LOGIC MODEL

1. Before we disrupt, have we transformed? Key findings from the SAMHSA Mental Health Transformation State Incentive Grant (MHT SIG) program Crystal Blyler1, Chuck Lupton2, Steve Leff3, Clifton Chow3, Grace Gonzalez2, Ben Cichocki3, Dow Weiman3, Terry Camacho-Gonsalves3, Laysha Ostrow3 1Substance Abuse and Mental Health Services Administration 2Manila Consulting Group 3Human Services Research Institute (HSRI) 7% Inpatient 15% Emergency 15% IMPROVED CONSUMER OUTCOMES INFRASTRUCTURE CHANGES INCREASED CONSUMER/ FAMILY INVOLVEMENT LOGIC MODEL Residential 23% Outpatient 40% PLAN for Leadership Change 457 policy changes 208 financing changes 163,964 service providers trained 673 organizational changes 7,864 organizations expanded data accountability systems 3,678 programs implemented Consumer, Youth, & Family Involvement Transformation Working Group New Freedom Commission Goals • 5 of 9 States experienced gubernatorial changes • Project Director Turnover • 6 States changed once • 2 States changed 2 or more times • Only 1 State had the same PD throughout • In 5 States, the PD is also the Transformation Working Group Chair, so change effected both roles % change in adult consumers reporting positive outcomes in 2009 relative to 2004 Needs Assessment and Inventory of Resources Comprehensive Mental Health Plan Infrastructure Changes Service Improvements Improved Consumer Outcomes EFFECT ON PROVIDERS New Freedom Commission Goals Addressed % change in adult consumers reporting increased social support/connectedness in 2009 relative to 2006 Professional/ TradeAssociation 182 Providers participated in a survey 57% of Providers surveyed were aware of the transformation efforts in their State STATE AGENCY IMPACTS % change in mental health hospital utilization per 1,000 in 2009 relative to 2004 Most Common Changes Expected of Providers • Adopting a recovery/resiliency orientation • Integrating services and systems • Focusing on community services • Using peer support