tennessee:27 %   # 49   North Carolina:25.8 %   # 50   Louisiana:24.5 %   Weighted average:33.5 %

  8. What we know…. • 1 in 5 people per 1,000 people seek health care in Emergency Departments • Half of those ED visits are those who are experiencing mental health treatment needs. • Adult Prevalence: 5.4% of NC’s adult population experiences mental health challenges; half of those experience serious mental illness. • Good News: Those who are Medicaid eligible, should now have a “health home” through CCNC – Community Care in NC

  9. The Vision CAP-MR/DD Waivers Overarching Goal: To successfully provide easily accessed, high quality, cost effective MH/DD/SA services and supports that result in person-centered outcomes for individuals served. Building success one step at a time. 1915 B/C Medicaid Waiver CABHA 2011 2012 2013 Future 2010

  10. DHHS & DMHDDSAS - Priorities • Improve access, quality and effectiveness • Increase accountability for all stakeholders • Contain Medicaid Costs • Increase consumer/family/stakeholder confidence in the MH/DD/SA provider network • Top three priority initiatives for DMHDDSAS: • CABHA’s • 1915 b/c Waivers • CAP MR/DD Waivers

  11. When engaged in services…………….Symptoms are reduced After three months of treatment: • Problems interfering with school, work/other activities • decrease from 59% to 40%. • Severe mental health symptoms • decrease from 41% to 26%. • Suicidal thoughts • decrease from 36% to 22%. • Impaired family relationship • decrease from 67% to 59%.

  12. 2020 Healthy Carolinians – Mental Health Objectives • Process • NC IOM & HC convened • Stakeholders – including consumers • Community • State • Informed – research, trends • Outcomes – direct, 2ndary • Weighted - import and impact • Steering Comm – consolidate all

  13. 2020 Healthy Carolinians – Mental Health Objectives

  14. Macon County Franklin, Highlands, Nantahala, Otto

  15. Macon County Today’s Objectives: … Understand … Seize opportunity • Role of elected officials in the Community Health Assessment • Work hand-in-hand with county appointed task forces • Lessons learned • How Macon County is addressing their Mental Health service needs • A work in progress

  16. Macon County Task Force • Process – build relationships • Data collection & review • Facts inform change • Be realistic – strengths & barriers • Set priorities • Seize opportunities • Propose a plan – communicate! • Take next steps

  17. Macon County Task Force Mental Health Taskforce On Mental Health Services in Macon County Report compiled by: • Macon County Mental Health Taskforce - June 4, 2008 Report updated to Include Implementation Recommendations by: • Macon County Health Carolinians Mental Health Taskforce - January 26, 2009

  18. In Summary… • Build relationships and bridges. • Success is one step at a time. • Be willing to adapt & apply lessons learned. • You’re an important part of your community. Your voice counts. • Be the change you seek (Gandhi)

  19. Healthy North Carolina 2020 Objective: Mental Health Summary • Common Vision, Goals & Objectives • Healthier People living in Healthier Communities • Responsible Change to Achieve Access, Better Quality and Positive Outcomes ~ We have 2020 Vision! ~

  20. Healthy Carolinians of Macon County Kathy McGaha Program Director Healthy Carolinians of Macon County 1830 Lakeside Drive Franklin, NC  28734 Phone: (828) 349-2426 Fax: (828) 349-9131 kmcgaha@maconnc.org

  21. NC Division of MHDDSASNC DHHS Susan E. Robinson Mental Health Program Manager/Planner Prevention and Early Intervention Susan.robinson@dhhs.nc.gov 919-715-5989 x228 http://www.ncdhhs.gov/mhddsas/

  22. Healthy North Carolina 2020 Objective: Mental Health Thank you • Questions? • Comments? ~ You hold the key. Together we can! ~

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