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OnTrackNY Psychosis Treatment Program 

March 7, 2019

New York State's OnTrackNY provides Coordinated Specialty Care services for adolescents and young adults experiencing a first episode of psychosis (FEP). Through their website, young adults, families and providers can locate the 21 service centers across the state. In addition to locating services, a variety of resources are available for young adults, family members, and providers. The website also showcases success stories, which includes a video library featuring OnTrack participants, graduates, families, and providers.

Since 2014, NRI has collaborated with NASMHPD and SAMHSA to develop a series of informational materials related to FEP.  More info available here.

Developing a Program for Criminal Justice Involved Adults with I/DD and Co-existing Behavioral Health Disorders: The RTR’s forensic residential treatment program

February 21, 2019

This paper examines a residential treatment program that was developed in Massachusetts to treat individuals with intellectual/developmental disabilities and co-existing behavioral health disorders who have been involved in the criminal justice system. The article reviews the population that this program serves, why the program was created, and the integral components that needed to be considered to establish this program. Read more.   

African American Pioneers in Mental Health

This February, we celebrate the considerable accomplishments of individuals of African descent to history. Learn more

NRI’s Executive Director/CEO, Tim Knettler and Sr. Director, Ted Lutterman’s State Mental Health Authorities’ Perspective on NRI Board VP, Lynda Zeller’s Interview on: How Do Medicaid Directors Think About Quality, Budgets, & Innovation?

February 7, 2019

As NRI’s Board V.P., Lynda Zeller’s interview highlights, analytics that focus on Medicaid’s role within larger systems—such as homelessness and State Mental Health Authorities’ (SMHA) systems can provide insights to improve care coordination and population health. Ms. Zeller was recently interviewed by OpenMinds about how Medicaid directors think about the system change and about improving quality and managing budgets. Ms. Zeller provided some insight into innovation at the state level:

“I think we are going to see a move at the Medicaid program level to a real population health model. We’ll see more of a focus on prevention and early intervention. And a focus on specific targeted populations with a subset of strategies for different populations, including addressing the social determinants of health (SDH). This will shift the interest of Medicaid Directors to how systems of care can work better within Medicaid.”

Lynda Zeller raises important points about the increasing importance of analytics to understanding Medicaid’s role in providing essential services to individuals with behavioral health needs. State Mental Health Authority (SMHA) systems provide mental health services to over 7.5 million individuals each year and Medicaid now pays for some or all mental health services to 70% of these individuals.  

NRI data shows that Medicaid is now the largest single funding source of state mental health authority programs, with Medicaid contributing 50% to the $43.5 billion public mental health system overseen by SMHAs. In addition to the Medicaid funding that flows through the state mental health system, Medicaid is expending billions more for mental health and substance abuse services provided outside the State systems (SAMHSA’s studies of Medicaid spending for mental health show that in FY 2014, Medicaid expended $52 billion for mental health services and an additional $7.9 billion for substance abuse services (SAMHSA “Projections of National Expenditures for Treatment of Mental Health and Substance Use Disorders, 2010-2020). Thus Medicaid expended over $30 billion providing mental health service provided outside the SMHA system. Read more

Happy New Year! We hope your 2019 is off to a great start!

January 18, 2019

Recently, two articles by NRI Staff were included in NASMHPD’s Early Intervention in Psychosis (EIP) Virtual Resource Center: