BHCalCon 2019 Workshops

Mental Health
Is Our Public Mental Health System Serving the Needs of Older Adults? 

Susan Morris Wilson, Executive Committee, California Behavioral Health Planning Council
Janet C. Frank, Faculty Associate, UCLA Center for Health Policy Research
Older Californians with behavioral Health Care needs are under-served and often not involved in key stakeholder planning processes. Data about older adult services is not robustly collected, yet is vital. This session will discuss common myths, present research findings, and focus on recommendations for improvement in behavioral health care delivery.

The Role of Behavioral Health Providers in Promoting the Wellbeing of Immigrant Families and their Children
Mayra E. Alvarez, President, The Children’s Partnership
Carolina Valle, Policy Manager, California Pan-Ethnic Health Network
Terri Villa -McDowell, Senior Human Relations Consultant, Los Angeles County Workforce Development, Aging & Community Services/Commission on Human Relations
This presentation will present original research findings from two reports: Healthy Mind, Healthy Future, a project of The Children's Partnership and the California Immigrant Policy Center, and Accessing Mental Health in the Shadows: How Immigrants in California Struggle to Get Needed Care, a project of The California Pan-Ethnic Health Network. These reports examine the impact of current immigration enforcement policies and the anti-immigrant climate on the health and wellbeing of children and adults in immigrant families in California, including the challenges of accessing health care. In addition to the findings from the research projects, the presentation will also discuss recommended policy and programmatic strategies, and existing efforts at the state and local level seeking to address these challenges. The presentation will highlight Los Angeles County as an example and offer opportunities for other counties to learn and discuss ways to engage. The presentation will also identify and start a discussion on opportunities to implement community-based and provider-based strategies that address the behavioral health needs of children and adults in immigrant families.

The Youth MH Imperative for Expanding Early Access to MH Care
Ana Lilia De Soto, MA, Youth Outreach Specialist, Stanford/Center for Youth MH
Youth Advisor from Youth Advisory Group - TBD
This workshop will highlight allcove, an integrated youth services model that focuses on mental/physical health, substance abuse treatment, supported education/employment, and family/peer support. The history and rollout of allcove, role of community partnerships, and the integration of youth voice in the development and implementation of the model will be discussed.

Demystifying Stigma in Mental Health for The Older Adult Community & Success of Prevention & Early Access for Seniors (PEAS) Program
Tracee Stacy, Education & Outreach Specialist, Choice in Aging
The Prevention and Early Access for Seniors program (PEAS) is a mental health case management program that identifies Older Adults 60+ in Solano County that are struggling to find and or maintain a positive quality of life. PEAS can provide: comprehensive initial intake, referral to other County and community resources, brief and comprehensive case management, community based psychotherapy, and education/outreach services to both professionals and the community. Learn how the PEAS Program implemented universal prevention strategies to address the high rates of depression, anxiety and isolation among seniors. Explore how the services delivered increase the likelihood that more people will get the intervention they need to avoid mental health challenges that could lead to crisis.

A Collaborative and Intersectional Approach to Gender-based Violence
Perla P. Flores, JD, MPA, Director of Domestic Violence, Sexual Assault, and Human Trafficking Services, Community Solutions
Erica Elliott, MSW, Sexual Assault and Prevention Program Manager, Community Solutions
Violence against women can take many forms and generate complex intersections. Providing trauma-informed, victim-centered, and empowerment-based support requires screening for, and addressing, different types and intersections of victimization. It is imperative that service providers, law enforcement, substance abuse counselors, etc. screen and support abuse survivors in a nuanced and holistic manner.

Trauma-Informed Transformation: An Organizational Journey
Melissa Santos, BSW, Senior Director of Professional Development & Organizational Initiatives, Community Solutions
Lisa Colliss, LCSW, Clinical Supervision & Training Manager, Community Solutions
Most understand trauma and work to ensure that services to clients are trauma-informed. Many are aware that we must create a work environment that is responsive to staff’s traumatic experiences. This workshop will take you through one organization’s journey of transformation as it works to be truly be trauma-informed.

 

Management
How a Trauma-Informed Care Wellness Guide Can Create Resilience within the Workforce
Stacey Roth, Executive Vice President and Chief Operating Officer, Hillsides
Josh Mathieu, Workforce Development Specialist, Hillsides
Want to nurture your staff? The mental health profession is a challenging and stressful one no matter what job role you assume. Learn how to integrate wellness into staff meetings by using the innovative Trauma-Informed Care Wellness Guide that offers 52 interactive Trauma-Informed Care (TIC) tips to build resilience among your workforce and help address difficult situations that may arise.

Alternative insurance programs for nonprofits & 4 steps to controlling WC losses
Brenda Zepeda, Area Vice President
L.J. Battagliese, Area President, RPS MONUMENT Risk Placement Services
This presentation will teach you a proven method for improving your workers comp experience. You will learn a 4-step approach to help you identify the root causes of loss of your organization that will help you create an effective safety program. As a result of attending this training you will be able to get a deeper understanding on what is needed to evaluate and diagnose the deficiencies in your current safety program. You will walk away with a deeper understanding of how self-insured programs work and evaluate if the cost savings outweigh the risk.

Stronger Together: How Provider Associations Increase Effectiveness
Elisa Koff-Ginsborg, Executive Director, Behavioral Health Contractors’ Association of Santa Clara County
Erin O’Brien, CEO, Community Solutions
This workshop will describe the process for building a strong association, important aspects of governance, and examples of benefits such as information exchange, support and advocacy. A case study of BHCA successfully advocating for major rate increase in Santa Clara County will be highlighted.

All About the Base: Engaging Your Staff and Leaders in Advocacy
Bethany Snyder, Nonprofit Advocacy Consultant, Snyder Strategies
As a behavioral health provider and a leader of your agency, you hold tremendous power to engage your staff, clients, and colleagues to ensure behavioral health is not left behind in DC or Sacramento. During this session, you’ll realize the power you hold in your community, how to leverage it to advance your advocacy goals, and how to use it to engage your staff, clients, colleagues, and community.

Safeguard Your Nonprofit Funding: How to Prepare for the Next Recession
Unemployment Services Trust
This workshop is designed to teach nonprofit leaders about the top HR and unemployment pain-points nonprofits are facing in 2019, as well as best practice tips on how to combat these costly concerns… regardless of the state of the economy! Participants will discover how to better manage unemployment claims while ensuring compliance with the latest state laws. The presentation will also explore UST's strategies—including expert claims advice, on-demand HR resources, outplacement services and online employee training—for protecting your bottom line throughout the next economic downturn.

 

QI/QA
Using QI to Address the Complex Challenges Facing Behavioral Health Providers
Karin Kalk, Director, California Institute for Behavioral Health Solutions
Amy McIlvaine, Senior Associate, California Institute for Behavioral Health Solutions
Claudia Murillo, Chief Operating and Compliance Officer, House of Hope, San Pedro
This workshop will focus on how QI is a central, necessary capability to reliably deliver high value to clients and to be prepared for the move to value-based reimbursement.  It will include descriptions of how to shift from pursuing quality through inspection to achieving it through process improvement and system design.  QI capabilities described will include use of data to inform decision making and guide improvement activities, testing changes and implementing them when proven successful, applying systems thinking to pursue highly effective changes, and generally promote a culturing of experimentation and learning.  The session will include specific examples of using these techniques to achieve desired improvement in performance.

Generating Movement toward Recovery-Oriented Outcomes Through Integrated Evaluation and Practice Implementation
Rick Goscha, Ph.D., Sr. Vice President, California Institute for Behavioral Health Solutions (CIBHS)
Samantha Spangler, Ph.D., Director of Evaluations, CIBHS
This presentation will show how an evaluation strategy built into the implementation process for Strengths Model case management helps organizations stay focused on and facilitate movement toward key recovery-oriented outcomes. Data drawn from simple client-centered practice tools become powerful measures of whether our case management services are aligned with what is most important and meaningful to the people we serve.

Fostering a Culture of Data: Supporting Organization-wide efforts in Collecting and Incorporating Consumer Satisfaction Data
Mollie Sternberg, Senior Research Analyst, Hathaway-Sycamores Child and Family Services
Natalie Gallardo, Research Assistant, Hathaway-Sycamores Child and Family Services
Consumer-centered care is a key component of many healthcare missions; however, implementation science research indicates many organizations struggle to effectively collect and subsequently incorporate consumer feedback. Hathaway-Sycamores, a community mental health provider, will use its experiences to guide attendees on sustainably integrating consumer-centered feedback into their organization’s data-culture.

Using Data to Reverse the Impacts of Adverse Childhood Experiences
Lorry Leigh Belhumeur, Ph.D., Chief Executive Officer, Western Youth Services
Sheri Chaney Jones, President, Measurement Resources Company
Adverse childhood experiences (ACEs) pose significant threat to development and long-term health. Impacts of ACEs are prevented through responses that foster resiliency. Presenters share a collaborative model proven to build resiliency, reverse the impact of ACEs, and save taxpayer dollars. Participants will learn how to enhance collaboration to improve outcomes.

 

Services
An Anti-Immigrant Era's Effect on BH & How CHW's/Promotoras Can Help
Elizabeth Oseguera, Associate Director of Policy, California Primary Care Association
Gabrielle Lessard, Senior Policy Attorney, National Immigration Law Center
The current political environment has created a hostility for immigrant communities, impacting patients’ mental health and, subsequently, how safe they feel accessing health care. In response, we’ve developed sample policies and messaging strategies to help ease the fears of our patients, while also incorporating CHWs to improve health behaviors and outcomes, particularly for racial and ethnic minority communities.

Demystifying Health Centers to Improve Integration
Allie Budenz, MPA, Assistant Director of Quality Improvement, California Primary Care Association
Wendi Vierra, PhD, Director of Operations - Behavioral Health, Neighborhood Healthcare
Marty Adelman, Behavioral Health Program Manager, Health Quality Partners
Presenters will discuss how health centers and community based behavioral health organizations can leverage statewide policy opportunities and emerging best practices to improve care coordination and integration. Specifically, the content will provide an overview of community health centers role in the physical and behavioral health care continuum; and present results from a multi-year integration pilot in San Diego County.

Cracking the Code of Medication Adherence: Leveraging Pharmacy to Improve Health Outcomes and Consumer Engagement
Brittany Ulrich, PharmD Site Development Director, Genoa Healthcare
Amanda Vesely, PharmD Site Development Director, Genoa Healthcare
Studies have consistently shown a correlation between increased medication adherence and decreased hospitalizations. A decrease in hospitalizations means lower overall healthcare costs. National averages for medication adherence rates have been reported anywhere from 20 to 70 percent. Pharmacists – who interact daily with patients living with complex, chronic conditions, including mental illnesses and substance use disorders – are a critical, yet underutilized, resource for improving medication adherence. A recent study by the RAND Corporation cited 50 percent adherence for anti-psychotic medications. Integrated pharmacies within community mental health centers have demonstrated consistent adherence rates of over 90 percent. Higher medication adherence leads to better patient outcomes and lower hospitalization rates.

How Telepsychiatry is Solving the Psych Shortage
Jonathan Evans, CEO, innovaTel Psychiatry
Dr. Liberty Eberly, Chief Medical Officer, innovaTel Telepsychiatry
The psychiatric shortage is well documented in the US, as a result, many patients do not receive needed mental health treatment, despite the fact that mental health conditions top the list of most costly medical conditions. Efforts to improve access to mental health care are limited by structural/regulatory barriers in addition to the limited supply of clinicians. One fundamental solution to the supply/demand equation is the acceptance of telepsychiatry as a modality of care. The American Psychiatry Association has indicated that telepsychiatry delivers outcomes the same as the traditional model. The presentation will review actual experience of providing telepsychiatry services in community-based clinics.

Moving Medi-Cal Toward Behavioral Health Integration
Kim Lewis, Managing Attorney, National Health Law Program
Héctor Hernández-Delgado, Staff Attorney, National Health Law Program
Medi-Cal’s fragmented behavioral health delivery system often acts as a barrier to accessing necessary services. This session will analyze recent developments aimed at integrating Medi-Cal’s behavioral health system by implementing specific care coordination protocols, increasing quality reporting for behavioral health, and improving data-sharing among entities that provide behavioral health services.

 

SUDs
Medication Assisted Treatment (MAT) - Addressing the Opioid Epidemic
Chelsea Kelleher, MPP, Senior Policy Consultant, Harbage Consulting
Don Kingdon, Ph.D, Principal, Behavioral Health Policy, Harbage Consulting
Nationally, 2.1 million people struggle with opioid addiction, and MAT is a proven treatment option. This presentation will include an overview of MAT, tips to combat stigma, a summary of California's efforts to address the epidemic, and highlight resources tailored to the SUD workforce to promote access to MAT.

Supervised Consumption Services: Safe Injection Facilities
Laura Thomas, MPH, MPP, Director of Harm Reduction Policy, San Francisco AIDS Foundation
Vitka Eisen, President & Chief Executive Officer, HealthRIGHT360
Supervised consumption services, also called safe injection facilities and overdose prevention services, have been in place for decades in other countries, but are a recent topic in the United States. The overdose crisis has generated new interest in them, and California has a bill (AB 362) that would allow some jurisdictions to authorize them. This workshop will explore the research and evidence regarding the services, with a focus on behavioral health outcomes, including changes in substance use. It will review the history of the programs, the impact that they have had in communities where they operate, and the current status of legislation and other advocacy efforts in the US, especially in California.

Integrating Medications for Addiction Treatment (MAT) into Whole Person Care
Ken Bachrach, Ph.D., Clinical Director, Tarzana Treatment Centers, Inc.
Jose Salazar, Ph.D., Director of Program Development and Contract Compliance, Tarzana Treatment Centers, Inc.
This workshop will examine the importance and value of offering MAT services in SUD and other health treatment settings including mental health, primary medical care and Hospital ED’s. The presenters will review medications for addiction treatment and how these medications can be used as part of whole person, integrated care.

Artistic Expression in Residential Treatment
Jaimee Hartman, PsyD, LMF, Director of Mental Health, HealthRIGHT360
Sarah Peklo, LMFT, Mental Health Therapist, HealthRIGHT360
Taylor Moore, PsyD, Mental Health Therapist, HealthRIGHT360
Arts education can improve cognitive, social, and personal functioning through exploration and self-expression.  Studies have shown that artistic expression helps improve self-worth, confidence, and issues with empowerment.  Groups such as Art Therapy and The Prison Project in residential substance use disorder treatment have helped to improve morale in the overall community as well as improving individual resident’s capacity for tolerance, emotional regulation, empathy, and inter-racial acceptance.  During this workshop we will present information regarding the rationale behind arts programs in residential treatment, data from participants involved in various arts programs, explanation of the methods used in the groups, and finally how to navigate providing such treatment given the challenges of residential substance use disorder treatment.