A PROJECT OF THE NORTH CAROLINA DIVISION OF MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES
Flo A. SteinFlo A. Stein, MPH
NC PIC Project Manager
Deputy Director
Division of MH/DD/SAS

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Evidence-based Programs and Practices

The mission for the NC PIC is to ensure that all North Carolinians will receive excellent care that is consistent with our scientific understanding of what works whenever they come into contact with the DMHDDSAS system.

To improve the lives of clients during the current era of system transformation, North Carolina must focus on the content and quality of services and supports that are offered. Research has found that even some of the most popular and well disseminated programs are not evidence based and in fact can be counterproductive. The provision of quality services and supports involve fidelity to proven intervention models.

To facilitate guidance in determining the future evidence-based services and supports that will be provided through our public system, the Director of the Division of Mental Health, Developmental Disabilities and Substance Abuse Services has developed the North Carolina Practice Improvement Collaborative (NC PIC). The NC PIC is comprised of representatives of all three disabilities and meets thrice yearly to review and discuss current and emerging best practices for adoption and implementation across the State.

NC PIC Updates

Infographics

Funded by the US Substance Abuse and Mental Health Services Administration, the Service Members, Veterans, and their Families (SMVF) Technical Assistance Center has assisted members of the Governor’s Working Group on Veterans, Service Members, and their Families in developing infographics on specific topics.

Currently, two have been developed—one for Student Veterans and one for Military Families and the professionals who help them. The infographics are useful in identifying strategies and resources. An infographic on employment is currently in progress with one planned for women veterans in the future.

If you use either or both infographics, please email Dr. Fang (wei.li.fang@governorsinstitute.org) as to how you are using them. We would love to know if they are helpful and/or how they can be improved or disseminated.

Download North Carolina Support Networks for Student Veterans Infographic

Download North Carolina Support Networks for Military Families Infographic

student veteran infographic_Page_1 North Carolina Military Families infographic_Page_1

Mark your Calendar! Next NC PIC Conference on March 10, 2015

Next NC Practice Improvement Collaborative Conference to Highlight the Behavioral Health of Military Families

On March 10, the NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services, the Governor’s Institute on Substance Abuse, and the Southeast Addiction Technology Transfer Center are sponsoring an all-day Practice Improvement Collaborative conference to highlight behavioral health best practices for military families in North Carolina.

Speakers will include: Diane Coffill, Director, Families Program, North Carolina National Guard; Steven L. Sayers, Ph.D., Assistant Professor, University of Pennsylvania and Philadelphia VA MIRECC; Gregory L. Inman Ph.D., Team Leader, Raleigh Vet Center; and Robert M. Bray, Ph.D., Senior Researcher, and Becky Lane, Ph.D., Research Psychologist, RTI International.

Ms. Coffill heads the Families Program, with staff located across the State in 13 centers. She works closely with National Guard families to ensure that they receive the services and supports that they need. Dr. Sayers offers therapeutic services to military couples and their families and has published research on integration challenges that military families face post deployment. Dr. Inman provides integrative behavioral couples therapy to couples in a Vet Center setting. Dr. Bray and Dr. Lane are collaborating with the developers of the Prosper platform used to deliver the Strengthening Families Program in twelve counties across the State. Panel members will include the speakers as well as military family members.

The conference will be held at the McKimmon Conference and Training Center at North Carolina State University in Raleigh.

Register for the Conference

To prepare for the March 10 conference, the North Carolina National Guard (NC NG), the North Carolina Department of Health and Human Services (NC DHHS), and the Governor’s Institute on Substance Abuse are collaborating to identify services and supports that are helpful to military families in the State. Respondents will also be asked to identify areas where more services and supports are needed. If you are a member of a military family, please consider providing your feedback as to existing services and support in North Carolina. The survey will be closed on Saturday, February 28. Your responses will remain confidential as results will only be reported in aggregate (as a group). Results will be summarized for the statewide conference on March 10 and will be used to plan additional services or to change current one.

Take the Survey

The Future of Crisis Response – January 20, 2015

The Future of Crisis Response in North Carolina

Follow-up to the Practice Improvement Collaborative Conference on January 20, 2015

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On January 20, 2015, the NC Practice Improvement Collaborative and the Crisis Solutions Initiative sponsored a conference on crisis services, inviting four leaders in the field to present. Speakers included: David Covington, CEO and president of Recovery Innovations; Mary Smith, Executive Director, REAL Crisis Intervention, Inc.; Larry Villano, Chief Operations Officer of Terros and the Clinic Operations Director for the Choices Network of Arizona; and Becky Stoll; Vice President, Crisis and Disaster Management of Centerstone. In addition, Dr. Aldona Wos, Secretary, North Carolina Department of Health and Human Services, presented her vision for the State: to eliminate stigma; to embrace the use of technology to its fullest extent; to promote community-based services at the time and place care is needed; to provide inpatient care as close to home as possible, combined with appropriate transitional services; and to support the recovery model for all people with mental illness .

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One hundred sixty-three providers, LME/MCO staff, state agency staff, consumers, and advocates attended the meeting and evaluated it highly. View a write-up of the conference from North Carolina Health News.

View Meeting Agenda

 

Watch the Meeting:

Part 1

Welcome
Courtney Cantrell, Ph.D., Director, North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

Background and Introduction of the Day
Flo Stein, Deputy Director, Community Policy Management Section, North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

The Crisis Solutions Initiative in North Carolina
Crystal Farrow, Project Manager, Crisis Solutions Initiative, North Carolina Division of Mental Health, Developmental Disabilities, and Substance Abuse Services

Not Another Life to Lose
David Covington, CEO and President, Recovery Innovations, Phoenix, AZ

Part 2 (last 20 minutes)

The Time for Crisis is Now
David Covington, CEO and President, Recovery Innovations, Phoenix, AZ

Part 3

The North Carolina Vision for Crisis Solutions
Dr. Aldona Wos, Secretary, North Carolina Department of Health and Human Services

Building a Crisis Response Network
Larry Villano, Chief Operations Officer, Terros and Clinic Operations Director, Choices Network of Arizona

Part 4

State of the Art in Crisis Services
Becky Stoll, Vice President for Crisis and Disaster Management, Centerstone, Nashville

Panel Discussion / Q&A
David Covington, Mary Smith, Becky Stoll, and Larry Villano
Moderated by Crystal Farrow

Implementation Survey and Wrap Up
Flo Stein

 

Download Presentations:

Not Another Life to Lose – David Covington, LPC, MBA

The Time for Crisis is Now – David Covington, LPC, MBA

State of the Art in Crisis Services – Becky Stoll, LCSW

For addiction counselors who attended and would like continuing education credits, you are eligible to receive 6 hours of credit from the North Carolina Substance Abuse Professional Practice Board (event 15-093-S).


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Suicide prevention was one of the topics addressed by our guest speakers. As a follow-up, you may be interested in an upcoming webinar series. The National Institute on Mental Health is partnering with the National Council for Behavioral Health to sponsor a six-part webinar series that begins at 2:00 pm on January 29.

This webinar series is in response to the February 2014 Prioritized Research Agenda for Suicide Prevention: An Action Plan to Save Lives developed

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by the National Action Alliance for Suicide Prevention’s Research Prioritization Task Force. The plan outlines the research areas that show the most promise in helping to reduce the rates of suicide attempts and deaths in the next 5-10 years. The National Action Alliance for Suicide Prevention has also developed a toolkit, Zero Suicide Toolkit. David Covington, one of our featured conference speakers, is a co-lead on this toolkit.

In North Carolina, suicide prevention efforts culminated in the 2015 Suicide Prevention Plan, developed by the NC Suicide Prevention Planning Team, which consists of representatives from the Division of Public Health’s Injury and Violence Prevention Branch; the Division of Mental Health, Developmental Disabilities, and Substance Abuse Services (DMH/DD/SAS); and the University of North Carolina Gillings School of Global Public Health’s Department of Health Behavior. The plan, as well as an executive summary and data presentation, may be downloaded here. DMH/DD/SAS contacts for the plan are Dr. Sarah Potter (919-715-5989) and Susan Robinson (919-715-2262). A plan to reduce youth suicide may be downloaded here.

On May 12, the NC Suicide Prevention Planning Team will host the NC Suicide Prevention Summit at the NC State University McKimmon Center in Raleigh. Please save the date and look for details in the upcoming months.

NC Data Comparable to National Data on the 2013 NSDUH

Recently, the US Substance Abuse and Mental Health Services Administration (SAMHSA) issued a report based on the results of the 2013 National Survey on Drug Use and Health.

While they reported on national statistics related to mental illness in their press release, individual state data are also available for mental and substance use disorders.

In the survey, serious mental illness (SMI) is defined as mental illness that resulted in serious functional impairment, which substantially interfered with or limited one or more major life activities. A sample of findings follows:

A sample of findings: NC
US
Percent of adults served through the Mental Health Block Grant (MHBG) who meet the Federal definitions for SMI 67.9% 68.0%
Percent of children served through the MHBG who meet the Federal definitions for serious emotional disturbance (SED) 65.9% 71.5%
Percent of adults served through MHBG who had a co-occurring mental health (MH) and substance use disorder (SUD) 26.8% 21.2%
Percent of children served through the MHBG who had a co-occurring MH and SUD 3.7% 5.2%
Percent of adults served through the MHBG who met the Federal definitions of SMI who also have a SUD diagnosis 21.4% 21.7%
Percent of children served through the MHBG who met the Federal definitions of SED who also have a SUD diagnosis 3.1% 5.8%
Percent of adults reporting improved social connectedness from services 75.8% 69.5%
Percent of children reporting improved social connectedness from services 93.2% 85.1%
Percent of adults reporting improved functioning from services 76.2% 70.0%
Percent of children reporting improved functioning from services 67.0% 69.3%
*Data downloaded from pages 10 and 21

 

NC DHHS Crisis Solutions Initiative and Mental Health First Aid

DHHS is committed to implementing Mental Health First Aid (MHFA) as part of Governor McCrory’s NC Center for Safer Schools and the NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services’ Crisis Solutions Initiative. MHFA is a public education program that introduces participants to risk factors and warning signs of mental illnesses, builds understanding of their impact, and overviews common supports. MHFA uses role-playing and simulations to demonstrate how to offer initial help in a mental health crisis and connect persons to the appropriate professional, peer, social, and self-help care. MHFA is included on the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices (NREPP).

Currently there are 6,500 North Carolinians trained as First Aiders. However, that only equates to less than 0.1% of the population. NC DHHS is pleased to announce plans to add 120 new instructors by May 1, 2015. In partnership with the National Council for Behavioral Health, four more Training of Trainer events will be held.

January 26-30, 2015 – Guilford Technical Community College, Greensboro, NC – ADULT

February 23-27, 2015 – Martin Community College, Williamston, NC – ADULT

March 9-13, 2015 – Martin Community College, Williamston, NC – YOUTH

April 27-May 1, 2015 – Guilford Technical Community College, Greensboro, NC – YOUTH

This initiative will result in an additional 32,000 North Carolinians becoming equipped to interact with a person experiencing a behavioral health crisis and to connect the person with help.

For this initiative, DHHS is particularly interested in recruiting potential trainers from the faith communities and the NC Justice Academy. If you, or someone you know, is interested in becoming a MHFA Trainer in North Carolina, please see the attached application for information regarding dates, locations and the application process.

To further support statewide dissemination of MHFA, DHHS will also be providing coordination of statewide instructional support and assistance for new instructors in purchasing training manuals.

North Carolina Mental Health First Aid Program Instructor Certification Application Packet

More information about Crisis Solutions North Carolina.

More information about MHFA.

For questions regarding NC’s Mental Health First Aid initiatives, contact tbohley@email.unc.edu.