Kentucky Department for Behavioral Health Overview
The Kentucky Department for Behavioral Health, Intellectual, and Developmental Disabilities is dedicated to providing quality services and supports to promote health and well-being in the state. As the designated authority for mental health, substance abuse, and developmental disabilities, they oversee programs and services, collaborate with various departments and agencies, and operate a range of facilities and clinics to ensure access to care.
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Department for Behavioral Health, Intellectual and Developmental Disabilities Overview Eric Friedlander, Secretary Wendy Morris, Commissioner Stephanie Craycraft, Deputy Commissioner CHFS Task Force October 19, 2022
D DEPARTMENT EPARTMENT V VISION ISIONAND AND M MISSION ISSION Vision: All Kentuckians have access to quality services and supports to live full and healthy lives. Mission: To promote health and well-being by facilitating recovery for people whose lives have been affected by mental illness and substance use; supporting people with intellectual or other developmental disabilities; and building resilience for all. 2
D DEPARTMENT EPARTMENT R RESPONSIBILITY ESPONSIBILITY & A & AUTHORITY UTHORITY Designated as Kentucky s mental health, substance abuse treatment/prevention and developmental/intellectual disability authority. Responsible for administration of state and federally funded mental health, substance use disorder and development/intellectual disability programs and services throughout the Commonwealth of Kentucky. Provide funding, services, technical assistance, and oversight to facilities and community-based programs across the continuum of care and throughout the commonwealth. Consult and collaborate across systems using our collective expertise. 3
D DEPARTMENT EPARTMENT C COLLABORATION OLLABORATION Departments within the Cabinet: Office of the Secretary Public Health Medicaid Services Community Based Services Aging and Independent Living Other State Agencies: Office of Drug Control Policy Department of Corrections Kentucky Emergency Management Kentucky Department of Veterans Affairs Administrative Office of the Courts Department for Public Advocacy Department of Education 4
D DEPARTMENT EPARTMENT O OVERVIEW Central Office VERVIEW: S : SERVICES ERVICES Community-Based Residential Substance Abuse Programs: Serenity House Women s Renaissance Center Personal Care Home Central Kentucky Recovery Center Intermediate Care Facilities: Bingham Gardens Hazelwood (Del Maria, Meadows, Windsong) Oakwood Outwood Hospitals: Appalachian Regional Healthcare Central State Hospital Eastern State Hospital Kentucky Correctional Psychiatric Center Western State Hospital Specialty Clinics: Hazelwood Specialty Clinic Lee Specialty Clinic Oakwood Specialty Clinic Long Term Care: Glasgow State Nursing Facility (GSNF) Western State Nursing Facility (WSNF) Community Mental Health Centers (CMHC) Adanta NewVista of the Bluegrass Communicare Comprehend, Inc. Mountain Comprehensive Care NorthKey Pathways Pennyroyal Regional Center Cumberland River Four Rivers Behavioral Health Kentucky River Community Care LifeSkills RiverValley Behavioral Health Centerstone 5
D DEPARTMENT EPARTMENTFOR FOR B BEHAVIORAL EHAVIORAL H HEALTH EALTH, D O ORGANIZATIONAL RGANIZATIONAL C CHART , DEVELOPMENTAL EVELOPMENTALAND AND I INTELLECTUAL NTELLECTUAL D DISABILITIES HART ISABILITIES (BHDID) (BHDID) Office of Autism Division of Administration and Financial Management Division of Program Integrity Division of Mental Health Division of Substance Use Division of Developmental and Intellectual Disabilities Facilities Substance Use Disorder Program Licensure Branch Mental Health Prevention, Promotion and Preparedness Branch SCL Waiver Branch Financial Management Substance Use Treatment and Recovery Services Branch Central State Hospital Bingham Gardens ICF Eastern State Hospital Oakwood ICF Community Supports Branch Administrative Services Substance Use Prevention and Promotion Branch Western State Hospital Program Support Children s Mental Health and Recovery Services Branch Outwood ICF Appalachian Regional Hospital Psychiatric Center Hazard Clinical Services Branch Data Analytics Hazelwood Kentucky Opioid Response Effort (KORE) Adult Mental Health and Recovery Services Branch Kentucky Correctional Psychiatric Center Del Maria ICF Glasgow State Nursing Facility Meadows ICF BHDID employs over 1,300 state and contract staff Additional 1,400 staff are employed in BHDID contracted facilities Western State Nursing Facility Windsong ICF 6
R REVISED EVISED FY 2023 B FY 2023 BUDGET UDGET B BY Y F FUND UND P PROGRAM ROGRAM Residential 56% $299.7 M Mental l Health 16% $82.7 M Substance Use 21% $110.2 M Developmental & Intellectual Disabilities 5% $29.2M FY 2023 TOTAL BUDGET FY 2023 TOTAL BUDGET $530.9 million $530.9 million General Support 2% $9.1 M 7
R REVISED EVISED FY 2023 B FY 2023 BUDGET UDGET B BY Y F FUND UND S SOURCE OURCE Federal 22% General 33% $177.8 M $117.3 M Agency 43% $228.1 M Tobacco 2% $7.7 M FY 2023 total FY 2023 total $530.9 million $530.9 million 8
D DEPARTMENT EPARTMENTO OVERVIEW KY Disaster Response, $3.5M/year (year 2 of year 2 cycle) Kentucky Care Integration (KCI) Promoting Integration of Primary and Behavioral Health Care, $2M/year (year 5 of 5 year funding cycle) Healthy Transitions: Improving Life Trajectories for Youth and Young Adults with Serious Mental Disorders Program TAYLRD 2.0, $1M/year (year 4 of 5 year funding cycle) Community Programs for Outreach & Intervention with Youth & Young Adults at Clinical High Risk for Psychosis (CHR-P) iHOPE -$400,000/year (year 5 of 5 year funding cycle) Grants for Expansion and Sustainability of the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances KY SOC FIVE, $3M/year (year 1 of 4 year funding cycle) Assisted Outpatient Treatment - $1M (year 3 of 4 year funding cycle) Garrett Lee Smith Suicide Prevention - $735,000 (year 1 of 5 year funding cycle) KY 988 Capacity Infrastructure - $581,702 (1 year) Disaster Case Management (western & eastern KY) - $4.4 million combined Crisis Counseling Assistance (western KY) RSP - $929,654 (1 year) (eastern KY application submitted VERVIEW: C : COMPETITIVE OMPETITIVE G GRANTS RANTS 9
D DIVISION IVISIONOF OF M MENTAL ENTAL H HEALTH EALTH Disaster Community Counseling and Case Management Diverts & Emergency Services Assertive Community Treatment Targeted Case Management Mental Health Promotion Suicide Prevention, Intervention and Postvention Services Community Crisis Response Team Behavioral Health Disaster Preparedness and Response CMHCs provided services to over 146,000 individuals with mental health issues, including: Deaf and Hard of Hearing Supports for those with SMI, SED and SUD Transition- Aged Youth Services Early Childhood Services Adult & Child Crisis Stabilization Supported Housing Mental Illness (SMI) were served by the CMHCs Severe Mental Illness (SMI) 44,000 adults with Serious High Fidelity Wraparound Serious Emotional Disturbances (SED) School-based Services First Episode Psychosis SMVF Services 12,300 children with serious emotional disability (SED) were served by the CMHCs Life Span Approach Trauma- Informed Care Supported Employment (Birth-Older Adults) State and Regional Interagency Councils Homeless Services (SMI & SED) Children s Services Decrimin- alization Answer 2,000 to 2,500 988/crisis center calls per month Assisted Outpatient Treatment Adolescent Substance Use Services 10
D DIVISION IVISIONOF OF S SUBSTANCE UBSTANCE U USE SE D DISORDER ISORDER Supports for Service Member Veterans & their Families Faith-Based Initiatives Expansion of Access to Medications for Opioid Use Disorder Oxford House/Group Home Loan Program In FY22, CMHCs reported providing the following services: 24,336 individuals diagnosed with a substance use disorder received outpatient therapy 2,644 unduplicated individuals received short-term residential services for substance use disorder & 844 individuals received long-term residential services for substance use disorder 6,706 adults with substance use disorder received individual or group peer support services Alcohol & Suicide Intersect Workgroup Youth Empowerment System KY KY Recovery Housing Network Prevention Workforce Development Prevention Network KY Certification Board for Prevention Professionals Co-Occurring Service Enhancement Integrated Physical & Behavioral Health Pregnant & Parenting Women Programming Statewide Prevention Projects Additional services include: 33,533,111 doses of prevention delivered 2,669 pregnant and parenting persons served via NAS/ODCP funded programs 106 Oxford Houses established and 1,115 individuals served by Oxford House KY-MOMS MATR (Maternal Assistance Toward Recovery) SUD Crisis Services School & Community- based Prevention Prevention Enhancement Specialists SUD Peer Support Services 11
K KENTUCKY ENTUCKY O OPIOID PIOID R RESPONSE ESPONSE E EFFORT FFORT - - KORE KORE Prevent Misuse Sustain Recovery Treatment Access Early Prevent Initiation Treatment Retention Intervention 112 hospitals committed to opioid stewardship 9,510 received recovery support 14,052 received OUD treatment services SUD screening and assessment training for KPCA network 112,884 youth received primary prevention 55 KORE-funded peers hired statewide Reduce Harm 6,995 suspected overdose reversals Build Personal, Family, and Community Capital Coordination of 246 program sites statewide 12
D DIVISION IVISIONOF OF D DEVELOPMENTAL EVELOPMENTAL & I & INTELLECTUAL NTELLECTUAL D DISABILITIES ISABILITIES Supports for Community Living Waiver Administer Medicaid Supports for Community Living and Michele P Waiver programs that support 15,000 people to live in the community Monitor/provide technical assistance to 261 waiver service providers Administer functional assessments for 5000 people in the SCL waiver to support the development of person- centered service plans Collaborate with/monitor the 14 community mental health centers (CMHC) to serve more than 16,000 people with intellectual and developmental disabilities each year Oversee the crisis program to support people with I/DD with over 1600 crisis contacts made in 2021 Review and complete follow-up for an average of 1400 critical incidents per month Intermediate Care Facilities/IID Crisis Services PASSR Specialized Services Psychiatric Hospitals Community Supports and Services (CMHC) Specialty Clinics Michele P Waiver 13
O OFFICE FFICEOF OF A AUTISM UTISM Mission: Promotes collaborative efforts and advocates to improve systems of supports for individuals with autism (autistics). Vision: Individuals with autism (autistics) of all ages are engaged in self-determined lives and are valued citizens in the community. Provides communication network among state agencies Improves coordination of autism resources within the systems of care Provides administrative support to Kentucky Advisory Council on Autism Supports 28 member Kentucky Advisory Council on Autism 14
D DEPARTMENT EPARTMENT R REPRESENTATION EPRESENTATIONAND ANDMEMBERSHIP MEMBERSHIP State Interagency Council for Services to Children (SIAC) Juvenile Justice Oversight Council (SB200) Commission on Services and Supports for Individuals with Intellectual or Other Developmental Disabilities (HB144) Commonwealth Council on Developmental Disabilities Education, Employment, and Health Consortium Kentucky Behavioral Health Planning and Advisory Council Kentucky Eating Disorder Council Deaf and Hard of Hearing Services Advisory Committee Homeless and Housing Coalition of KY Kentucky Suicide Prevention Group Statewide Epidemiology Workgroup (SEOW) Long-Term Care Committee Kentucky Center for School Safety Board Kentucky Healthcare Workforce Collaborative Advisory Group KORE State Implementation Team Substance Use Disorder Quality & Outcomes Workgroup Advisory Council for Recovery Ready Communities Opioid Abatement Task Force Behavioral Health Conditional Dismissal Program Implementation Council (SB 90) Governor s Challenge to Prevent Suicide Among Service Members, Veterans, and their Families KY Perinatal Quality Collaborative Quality Management and Outcome Team 15
2022 2022- -2023 P 2023 PRIORITIES RIORITIES KEY PRIORITY 1 KEY PRIORITY 2 KEY PRIORITY 3 Increase access to behavioral health & intellectual disability services & supports Improve quality of care in the behavioral health & intellectual disability service delivery system Reinforce a resilient, inclusive, and equitable organizational culture 16
Thank You 17
