Addictive & Mental Disorders Division
Goals & Objectives for 2009 Biennium
Behavioral Health Program Facilitator
Goal:
To continue development of a consistent, evidence-based treatment strategy and modality between the Departments of Corrections and Public Health and Human Services.
Objectives:
- Coordinate services by acting as a liaison among different systems.
- Promote and facilitate partnerships between the criminal justice and mental health-care systems through effective policy development.
- Promote regular communication among participating agencies through the convening of periodic meetings and other coordinating activities.
- Identify and cultivate opportunities for sharing of resources among partners; eliminating the duplication of services where possible.
- Create a strategic plan to guide the joint collaboration efforts, a first draft of which will be completed by January 1, 2007.
- Coordinate a needs analysis of information sharing between the two departments and develop by December 1, 2007, an initial draft recommending how to improve the flow of information.
- Complete and get approval from each department of a final strategic plan by July 1, 2008.
- Gather system-wide data on the designated target population and build information sharing networks across departments.
- Analyze and compile this data into a report to the directors by August 2008.
Mental Health Services Bureau
Goal:
To develop and support a community-based system of care for adults that is recovery-focused and consumer-driven.
Objectives:
- By 2008, implement strength-based case management in all mental health centers that provide services to adults with SDMI.
- By 2008, develop structure for the delivery of peer specialist services.
- Develop plan for the appropriate transition of individuals with SDMI into the community mental health system, including youth, mentally ill offenders, and patients from Montana State Hospital or other facilities.
- Evaluate new programs and treatment practices for introduction into the adult mental health system, including services for rural communities, BHIFs, telemedicine, and evidence-based practices.
- Continue maintenance and support of specific services developed and implemented during previous biennium, including dialectical behavioral therapy, assertive community treatment, strength-based case management, and co-occurring capable services.
- With funding, contract for study of workforce recruitment and retention of mental health professionals across the state.
Goal:
To develop the capability to address the needs of adults with SDMI and co-occurring substance use disorders.
Objectives:
- By 2008, enable providers to consistently report screening outcomes into existing databases.
- Amend appropriate certification and licensing requirements for co-occurring capable agencies and providers.
- Conduct ongoing training for workforce development of skills related to screening, assessment, and treatment planning. .
- Conduct community education about co-occurring disorders (stakeholders, legislators, management team).
- Identify financing strategies for services provided to individuals with co-occurring disorders.
Goal:
To improve use of data in service delivery and management.
Objectives
- Implement recovery markers reporting in two providers in 2008 and three additional providers in 2009.
- Develop fidelity measures for assertive community treatment, dialectical behavior therapy, strength-based case management, and co-occurring capability and amend Administrative Rules to identify program requirements by 2009.
- Develop program recommendations based upon data analysis.
Goal:
To enhance inter- and intra-agency communication, collaboration, and planning – recognition that the people served by the Mental Health Services Bureau have needs that are or can be met in other systems.
Objectives
- Identify agencies other than the Mental Health Bureau that encounter and/or have responsibility for individuals with SDMI (Corrections, Vocational Rehab, Developmental Disabilities, Senior & Long Term Care, Public Health, Children’s Mental Health, Adult Protective Services, Chemical Dependency, Veteran’s Affairs, Tribal/IHS, housing, transportation, advocacy, etc).
- Outreach to these entities for purpose of collaboration and education.
Chemical Dependency Bureau
Goal:
To develop a continuum of community-based services that improves and sustains the recovery of individuals with substance abuse problems.
Objectives:
- By 2009, develop co-occurring capability within state-approved programs.
- By 2009, implement a residential treatment service to address longer termsupports needed for recovery from methamphetamine and other drugs.
Goal:
To implement substance abuse prevention and treatment best practices in state-approved chemical dependency programs.
Objectives:
- By 2009, provide technical assistance to help implement the Methamphetamine Best Clinical Practices.
- By 2009, implement Strategic Prevention Framework State Incentive Grant (SPF SIG) activities.
Goal:
To develop and implement a quality improvement plan to monitor the prevention and treatment services system based on cost, value and results.
Objectives:
- By 2009, improve Administrative Rules to support current policies of the Chemical Dependency Bureau (CDB) and best clinical practices.
- By 2009, improve data collection systems to better quantify and report performance measures.
- By 2009, implement quality-improvement initiatives for substance abuse providers.
Montana Chemical Dependency Center
Goal:
To improve inpatient treatment outcomes that enable sustainable recovery in communities.
Objectives:
- By 2009, achieve a program completion rate of 80 percent or greater.
- By 2009, maintain average daily census at 90 percent of licensed capacity.
- By 2009, train all treatment specialists in understanding patient behaviors in relationship to addiction and psychiatric disorders, providing skills to more effectively assist in milieu management.
- By 2009, achieve an overall patient satisfaction rate of 85 percent or greater at a good or excellent level.
- By 2009, reduce waiting-list time to no more than two weeks.
Goal:
To continue development of a consistent, evidence-based treatment strategy and
modality between the Departments of Corrections and Public Health and Human
Services.
Objective:
- Provide access to inpatient beds for individuals referred from the Department of Corrections.
Montana Mental Health Nursing Care Center
Goal:
To maintain and improve the quality of care and levels of functioning of individuals needing nursing home services.
Objectives:
- On the CMS Facility Quality Indicator Profile, maintain the quality indicator percentages in the areas of clinical management, physical functioning, and nutrition and eating equal to or below all comparative group percentages.
- By 2008, achieve 75 percent or better patient-family satisfaction ratings at excellent or above average levels.
- By 2009, reduce worker’s compensation cost of claims by 20 percent.
Montana State Hospital
Goal:
To continue development of a consistent, evidence-based treatment strategy and modality between the Departments of Corrections and Public Health and Human Services.
Objectives:
- By 2009, increase evening and weekend treatment activities by 20 percent from the level provided in FY 05.
- Maintain the number of restraint and seclusion events at or below the national average.
- Maintain the hours of restraint and seclusion usage at or below the national average.
- By 2009, decrease the incidents of violence against staff and other patients by 10 percent per year.
- By 2009, improve best practices and other training opportunities for all appropriate staff.
Goal:
To continue development of a consistent, evidence-based treatment strategy and modality between the Departments of Corrections and Public Health and Human Services.
Objective:
- By 2009, provide improved treatment programming for mentally ill offenders at Montana State Hospital and Department of Corrections facilities in a secure setting (Secure Treatment and Evaluation Program [STEP] program).
Goal:
To implement an electronic medical-record system enhancing the provision of care for patients at Montana State Hospital.
Objective:
- Use the Totally Integrated Electronic Record (TIER) software for treatment planning, recording of progress notes, and provision of active treatment programming at Montana State Hospital.
Page last updated: 06/06/2006
