Development of a Comprehensive

Data Book to Assess Oregon’s Publicly-Funded Mental Health

System

Marisha L. Johnson

Portland State

University

2012 EMPA Cohort

June 14, 2014

Summary of Presentation

• Problem Summary and Research Question

• Methods

• Findings and Analysis

• Conclusions and Recommendations

• Reflections: Leadership Lessons Learned

Problem Statement &Research Question

• Problemo Oregon is required to submit a biennial State Plan

for publicly-funded mental health serviceso Must be data-driveno No template or format exists

• Research Questiono Which data points should be collected and

analyzed to assess the adequacy and allocation of Oregon’s publicly-funded mental health services across the lifespan?

Methods• Literature Review

oContent analysis of literature resulted in:• Identification of foundational references• Identification of specific data elements

Foundational Referenceso Institute of Medicine’s Spectrum of

Interventions (2009)o Substance Abuse and Mental Health Services

Administration’s Recovery Oriented System of Care Guiding Principles (2009)

o The President’s New Freedom Commission on Mental Health Report (2003)

o US Department of Health & Human Services National Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care (2001)

o The Supreme Court’s Olmstead Decision (1999)

Findings & Analysis

Institute of Medicine’s Spectrum of Interventions

Recovery Oriented System of Care

• Prevention• Treatment• Crisis Intervention• Case Management• Rehabilitation• Enrichment• Rights Protection• Basic Support• Self-Help• Wellness

The President’s new freedom commission on mental health

report• Goal 1:

o Americans understand that mental health is essential to overall health.

• Goal 2:o Mental health care is consumer and

family driven.

• Goal 3:o Disparities in mental health services

are eliminated.

• Goal 4:o Early mental health screening,

assessment, and referral to services are common practice.

• Goal 5:o Excellent mental health care is

delivered and research is accelerated.

• Goal 6:o Technology is used to access mental

health care and information.

The Olmstead Decision• Funding & Resources

• Movement to the

Community & Recidivism

• Housing

• Community Capacity

• Well Being

• Measures for At-Risk

Groups

• Policy

Elaine Wilson (center) and Lois Curtis (right) were kept in a state hospital for several years against doctors’

advice

Culturally & Linguistically

Appropriate Services in Health &

Health Care

• Sex

• Ethnicity

• Race

• Primary Language

• Secondary

Language

• Disability Status

Recommendations & Conclusions

• AMH should adopt the data book.

• AMH should implement and analyze this

data to assess the adequacy and allocation

of mental health services.

• The data and subsequent analysis should be

shared with stakeholders at least annually.

• See handout for specific data points.

Reflections: Leadership Lessons &

Implications

Lead from Any Seat

Continuous Quality Improvement

Stand Up

Special Thanks:• My Family

• Capstone Advisor: Dr. Rick Mogren

• Dr. Nishishiba, Dr. Ingle and Dr. Morgan

• And my friends and colleagues in Cohort AWESOME!