Rural Regional Behavioral Health Coordinator Update Report

Valerie Cauhape, MA, MPH, presents updates from the Rural Regional Behavioral Health Policy Board Meeting on July 21, 2020. The report highlights increased demand for behavioral health services, challenges in accessing inpatient providers, and initiatives for Behavioral Health Task Force implementation. It also discusses the formation of Local Boards of Health, opportunities for public and behavioral health district infrastructure creation, NAMI WN peer support groups, Governor's Challenge Team priorities, and initiatives to address substance misuse.

• Behavioral Health
• Rural Health
• Regional Health
• Policy Board
• Mental Health

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1. Rural Regional Behavioral Health Coordinator Update Report Valerie Cauhape, MA, MPH Rural RBHC Rural Regional Behavioral Health Policy Board Meeting July 21, 2020

2. Rural RBHC Activities General Updates Stakeholder insights Seeing increased need for behavioral health services Initially, seeing more mental health crises, now seeing more substance use (anecdotal) Difficulty getting inpatient providers in metro areas to answer the phone Increased appetite for Behavioral Health Task Force (BHTF) and/or Multi-disciplinary Team (MDT) implementation

3. Rural RBHC Activities General Updates cont d Local Board of Health formation Most counties across region Create opportunity for more local elected official engagement in BH COVID-19 will provide further opportunities to include BH in local-level emergency response plans. Increased discussions and momentum around Local/Regional Public Health Districts. Opportunity to create infrastructure as Opportunity to create infrastructure as Public AND Behavioral Health Districts Behavioral Health Districts. Public AND

4. Rural RBHC Activities NAMI WN Peer and family support groups available for Elko, White Pine, and Eureka community members. Contact: Kim Gilbert, 775-385-0286, Kim.namiwnv@gmail.com Governor s Challenge Team (to end Suicide among SMVF populations) 3 Priority Areas 1. Identify SMVF and promote universal screening 2. Promote connectedness and improve care transitions 3. Increase lethal means safety and safety planning Recovery Congregations toolkits from Tennessee tools for faith- based communities In works movement towards rural Mayor s Challenge Team in our region

5. Rural RBHC Activities Regional Resource Guide Working with SMSs Utilizing updated PACE and FCC guides and Hospital Guides as we can receive them Until website is up, will publish guide on Spark page Explore finding developer to create mobile app Internal local resource guide Completing with White Pine County Stakeholders Would include specific day/emergency contact information for specific points of contact

6. Rural RBHC Activities Substance Misuse Specialist (SMS) Program OD2A Funding PACE Coalition and FCC 2 Positions: Jim Thornton (Ely) and Corinne McFerran (Lovelock) 3 Project Areas: 1. Data Collection and Reporting Project 2. Behavioral Health Resource Listing and Updates 3. Assistance with Behavioral Health Task Force and MDT formation

7. Rural RBHC Activities Substance Misuse Specialist (SMS) Program Current updates: Working on developing comprehensive resource guide for the region Working on Spark Page for electronic regional resource guide Completing footwork to ID how we can work with multiple local agencies/different sectors to get high-quality timely data Braiding ODMaps, Dispatch, Hospital, and LE data (also, OpenBeds as it becomes available) to get a clear picture of current status and needs. OD2A Coordinator: discussion of using this as a model for the rest of the state. Supporting efforts in planning for BHTF and MDT launches

8. Rural RBHC Activities Behavioral Health Task Forces Active: Humboldt Re-activating/starting: Elko, Pershing, White Pine, Eureka Formative Conversations: Lander Multi-Disciplinary Teams (MDTs) Work time set up with Northern RBHC on documents Ensure ease of program duplication Toolkit Development Public toolkit, housed on Spark Trying to finish by June 30th

9. Rural RBHC Activities Behavioral Health Information Sharing Guide Coordinated effort with Northern RBHC Nearing Completion (end of month/early July) Will walk stakeholders through how/when behavioral health information can/not be shared MDTs and other case management Building templates for releases of information (ROIs) JaNita Jensen, MSW student Will get feedback from local experts, then will get feedback from stakeholders, then will pilot (Humboldt and White Pine)

10. Rural RBHC Activities Crisis Now and Crisis Mapping Nothing surprising at the local level Biggest gaps: Interagency communications Lack of MOUs Lack of coverage by community-based mobile outreach teams Lack of inpatient MH-specific facilities Overutilization of Hospital Eds Unclear use of evidence-based practices Crisis Systems Webinar Series every Tuesday at 9am Regional planning NEXT TUESDAY!! 7/28 Contact me if you need me to re-send registration info

11. Rural RBHC Activities Statewide Transportation Workgroup Rural and Urban sub-workgroups Informational webinars and Statewide meetings recorded and posted on YouTube (https://www.youtube.com/channel/UCNiNco2y8Y2QhtiGXsUbr- g?view_as=subscriber) Which Board members would like to be on invitation? BDR Development Workgroup Will re-launch in when Board decides general topic area Which Board members would like to be on invitation?

12. Rural RBHC Activities Participation in Recovery Town Hall , Thursday 4/23 >250 ppl registered, approx. 140-190 ppl attended Pushed for continued pursuit of behavioral health providers to meet needs in person, not just telehealth. Telehealth is a stop- gap, not a final solution Working with TracB to ID site for MAT bus Please let me know if you know of an agency that would be interested.

13. Rural RBHC Activities Communications COVID-19 Info Migrated to Spark page 47 followers to FB Page, 68 followers on IG Increased with COVID-19 Updates and Board 2020 Priority Posts Haven t been able to post/send out all stakeholder emails as frequently recently, due to focus on other projects Crisis Counselors Program (CCP) FEMA funded program Non-professional; leads community members and healthcare workers SUB-MH Crisis Hold to ID their challenges, their own solutions, and then connect them to resources. Frontier Community Coalition (FCC) and Boys and Girls Club in Winnemucca are assisting in launch Will be working region-wide

14. Legislative Updates Special Session sine die 7/19 AB 3: budget re-appropriation bill affecting education and DHHS passed Biggest immediate concern: cuts to Medicaid reimbursement Press release from Governor s Office states there will be a second special session Critical policy issues I am planning to include for the second special session: Addressing criminal and social justice policy reform Working to ensure Nevadans, businesses, workers and the unemployed have the support and protections they need as they battle COVID-19, including the following: Ensuring Nevadans can exercise their fundamental right to vote in a way that does not dangerously expose them to increased risk of COVID-19 infection Helping stabilize Nevada businesses so they don t suffer continued economic hits and establishing safety standards for the workers who are keeping our economy going Removing statutory barriers impeding the work of Nevada s unemployment insurance program

15. Legislative Updates Legislative Committee on Healthcare Solicitation for Recommendations "The Legislative Committee on Health Care invites all interested parties to submit written recommendations for possible consideration during the Committee s final meeting and work session on August 19, 2020. The meeting will be held virtually. In advance of the final meeting, Committee staff will review meeting materials and testimony received during the interim and develop a list of recommendations to be reviewed by the chair for possible consideration during the work session. The Committee is allocated ten bill draft requests for the 2021 Legislative Session. It may also take action by writing letters to individuals or organizations urging certain action or including position statements in the Committee s final report. Recommendations and appropriate background information, as outlined in the attached form, must be received by 5 p.m. on Friday, July 24, 2020 must be received by 5 p.m. on Friday, July 24, 2020. Submissions may be sent via email to HealthCare@lcb.state.nv.us. Please note that submission of a recommendation to the Committee does not guarantee its consideration during the work session. Thank you for your interest in the health and health care of Nevadans. If you have any questions regarding this solicitation of recommendations, please contact Megan Comlossy, Committee Policy Analyst, at megan.comlossy@lcb.state.nv.us or (775) 684-6825."

16. Questions? Valerie Cauhape, MA, MPH Rural Regional Behavioral Health Coordinator vcauhape@thefamilysupportcenter.org (775) 300-3245