| 1 | | Continuum of Care. Work addresses gaps and quality in the children's behavioral health continuum of care and centers communities that have been disproportionally impacted by health inequities and systemic racism. | | | | Detailed progress below |  | Ongoing/Current Work | | |
| 2 | | Continuum of Care | Build and adequately resource an array of behavioral health care services and supports that has the capacity to meet child and family needs, is accessible to all and is equally distributed across the state | | | Detailed progress below | | Ongoing/Current Work | | Chelsea Holcomb |
| 3 | | Continuum of Care | Establish a process for planning the continuum of services and supports and ongoing needs assessment across local, regional and statewide levels | | Plan complete | Planning has begun | | Ongoing/Current Work | | Hilary Harrison |
| 4 | | Continuum of Care | | Research, identify and publish systemic barriers to access and availability of child and family behavioral health care | Report published | 2023 priority reports focused on intensive treatment services and substance use disorder https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Youth-Young-Adult-SUD-Treatment-Recovery-Report-EN.pdf (and also be found in Spanish) and https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/2023_OHA%20ODHS%20PRTF%20Capacity%20Memo.pdf. Research is on-going on youth homelessness and intersection with the child and family behavioral health system. | | Initiate in 1st half 2023 | Plan/Report Due Half 1 2024 | Kathleen Burns |
| 5 | | Continuum of Care | | Assess and make recommendations to the adult team for the young adult continuum of services and supports to ensure there are options where young people age 18 and over could elect involvement with adult services or continue with children's services systems. | Young adult collaboration group established | The Young Adult Services Strategy Team (YASS) is set to formally begin work this summer (Q3 2024). We are currently in the process of hiring a Project Manager as we received final approval in May, and the Hatfield Fellow intern who will assist with young adult policy research is set to start onboarding with OHA and YASS the last week of June (end of Q2).
Young adult recruitment: Several young adults with lived experience have already been identified to join YASS, and earlier this month the CFBH unit initiated a contract for young adult engagement with culturally-specific community group REAP. |  | Initiate in 2nd half 2023 | | Christie Taylor |
| 6 | | Continuum of Care | | Identify and support community based organizations working with historically marginalized communities | Receive recommendations from Office of Recovery and Resilience with potential contractors identified | An Request for Grant Applications for youth substance use disorders (SUD) programs was released, and the team made a determination to fund 9 programs across Oregon. Funded projects include school-based SUD prevention efforts, peer supports for youth, and culturally specific programs.
OHA is working with culturally-specific providers to support program expansion and to bring the voices of diverse youth and families to our community engagement. |  | Initiate in 1st half 2023 | | Jessie Eagan |
| 7 | | Continuum of Care | Strengthen the financial health of the children's behavioral health system | | | https://www.oregon.gov/OHA/HSD/OHP/Pages/BH-Rate-Increase.aspx As part of HB 5202 (2022) OHA increased behavioral health rates for fee-for-service as of July 1, 2022. It was an average of 30 percent increase for rates listed in the current Behavioral Health Fee Schedule: https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx Coordinated Care Organization (CCO) Directed Payment increases took place January 2023. Additional rate increases for behavioral health rates for fee-for-services occurred July 1st 2024 for continued investment into services and supports.
Additional child and family program investments have been made since 2019 including School Based Mental Health (SBMH), Youth Suicide Prevention, Intensive In-Home Behavioral Health Treatment (IIBHT), Interdisciplinary Assessment Teams (IAT), Psychiatric Residential Treatment Services (PRTS) and Young Adult Residential Treatment Homes and Mobile Response and Stabilization Services (MRSS). More recently in 2023 OHA received funds to increase the followship programs to increase the number of Child and Adolescent Psychiatrists and Developmental Pediatricians. These opportunities will increase over the next few years bringing more expertise and access to the field. You can find summaries of these programs on our website: https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/index.aspx.
Through HB 2949 (2021) and HB 4071 (2022) historic investments were made in Behavioral Health Workforce and more information can be found here: https://www.oregon.gov/oha/hsd/amh/pages/workforce-initiative.aspx | | Ongoing/Current Work | | Chelsea Holcomb |
| 8 | | Continuum of Care | | Review and make recommendations for the use of Medicaid and Medicaid waiver for children to optimize federal reimbursement | Report and recommendations, complete Q1 2023 | You can find the final Medicaid Waiver and more information here: https://www.oregon.gov/oha/HSD/Medicaid-Policy/Pages/Waiver-Renewal.aspx The CFBH team is actively participating in the implementation of the 2022-2027 Medicaid waiver.
In 2024 OHA contracted with national experts to review the current Medicaid state plan for children's system recommendations. Their final report can be found at https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/OregonMedicaidAnalysis.pdf. A plan for implementation will be developed in Q3 2024 | | Ongoing/Current Work | Plan/Report Due Half 2 2023 | Hilary Harrison |
| 9 | | Continuum of Care | | Participate with commercial insurance on substance use disorder and mental health services and supports with emphasis on parity | Mobile Response and Stabilization Services (MRSS) and Intensive In-Home Behavioral Health Treatment (IIBHT) parity achieved | Behavioral Health Crisis System Advisory Committee (BHCSAC) is gaining momentum and are working towards completing their charter. Members have been surveyed and those results will be used to assist in the charter creation and the development of a workplan. Three chairs have been elected and there is a strong lived-experience lens throughout. Although we do have family voice present, we recognize that we are missing youth voice in this space at this time. | | Ongoing/Current Work | | Beth Holliman, Brian Pitkin |
| 10 | | Continuum of Care | | Engage with advocacy for behavioral health parity | Advocacy plan in place | An annual analysis of mental health parity can be found at https://www.oregon.gov/OHA/HSD/OHP/Pages/MH-Parity.aspx. | | Initiate in 1st half 2023 | | Chelsea Holcomb |
| 11 | | Continuum of Care | | Research and develop prioritized list of needed changes to services and supports for 2025 legislative session | List completed, June 2024 | Led by community engagement the development of the 2024-2028 plan and development of 2025 and 2027 legislative priorities is occurring in partnership with community, councils and child serving state agencies. | | Initiate in 2nd half 2023 | | Kathleen Burns |
| 12 | | Continuum of Care | | Develop strategy to research the role of reimbursement impact on access and availability of care | Rate reviews complete for Intensive Treatment Services (ITS), Behavioral Rehabilitation Services (BRS), Intensive In-Home Behavioral Health Treatment (IIBHT), substance use disorder (SUD) | February 2023, the Children's Treatment Services Rate Study Report was completed and submitted to the legislature. It included Psychiatric Residential Treatment Facilities (PRTF), Intensive In-Home Behavioral Health Treatment (IIBHT, SUD Residential, Day Treatment and Behavior Rehabilitation Services (BRS). You can find the report here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/OR%20Children's%20ITS%20Rate%20Study%20Report.pdf Fee-for-services rates then were increased in 2022, 2023 and behavioral health rates again in 2024. Additional study is planned for end of 2024. Further study and capacity monitoring with regional partners is needed to see if rate increases support increased access. | | Ongoing/Current Work | | Sage Neilson |
| 13 | | Continuum of Care | | Initiate, monitor and communicate payment structure, wage, fee schedule and rate reviews | Rate increases complete and communicated | Current Behavioral Health Fee Schedule: https://www.oregon.gov/oha/HSD/OHP/Pages/Fee-Schedule.aspx. Further efforts will be communicated in the CFBH Newsletter and Website. | | Ongoing/Current Work | Plan/Report Due Half 1 2023 | Sage Neilson |
| 14 | | Continuum of Care | | Expand reimbursement/billing codes for Tribes as indicated or requested | Expansion requests received from Tribes | Initiate in second half 2024 |  | Initiate in 2nd half 2023 | | Sage Neilson |
| 15 | | Continuum of Care | | Research and develop payment models and rates that incorporate new models of care in co-occurring mental health and substance use disorder treatment models | Research and recommendations complete | Payment models and licensing has now been developed in Oregon. More information can be found: https://www.oregon.gov/oha/hsd/amh/pages/co-occurring.aspx
In 2024 Madrona youth SUD residential treatment program has transitioned to a Psychiatric Residential Treatment Facility that provides Level 3.7 Co-Occurring Disorder Treatment. | | Ongoing/Current Work | Plan/Report Due Half 1 2023 | Bernardino DeLaTorre |
| 16 | | Continuum of Care | | Develop and implement different ways of funding and access to funding that focus on regional and racial equity | Funding formula complete. Future review process in place | Initially developed and used by the OHA Public Health Division, Child and Family Behavioral Health (CFBH) adapted an equitable funding model using child-focused measures to determine funding by county based on community need. This tool has been approved by the Association of County Mental Health Programs and used to distribute funds for 988 and Mobile Crisis and Stabilization Services (MRSS). | | Ongoing/Current Work | | Beth Holliman |
| 17 | | Continuum of Care | Increase behavioral health promotion | | | | | | | Fran Pearson |
| 18 | | Continuum of Care | | Create and implement a public awareness strategy and communication plan to address stigma as a barrier to care, prioritizing gender, lesbian, gay, bisexual, transgender and/or gender expansive, queer and/or questioning, intersex, asexual, and two-spirit (LGBTQIA2S+), mental illness, physical disabilities | Workgroup with public health | CFBH recognizes the need for further work on mental health promotion and prevention. Staff have been participating in the Public Health Division Shared Risks and Protective Factors huddle to build cross-agency alignment and relationships. The Oregon 988 campaign is set to begin in 2024 and will include aspects of Mental Health Promotion. | | Initiate in 2nd half 2023 | | Fran Pearson |
| 19 | | Continuum of Care | Address marketing that targets youth for substance use in partnership with OHA Public Health Division | | Plan written and implementation agreed | The fentanyl campaign was a success, and all statewide campaigns were complete in 2023. | | Initiate in 1st half 2023 | Plan/Report Due Half 2 2023 | Bernardino DeLaTorre |
| 20 | | Continuum of Care | | Participate in the development and provision of health education related to substance use across the lifespan | Participate in Alcohol and Drug Policy Commission (ADPC) workplan | A second Annual Youth, Young Adult SUD Symposium is planned for Monday 10/28/24. Both the Federal High Intensity Drug Trafficking Area (HIDTA) Reduction Coordinator for Oregon and with ADPC's - Alcohol and Drug Prevention Subcommittee were approached to collaborate with OHA. | | Ongoing/Current Work | | Bernardino DeLaTorre |
| 21 | | Continuum of Care | Increase youth and families access to system navigation and support | | Partner with the Office of Recovery and Resilience | CFBH team members meet regularly with the OHA Office of Recovery and Resilience (ORR) and Behavioral Health Equity and Community Engagement to center youth and family members. The Families Leading Children's Behavioral Health Systems workgroup is meeting monthly to inform the update of the OHA child and family behavioral health focus areas for 2024-2028. A Youth engagement report for work completed in 2024 will be issued in Q3 2024. | | Ongoing/Current Work | | Christie Taylor, Hilary Harrison |
| 22 | | Continuum of Care | | Increase access for youth and family partners and family supports not insurance or program dependent | Partner with the Office of Recovery and Resilience | OHA provides funding to both Oregon Family Support Network and Youth ERA to provide free trainings to the community to build the Peer Delivered Services workforce. In Q1 2024 OHA received recommendations for the Family Peer Delivered workforce from leaders in family peer support and these are being considered for action. In programs such as Mobile Response and Stabilization Services (MRSS) Oregon continues to implement program access that includes Peer Delivered Services regardless of insurance. Workforce continues to be a challenge at the local level. | | Ongoing/Current Work | | Christie Taylor, Hilary Harrison |
| 23 | | Continuum of Care | | Increase system navigators and problem solvers cross-systems | Partner with the ORR | There is a need for a cross system environmental scan of system navigators to determine what already is available and if there are gaps identified and/or coordination needed. | | Ongoing/Current Work | | Christie Taylor, Hilary Harrison |
| 24 | | Continuum of Care | | Provide technical assistance for Coordinated Care Organizations (CCO) to provide Intensive Care Coordination specific to youth and families | 16 CCOs received technical assistance | OHA continues to work with CCOs to support Care Coordination to children and youth 0-25. Additional special guidance and technical assistance has focused on special populations including children in Child Welfare at risk of or experiencing Temporary Lodging. Case specific collaboration has occurred as well in partnership with ODHS. | | Ongoing/Current Work | | Summer Hunker |
| 25 | | Continuum of Care | | Identify barriers to the sharing of behavioral and physical health records between providers and research strategies to assist parents to record and update these histories, ensuring individuals with lived experience and youth voice is represented in the process. | Publish paper summarizing strategies and tools available | To be initiated |  | Ongoing/Current Work | Plan/Report Due Half 2 2023 | Hilary Harrison, Kathleen Burns |
| 26 | | Continuum of Care | Strengthen the role of schools in addressing the behavioral health needs of students | | | Strengthening mental health in education spaces is ongoing work. Current work with Oregon Department of Education (ODE) is to map children's behavioral health service continuum across Oregon to better understand gaps, needs.
OHA is working on the Behavioral Health rules for schools to bill Medicaid. | | | | Fran Pearson |
| 27 | | Continuum of Care | | Develop a plan to provide support for frontier communities for child and family behavioral health by working through the schools, school districts and Educational Service Districts | Plan complete. Recommendations ready. | A second Annual Youth, Young Adult SUD Symposium is planned for Monday 10/28/24. Both the Federal High Intensity Drug Trafficking Area (HIDTA) Reduction Coordinator for Oregon and with ADPC's - Alcohol and Drug Prevention Subcommittee were approached to collaborate with OHA. | | | | Fran Pearson |
| 28 | | Continuum of Care | Evaluate and recontract for restorative services | | New contract in place | Restorative services are needed for population of children deemed by the Court to need restorative services for their "fitness to proceed" with the legal process. After extensive Oregon centered efforts, OHA contracted with a consulting firm to search outside of the state for providers with interest in providing Psychiatric Residential Treatment for these youth. OHA is working with potential providers to develop an appropriate resource that is expected to serve 4-6 youth. Further information on this specialized service can be found at https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/Supports.aspx | | Initiate in 1st half 2023 | | Jessica Stout |
| 29 | | Continuum of Care | Evaluate and expand intensive residential services. | | 2 new programs open | There are now 8 licensed PRTFs in Oregon. This is an increase from 5 at last report, due to opening/re-licensing of Madrona, Nexus and Embark. Two of our PRTFs are actively engaged in a ground-breaking pilot project with the Building Bridges Institute, aimed at assessing, planning and implementing transformational improvements aligned with a national best practice model. Catholic Community Services (CCS) had broken ground in Boardman and has begun construction, with anticipated completion mid-year 2025. | | Ongoing/Current Work | | Julie Graves |
| 30 | | Continuum of Care | Evaluate and expand Early Assessment Support Alliance, Intensive In-Home Behavioral Health Treatment (IIBHT), Mobile Response Stabilization Services (MRSS), Interdisciplinary Assessment Teams (IAT), suicide prevention, Young Adult Treatment Homes, school based mental health | | Services increased | EASA: CFBH unit has continued to work closely with the EASA Center for Excellence (and their new Director who started in early May), the statewide Strategy leadership group, and Young Adult and Family leadership councils. CFBH unit has been actively involved in problem-solving systemic and site-specific challenges, and engaging above groups around contract statement of work goals and budget planning to improve and expand services, including accessibility. Suicide prevention: Increased availability of culturally specific suicide prevention trainings, programs, and YSIPP initiatives. YAT RTH: Three grants have been executed to increase capacity. Two providers purchases already built homes are in the process of remodeling the homes. One provider purchased property and will be building a new home from the ground up. New homes will be located in Linn County, Lane County, and Jackson County. IIBHT: The IIBHT Annual report can be found here https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/IIBHT-Annual-Report-2022.pdf IAT: IAT work continues and updates can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/EASY.aspx | | Ongoing/Current Work | | Brian Pitkin, Christie Taylor, Fran Pearson, Jessica Stout, Jill Baker, Shanda Hochstetler |
| 31 | | Continuum of Care | | Evaluate quality improvement and needs for expansion focusing on regional and racial equity | Evaluation plan complete | Suicide prevention: increased availability of culturally specific suicide prevention trainings, programs, and YSIPP initiatives. For more information on suicide prevention: See page 14 of the 2023 YSIPP Annual Report for a summary https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le8874_2023.pdf EASA: Continued planning with programs and OHA Tribal Engagement Specialist around serving Tribal members. Continued review and improvement of available program data to create targeted engagement plan. EASA C4E has been providing support to program leadership around implementation of new SOGI/REALD requirements. | | Initiate in 2nd half 2023 | | Brian Pitkin, Christie Taylor, Fran Pearson, Jessica Stout, Jill Baker |
| 32 | | Continuum of Care | Address gaps in the mental health services continuum for youth and young adults | | | | | | | |
| 33 | | Continuum of Care | | Participate in the development of Rapid Engagement demonstration project with attention to intellectual and and substance use disorder. | Association of County Mental Health Programs (AOCMHP) report | As part of Healthier Together Oregon, the State Health Improvement Plan, more on the larger 2020-2024 State Health Improvement Plan can be found here: https://www.oregon.gov/oha/ph/about/pages/ship-process.aspx OHA has funded a demonstration project with AOCMHP for rapid engagement. This was rolled out as a pilot through several agencies with the goal of increasing access to behavioral health services. The pilot is primarily focused on behavioral health, but as results to the pilot are identified, there is a goal to expand to SUD and IDD co-occurring work.Rapid engagement rules were put into place for Oregon in May 2024, and community engagement discussions are currently occurring. More information can be found here on their work: http://www.aocmhp.org/rapid-engagement/ | | Ongoing/Current Work | Plan/Report Due Half 1 2023 | Jessie Eagan |
| 34 | | Continuum of Care | | Increase fellowships for child psychiatrists in Oregon | Policy Option Package submitted 2022 | Funded in 2023 OHSU has been funded to increase fellowships for child psychiatrists and developmental pediatricians. The first child psychiatrist cohort starts in July 2024. This will be followed by the developmental pediatricians in 2026. | | | Legislative Concept | Kathleen Burns |
| 35 | | Continuum of Care | | Increase fellowships for developmental pediatricians in Oregon | Policy Option Package submitted 2022 | Funded in 2023 OHSU has been funded to increase fellowships for child psychiatrists and developmental pediatricians. The first child psychiatrist cohort starts in July 2024. This will be followed by the developmental pediatricians in 2026. | | | Legislative Concept | Kathleen Burns |
| 36 | | Continuum of Care | | Develop and implement Interdisciplinary Assessment Teams (IAT) | Interdisciplinary Assessment Teams operational | Providers continue to test the Expedited Assessment Services for Youth (EASY) in two demonstration sites and are getting very promising results. It's clear that there is a need for advanced level psychological testing done by providers who understand the needs of youth involved in multiple systems, at high risk for disruption, and with complex concerns. This service being "insurance neutral" has opened the door to support youth and families much sooner, and before they become involved in child welfare and juvenile justice systems. One success of EASY has shown that in some cases a thorough psychological evaluation was all that was needed to get clear recommendations, and access to key services and programs. An Request for Proposals (RFP) is in progress for second half of 2024 to expand providers for these services to reach a broader population of the state. | | Ongoing/Current Work | Legislative Concept | John Linn |
| 37 | | Continuum of Care | | Develop and implement the Mobile Response and Stabilization Services (MRSS) | MRSS rollout complete | Community Mental Health Providers (CMHP) submitted attestations stating their current level of compliance to the new Oregon Administrative Rules (OAR) for Mobile Crisis Intervention and Stabilization Services. OHA continues to provide technical assistance to all CMHPs to fully implement the new OARS. CMHPs who are struggling with building out services have been asked to submit an Action Plan to OHA outlining steps they are taking to ensure compliance by December 31, 2024. OHA is meeting quarterly with all CMHPs to better understand their current program successes and barriers.
130 people registered for the Tier 1 Collaborative Problem Solving training in June 2024. Given the level of interest a second Tier 1 Training will be offered in Fall 2024. Uprise Collective completed their 5 class series of trainings on Cultural Humility in crisis response and has since developed a 4 hour training specific to working with youth and families that has been added to the Mobile Crisis Training Academy.
OHA has been awarded a grant to participate in a National Mobile Crisis Policy Academy. | | Ongoing/Current Work | | Beth Holliman |
| 38 | | Continuum of Care | | Actively participate in the development and implementation of 988 Suicide and Crisis Helpline, highlighting the needs of youth and families | 988 rolled out and data tracking for youth in place | Two years since the launch of 988, OHA continues to strengthen and improve 988 implementation and ensure it meets the needs of youth and their families. Most notably, with the partnership of strategic communications firm and B Corp, Coates Kokes, the state of Oregon is building Oregon’s 988 public awareness and community engagement campaign through a trauma-informed, listening-based approach. The campaign plan and the 988 effort, while administered by OHA, has been created with significant community input. The recommendations it contains will continue to be developed collaboratively with community-based organizations and local leaders to ensure the campaign reaches and resonates with priority populations disproportionately impacted by suicide and behavioral health crises.
Oregon’s 988 campaign will focus on two key goals:
• Increasing general awareness of 988 across the state and audiences.
• Educating communities on what to expect when reaching out to 988 for themselves, a friend or a loved one. While Oregon’s paid advertising campaign is unlikely to launch until early winter 2025, the federal government is running paid awareness ads from summer through fall 2024, aiming to reach LGBTQI+, Black and American Indian/Alaska Native teens and young adults on a variety of sites and on platforms and channels such as Hulu, YouTube, social media (including Meta, Snapchat, Reddit), iHeart Media, Indian Country Media, video games, apps, and podcasts. The ads will have national reach, and rather than targeting by geography or region, they will be placed on digital platforms and channels that are commonly used by the audience no matter where they are. Locally, many counties and Suicide Prevention coalitions around the state have been doing outreach and community engagement around 988 since its launch in July 2022, including through mental health-related trainings, youth suicide prevention video contests, coffee sleeves and other local 988 storytelling. OHA continues to highlight 988 through its owned media channels and through earned media.
The spring 2024 launch of OHA’s Behavioral Health Crisis System Advisory Committee, which includes family members and caregivers of individuals with lived experience and consumers of youth and family behavioral health services, will allow OHA more consistent feedback and recommendations on the growth of 988 and the coordinated crisis system in Oregon. Lastly, as part of the state’s three-year, $10 million 988 SAMHSA Improvement Grant, OHA has hired a 988 SAMHSA Project Evaluator, Cornerstone Whole Health Care Organization, Inc. (C-WHO). C-WHO is tasked with evaluating Oregon’s progress on the grant, which will allow the state to have an ongoing evaluation plan measuring effectiveness and the quality of 988 services within the state overall, including collaboration with the Nine Federally Recognized Tribes of Oregon. | | | Legislative Concept | Brian Pitkin |
| 39 | | Continuum of Care | | Develop/expand Young Adult Hubs statewide | Policy Option Package submitted 2022 | The Young Adult Services Strategy team (YASS) will be researching ways to expand young adult services without legislative funding beginning this summer. OHA has already been working with internal teams to investigate the possibility of services expansion through new CCBHC model legislation.
OHA has begun working with one county who has expressed interest in opening a young adult HUB program, which would expand the available statewide programs from 4 to 5. | | | Legislative Concept | Christie Taylor |
| 40 | | Continuum of Care | | Expand Wraparound availability for all Oregon children who meet criteria | Wraparound available for Fee-For-Services OHP members | Wraparound codes are available for all Open Card Fidelity Wraparound providers to use; however, some programs do not currently have means to provide or bill for Open Card. OHA is continuing to support implementation and is developing an Request for Grant Proposals to support programs in expansion and culturally responsive access to Wraparound statewide. Further goals and strategies are needed in this area in the 2024-2028 plan. | | Ongoing/Current Work | | Christianna Rhoads |
| 41 | | Continuum of Care | | Advocate for adding children's respite services to the Medicaid state plan | Respite services included in the state plan | This is a priority recommendation. OHA have collaborated with CCOs and the System of Care Advisory Council to review and evaluate current practice and system need. SOCAC published a paper exploring the current system and recommendations around Respite in Oregon. Report can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/Respite%20FINAL%20report%20(1).pdf. OHA published a memo to CCOs in response to these recommendations for strategies CCOs can use now to cover respite services for their members. | | | Legislative Concept | Chelsea Holcomb |
| 42 | | Continuum of Care | | Plan and implement open access to Behavioral Rehabilitation Services (BRS) residential services | Behavioral Rehabilitation Services open to any eligible Oregon Health Plan member | Medicaid is in the planning and evaluation phase for changes to allow open access. | | Ongoing/Current Work | Legislative Concept | Chelsea Holcomb |
| 43 | | Continuum of Care | Address gaps in the Mental Health services continuum for youth and young adults | Enhance and expand residential capacity (4-18) and (18-25) | Increase in capacity | For ages 4-18: Capacity has been expanded through enhanced licensure of two existing facilities and the addition of a third. Madrona Recovery, previously licensed to provide strictly substance abuse recovery treatment, is now licensed as a PRTF and able to serve dually diagnosed youth. Embark Behavioral Health is a PRTF in Bend. Nexus Family Healing opened a small PRTF in Portland to serve justice-involved youth. This adds over 70 beds to Oregon's potential residential capacity for youth. Future plans include continued expansion with a regional focus on areas of the state with no current capacity.
Ages 18 - 25: There is remaining money for YAT home capacity expansion. A Request for Grant Applications will go out late Summer 2024. | | Ongoing/Current Work | Legislative Concept | Jessica Stout, Julie Graves |
| 44 | | Continuum of Care | | Assess needs and develop plan to address the Commercial Sexual Exploitation of Children (CSEC) by expanding into community based services | Plan for expansion complete | Funding secured for the 2023 - 2025 biennium for the OHA funded the current CSEC program. Efforts continue to explore how to access federal funds for this program and as well as for community based CSEC programming. | | | Legislative Concept | Sage Neilson |
| 45 | | Continuum of Care | | Increase resources to provide additional expertise, national consultants and visioning to address residential services needs and transformation including health equity | Consultation contracts in place | OHA has been working with national experts to support work on System of Care, Mobile Response and Stabilization Services, Medicaid and residential care. Much of this work focuses on increasing community based treatment and supports and allowing young people to remain in their homes. The full review of the use of Medicaid funding and recommendations for changes https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/OregonMedicaidAnalysis.pdf.
Nationally the Intensive Services Treatment team has been actively participating in the Building Bridges Initiative along with Child Welfare. They also created national connections through the Association of Children's Residential Community Services annual conference.
The System of Care Advisory Council Safety workgroup (2023) published recommendations for residential care https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCReports/SOCAC%20Safety%20Workgroup%20Recommendations%20May%202023.pdf . OHA will participate in follow up work groups toward needs and transformation of these services. | | Ongoing/Current Work | Plan/Report Due Half 2 2023 | Julie Graves |
| 46 | | Continuum of Care | Review the contracting process to increase accessibility to all community providers, including culturally specific organizations | | | OHA continues to incorporate feedback received from community and providers on solicitations, grant information requested and required and access to diverse community providers including culturally specific organizations. Based on community input, the CFBH team facilitated additional trainings in both English and Spanish to make the application process easier for those who have not previously received them. | | | | Jessie Eagan |
| 47 | | Continuum of Care | Assess and expand co-occurring substance use disorder and mental health service continuum for youth and young adults | | | Madrona is now fully licensed as a PRTF serving youth and has a waiting list. More work needs to be done providing SUD co-occurring services for young adults. | | | | Bernardino DeLaTorre |
| 48 | | Continuum of Care | | Assess and develop a plan for the youth peer model | Plan complete | Madrona opened as a PTRF in March 2024. More Youth Peer services are being provided by community based organizations in the Metro Tri-Counites area and continue to expand. 4D Recovery is now working to expand and provide SUD outpatient and residential treatment with Peer Mentoring Services at the forefront of treatment. | | Ongoing/Current Work | Plan/Report Due Half 1 2023 | Bernardino DeLaTorre |
| 49 | | Continuum of Care | | Assess and develop plans for program(s) for youth with significant substance use disorder with co-occurring mental health needs | Collaborate with Integrate Co-Occuring Disorders team | Madrona opened as a co-occurring SUD and mental health PRFT in March 2024. Rimrock Trails continues providing services and hired a therapist trained in co-occurring disorders. | | Ongoing/Current Work | Plan/Report Due Half 2 2023 | Bernardino DeLaTorre |
| 50 | | Continuum of Care | | Support substance use disorder residential providers with innovative models of care, trauma informed practices and cooccurring work. | Technical assistance provided | SUD residential providers are engaged in monthly discussions as a cohort, with a focus on current concerns, clinical direction, and best practices. CFBH is encouraging supports for youth with trauma histories, co-occurring disorders, and increasing family involvement in treatment. | | Ongoing/Current Work | | Bernardino DeLaTorre |
| 51 | | Continuum of Care | Improve quality in the Behavioral Health continuum | | | | | | | Jessie Eagan |
| 52 | | Continuum of Care | Ensure trauma informed practices (TI) are embedded within behavioral health contracted providers | | Contract review shows all contracts embed TI practices | OHA remains committed to embedding Trauma Informed Practices into contracts, Oregon Administrative Rules (OARs) and technical assistance. OHA continues to fund Trauma Informed Oregon as a resource to state agencies, providers and community to support this initiative. | | Ongoing/Current Work | | Kathleen Burns |
| 53 | | Continuum of Care | | Review and revise Oregon Administrative Rules (OAR) 309-019 and 309-022 with special focus on children, young adults, regional and racial equity and trauma informed care and alignment with system of care values. | OAR revision complete | As new OARs have been developed there has been a special focus on developmentally appropriate language and expectations including work with co-occurring mental health and substance abuse treatment combined with intellectual and developmental disability, mobile crisis and intensive in-home behavioral health treatment. OHA continues to work on the workplan to reduce administrative burden and new legislation to support reduction of administrative burden. CFBH staff are participating in the rule development process for a new co-occurring (mental health and SUD) rule. | | Initiate in 2nd half 2023 | | Kathleen Burns |
| 54 | | Continuum of Care | Increase oversight and support of children's outpatient services | | Plan and process in place | Workforce shortages continue to be a challenge for many providers, especially those in rural/frontier areas who are working to deliver evidence-based practices to fidelity. | | Initiate in 1st half 2023 | | Amy Chandler |
| 55 | | Continuum of Care | | Identify support Tribes may need in credentialing for providers. | Support plan developed and implemented | Work is ongoing to ensure Tribes are aware of all SFBH supported opportunities for training and credentialing. Exploration is currently happening with one Tribe for Gen PTO implementation. Ongoing communication links need to be further developed. | | Initiate in 2nd half 2023 | | Hilary Harrison |
| 56 | | Continuum of Care | Increase the visibility of System of Care (SOC) values at the service level | | Evidence of cross-system collaboration, youth and family voice and culturally appropriate services at site reviews and per youth and family report | Detailed progress below | | Ongoing/Current Work | | Hilary Harrison |
| 57 | | Continuum of Care | | Provider survey on SOC | Survey complete | OHA continues to support the System of Care Advisory Council and the combined efforts to support Local System of Care structures. This activity is now part of the SOCAC's work. OHA is working with SOCAC and the local groups to evaluate and update the CCO contract to better support local efforts. | | Initiate in 2nd half 2023 | Plan/Report Due Half 1 2024 | Hilary Harrison |
| 58 | | Continuum of Care | Elevate and publish the impact of trauma on children with complex behavioral health needs in child serving systems | | Publish report | CFBH Team continues to elevate and amplify how complex trauma impacts children and families and the importance of systems to be trauma informed. CFBH works closely with Trauma Informed Oregon on trainings, technical assistance and support for direct programs, systems level implementation and an assessment of our local Systems of Care. In each paper or evaluation of the continuum includes exploring these principles and practice. | | Initiate in 2nd half 2024 | Plan/Report Due 2025 | Kathleen Burns |
| 59 | | Continuum of Care | | Align with the State Health Improvement Plan trauma work to mitigate trauma by promoting trauma informed systems and services that assure safety and equitable access to services, and avoid re-traumatization. | Participate in Healthy Together Oregon | CFBH staff participated in the development of and implementation of Healthier Together Oregon the current State Health Improvement Plan. More information on this plan can be found here: https://healthiertogetheroregon.org/ | | Ongoing/Current Work | | Kathleen Burns |
| 60 | | Continuum of Care | Increase workforce development opportunities in order to ensure availability and access to a broad, flexible array of effective services and supports in all regions of the state. | | Participate with workforce retention team | CFBH team invests in trainings and learning collaboratives to support the workforce in Children's Behavioral Health. Training opportunities range from evidenced based practices such as Parent Child Interaction Therapy (PCIT) and Trauma Focused Cognitive Behavioral Therapy (TF-CBT) to topic specific informational webinars such as Eating Disorders (recordings can be found here: https://www.oregon.gov/oha/hsd/bh-child-family/pages/training.aspx ).
Learning Collaboratives currently cover Intensive In-Home Behavioral Health Treatment (IIBHT), System of Care and Mobile Response and Stabilization Services (MRSS) and Wraparound.
Moving forward CFBH is reviewing the restructuring of GenPMTO funding and focusing on group delivery models. This allows for QMHAs to facilitate, and agencies are interested in this because they are finding it helps with recruitment and retention of interns and helps with hiring them as full time clinicians after graduation. | | Ongoing/Current Work | | Amy Chandler |
| 61 | | Continuum of Care | | Participate in OHA efforts to increase the diversity of the workforce to meet the wide needs of LGBTQIA2S+, gender, race and ethnicity | Participate with OHA Workforce team | HB 4071 (2022) and HB 2949 (2021) direct OHA to increase the recruitment and retention of behavioral health providers who are people of color, Tribal members or residents of rural areas and can provide culturally responsive care for diverse communities. More of this investment and work can be found here: https://www.oregon.gov/oha/HSD/AMH/Pages/Workforce-Initiative.aspx.
OHA has developed an enhanced payment for Culturally and Linguistically Specific Services (CLSS) https://www.oregon.gov/oha/HSD/OHP/Pages/BH-Rate-Increase.aspx and you can find more here on how to apply: https://www.oregon.gov/oha/HSD/OHP/Tools/CLSS-Application-FAQ.pdf.
CFBH staff are working with the Behavioral Health Workforce unit to identify ways to specifically identify ways to support the youth and family treatment workforce, such as stipends for Early Childhood credentials, a modifier for youth and family services, and options for ways to acknowledge the complexity of youth service provision. Some one-time funds have been identified for these efforts and evaluation of identified projects is underway. | | Ongoing/Current Work | | Jessie Eagan |
| 62 | | Continuum of Care | Invest in, promote and implement of evidence based practice, best practices and promising models | | Policy Option Package for 2025 | CFBH team invests in trainings and learning collaboratives to support the workforce in Children's Behavioral Health. Training opportunities range from evidenced based practices such as Parent Child Interaction Therapy (PCIT) and Trauma Focused Cognitive Behavioral Therapy (TF-CBT) to topic specific informational webinars such as Eating Disorders (recordings can be found here: https://www.oregon.gov/oha/hsd/bh-child-family/pages/training.aspx ). Learning Collaboratives currently cover Intensive In-Home Behavioral Health Treatment (IIBHT), System of Care and Mobile Response and Stabilization Services (MRSS). Support for Wraparound is provided by Portland State University and their resources can be found here: https://nwi.pdx.edu/. The unit continues to explore system partnerships to continue work towards emerging best practices that are culturally affirming. | | Initiate in 1st half 2023 | Legislative Concept | Amy Chandler |
| 63 | | Continuum of Care | | Research community grown innovative practices, building protective factors to support resilience | Workplan in conjuction with Multnomah County | CFBH has requested federal funds for a temporary position and to fully initiate this work. Working closely with the OHA Equity and Community Engagement team on the implementation of CLSS to see impacts on supporting and expanding culturally specific practices and programs. | | Initiate in 1st half 2024 | | Chelsea Holcomb |
| 64 | | Continuum of Care | | Invest in culturally responsive, adapted Evidence-Based Practice (EBP) models supporting communities of color, LGBTQIA2S+ and individuals experiencing intellectual and developmental disabilities or without identified family or houseless. | POP for 2025 | Initiate in second half 2024 | | Initiate in 1st half 2024 | Legislative Concept | Chelsea Holcomb |
| 65 | | | | | | | | | | |
| 66 | | Youth and Family Engagement. Work incorporates meaningful youth and family participation centering communities of color, indigenous and Tribal communities, people who identify as LGBTQIA2S+ and other traditionally marginalized populations. | | | | | | | | |
| 67 | | Youth and Family Engagement | Develop and implement a strategy of community engagement that is accessible and transparent to the community in coordination with the Oregon Health Authority (OHA) Office of Recovery and Resilience (ORR) and Behavioral Health Equity teams | | Strategy complete | Processes and goals for each staff's community engagement efforts are built into quarterly check-ins. Engagement for the Roadmap 2024-2028 update will include above principles and collaboration. CFBH staff are holding meetings across the state to hear from youth, families, providers, and funders. In addition, the CFBH unit is building a relationship with REAP to bring youth and young adults to committees and planning groups. | | Initiate in 1st half 2023 | Plan/Report Due Half 1 2024 | Chelsea Holcomb |
| 68 | | Youth and Family Engagement | | Establish regular consultation with family and youth members including Children's System Advisory Council (CSAC) and Young Adult and Youth Engagement Advisory (YYEA) to increase transparency on development and evaluation of policy and programs | Consultation happening monthly | The CFBH Unit staffs and supports the Children's System Advisory Council (CSAC). You can find more information here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/CSAC.aspx.
Families Leading Children's Behavioral Health Systems workgroup has been established and has met monthly since June 2023. OHA is exploring creative ideas for future youth engagement. | | Ongoing/Current Work | | Chelsea Holcomb |
| 69 | | Youth and Family Engagement | | Directly engage and incorporate feedback from communities of color | Contracts in place | CFBH staff are partnering with the OHA's Office of Recovery and Resilience (ORR) and Behavioral Health Equity (BHE) teams to engage communities of color and bring voices of broadly diverse communities to discussion. In addition, the CFBH unit is building a relationship with REAP to bring youth and young adults to committees and planning groups. | | Ongoing/Current Work | | Hilary Harrison |
| 70 | | Youth and Family Engagement | | Develop and maintain a feedback loop for youth, family and advocate input | Time for Families and Youth connection happening monthly | A Time for Families occurs weekly for parents, caregivers and family members to join OHA's Director of CFBH, Chelsea Holcomb, and OHA's Hilary Harrison, System of Care strategist at these discussions. Community members can share questions and concerns about mental health and substance use services for children and young people, and share suggestions for how OHA can support youth, young adults and their families to help them get the right service at the right time for the duration needed. Representatives from the Parent/Family Help Line will also be available to follow up with any specific immediate concerns. | | Ongoing/Current Work | | Chelsea Holcomb |
| 71 | | Youth and Family Engagement | Develop and implement a strategy of community engagement that is accessible and transparent to the community in coordination with the Office of Recovery and Resilience and equity teams | Develop and utilize a feedback loop with the local System of Care (SOC) entities | Feedback loop developed | OHA and the System of Care Advisory Council hosts a monthly Learning Collaborative with local SOC entities with Oregon Family Support Network (OFSN) and Youth Era.
OHA participates in the State Agency Standing Committee that supports the System of Care Advisory Council (SOCAC). This group supports a barrier submission form process for Local SOC to elevate system barriers for consideration. Summary of barriers can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/Local-SOC-Barriers.aspx | | Ongoing/Current Work | | Hilary Harrison |
| 72 | | Youth and Family Engagement | | Establish strong communication and feedback loops with youth and family and community partners from Children's System Advisory Council (CSAC) and Youth and Young Adult Engagement Advisory (YYEA) to the System of Care Advisory Council (SOCAC). | Communication plan in place for CSAC, YYEA and SOCAC | CSAC is working to re-envision its structure. This work will continue in 2024. OHA is working closely with CSAC through this process. You can find more information here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Pages/CSAC.aspx
YYEA is not operational at this time. | | Ongoing/Current Work | | Christianna Rhoads |
| 73 | | Youth and Family Engagement | Increase community communication, including metrics and dashboards that are engaging and understandable by youth and families and children's behavioral health partners | | Communication plan | A Performance Indicator report is available on our website: https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf. An update will be available in Q3 2024 for 2023. This will be publicized in the Holding Hope newsletter. | | Initiate in 1st half 2023 | Plan/Report Due Half 1 2023 | Hilary Harrison |
| 74 | | Youth and Family Engagement | | Develop and implement a community communication strategy and plan | Communication plan operational | Details of community engagement can be found in the newsletter. OHA has a CFBH steering committee and is supporting the development of a community engagement plan. | | Initiate in 2nd half 2023 | | Hilary Harrison |
| 75 | | | | | | | | | | |
| 76 | | Data. Work centers health equity by making policy and program decisions based on accurate and timely data and by seeking data that can assist in understanding health inequities. | | | | | | | | |
| 77 | | Data | Structure data collection, analysis and evaluation | | Workplan complete | Detailed progress below | | | Plan/Report Due Half 1 2023 | Hilary Harrison |
| 78 | | Data | | Define data, performance indicators and benchmarks for continuum of services and supports | Data sources, benchmarks and performance indicators all collated | Child and Family Behavioral Health (CFBH) unit has compiled current data sources and performance indicators for most of the continuum of youth services, as well as national best practices for benchmarking our system to other states. The April 2023 report can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf. A new report is planned for release in Q3 2024. | | Ongoing/Current Work | Plan/Report Due Half 1 2023 | Hilary Harrison |
| 79 | | Data | | Research, develop and implement outcome measures for the continuum | Outcome measures defined | Indicators have been identified. Benchmarks need to be created for all other indicators so that outcomes can be determined. The SOCAC is working with the OHSU DAETA team and much of their work will overlap into the development of key performance measures for CFBH. | | Initiate in 1st half 2023 | Plan/Report Due Half 1 2024 | Hilary Harrison |
| 80 | | Data | | Create and implement processes and procedures for feedback, monitoring and evaluation of the continuum | first feedback process initiated | Initiate in second half of 2024. | | Initiate in 1st half 2023 | | Hilary Harrison |
| 81 | | Data | Establish strategies and processes to address data gaps | | Data gaps defined | CFBH needs to establish processes and procedures for feedback, monitoring and evaluation of the continuum in 2024. | | Initiate in 2nd half 2023 | | Hilary Harrison |
| 82 | | Data | Develop and implement a CFBH system overview | | Overview published | Initiate in 2nd half of 2024 as a summary for the 2020-2024 Roadmap work | | Initiate in 2nd half 2023 | | Hilary Harrison |
| 83 | | Data | Develop and implement a CFBH system overview | Collaborate within OHA on child system data | | OHA has dedicated two staff within the Health Policy and Analytics Division to work directly with the CFBH team, and we are building a prioritization list of data needs. The CFBH unit is also working with the OHA ROADS and Compass, Behavioral Health database data projects. | | Ongoing/Current Work | | Hilary Harrison |
| 84 | | Data | | Collaborate with other agencies and the System of Care Advisory Council on cross-system relevant data | Cross-system data is available to inform decision making. | The Children's System of Care Data Dashboard is now available at https://www.oregon.gov/dhs/Pages/SOC-Dashboard.aspx. CFBH is actively collaborating with Child Welfare on Intensive Treatment Service system needs and the data to support decision making. | | Ongoing/Current Work | | |
| 85 | | Data | Develop and implement a communications strategy for CFBH data | | Strategy complete | CFBH developed data indicators including external data systems. A report can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf CFBH also contracts with OHSU to track data for Wraparound, IIBHT and MRSS. This will support tracking program utilization and allow for analysis and feedback for programs. Data is shared on our website, Newsletter and in virtual presentation form currently. Data is also shared at CSAC. | | Initiate in 1st half 2023 | Plan/Report Due Half 1 2023 | Hilary Harrison |
| 86 | | Data | | Develop and document shared guidance on the methodology that will be used to track performance measures and communicate that to all interested parties, including CCOs and providers. | | CFBH developed data indicators including external data systems. A report can be found here:https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf Data is shared on our website, Newsletter and in virtual presentation form. Data is also shared at CSAC. | | Initiate in 2nd half 2023 | Plan/Report Due Half 2 2023 | Hilary Harrison |
| 87 | | Data | Address specific system issues and possible needs via data and research | | Specific interested defined and research completed | Data on Emergency Room utilization, eating disorders, self-harm, crisis and suicide statistics and top behavioral health diagnoses has been shared in 2023. Updates are planned for 2024. Through data, community conversations, webinars and feedback we examine network adequacy. | | Ongoing/Current Work | | Hilary Harrison |
| 88 | | Data | | Monitor and evaluate psychotropic medication usage and prescription in Foster Care and intellectual and developmental disabilities and general behavioral health population | Review and take appropriate actions based on conclusions | Monitoring continues. | | Ongoing/Current Work | | Hilary Harrison |
| 89 | | Data | | Monitor and evaluate hospital Emergency Department utilization and boarding data for ages infant - 25 | Review and take appropriate actions based on conclusions | OHA is reporting and monitoring Emergency Department utilization and boarding data for ages infant - 25. OHA has made community presentations, including to CCOs and County Mental Health Providers (CMHP) and will develop this information as part of the CFBH data dashboard. 2019 - 2022 data was shared in Q2 2023. The 2023 data will be shared with the community in Q3 2024. | | Ongoing/Current Work | | Hilary Harrison |
| 90 | | Data | | Maintain connection to and evaluation of relevant national and Oregon children's system data | National data connected to Oregon benchmarks and outcome measures | Nationwide data has been included in the Oregon Key Performance Indicator report found here https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf. The 2023 update to this data is planned for release in Q3 2024. | | Ongoing/Current Work | | Hilary Harrison |
| 91 | | Data | | Monitor and evaluate eating disorder utilization and demand | Presentation to community | Nationwide data has been included in the Oregon Key Performance Indicator report found here https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/Performance%20Indicators%20Report_Apr2023.pdf. The 2023 update to this data is planned for release in Q3 2024. | | Ongoing/Current Work | | Hilary Harrison |
| 92 | | | | | | | | | | |
| 93 | | Cross System. Work supports and prioritizes cross-system collaboration to improve the behavioral health continuum of care for youth and families. | | | | Detailed progress below | | | | Chelsea Holcomb |
| 94 | | Cross System | Develop and implement Oregon Health Authority (OHA) and Oregon Department of Education (ODE) workflows | | | OHA/ODE leadership meet every two weeks and work flows continue to be established. | | | | Fran Pearson |
| 95 | | Cross System | Develop and implement ODE/OHA workflows | Develop and implement a plan for the OHA and Oregon Department of Education (ODE) agency Memorandum of Understanding (MOU) | Implementation plan in place | OHA and ODE have a MOU in place and meet monthly on goals, objectives and implementation. | | Ongoing/Current Work | | Chelsea Holcomb |
| 96 | | Cross System | | Develop strategies with Oregon Department of Education (ODE) to support increased use of trauma informed tools and practices with teachers, counselors and other helping personnel who need concrete tools for working with traumatized students. | Plan in place | CFBH leadership is working closely with leadership from ODE and Public Health to create consistent planning and language for student mental health, build trauma-informed practices in schools, and collaborate across agencies to provide supports for students.
ODE/OHA SBMH coordinators are working together to identify spaces for teachers and other school staff to increase literacy in trauma-informed practices.
There is monthly coordination between ODE and OHA suicide prevention teams. ODE submits and tracks youth suicide prevention initiatives on the YSIPP. In spring 2024 a joint Call to Action was released around suicide prevention. | | Ongoing/Current Work | | Fran Pearson |
| 97 | | Cross System | Implement, evaluate and monitor OHA and Oregon Department of Human Services (ODHS) improvement projects | | | Detailed progress below | | | | Chelsea Holcomb |
| 98 | | Cross System | | Create outward facing summary and tracking of OHA and Oregon Department of Human Services (ODHS) projects | Summary and tracking published | OHA and ODHS partners are meeting regularly to update one another on PRTF expansion projects. An outward facing summary and tracking of these projects is still under development at this time. | | Initiate in 2nd half 2023 | | Julie Graves |
| 99 | | Cross System | | Formalize agreements with Oregon Department of Human Services (ODHS) to help assess the ongoing needs for intensive mental health treatment services statewide and track performance measures of mental health services for children by foster care status. | Formal agreement in place | ODHS and OHA continue to meet quarterly. There is also a joint ODHS and OHA group meeting twice a month to collaborate specifically around intensive treatment services, with a strong focus on psychiatric residential treatment facility (PRTF) program capacity. | | | Plan/Report Due Half 2 2022 | Sage Neilson |
| 100 | | Cross System | Implement and evaluate behavioral health and Intellectual and Developmental Disabilities (IDD) initiatives | | | Detailed progress below | | | | Chelsea Holcomb |
| 101 | | Cross System | Implement and evaluate Behavioral Health IDD initiatives | Develop an Office of Developmental Disabilities Services (ODDS) and OHA 5 year policy plan (*continuum of care project 2018) inclusive of health equity | Policy plan complete | OHA has worked with national consultants to review Medicaid state plan: https://www.oregon.gov/oha/HSD/BH-Child-Family/Documents/OregonMedicaidAnalysis.pdf, contracted with National Association for the Dually Diagnosed (NADD) and other experts to support the development of a formal policy plan. Contracts are in place for this for 2023-2025. With ODDS leadership change and other competing priorities, a formal 5-year plan has not been initiated, however OHA and ODDS are working closely together to better implement Home and Community Based Services for adults and children, address recommendations in the SB 5529 Report (https://www.oregon.gov/odhs/about/legislativeinformation/2022-sb-5529-mh-barriers.pdf) and collaborate on SB 1557 (2024) implementation. OHA will continue to build out the cross-agency collaboration and initiatives to better serve children experiencing intellectual or developmental disabilities and more clearly map out in 2024-2028. Last SB 5529 formal update can be found here: https://www.oregon.gov/oha/HSD/BH-Child-Family/SOCAC/SB%205529%20Report%20on%20Barriers%20to%20Access%20to%20MH%20for%20People%20with%20IDD_Implementation%20Update_SOCAC%2011.29.23_Final.pdf. OHA and ODDS also are sponsors of the 2024 IDD Mental Health Summit in Oregon to take place this Fall. | | Ongoing/Current Work | Plan/Report Due Half 2 2024 | Jessica Stout |
| 102 | | Cross System | | Coordinate with Oregon Council on Developmental Disabilities (OCDD) and Office of Developmental Disabilities Services (ODDS) on Intellectual and Developmental Disabilities (IDD) and mental health work to ensure efforts are congruent | Regular coordination meetings in place | Monthly meetings between CFBH staff and ODDS staff began during 2022 and are ongoing; agendas include vision and mission, role clarity, and shared opportunities. ODDS and OHA also attend the State Agency Standing Committee and are a part of the System of Care Advisory Council. | | Ongoing/Current Work | | Hilary Harrison |
| 103 | | Cross System | | Further develop partnership with National Association for the Dually Diagnosed (NADD) and other national groups or organizations for projects and technical assistance | Partnerships agreed. | OHA has a contract with NADD (National Association for the Dually Diagnosed) to provide program specific IDD/MH training and consultation to programs as requested. OHA is also exploring other training options related to IDD and MH.
The Arc Oregon is continuing to support with planning the 2024 Youth IDD Mental Health Summit currently scheduled for August 20-21, 2024. OHA is a sponsor of this event.
We continue to have internal conversations around needs in this in this area and ways in which NADD or other groups or organizations can support with those needs. | | Ongoing/Current Work | | Jessica Stout |
| 104 | | Cross System | Maintain a cross-community co-occurring substance use disorder workgroup with a charter and workplan that includes diverse community voices, Oregon Council for Behavioral Health (OCBH) and Alliance of Children's Providers. | | Workgroup established | This is on-going work engaging community and also working closely with ADPC and OCBH. OHA meets quarterly with both these entities and continue collaborating to help improve the Youth SUD system of care. ADPC and SOCAC have a joint workgroup to focus on and develop a strategic plan for Youth and Young Adults. | | Ongoing/Current Work | | Bernardino DeLaTorre |
| 105 | | Cross System | | Develop a plan to coordinate and collaborate with Alcohol and Drug Policy Commission (ADPC) | Plan established | CFBH has established a relationship with the ADPC and have on-going planning and coordination. For more information on the Oregon statewide Strategic 2020-2025 Plan visit https://www.oregon.gov/oha/HSD/AMH/OACDocuments/ADPC-Statewide-Strategic-Plan.pdf | | Ongoing/Current Work | | Bernardino DeLaTorre |
| 106 | | Cross System | Establish a cross agency plan for youth in Oregon Youth Authority (OYA) and county juvenile justice system who have behavioral health needs | | Plan in place | OHA continues to work regularly with OYA on program and policy needs including transitions to community care. Focus of this last quarter has been on increased mental health and medication resources for youth transitioning out of OYA custody into community settings for continuity of care and pathways for children in OYA community custody to get timely access to PRTF treatment when clinically indicated. | | | | Jessica Stout |
| 107 | | Cross System | | Support 1115 Waiver plan for continuity of care during transitions | 1115 waiver change complete | The OHA 2022-2027 waiver is completed, and information can be found here: https://www.oregon.gov/oha/hsd/medicaid-policy/pages/waiver-renewal.aspx | | | | Jessica Stout |
| 108 | | Cross System | Develop, update and implement the Youth Suicide Intervention Prevention Plan (YSIPP) | | Updated plan published | YSIPP 2023 Annual Report: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le8874_2023.pdf ---- YSIPP 2021-2025: https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le8875.pdf | | Ongoing/Current Work | | Jill Baker, Shanda Hochstetler |