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UPDATED 2/27/2013


NACBHDD NEWSLETTER APRIL 2013


What's the Federal Poverty Level for 2013?
HUD Median Income Limits for Oregon Compared to Poverty Income

On January 16, 2013, President Obama released “The President’s Plan
 to Protect Our Children and Our Communities by Reducing Gun Violence.”
This plan, which can be found by visiting
 http://www.whitehouse.gov/sites/default/files/docs/wh_now_is_the_time_full.pdf,
 




AFTER SHOOTINGS, STATES RETHINK MENTAL HEALTH CUTS

Dozens of states have slashed spending on mental health care over the past four years, but that
 trend  may  be heading for a U-turn in 2013 after last year's shooting rampages. (Associated Press)


Expansion: What’s at Stake for the States?, video is now available here

Administration Defines Benefits That Must Be Offered Under the Health Law.



HHS awards $1.5 billion to support states building Health Insurance Marketplaces


National Reform
Keep abreast of national and state mental healthcare reform.




 



Recently, the Department of Health and Human Services Centers for Medicare & Medicaid Services
(CMS) has provided guidance to state Medicaid directors and health officials. This guidance
 has significant implications for individuals with mental health and substance use disorders. 






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Oregon Developmental Disabilities Services in the News:

An Executive Order by Governor Kitzhaber is the next step in Oregon’s ongoing commitment to integrated employment for people with intellectual and developmental disabilities and aligns with work already underway to implement Oregon’s Employment First policy. The Executive Order is posted online at: http://www.oregon.gov/gov/docs/executive_orders/eo_13-04.pdf

 Oregon is a leader in providing supported employment services to individuals with intellectual and developmental disabilities in community residential settings and has set an example for other states by demonstrating its express commitment to the benefits of transitioning individuals with intellectual and developmental disabilities into integrated, community residential settings.

Mike Maley has been appointed as the statewide Employment First Coordinator to oversee and coordinate the Department's employment services program for people with intellectual and developmental disabilities. Mike will be responsible for implementation of Oregon's Employment First policy, including all activities required by the Governor's Executive Order.  He will be working with designated Office of Developmental Disabilities, Office of Vocational Rehabilitation Services and Oregon Department of Education staff to advance specific strategies to expand access to supported employment services, including all necessary planning and policy changes, training and technical assistance for providers, expansion of service capacity and development of quality assurance mechanisms, such as a centralized data system and monitoring.

He will also work with the Deputy Superintendent of Public Instruction, Oregon Council on Developmental Disabilities, State Rehabilitation Council, State Independent Living Council, legislators and stakeholders to create a policy advisory group to make recommendations to the Governor and other officials about the implementation of Oregon’s Employment First policy, including recommendations on metrics designed to monitor performance.

 In order to realize the vision of the Executive Order, the state will partner with a variety of stakeholders to develop a plan for successful implementation, and a major part of this plan will include statewide outreach and conversation with key partners.

The implementation plan will include:

·       Developing strong inter-agency coordination between the Department of Education, the Department of Human Services and Oregon Council on Developmental Disabilities to promote the development of coordinated policies and practices that are grounded in the expectations of Employment First.

·       Developing strong coordination with the disability and workforce systems to ensure they leverage their efforts to benefit employers and job seekers with intellectual and developmental disabilities. We will work with these systems to create more opportunities for individuals with developmental disabilities.

·       Strengthening training to assist providers in developing the skills to make the shift from sheltered to competitive employment. Focusing on efforts to build needed capacity, we will work to assist providers of sheltered workshops to transform operations toward integrated employment and develop local Employment First Leadership teams in Oregon communities.

·       Providing local communities with the resources and tools to make Employment First successful, through training and other technical assistance activities.


Mental Health Stigma and Prejudice Strong Around the World, Study Says

Although mental health awareness and understanding are high in countries around the world, stigma and discrimination are still prevalent.

By Laurie Sue Brockway, Everyday Health Staff Writer  

Click below for the article: http://www.everydayhealth.com/depression/mental-health-stigma-and-prejudice-strong-around-the-world-8505.aspx


TOP DEMOCRATS DIFFER ON ENDING SUBMINIMUM WAGE FOR WORKERS WITH DISABILITIES:  http://inthesetimes.com/working/entry/14697/top_democrats_differ_on_ending_subminimum_wage_for_workers_disabilities/


 SAMHSA’s Report to Congress on the Nation’s Substance Abuse and Mental Health Workforce Issues.  A copy of the report can be found here:  http://store.samhsa.gov/product/PEP13-RTC-BHWORK.

This report provides data on issues facing the behavioral health workforce as requested by Congress as well as information on SAMHSA’s and HRSA’s programs and activities.  Questions regarding this report or SAMHSA’s Workforce efforts may be directed to Miriam Delphin-Rittmon via e-mail at: miriam.delphin-rittmon@samhsa.hhs.gov or (240) 276-2332.  For questions regarding HRSA’s Workforce efforts, please feel free to contact Mariquita Mullan via e-mail at:  Mariquita.mullan@hrsa.hhs.gov or (301) 443-6758.

Current Medicaid Population in the SAMHSA report is an underestimate:

CMS provides an alternate source for this information at:  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-State/By-State.html  Totals in this source are the sum of Medicaid + CHIP.

CHIP enrollment by State is at:  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Childrens-Health-Insurance-Program-CHIP/Downloads/2010_enrollment_datapdf.pdf. This second source also presents Medicaid enrollment (excluding CHIP), as well as  Medicaid + CHIP Totals. 



This week Cover Oregon, our state's health insurance exchange, hit an important milestone. Twenty-two health plans were approved to offer individual, dental or small group coverage next year through the exchange. This is an important step moving towards October when enrollment opens for coverage that will start in January 2014. The next step for the plans will be to submit their premiums and benefit packages to the Oregon Insurance Division for review by the end of this month. Last week the The Oregonian wrote a story about Cover Oregon and what it's going to take to be up and running by October.



The Oregon Early Learning Council, advised by the Hub Workgroup, have developed and released the Hub Report to the Legislature. The report outlines the process, characteristics, timeline, and general roadmap for Hub implementation.



National Association of County Behavioral Health
and Developmental Disability Directors
The voice of local authorities in the Nation’s capital
NEWSLETTER
NOVEMBER 2012
Read articles on Key Federal Stigma Report Issued by CDC and SAMHSA
Saving Lives and Saving Money
OBAMA 2 - Fulfilling the Agenda and 
KEY FINDINGS FROM THE RECENT BEHAVIORAL HEALTH SERVICES SURVEY
UNDERSTANDING THE IMPACT OF HEALTH CARE REFORM
National Association of County Behavioral Health
and Developmental Disability Directors
The voice of local authorities in the Nation’s capital
NEWSLETTER
NOVEMBER 2012
Read articles on Key Federal Stigma Report Issued by CDC and SAMHSA
Saving Lives and Saving Money
OBAMA 2 - Fulfilling the Agenda and 
KEY FINDINGS FROM THE RECENT BEHAVIORAL HEALTH SERVICES SURVEY
UNDERSTANDING THE IMPACT OF HEALTH CARE REFORM
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Association of Oregon Community Mental Health Programs - Photos courtesy of Bob Nikkel