Creating a World Class Holistic Behavioral Healthcare System in Harris County

Appreciative Inquiry Summit

June 16-17 2005

Creating Community Support

Mental Health Association began by:Identifying Appreciative Inquiry as the

right processContracting with Case Western Reserve

Univ., School of Business and MgmtSecuring FundingCreating Design Team to create

consensus and plan

Design Team Members:

Mr. Ian Aitken, President and CEO, The Menninger ClinicMr. Domingo Barrios, Grant Officer, Houston Endowment, Inc.Dr. David Buck, President and Chief Medical Officer, Healthcare for the HomelessDr. John Burrus, Chief of Psychiatry, Ben Taub HospitalMr. Jack Callahan, Mental Ilness Advocate, Advocacy Inc.Dr. Ron Cookston, Director, Gateway to CareDr. Avrim Fishkind, Medical Director, Neuropsychiatric CenterMrs. Carolyn Hamilton, President, NAMI West HoustonMs. Nicole Lievsay, Director of Juvenile Justice and Behavioral Health Initiatives, Harris

County Judge Robert Eckels' OfficeMr. Anthony Love, President & CEO, Coalition for the Homeless of Houston/Harris

County, Inc.Dr. Curtis Mooney, President & CEO, DePelchin Children's CenterDr. Lois Moore, Chief Administrator, Harris County Psychiatric CenterDr. William Schnapp, Associate Professor, UT Mental Science InstituteDr. Steven Schnee, Executive Director, MHMRAMs. Betsy Schwartz, Executive Director, MHAMr. Mel Taylor, President & CEO, The Council on Alcohol and Drugs - HoustonMr. Stephen L. Williams, Director, Houston Department of Health and Human Services

What is Appreciative Inquiry

Appreciative Inquiry is search for the best in people organizations,

and relevant world around them. systematic discovery of what gives “life” to a

living system when it is most effective involves the art and practice of asking

questions that strengthen a system’s capacity to apprehend and anticipate potential.

What makes AI work:

Assembling the right stakeholders for an extended time period;

Asking positive questions the focus on strengths of the current and past and dream for the future;

Building consensus throughout the process;

Turning Goals into Action Plan

Moving Forward: World Class Behavioral Healthcare in Harris County

enhancing consumer-focused care; optimizing service integration; forging collaborative partnerships.

Behavioral Healthcare Summit Stakeholders Included

Judges and Law Enforcement School Superintendents and Teachers Mental Health & Substance Abuse Consumers and

Families Hospital and Service Providers: Administrators and

Frontline Staff Physicians, MH professionals Private Foundation Leaders Elected Officials and Staff Clergy and Zip Code Ministries Neighborhood Clinic Staff

Outcome of Summit: Ten Goals

Pooled/Integrated Funds Outcome Based

Services Timely, Seamless,

Integrated Services & Eligibility

Universal Medical Records & Internet Resource Database

Neighborhood Based Service Delivery

Co-location of Behavioral & Physical Healthcare

Prevention & Early Intervention

Community Education Public Policy: Parity &

Funding for Public Services

Summit Evaluation

Please describe what you liked best about the Summit:

2%12%

18%

2%66%

commitment

positive nature

process

ten groups

variety of people

Summit Evaluation

Summit Value0% 5%

15%

41%

39%

little

minor

moderate

significant

great

Integrated/Pooled Funds

We have created a pool of coordinated and/or integrated funds that provide fair and equitable distribution of health, mental health, and substance abuse services for Greater Houston.

Sources include: public, private, business, faith-based and other funds. The pool is based on a complete and on-going inventory of needs and resources.

Outcome Based Services

Outcomes relate to program development, continuous quality improvement and current evidenced-based practice.

Measurements include program volume, utilization, and clinical outcomes that are risk and severity adjusted.

Outcomes improve as a result of RFP usage and subsequent competition.

Timely, Seamless, Integrated Services and Eligibility

Response is timely & culturally competent & addresses consumer holistic needs.

System provides easy access, reduces duplication & expedites intervention.

Collaborative model based on integrated funding, accountability, and accessibility.

Universal Medical Records & Internet Resource Database

Based upon a comprehensive, holistic, free database of medical records and community resources.

Internet access database matching consumer needs with resource availability.

Public Policy: Parity and Public Funding

Public policy addresses local, state, and federal issues;

Ensures equal insurance coverage between health and mental health/substance abuse treatment;

Guarantees services are available and affordable to all residents.

Launch a public education campaign to create public policy agenda.

Neighborhood Based Services

More people are accessing and benefiting from services that are readily available in the homes, schools, faith-based organizations and neighborhood centers.

Communities have input into service provisions.

Co-Location of Behavioral & Physical Healthcare

Fully integrated medical & behavioral model that is a series of sites where prevention, assessment, treatment, medication, and referrals are available within 30 minutes of travel.

Safe and attractive system IT systems for information and referrals.

Community based model features multiple shared training opportunities.

Prevention & Early Intervention

We have a prevention-based delivery model.

By education and support, we put children first.

Behavioral health is integrated into primary care.

Prevention and appropriate intervention occurs at all stages of human development.

Community Education

All residents understand mental illness and substance abuse as treatable;

Family and consumer support are provided;

Community is empowered to seek services without stigma;

Early intervention is embraced.

Where to go from here?

Link results with your recommendationsContinue work of Summit work groups

with leadership from Design Team and ideally members of this Committee

Benchmark: Summit recommendations linked with existing or new community initiatives.