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Cuyahoga County Community Mental Health Board Report to the Community Fiscal Year 2003

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Cuyahoga County Community Mental Health Board Report to the Community Fiscal Year 2003 Cuyahoga County Community Mental Health Board Fiscal Year 2003 Report to the Community Bonita W. Caplan Board Chair William M. Denihan Chief Executive Officer Message from the Board Chair: Bonita W. Caplan There is a public mental health crisis right here in Cuyahoga County, and if unchecked, it could reach epic proportions within the next few years. This crisis is fueled by the demand for mental health services colliding with the diminishing available supply. Each year, fewer public dollars are accessible, causing a growing number of citizens to either be underserved or not served at all. In addition, within the next five to ten years, we expect that the two ends of the generational spectrum will demand more out of our system as consumers require services at an earlier age and additional services are needed as people live longer. Confronting this crisis, the Cuyahoga County Community Mental Health Board (CCCMHB) joined forces with all of its stakeholders and completed a planning process that yielded a Five-Year Strategic Plan (2004 - 2009). This plan outlines a vision and an achievable action strategy for the community mental health system. It focuses on three areas: System of Care, Funding, and Leadership. System of Care: We know that accessing mental health services today is often complicated and bureaucratic. Therefore, the CCCMHB will focus on consumers – supporting the services they need, embracing holistic treatment to promote recovery, and streamlining access to services. This focus will generate a system of care that provides for prevention and timely intervention, reestablishes research and development, utilizes collaboration with other systems to provide more efficient and effective services, and invests in recruiting, training and retaining professional staff knowledgeable in “best practices” service delivery. Funding: Inadequate funding diminishes the ability of the CCCMHB to provide services to all citizens who are in need. The growing demand for Medicaid match continues to threaten the availability of Non-Medicaid services. In order to provide the required Medicaid match, the CCCMHB is forced to use discretionary funds that have traditionally been used to provide Non-Medicaid services. This leaves potentially no dollars for services to the working poor, uninsured or underinsured citizens of our community. Over the next few years, the CCCMHB is committed to working more creatively with our traditional government partners and developing a stream of nontraditional dollars so we can establish a stable and reliable source of funds that will sustain a system of mental health care that will provide both Medicaid and Non-Medicaid services. Leadership: Successfully surmounting this mental health crisis requires vision, commitment and leadership. Coordinating, funding and regulating publicly financed mental health services is the core role of the CCCMHB and we are now prepared to provide the leadership that will enable our community to find innovative answers to persistent problems. We have a dedicated Board of Governors and an excellent, hard-working staff. Working in cooperation with our consumers, family members, providers, legislators and community partners we will find the solutions to develop the ideal system of care. Together, we will find ways to increase funding; improve access to quality mental health services; become a stronger advocate for consumers; educate the public for a deeper understanding of mental illness thereby reducing stigma; and promote public policy that supports parity and the concept of recovery. We have a responsibility to the residents of Cuyahoga County to provide quality, accessible Medicaid and Non- Medicaid mental health services. Together, we can meet the challenges before us and effectively achieve our mission and our vision of creating, developing, managing and sustaining a superior, evolving system of community mental health care in Cuyahoga County. 1 Message from the Chief Executive Officer: William M. Denihan A sturdy foundation helped the Cuyahoga County Community Mental Health Board (CCCMHB) overcome funding reductions and continue to move the community mental health system forward in FY03. A rock solid leadership team and strong support from providers and consumers made it possible for the CCCMHB to ensure mental health services even after the system was shaken by $5.4 million in reductions. This was not easy as the CCCMHB and providers had to make difficult decisions to reduce staff and Non-Medicaid services. An analysis of available funding from the county, state and federal government, as well as our own funding trends, illustrates a shift in the way we fund services. The CCCMHB is mandated by law to fund Medicaid services. As the demand for Medicaid services continues to rise, more and more of our dollars are being earmarked for these services. The result is less discretionary dollars available for much needed Non-Medicaid services, such as vocational/employment services and housing. In fact, we are reaching a point where funding for Non-Medicaid services will be severely reduced to the point of elimination. The entire mental health system is being asked to provide greater program efficiency to serve more with less. To combat this trend, we are working with our Non-Traditional Revenue Generating Committee, providers, the State of Ohio and the County Commissioners to ensure funding for all services to meet the needs of our residents. Not all news on funding was challenging over the past year. In fact, we have been given an extraordinary opportunity to enhance our system of care for children with severe emotional disturbances and their families through a six-year matching grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) that will generate $18 million. This grant was awarded in October 2003 and will fund Tapestry, a collaborative program involving other systems that will increase access to mental health services for children, adolescents and transitional youth ages 0-21. As we begin to implement our Five-Year Strategic Plan and face the challenges of the future – we are building opportunities. Opportunities to better serve our consumers and ensure that quality mental health services remain available. Opportunities to move our headquarters to a new location; develop a Crisis Intervention Team with local police officers; further discuss Central Intake with our providers; inform the community about mental health through our newly formed Speakers Bureau; advocate for changes in public policy through implementation of our Advocacy Action Agenda; and further engage our consumers and family members in our planning efforts for the system. We look forward to building opportunities and hope that you will continue to be our partner. 2 FY 2003 Accomplishments: Board of Governors: Funding: Bonita W. Caplan Chair Managing Funding Reductions: Mieko K. Smith, Ph.D. First Vice Chair Services to consumers were protected as the Cuyahoga County Community Mental Health Board John Bazyk (CCCMHB) successfully absorbed $1.4 million of $5.4 million in funding reductions. The table of Vice Chair organization was “downsized,” which lead to eliminating 21 positions and the layoff of eight valued employees; space and operations were consolidated from three to two floors to save on costs; and rent Eugenia Cash paying tenants were obtained for a portion of the fourth floor. Rev. Benjamin F. Gohlstin Bed Day Refund: Ronald E. Henderson, Esq. Ann F. Hull $2,208,368 was refunded to the CCCMHB from the Ohio Department of Mental Health for using 6,731 Joan P. Leeb less bed days than the 45,252 projected for FY03. The refund was added to the CCCMHB’s FY04 Flex allocation and was made possible through the continued commitment of our mental health providers. L. Douglas Lenkoski, M.D. George X. Mechir Health & Human Services Supported: Joan A. Schmetzer Voters showed their support of mental health and other social services by William N. Sheehan successfully passing Issue 15 - the Health and Human Services Levy on May 6, Ericka L. Thoms 2003. The CCCMHB played a major role in fundraising, provided space for campaign headquarters and coordinated hours of volunteer support. Jesse N. Waller Mary R. Warr County Commissioners Reserve Fund: FY 2003 $1.5 million was drawn down from a reserve fund set aside for mental health Former Governors: established by the Board of County Commissioners. David J. Blank, M.D. Mohan J. Durve, M.D. Byrne Memorial Court Project: Al Kay Mental health outreach services continued to be provided to the municipal court systems in Cleveland, Ella Patterson Shaker Heights, Lakewood, Rocky River, Garfield Heights and Euclid, with continued funding from the Byrne Memorial Grant. 3 Board Staff: Planning: William M. Denihan Chief Executive Officer Valeria A. Harper-Bledsoe Chief Operating Officer Five-Year Strategic Plan: Kathryn A. Burns, M.D., M.P.H. In partnership with consumers, family members, providers, other systems Chief Clinical Officer and involved community stakeholders, the CCCMHB began the process of Cassandra Richardson formulating its Five-Year Strategic Plan. Chief Financial Officer Loyall Abdul-Majid Headquarter Location Project: Maryam Akram The Headquarter Location Project was initiated with community partners to begin exploring the possibility of Lois Anderson the CCCMHB moving to a new location. A three sub-committee structure to manage the task was developed to address model/design, location and funding. Paulette Baglyos Carole Ballard
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