2011 Annual Report NJAMHAA, Inc. The Power of Partnership: Yesterday, Today and Tomorrow Celebrating 60+ Years of Strengthening New Jersey’s Behavioral Health Community
YESTERDAY Celebrating 60 Years of Strengthening New Jersey’s Behavioral Health System TODAY Building Partnerships to Achieve Success on Behalf of Providers and Those They Serve
NJAMHAA’s Recent Advocacy Successes Board Committees, Practice Groups, Workgroups and Councils
Board Committees Addictions Hospital-Based Chief Financial Officers Innovation Council Children’s Integration of Physical and Mental Health Co-Occurring Disorders Public Policy Executive Workforce Development Finance and Administration
Practice Groups and Workgroups Association for Ambulatory Behavioral Intensive Family Support Services Healthcare/Outpatient Directors’ Coalition Intensive Outpatient Treatment and Support Services Billing Supervisors Mental Health Emergency Services Association Care Management Organizations/Unified Case Management New Jersey Association of Integrated Case Management Children’s Mobile Response and Stabilization Services New Jersey Coalition of Residential Providers Clinical Documentation New Jersey Programs in Assertive Community Treatment Developmental Disabilities/Mental Illness Quality Assurance and Compliance Workgroup Human Resources Transformation and Peer Workforce Information Technology Professional Advisory Council Youth Case Management
Councils Educational Council Integrated Healthcare Council Information Technology Council Pharmaceutical Advisory Council
New Jersey Mental Health Institute, Inc. National Resource Center for Hispanic Mental Health
TOMORROW Looking Ahead to Achieving More for a Stronger Community
Recognition by Various YESTERDAY State and National Celebrating 60 Years of Strengthening New Jersey’s Organizations Behavioral Health System Following are highlights of more than NJAMHAA has come a long way in a lot of ways. Our organization was 70 awards that NJAMHAA and NJMHI established in 1951 as the New Jersey Association of Mental Hygiene received over the years: Clinics and remained a small organization for quite a long time. In fact, when Bill Sette, MSW, LCSW, former NJAMHA Board president and ▪ 2009 – Welcome Back Award for current NJAMHAA Board member and Chief Executive Officer of Community Service – Debra Wentz Preferred Behavioral Health of New Jersey, joined the organization in 1970, it consisted of a secretary one day a week and an answering ▪ 2009 – Minority Health Community machine. Trailblazer Award from the National Partnership for Action to End Health According to Sette, in the early 1970s, the organization started to Disparities of the U.S. Department of Health and Human Services’ Office have Executive Directors who worked part-time, and the secretary’s of Minority Health – Henry Acosta hours expanded to three days per week. In 1974, the organization was renamed the New Jersey Association of Mental Health Agencies (NJAMHA) ▪ 2008 – NJBIZ Healthcare Heroes— to reflect the changing industry, but had not yet achieved the size and Education – Henry Acosta scope it encompasses today. Sette recalls in the mid-1970s, when he was Secretary/Treasurer, “All the organization’s records fit in one box, bigger ▪ 2008 – Golden Bell Leadership than a shoebox but smaller than a crate.” Award from the Mental Health Association in New Jersey, Inc. – “Today, the association bears no resemblance to the association it was 35 Debra Wentz years ago. You’d never know it was the same animal,” Sette said. “We’re ▪ 2008 – Welcome Back Award for much better at advocacy, we have a great staff and we’re getting the word Destigmatization from The Lilly out and approaching the issues in a much more sophisticated fashion.” Foundation – Henry Acosta Growing in Size and Scope ▪ 2008 – Hispanic Business “Len really laid the foundation for the modern organization,” Sette said, referring Magazine’s top “100 Most to Len Altamura, DSW, LCSW, Chief Executive Officer of Steininger Behavioral Influential Hispanics in America.” Care Services, who served as NJAMHA’s first full-time CEO from June 1990 – Henry Acosta until May 1995. His successor is NJAMHAA’s current CEO, Debra Wentz, Ph.D. “Deb built on that foundation and did a phenomenal job bringing the ▪ 2007 – American Psychiatric organization to the next level,” according to Sette. One of the many major Foundation Award for Advancing Minority Mental Health – Henry accomplishments under Dr. Wentz’s leadership is the organization’s becoming Acosta the official trade association for addiction treatment providers, as well as mental healthcare providers, and appropriately changing its name to the New Jersey ▪ 2006 – Excellence in Grassroots Association of Mental Health and Addiction Agencies (NJAMHAA) in 2010. Advocacy Award – National Council for Community “I am particularly proud that during my tenure as President, we have Behavioral Healthcare evolved to represent, not only the state’s community-based mental health providers, but also New Jersey’s community-based addiction treatment ▪ 2006 – Associations Advance agencies. This broader membership strengthens us and our ability to America, American Society of advocate on the complex issues in achieving integrated healthcare and Association Executives – Award of Excellence for Tsunami Mental wellness and recovery for everyone. Each of us, large or small, has become Health Relief Project an integral, significant member of the business community of New Jersey,” said Jim Cooney, MSW, LCSW, Chief Executive Officer of Ocean Mental Health ▪ 2004 – NAMI NEW JERSEY Services, who will continue to serve on the NJAMHAA Board as a Past President. Freedom from Stigma Award – The New Jersey Mental Health Many other successes were achieved over the past several decades, and Institute NJAMHAA is fortunate to have a number of long-term members who are able share highlights of our rich history, in addition to continuing to ▪ 2001 – Lilly Reintegration Award contribute so much to our achievements and directly to the behavioral health community. ▪ 1998 – Cable Television Awards - Telly Award – First Place, Public 1908 – Clifford Beers hailed as founder of 1933 – Prohibition ended, Service Category Public Service America’s mental health movement, based on allowing certain kinds of alcohol Announcement – “Mugshots” his autobiography, A Mind that Found Itself. to be produced and sold. NJAMHAA also received several awards for the content and 1920 – Medication, electroconvulsive therapy, design of its media advocacy insulin-induced coma and surgery (lobotomy) campaigns, Wise Investment, Bottom were first used to treat schizophrenia; Prohibition Line and Bankrupt Dreams, Battered began, banning the sale, manufacture and Souls. transportation of alcohol. Back in the 1970s and 1980s, NJAMHA CEOs’ main focus was on presenting four conferences per year. The organization quickly Special Thanks to Our Past expanded its role as an informational resource for members. For example, Jeanne Wurmser, Ph.D., a consultant to many behavioral and Present Leaders healthcare providers throughout New Jersey, recalls sitting in on Board meetings with her boss from CPC Behavioral Healthcare to understand The NJAMHAA staff holds tremendous what was happening in the community mental health movement. Dr. gratitude for the leadership, vision and Wurmser continued to be active in NJAMHA, ultimately serving as support that our past and present Board Board President and securing grants for NJAMHA to provide training Presidents and Executive Directors have to clinicians statewide. “It was a natural evolution because NJAMHA provided over the years. was already providing training through conferences,” she said. Past Board Presidents Over the years, NJAMHA’s conferences featured inspirational J. Michael Armstrong, MA, MBA presentations, in addition to clinical- and operational-focused Peter M. Bry, Ph.D. workshops. For example, in 1998, NJAMHA presented an award Eugene Callaghan, MA to actor Rod Steiger, who is famous for his role as Dr. Zhivago. In Phyllis A. Diggs, MA, MPH, LPC his acceptance speech, Steiger delivered a powerful performance of Donald Kaye, MSW what it is like to experience depression. Among other high-profile guests Barry Keefe, MSW, LCSW and honorees was Dr. John F. Nash, Jr., before A Beautiful Mind, a movie James Lape, MA, MBA, FACHE* about his life and struggles with schizophrenia, was produced. Thomas W. Ludlow, ACSW Kemsey Mackey, ACSW, LCSW* Meeting Members’ Technical, as Well as Clinical Training Needs Joseph A. Masciandaro, MA* While providing clinical skills and resources to build behavioral health Joan Mechlin, RN, MA professionals’ abilities to serve people most effectively, NJAMHA also William Miller, MSW expanded its services to bring members into the computer age – which John Monahan, ACSW, LCSW* is equally critical for maximizing the effectiveness of care delivery. The William D. Neigher, PhD Management Information Systems (MIS) Project was created in 1984 Donald J. Parker, MSW, LCSW and was renamed the Information Technology (IT) Project in 2003 Robert L. Parker, MPA* to reflect expanded and new services incorporating new technologies. Steve Ramsland Ron Gordon, Associate Director of the IT Project, remembers providing Robert Schober, MSEd, LRC* assistance with formatting floppy disks back in the 1980s to Robert L. Parker, Frances Seidman, PhD MPA, who is also a NJAMHAA Board Past President and current Board member William Sette, MSW* and Executive Director of NewBridge Services. Victoria Sidrow, MPA* Clyde E. Sullivan, PhD In fact, Parker’s organization, which was called Pequannock Valley Mental Jeanne Wurmser, PhD Health Center at the time, purchased the first computers in New Jersey for the community system. This initial purchase was for all agencies, and the * These past presidents are also still hardware specifications were agreed on between NJAMHA and the Division active on the Board. of Mental Health Services. Past Executive Directors “We, at Mid-Bergen, were the Beta site,” recalled Joe Masciandaro, MA, Chief Leonard Altamura, DSW, LCSW Executive Officer of Care Plus NJ, Inc. and yet another NJAMHAA Board past Dominic A. Colangelo, ACSW president and current member, referring to the implementation of the technology. William Starett Julian Stone, MSW Actually, at the time, Gordon worked for a different company that provided hardware and software support to NJAMHA members. In the early 1990s, Current Board Members Dr. Altamura determined it would be a “good synergy to house the MIS In addition to the Past Presidents Project at NJAMHA,” Gordon said, who then became part of the NJAMHA indicated above, the FY 2011 Board of staff. As services and staff were growing, the organization could no longer be Directors includes: run from Dr. Altamura’s home, and the organization acquired its first office James Cooney, MSW, LCSW space in Manasquan in 1991. Shortly afterwards, separate space had to be Bob Davison, MA, LPC rented to meet the increasing demand for software training that the IT Project Anthony DiFabio, PsyD provided for the 80 or so members that made up the association at the time. Manuel Guantez, PsyD, LCADC Jerome Johnson, MSW, LSW Joe Kadian, MA, NCC Chris Kosseff, MS David Lazarus, Esq. Harry Marmorstein, MA, MBA Dan Martin, Ed.D. 1941 – Individuals who Deborah Megaro, MS, MBA 1935 – Alcoholics Anonymous (AA) was founded protested World War II Richard Mingoia, MSW, MBA, LCSW and the 12-step program was introduced. worked in state hospitals and David Monhollen, MSW, ACSW, LMSW, exposed the poor conditions LMFT The New Jersey Neuropsychiatric Association was established (renamed the New Jersey for individuals with mentally Harry Postel, MSW, LSW illnesses. Paula Sabreen, ACSW, LCSW Psychiatric Association in 1972). William Sette, MSW, LCSW Greg Speed, MSW, LCSW 1939 – AA published the book, Alcoholics Anonymous, and the movement’s membership greatly increased. Over the years, the IT Project continued to expand its service offerings. Media and Member Staff members frequently work at member sites to repair computers; Communications, and install, repair and upgrade networks; and provide expert consultation on hardware and software needs, as well as provide software Conference Highlights training. The Project also continues to evolve with the technology and NJAMHAA keeps members informed through behavioral health industries. For example, collaboratives were recently several publications: established to assist members with cost-effective implementation of electronic health record (EHR) systems. The annual IT conferences, Daily NJAMHAA Newswire –updates on which started 20 years ago as trade shows where vendors demonstrated state and federal budgets, legislation and the latest products, now offer workshops to prepare members for regulations, and other timely, behavioral the implementation of EHR systems, ensure compliance with health related news confidentiality laws and learn about the latest software to enhance their efficiency and, above all, improve service quality and access for consumers. In addition, the IT Project partners with Behavioral ▪ Bimonthly NJAMHAA News –members’ Pathway Systems to offer providers the nation’s first statewide achievements and the impact of their benchmarking project, through which members track performance services (powerful advocacy tools, as the data and learn about and apply potential best practices to improve their publication is also sent to state and performance. Gordon summed it up by saying, “It’s not so much nuts and federal government leaders); state and bolts anymore. It’s about how our members manage information to improve federal news; and information on service delivery to improve clients’ health.” clinical, housing and children’s topics Providing Valuable Information and Advocacy ▪ Quarterly Bits & Bytes –valuable tips to Information is key – not only in the technical sense, but also relating keep members’ systems working safely to changes and challenges throughout the behavioral health system, and efficiently; news related to IT and particularly on a political level, and helping providers adapt to these the behavioral healthcare field, such as situations. For example, Alan Furst, ACSW, LCSW, Chief Executive Officer HIPAA, security and electronic health of Community Psychiatric Institute, and undoubtedly many others, recalls records that limited access/long waits for services, underfunding and overregulation have long been issues. The deinstitutionalization process also was a critical NJAMHAA also communicates aspect of NJAMHA’s advocacy, according to Furst. regularly with the media by sending press releases, which frequently generate In the mid-1990s, the state’s plan to incorporate behavioral health into interviews with NJAMHAA CEO Debra Managed Medicaid posed a tremendous threat to thousands of individuals Wentz, Ph.D., and letters to editors, which in need of services. Although the structure for the carve-in was in place and are frequently published. Following are people were selected to run the system, NJAMHA successfully fought it. With highlights of major media coverage the help of a lobbyist in 1994, Governor Christie Todd Whitman changed her NJAMHAA has gained over the years: mind on this issue, according to Dr. Altamura. ▪ 1996 – Broadcast and publication of How NJAMHA addressed the issues of Medicaid and managed care gave “a good the “Mugshots” anti-stigma public indication that NJAMHA was always thinking about the future and preparing service announcement in newspapers organizations for the changes that were occurring,” according J. Michael and on radio stations throughout Armstrong, MA, MBA, Chief Executive Officer of Community Hope, Inc., the tri-state area who is NJAMHA’s most recent Past President and continues to serve on the Board. “NJAMHA always had great vision and continues to be proactive ▪ 2001 – Interview with Dr. Wentz and in getting members ready for what lay ahead,” he said. Katie Couric on NBC’s The Today Show shortly following the 9/11 tragedy Many other changes throughout New Jersey’s behavioral health system took place in the 1990s. ▪ 2009 – Star-Ledger front page interview with Dr. and Mrs. John Nash , entitled A beautiful challenge: Victim of mental illness advocates for others, which was arranged by Dr. Wentz. 1946 – President Truman signed the National Mental Health Act, under which the National ▪ The interview was also published in Institutes of Health were established. The (Trenton) Times, which shortly 1942 – The Research Council on followed up with an editorial, entitled – The Mental Health Association in New Jersey was Problems of Alcohol advocated for A beautiful cause. established to address consumers’ concerns and public education about alcoholism. protect their rights. ▪ 2011 – Philadelphia Inquirer, print and online, about Dr. Wentz’s 1944 – The National Council 1948-1950 – The Minnesota and member’s testimonies at a on Alcoholism was founded. Model of Abstinence was legislative budget hearing; the introduced– Antabuse presence of the member agencies’ (Disulfiram) was introduced clients captured the media’s and for treating chronic alcoholism. legislators’ attention. For example, Dr. Altamura recalled that Programs for Assertive Community Treatment and Integrated Case Management Services were Conference Highlights just getting started when he took the helm of the association. Prior to that, the system consisted of partial care, outpatient services and a NJAMHAA also achieves great visibility “few odds and ends,” he said. Meanwhile, NJAMHA was also evolving. with special guests and honorees during its “Those five years I served as CEO were fantastic. It was a time when annual conferences. For example: NJAMHA members really started coming together and wanting to see things get done.” ▪ Actor Rod Steiger was honored during the 1998 Annual Conference. As his “People were very passionate about NJAMHA’s mission and how to acceptance speech, he gave a powerful grow services. There was a real sense of community from the group,” performance of what it is like to added Kem Mackey, ACSW, LCSW, Director of Behavioral Health experience depression. Services at Atlantic Health - Morristown Memorial Hospital, who was elected as NJAMHA’s Board president during Dr. Altamura’s ▪ Dr. John F. Nash, Jr. was presented early days as CEO. Mackey remembers the growth of the behavioral with the Golden Honor Award for health system and the association’s increasing level of sophistication Scientific Achievementduring the 2001 over the years. “For those of us who were in the system and with NJAMHA Annual Conference, prior to the film for many years, we gained a long-term perspective of change and reality. about his struggles with schizophrenia, Now, we have a new perspective. We look at older problems in new ways and A Beautiful Mind, was produced, and we don’t repeat the old unsuccessful patterns to impact the system,” he said. th again during NJAMHAA’s 2011 60 “Len helped us grow up and Deb helps us mature. Both of them are great Anniversary Annual Conference with advocates and have stayed very on top of the issues.” the Award for Lifetime Achievement in Fighting Mental Health Stigma “I was hired to create a positive presence in the state. It was a turning presented to him and his wife, Alicia. point,” said Dr. Altamura. “I developed the esprit de corps, and Deb really brought it statewide with the development of the Grassroots Advocacy Network,” he said, referring to NJAMHAA’s program for recruiting and training members to advocate to their local legislators to augment NJAMHAA’s advocacy, which takes place primarily in Trenton.
“In terms of an evolutionary arc, it has been fascinating. The organization originally had minimal impact and has grown to have better knowledge and to provide better organized service delivery to members,” according to Dr. Altamura. “I got members working together, so they got something for their dues. They were starving for something. I gave them a bit, and Deb gave them so much more by getting us on legislators’ radar.”
The impact is also evident in the growing number of members: from 80 in the 1980’s to 120 when Dr. Altamura left in May 1995. Currently, NJAMHAA is 170 members strong and is continuing to grow.
When Dr. Wentz joined NJAMHA, she had no mental health background and admits she had the same misperceptions about mental illness as is often found in the general public. However, her perceptions have certainly changed, and her background in business, marketing, public relations and writing regulations for the addictions field have greatly contributed to NJAMHAA’s growth and success. As Dr. Wentz says, “When I walk into a room, policymakers and legislators know I represent the face of NJAMHAA and children and adults with mental health, addictions and/or emotional disorders. It’s not a question of which client I’m representing on that given day.”
1949 –Lithium was 1950s – AA membership exceeded 90,000. discovered as an effective – The halfway house movement began, resulting treatment for bipolar from advocacy by the Association of Halfway disorder. House Alcoholism Programs of North America.
1950 –The Department of Veterans Affairs introduced training in clinical psychology. – The National Institute of Mental Health was created. – Chlorpromazine was discovered for treating serious mental illness. In addition, Dr. Wentz has served as NJAMHAA’s advocate, and outside lobbyists were no longer used as of 1995. This change led to greatly increased visibility, expanded partnerships and a unified voice among Highlights of members. NJAMHAA’s History
Making an Impact through Access to Leaders and Visibility in the Media In 2003, to accommodate the growing staff and to be in closer proximity 1951 – Our organization was established to Trenton, NJAMHA moved to its current office in Mercerville. The as the New Jersey Association of Mental number of members and their involvement continued to grow, as well. For example, in 1995, NJAMHA’s committees were Public Policy, Hygiene Clinics. Hospital-Based and Outpatient Directors. Today, the organization facilitates 30 groups, as well as four councils comprised of various 1974 – The organization was renamed to businesses that provide products and services to behavioral New Jersey Association of Mental Health healthcare providers. (See pages 22-33 for descriptions of these Agencies to reflect the changing industry. groups and their recent accomplishments.) 1984 – The Management Information While NJAMHA staff had better access to state offices, the organization also Systems (MIS) Project was launched to gained increased visibility with state legislators, policymakers and the staff bring agencies into the computer age. in Governors’ Offices, whom NJAMHAA regularly meets and corresponds with in efforts to secure sufficient funding and to develop legislation and 1990 – Len Altamura was hired as the regulations that support providers’ mission of effectively serving everyone first full-time CEO. NJAMHA had 81 in need. In fact, Dr. Wentz served on the transition teams for Governors members at this time. James McGreevey and Chris Christie, and chaired then Governor-elect Christie’s Subcommittee on Mental Health and Addictions. NJAMHA 1991 – The staff also grew and NJAMHA was even further represented by several members who also served on acquired office space in Manasquan. Gov. Christie’s transition team. 1994 – NJAMHA convinced Another prominent example of NJAMHA’s access and contributions is the Governor Christine Todd Whitman organization’s involvement on Governor Richard Codey’s Mental Health Task to not include behavioral health in Force. Board member Bob Davison, MA, LPC, Executive Director of Mental Medicaid managed care. Health Association of Essex County, Inc., chaired the Task Force, a former NJAMHAA staff member Kim Ricketts served as its executive director, 1995 – It was determined that and several members, as well as NJAMHA staff, were involved on various NJAMHA should have an internal subcommittees. In fact, the Task Force’s recommendations closely paralleled lobbyist, which led to greatly NJAMHA’s Broken Promises, Shattered Lives media advocacy campaign. The increased visibility, expanded FY 2006 State Budget reflected NJAMHA’s and the Task Force’s priorities, with partnerships and a unified voice increased funding for many behavioral health services and with the creation of a among members Debra Wentz, $200 million Special Needs Housing Trust Fund support services to the first 500 PhD, joined as the new CEO. individuals. NJAMHA had 120 members at this time.
In addition, NJAMHAA has become greatly visible in the media, which not only helps educate and secure support from governmental leaders, but 1996 –The Managed and Health also informs the public about the behavioral health system and contributes Care Council was created for members to efforts in eliminating stigma. Two of the most high-profile media to network with the leading managed achievements were Dr. Wentz’s interview on NBC’s Today Show following behavioral healthcare companies. the 9/11 tragedy; and a “Mugshots” multimedia campaign that featured famous historical figures, including Abraham Lincoln, Beethoven, Virginia Woolf and Sir Isaac Newton, whose mental illnesses did not stop them from making great contributions to mankind – clearly implying that people today with mental illnesses also have great potential for success, provided they have timely access to high-quality services.
1953 – Psychotropic drugs were 1955 – Nearly 560,000 people were in state introduced. psychiatric hospitals, reduced as a result of using – Narcotics Anonymous was antipsychotic drugs. About 75 percent of all mental founded. health care was provided in hospitals or institutions.
1954 – The first antipsychotic Thorazine was sold in the U.S. – The Diagnostic and Statistical Manual was published. In between and since these achievements, NJAMHA has appeared in thousands of press articles in trade journals, local and statewide 1996 – NJAMHA was a major force in the newspapers, and national and international publications – the latter passage of the federal Mental Health Parity resulting, in part, from the Tsunami Mental Health Relief Project, Act through strong advocacy to which Dr. Wentz launched through NJAMHA’s subsidiary, the New Congresswoman Marge Roukema(R-New Jersey). Jersey Mental Health Institute (NJMHI), shortly after narrowly escaping the waves in Sri Lanka in December 2004.
1997 – The Grassroots Advocacy Network “We became a powerhouse of information,” Dr. Wentz said, citing not was established to bolster NJAMHA’s only NJAMHAA’s reputation as a resource for the media, but also the advocacy to all State Legislators. bimonthly NJAMHAA News and the IT Project’s quarterly Bits & Bites publications as examples of member publications. NJAMHAA News is also an advocacy tool, highlighting the impact of members’ 1998 – The Pharmaceutical Advisory Council services to state and federal leaders and further advocating for was established to advocate for open their support. access to medications and other treatment options. In addition, NJAMHAA holds a variety of events, such as biannual symposia in collaboration with its Pharmaceutical Advisory Council and other stakeholders to educate legislators and policymakers about issues 1999 – The MIS Project hosted its first affecting the behavioral health community and the state overall. In October conference. 2010, NJAMHAA hosted a Business Leadership Summit on Mental Health and Addictions to work with other stakeholders toward reduction of burdensome regulations, a successful transition to healthcare reform and 2000 – The New Jersey Mental Health Institute implementation of innovative and evidence-based practices. (NJMHI) was created to promote quality mental health services and battle stigma; Developing New Services and Resources to Strengthen The Information Technology Council Members and the System was created to provide networking All of NJAMHAA’s efforts align with its mission to maximize members’ opportunities between members and effectiveness and efficiency in providing services to everyone in need. To provide vendors of IT products and services. yet another tool to members, NJAMHA created NJMHI in July 2000. “NJMHI has been able to expand resources available to the Hispanic communities of New Jersey and the providers who serve those communities. In addition, it 2001 – Following the horrific events of has brought new opportunities for mental health professionals to develop Sept. 11, 2001, NJAMHA took on a cultural awareness and sensitivity, which are essential for providing the most leadership role, communicating with effective care to Hispanics, as well as other minority populations,” according the media and serving as a referral to Bill Sette. (See page 34 for details on NJMHI’s achievements and how they and information resource. support NJAMHAA members.)
Right around the time of NJMHI’s establishment, Bob Davison joined the 2002 –Dr. Wentz served on Governor NJAMHAA Board. “What I found most impressive about NJAMHAA is its James McGreevey’s Transition Team for tenacity, legislative advocacy and very broad scope. Members certainly get DHS. NJAMHA moved to Mercerville to a bang for their buck. There’s no question that membership is a worthy increase its visibility to state leaders. investment,” he said.
2003 – The MIS Project was renamed the Information Technology (IT) Project to reflect more services incorporating new technologies.
1957 – The American Medical Association (AMA) recognizes alcoholism as a disease. – The New Jersey legislature enacted a law to develop and fund community mental health services. – The Veterans Administration began to create alcoholism treatment units.
1958 – Synanon, the first self-directed therapeutic community, was founded. TODAY 2004 – NJAMHA Board member Bob Davison Building Partnerships to Achieve Success on Behalf of chaired Governor Richard Codey’s Task Force Providers and Those They Serve on Mental Health, whose recommendations closely paralleled those promoted in NJAMHA’s Broken Promises, Shattered Lives media “We’re going through a very difficult fiscal time. NJAMHAA is a place advocacy campaign. for agencies to share ideas, save money and develop new revenue sources so they can continue providing services,” said Dr. Wurmser. “Unfortunately, in this environment, we’re competing against every 2005 – As a result of the Task Force organization that provides services to vulnerable populations. recommendations, the FY 2006 state budget NJAMHAA is a place people turn to find best practices, including included increased funding for many for fundraising, and other valuable resources.” behavioral health services, as well as the creation of the Special Needs Housing Trust Keenly aware of these challenges, NJAMHAA offers a broad range of Fund. services to support member organizations in these difficult times, as well as in better times: The Courage & Compassion awards program was added to the Annual Conference program ▪ To share ideas: NJAMHAA facilitates 30 Board Committees and to honor frontline workers and peer providers. Practice Groups that provide forums for members to not only share ideas but also develop strategies and present them for incorporation The IT Project launched the Benchmarking into NJAMHAA’s advocacy efforts. for Best Practices Initiative and IT Hero awards program. ▪ To save money: NJAMHAA continues to advocate for regulatory reform to enable providers, as well as the state, to save both money and time and, therefore, be even more effective in delivering services. 2006 – NJAMHA’s Clinical Documentation Another money-saving resource is NJAMHAA’s IT Project, whose Practice Group worked with the state to services are much more cost-effective than other IT companies; plus, improve efficiency of documentation. members benefit further by the IT Project’s understanding of the behavioral health field. 2008 – NJAMHA met with Congressmen ▪ To develop new revenue sources: This is a main area of focus for Rush Holt and Patrick Kennedy to develop NJAMHAA’s Innovation Council, and NJAMHAA frequently sponsors strategies for gaining passage of federal workshops to give members information and guidance about how to mental health parity legislation. strengthen their organizations’ financial viability. 2009 – Dr. Wentz and several NJAMHA members served on Governor Christie’s We’re going through a very difficult Transition Team. Dr. Wentz chaired the Subcommittee for the Divisions of “fiscal time. NJAMHAA is a place for Mental Health Services and Addiction Services. agencies to share ideas, save money and The IT Project developed collaboratives develop new revenue sources to assist members with cost-effective so they can continue providing services. implementation of electronic health record systems. — Dr. Jeanne Wurmser ” 2010 – The organization was renamed New Jersey Association of Mental Health and Addiction Agencies 1960s – Better psychotropic drugs allowed more patients to leave mental to reinforce its equal commitment to hospitals. providers of addiction treatment and – E. Morton Jellinek, founder of several research centers focused on mental healthcare services. alcoholism, published The Disease Concept of Alcoholism. – The concept of treatment communities was introduced, expanding some AA tenets into residential communities for recovering addicts. – Methadone maintenance was recognized as an effective viable treatment concept. – Outpatient clinics opened across the country.
1961 – The AMA and American Bar Association called for community-based treatment programs. While providing all of these services and more, NJAMHAA is continually advocating on behalf of members to state and federal government leaders, New Jersey Mental Health and partnerships help make the advocacy most effective. NJAMHAA Institute Supports NJAMHAA Board members and staff, along with committee representatives, addressed a multitude of members’ concerns through regular Members meetings with Department of Human Services (DHS) Commissioner Following are highlights of the New Jersey Jennifer Velez; DHS Deputy Commissioner Kevin Martone; Valerie Mental Health Institute’s (NJMHI’s) Larosiliere, Acting Assistant Commissioner, Division of Mental Health successes, many of which directly benefit and Addiction Services (DMHAS); Raquel Jeffers, Director of Addiction NJAMHAA members. Services; Valerie Harr, Director, Division of Medical Assistance and Health Services (DMAHS); Department of Children and Families (DCF) Commissioner Allison Blake; Division of Child Behavioral 2000 – NJMHI was launched to provide a Health Services (DCBHS) Director Jeffrey Guenzel, as well as high-profile, comprehensive voice to change senior staff from the Departments of Education and Health and the perception, impact and outcome Senior Services. NJAMHAA also served on numerous committees associated with current views of mental and task forces throughout state government, such as the DHS Acute illness. Care Task Force and Dual Diagnosis Task Force, to ensure NJAMHAA members’ issues were considered in the development of state policies.
2001 –Began a five year project with University Behavioral HealthCare to NJAMHAA fosters partnerships not only through its Board Committees provide training to System of Care partners. and Practice Groups, but also its Grassroots Advocacy Network, alerts sent to members for feedback on issues and proposed regulations, and the association’s involvement with other stakeholder organizations, 2002 – Created the Hispanic Higher including (National Alliance on Mental Illness [NAMI] of New Jersey, Education Scholarship Fund, targeting Mental Health Association in New Jersey, Mental Health Coalition, New bilingual and bicultural Hispanics who Jersey Hospital Association); state workgroups and task forces; and national are undergraduate college students organizations, such as the National Council for Community Behavioral pursuing a master’s degree in social Healthcare, State Associations of Addiction Services, Mental Health America, work. National Association of Psychiatric Health Systems, NAMI National. – Launched the Cultivating Cultural Diversity Speakers Bureau to help clinicians Recent Advocacy Successes and Ongoing Efforts and staff to understand many cultures and enhance their services. Federal Level In 2010, advocacy that took place over more than a decade – from NJAMHAA – Helped implement NAMI New staff and a multitude of other stakeholder organizations across the nation, as well Jersey’s Family-to-Family program as members in response to NJAMHAA’s advocacy action alerts – paid off with the in Spanish in six counties to educate enactment of the Paul Wellstone and Pete Domenici Mental Health Parity and and support family members of Addiction Equity Act of 2008. Advocacy continues for development and individuals with severe mental illnesses. implementation of regulations to ensure compliance from health insurance companies. – Developed a bilingual mulitimedia campaign about depression
Advocacy efforts also are continuing to ensure sufficient funding for the 2004 – Hosted the first annual Substance Abuse and Mental Health Services Administration, federal efforts to Shining Lights: Outstanding prevent and end homelessness, and passage of the Health Information Technology Leaders for a Brighter Future for Extension for Behavioral Health Services Act. Hispanics awards gala, honoring state and national leaders – Conceptualized the Tsunami Mental Health Relief Project with the 1963 – The American Public Health Association recognized Neurosurgery Development alcoholism as a treatable disease. Foundation, a charitable – President John F. Kennedy signed the Community Mental Health Act organization in Sri Lanka. into law.
1964– Methadone therapy was introduced. 1964-1967– Insurance payments led to a dramatic increase in addiction treatment. State Level Throughout its history, NJAMHAA has persuaded state leaders to preserve or increase funding for community behavioral health 2005 – Implemented the Tsunami Mental services and reconsider policy changes that would have been harmful Health Relief Project by sending volunteers to providers and the individuals they serve. Following are highlights of to Sri Lanka to train counselors and advocacy achievements from the current fiscal year: community leaders to recognize symptoms of mental illnesses and, when appropriate, State Budgets: For FY 2011, resources, including general assistance provide treatment and supplemental security income, for New Jersey’s vulnerable populations were restored, while an unprecedented $11 billion budget – Published Model Mental Health Program gap was closed. In addition, although some funding was cut from the for Hispanics, a nationally disseminated Divisions of Mental Health Services and Addiction Services, overall report that focuses on attracting and expenditures for community mental health were not severely retaining Hispanics in mental health impacted because the budget increased funding by $10 million for services. the Olmstead settlement, which requires that individuals who are in institutions must be discharged as soon as possible once they are – Secured a grant from Bristol-Myers determined to be ready for community reintegration. Squibb Company to produce a bilingual educational brochure about mental illness Gov. Christie’s proposed budget for FY 2012 includes flat funding for mental for Hispanics, which was distributed in health and addiction treatment services, which is better than in most states. three target New Jersey communities. Powerful testimonies at Senate and Assembly budget hearings by Dr. Wentz and members – made even more compelling by the presence of – With a grant from Eli Lilly and Company, members’ clients and graduates – greatly increase the likelihood that this produced a training video, Salud Mental: vital funding will be preserved. Crossing the Cultural Divide within Mental Healthcare, based on its Model Mental Regulatory Reform: NJAMHAA has testified twice before the Red Tape Health Program for Hispanics report. Review Commission and presented detailed recommendations to Beth Schermerhorn, Gov. Christie’s Budget Director, and Senator Joseph Kyrillos, – Held the first annual conference, both of whom expressed serious interest. The testimonies addressed the fact Improving Treatment Quality through that New Jersey could greatly improve access to high quality mental health and Cultural Competence addiction treatment services, and at the same time, decrease operating costs for both the state and providers by improving and streamlining regulations 2006 – Launched the National and other contract and licensure requirements. NJAMHAA will continue to Resource Center for Hispanic Mental follow up with staff in Lieutenant Governor Kim Guadagno’s office and will Health to expand its efforts nationwide. testify at the next public hearing in July to ensure that the community mental health and addictions treatment systems of care are appropriately considered – Secured state funding for Cultural as the Red Tape Review Commission looks for ways to streamline New Jersey’s Competence Training Centers and regulatory framework. the hiring of bilingual, bicultural clinicians. 2009– Worked with Collaborative Throughout its history, NJAMHAA has Support Programs of New Jersey on “persuaded state leaders to preserve or a supportive employment program – Facilitated the establishment of a increase funding for community behavioral National Alliance for Latino Behavioral health services Health Workforce Development – Held the first biannual National 1970 – Federal” agencies promoted new Latino MH conference, Fortifying laws to require remedial education our Cultural Competence and assessment-referral-treatment services for individuals arrested for – Developed trilingual educational 1965 – The New Jersey alcohol-impaired driving. brochures to continue the Tsunami Mental Health Act sought – The Hughes Act for project, which was renamed the Mental protection of mental comprehensive alcohol abuse and Health Relief Project in Sri Lanka. health consumers’ rights alcoholism prevention was passed. and addressed the legal National Institute on Alcohol Abuse and commitment process. Alcoholism founded
1967 – The AMA 1971 – Criteria for adopted the position the diagnosis of that alcoholism is a alcoholism were complex disease. published. Third Party Contract Language Amendments: Through a variety of methods, NJAMHAA successfully advocated for the removal of the amendment that would have affected members’ fringe benefits policies; and secured changes that benefit members, including such areas as severance payments, allowable tuition reimbursement costs, reimbursable training expenses, in-state and out-of-state travel provisions, and leased fleet management practices. These changes have led to the increase in many organizations’ contract ceilings from the state’s original contract language amendment proposals. In addition, to oppose the other amendments.
PerformCare: NJAMHAA staff convened a committee of members’ representatives to meet with the Division of Child and Behavioral Health Services (DCBHS) and PerformCare to address ongoing issues that hampered the members’ operations and the delivery of treatment and services to children. Numerous changes were implemented to improve PerformCare operations and ongoing meetings are being held with service line providers, while NJAMHAA continues to advocate for improvements and changes to the system.
LogistiCare: NJAMHAA staff and members met with LogistiCare and Division of Medical Assistance and Health Services (DMAHS) representatives to address members’ concerns with current procedures and operations for transporting clients. NJAMHAA staff developed a document of procedures and DMAHS and LogistiCare contact information for members to use for resolving issues as they arise.
Ongoing Efforts with the Department of Human Services (DHS) on Fee for Service (FFS) and the Merger of the Divisions of Mental Health Services and Addiction Services: Several members are participating on a DHS workgroup to address the challenges experienced with FFS addiction treatment initiatives and to provide input for the state’s plans to transition mental health programs to the FFS model. In addition, Dr. Wentz and several members have been selected to serve on the DHS merger advisory committee to provide feedback and suggestions regarding the newly combined Division of Mental Health and Addiction Services (DMHAS).
When I walk into a room, policymakers “and legislators know I represent the face of NJAMHAA. It’s not a question of which client I’m representing on a given day — Debra L. Wentz, CEO, NJAMHAA, Inc. ”
1975 – Women for Sobriety was 1973 – founded. Fetal Alcohol – Nearly 75 percent of mental health care was Syndrome was provided in the community, vs. institutions (a first described. complete turnaround from 1955).
1974 – The first program 1976 – The 1976 Plan: A Manual for to credential alcoholism Reform of New Jersey’s Mental Health counselors was launched. Care System was published, focusing on achieving dignity, self-determination and community integration. NJAMHAA’s 2011 Business Leadership Summit: In October 2010, NJAMHAA convened nearly 50 business leaders, advocates and service providers to examine several key issues, including saving resources through the privatization of mental health and addictions treatment and services, implementing innovative practices, streamlining governmental regulations and oversight, and the impact of healthcare reform and parity on mental health and addictions treatment. The ideas generated were expanded upon and developed into a position paper to raise public awareness of the mental health and addictions system of care, as well as gain the support of Governor Christie and his administration and legislators throughout the state.
These successes and ongoing advocacy efforts are a sampling of the important day-to-day impact of NJAMHAA, which is effective in large part due to valuable insight, expertise and experiences shared by members and, in many cases, members’ direct involvement on state workgroups along with NJAMHAA staff. Much of this feedback is provided through meetings of the Board Committees and Practice Groups, which also have achievements of their own, as described on the following pages.
MHESA would like to express our “ appreciation for the efforts of NJAMHAA’s staff who have ‘carried the torch’ for New Jersey’s consumers, families and the professionals who strive to serve those in need of our services. We recognize in these most dire of economic times that without NJAMHAA’s continuous advocacy, our system of care would have fared far worse than what we have experienced in 2010. — Jim Romer, Director of Psychiatric Emergency” Services, Monmouth Medical Center
1980s – The “Just Say No” campaign was launched. 1977 – President Carter established – Federal support for treatment began to the President’s Commission on Mental decline and the number of incarcerated Health, the first comprehensive drug users began to increase. survey of mental health care since the – Block grants transferred funding and 1950s. responsibility for treatment to states.
1979 – The National 1982 – The Betty Ford Center was Alliance on Mental Illness opened, a few years after she disclosed was established. her addiction. Board Committees Addictions Committee Co-Chairs: Linda Leyhane, CDA, Executive Director, Crawford House, Inc.; Alan Oberman, LCSW, LCADC, Chief Executive Officer, John Brooks Recovery Center
This committee addresses policy, regulatory and funding issues affecting the addictions treatment community, and develops strategies to effectively advocate on these issues.
During FY 2011, this group: ▪ Identified four main areas of focus: improving communication with DMHAS, preparing for healthcare reform, advocating and improving agencies’ financial stability. ▪ Established a subcommittee focused on preserving residential treatment services, which is developing a position paper and plans to meet with leaders in the Administrative Office of the Courts and Department of Corrections, as well as continue meeting with DMHAS; and a subcommittee focused on improving the New Jersey Substance Abuse Monitoring System and the use of National Outcome Measures on providers’ performance reports.
Chief Financial Officers (CFO) Chair: Cheryl Young, CFO, Easter Seals New Jersey
The CFO Committee seeks to improve the financial position of NJAMHAA member agencies by providing analysis, support and advocacy to NJAMHAA on member agency or New Jersey state-sponsored initiatives, identifying and assisting in development of cost reduction strategies and operational efficiencies, and identifying and assisting with the development of potential new revenue streams. The CFO Committee works to improve the knowledge and skills of NJAMHAA member agencies’ CFOs as they administer New Jersey state budgets and/or contracts.
During FY 2011, this group:
. Met with DMHAS about the Contract Information Management System, and several members will participate on a state workgroup to improve this system.
. Continued to share information and contribute to advocacy on the Medicaid patient certification requirement.
1987 – The New Jersey Division of Mental Health Services Mid 1980s – The State was reorganized to integrate state hospital and community of New Jersey began services within a cohesive administrative structure. reducing the census at Trenton Psychiatric – Eli Lilly introduced Prozac, the first of a new class of anti- Hospital and encouraged depressant drugs, in Belgium; it was launched in the U.S. community living. 1988.
1985 – Crack 1986 – Congress passed the Anti-Drug Abuse Act, cocaine appeared. which changed the system of federal supervised – Rational Recovery release from being rehabilitative into being punitive. (self-recovery) was founded. Board Committees Children’s Co-Chairs: Harry Marmorstein, MA, MBA, President and CEO, The Lester A. Drenk Behavioral Health Center; Greg Speed, MSW, LCSW, CEO/President, Cape Counseling Services
This committee is dedicated to children’s issues and is proactive in addressing concerns directly with staff at the Department of Children and Families (DCF) overall and the Division of Child Behavioral Health Services (DCBHS).
During FY 2011, this group: ▪ Continued to meet regularly with the Federal Monitor, which oversees the state’s progress in reforming the Child Welfare System, and PerformCare, the state’s new Contracted System Administrator (CSA), and representatives participated in quarterly meetings with DCF Commissioner Allison Blake and DCBHS Director Jeffrey Guenzel. ▪ Contributed to ongoing advocacy by providing data and anecdotes on issues, such as the impact on Youth Case Management (YCM) and Mobile Response and Stabilization Services (MRSS) providers from the recent policy change regarding Intensive In Community/ Behavioral Assistance services. ▪ Continued work on the Screening Workgroup, which began working with state representatives from DCBHS, the Division of Youth and Family Services and the Juvenile Justice Commission to finalize a position paper and strategy to improve the situation of children being referred to screening centers. ▪ Began working with NJAMHAA staff to illustrate discrepancies in regulations and how they are interpreted between DHS and DCF’s Office of Licensing, as requested by Commissioner Blake.
Participating in the Public Policy “committee provides an opportunity to validate issues and concerns our agency may experience. We are then able to help develop advocacy strategies to minimize any negative impact. — Harry Postel, MSW, LSW, Director, Behavioral” Health Services, Catholic Charities, Diocese of Trenton
1990 – Clozapine, a 1998 – The Center for new generation of Substance Abuse Treatment antipsychotic drugs, began to fund recovery was introduced. community support projects.
1995 – Naltrexone is 1990s – Several breakthrough approved for treating antipsychotic drugs were introduced. alcohol and other substance abuse. Board Committees Co-Occurring Disorders Co-Chairs: J. Michael Armstrong, MA, MBA, Chief Executive Officer, Community Hope, Inc.; Manuel Guantez, Psy.D., LCADC, Executive Director, Turning Point, Inc.
This committee focuses on the needs of providers who treat individuals who are diagnosed with both mental illnesses and substance abuse disorders.
During FY 2011, this group:
. Determined a clinical focus for the group, which consists of the following objectives:
. Fostered integration of psychiatry into addiction treatment. . Provided training on psychiatric medications for addiction treatment providers, and training on addictions to mental healthcare providers. . Raise awareness of gambling addictions and the need to screen for these addictions. . Helped facilitate the blending of different clinicians’ backgrounds and approaches. . Promoted committee involvement to self help center staff.
Executive Chair: Jim Cooney, MSW, LCSW, Chief Executive Officer, Ocean Mental Health Services, Inc.
The Executive Committee is comprised of the President, Immediate Past President, Vice President, Secretary and Treasurer of the NJAMHAA Board of Directors, and the Chairpersons of the Association’s standing committees. In addition, the NJMHI Board of Trustees started to meet with the Executive Committee to share policy and operational directions. The Executive Committee has the power to act on behalf of the Board of Directors to transact business of an emergency nature between Board meetings. All transactions of this committee are reported at the next regularly scheduled Board meeting for review and action by the entire Board.
During FY 2011, this group:
. Collaborated with NJAMHAA staff on various projects and assisted in achieving NJAMHAA’s advocacy and other goals. . Supported the missions of other NJAMHAA committees, including the Finance and Administration and Public Policy, as well as NJMHI. . Explored the creation of a separate 501(c)(3) for NJMHI’s National Resource Center for Hispanic Mental Health.
1996 – The federal Mental Health Parity Act was passed 1999 – Governor Christine Todd to provide equal coverage for Whitman signed into law a bill for parity mental and physical illnesses, but for treatment of serious biologically on a limited basis. The bill was set based mental illnesses. to expire in 2001.
Late 1990s – The State of New Jersey further encouraged community living by closing Marlboro Psychiatric Hospital, and the state psychiatric hospital census was fewer than 2,000, compared to 15,000 in the 1970s. Board Committees
Finance and Administration Chair: Deborah Megaro, MS, MHS, Chief Executive Officer, Capitol County Children’s Collaborative
This committee deals with financial issues, including membership dues, and issues regarding membership, business development and the various NJAMHAA practice groups. The committee also handles the By Laws, the IT Project, NJMHI and nominations to the Board and other issues relating to personnel.
During FY 2011, this group: ▪ Continued fiscal monitoring of the budgets, and reviewed and recommended for approval NJAMHAA’s Consolidated Financial Statement and independent audit of NJAMHAA, the IT Project and NJMHI, and recommended ways to ensure the organization’s financial future. ▪ Reviewed and recommended for approval several new NJAMHAA policies and procedures for employees. ▪ Approved applications of new members, which include the following since last year’s Annual Conference: Providers: Alternatives, Inc., American Foundation for Human Services, Atlantic Prevention Resources, Inc., Cumberland County Drug & Alcohol Services, Delaware Valley Medical, Freedom House, Genesis Counseling Center, Mental Health Association in Southwestern New Jersey, Morris County Prevention is Key, Inc., New Jersey Mentor, New Jersey Prevention Network, Inc., Newark Renaissance House, Inc., Organization for Recovery, Seabrook House, Spectrum Health Care, Inc., Straight & Narrow, Inc., Urban Treatment Associates, Inc., Women of Hope Resource Center, Inc.; Pharmaceutical Advisory Council: Novartis Pharmaceuticals; Integrated Healthcare Council: Sunil K. Anand, CPA, PC; Ammon Analytical Laboratories; Technology Council: DSS, Inc., MediSked ▪ Reviewed and recommended changes to NJAMHAA’s By-laws to correct errors related to Board elections and tenure.
NJAMHAA would like to acknowledge the outstanding service of Jerome Johnson, MSW, LSW, during his time as a Co-chair of this Committee prior to his retirement late last year.
2001 – President Bill Clinton required parity coverage for mental illness in the Federal Employees Health Benefits Program.
– New bills were introduced to require insurance companies to establish full parity between 2004 – Governor Richard Codey signed behavioral and general health coverage. an executive order creating the Mental Health Task Force.
2002 – President George W. Bush 2005 – The National established the President’s New Suicide Prevention Freedom Commission on Mental Hotline was launched. It Health. received 1 million calls by 2009. Board Committees
Hospital-Based Committee Co-Chairs: Deborah Hartel, MSW, ACSW, Administrative Director, Behavioral Health Services, St. Joseph’s Hospital & Medical Center/ Psychiatry; Rosemarie Rosati, Vice President, Outpatient Services & Partial Hospital, UMDNJ - University Behavioral HealthCare
This committee serves as a forum for staff from member agencies that are primarily hospital-based, rather than freestanding, facilities to discuss areas of mutual concern and provide input into NJAMHAA public policy.
During FY 2011, this group: ▪ Selected representatives to serve on the New Jersey Hospital Association’s and New Jersey Chapter of the American College of Emergency Physicians’ medical clearance workgroup, which developed new protocols to be implemented in the spring of 2011. ▪ Met with Julie Caliwan, Mental Health Liaison, Division of Developmental Disabilities (DDD), to develop strategies for improving service to children with developmental disabilities in emergency rooms. ▪ Reached out to staff at DMHAS and Seton Hall University to develop strategies regarding implementation of the Involuntary Outpatient Commitment law.
Innovation Council
Chair: Robert L. Parker, MPA, Executive Director, NewBridge Services, Inc.
This committee recently established a new mission: To prepare members to retool operations to survive and thrive in the changing external environment, including healthcare/social services reform, to steer changes through innovative operational practices, and to rededicate themselves and identify new resources to achieve their agencies’ missions.
The group identified the following objectives to achieve this mission: ▪ Explore opportunities to work with innovation experts from the behavioral health and academic fields. ▪ Develop and implement strategies to prepare for the threats and opportunities presented by healthcare reform. ▪ Identify other revenue sources (e.g., non-contract, boutique type services).
2006 – New Jersey’s First Lady Mary Jo Codey was instrumental in the passage of New Jersey’s Postpartum Depression Screening and Education Law.
– The state created the Department of Children and Families to improved the child welfare system.
2010 – The federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act is passed as an expansion of the 1996 law.
Board Committees
Integration of Physical and Mental Health Committee
Chair: John Monahan, ACSW, LCSW, President & Chief Executive Officer, Greater Trenton Behavioral HealthCare
The mission of the committee is the development of best practice models for the optimal integration of behavioral and physical health and the exchange of information between medical and mental health providers. This committee submitted a position paper to DHS and has begun to meet with DHS leadership to discuss the concepts, implementation and funding.
During FY 2011, this group:
. Continued to work with representatives of DMHAS and recently began working with representatives from the Department of Health and Senior Services to develop strategies for advocacy and implementation of its proposal.
. Explored collaboration opportunities with DMAHS and Horizon Healthcare Innovations.
Public Policy
Co-Chairs: Anthony DiFabio, PsyD, Chief Executive Officer, Robins’ Nest, Inc.; Dan Martin, Ed.D., Chief Executive Officer, Archway Programs
This committee’s responsibilities include advocacy and public affairs issues, including issues dealing with Medicare/Medicaid, and state and national legislative and policy review.
During FY 2011, this group:
. Provided suggestions, insight and direction to help shape NJAMHAA’s ongoing advocacy on the state budget and other issues and achieve goals identified by the Board of Directors.
. Actively participated in advocacy meetings with policymakers and legislators.
. Developed a plan for successful coordination of member events to highlight the important role members play in local communities.
. Provided guidance and direction related to the planning and execution of NJAMHAA’s 2011 Business Leadership Summit on Mental Health and
Board Committees Addictions.
. Identified goals for NJAMHAA and its members related to healthcare reform.
Safety Subcommittee
In recognition that maintaining the safety of staff and consumers is a priority for behavioral healthcare providers, NJAMHAA created a Safety Subcommittee that has focused on several initiatives: ▪ Providing training at conferences. ▪ Developing and distributing a guidance document to help organizations that wish to develop or update policies and procedures regarding safety. ▪ Developing a document submitted to the state seeking contract modifications to improve safety for employees and consumers. ▪ Developing a one-page safety needs report to help providers more quickly assess safety needs and risks when consumers are transferred to new providers. ▪ Advocating for legislation to provide additional resources. ▪ Providing recommendations during the development of Department of Health and Senior Services regulations to improve hospital safety.
Marketing Subcommittee Recognizing the importance of promoting the ongoing work of member organizations to garner support from government leaders, as well as the general public and business community, the NJAMHAA Board of Directors recently approved the creation of a Marketing Subcommittee of the Public Policy Committee, which focuses on the following: ▪ Developing talking points for providers and consumers to use. ▪ Encouraging and preparing providers and consumers to meet with their local legislators. ▪ Developing member events that highlight the important role of member organizations in local communities. ▪ Providing training on social media and encouraging its consistent, ongoing use.
Board Committees Workforce Development Chair: Len Altamura, DSW, LCSW, Chief Executive Officer, Steininger Behavioral Health Care Services
The Workforce Development Committee was created to address issues related to recruitment, retention, supervision, education, licensure, regulation, training, and degree requirements of employees of non- profit behavioral healthcare providers.
The workforce development committee has been focused on issues of: ▪ Identifying the most critical shortage areas for degrees and license types, including child psychiatrists, APNs, LCSWs, psychiatrists, MSWs, CADCs, APNs, RNs, LPNs, LCADCs, LPCs, and bilingual clinicians. ▪ Identifying factors that impact finding and keeping staff, such as salaries, benefits and work environment. ▪ Developing opportunities for training for staff and workforce workshop topics, such as dealing with a workforce comprised of numerous generations. ▪ Working with universities to provide flexible opportunities for staff to pursue master’s level degrees. ▪ Identifying regulations and licensing board rules that hamper the ability to find staff.
The training and practice groups “have provided valuable learning and networking benefits to our staff in a variety of our programs. We consider NJAMHAA to be an invaluable resource for our organization. —Rich McDonnell, LCSW, Executive Director,” Family Guidance Center of Warren County
Practice Groups Association for Ambulatory Behavioral Healthcare (AABH)/ Outpatient Directors’ Coalition (ODC)
AABH Co-Chairs: Robert Goldberg, LCSW, Clinical Manager, Newton Memorial Hospital/ Center for Mental Health; Brian Sobieski, MA LPC, Coordinator, Adult Partial Care, St. Mary’s Hospital
ODC Chair: Charles Wuth, LCSW, Workforce Development Coordinator, Mental Health Association in New Jersey
The AABH practice group focuses on the concerns of Partial Care and Partial Hospital Programs in New Jersey. This practice group is co-sponsored by NJAMHAA and the AABH national organization. NJAMHAA provides support in addressing issues in New Jersey and AABH provides access to a national organization with representation in Washington. Membership includes both hospital-based and freestanding programs and both acute programs and those with a rehabilitation or continuing care focus.
The Outpatient Directors’ Coalition (ODC) is dedicated to providing support to its membership, to educating the public about the issues affecting mental health services, and to advocating on behalf of outpatient mental health services to state government and managed care entities. The ODC Practice Group reviews the impact of managed care, and addresses accreditation issues and management issues, including the building of staff competencies, staff productivity and clinical treatment planning. ODC also met monthly on the months there were not joint meetings to share clinical concerns, the transition to wellness and recovery and best practices.
During FY 2011, these groups held joint meetings to provide support and discuss challenges related to directing outpatient programs in a changing environment. Topics addressed included:
▪ Traditional outpatient programs, particularly the changing nature of those requesting services, due to the recession and the apparent absence of stigma related to reaching out for help as there has been in the past, which also contributes to the rise in requests.
▪ Changes occurring in the field, particularly with Medicaid and the newly merged DMHAS; best practices related to reducing wait times, and other critical issues associated with the decreasing workforce and the increasing demand for services; and the current issues with state audits and licensing body reviews.
▪ Expansion of the clinical tract at NJAMHAA’s Annual Conferences.
Practice Groups Billing Supervisors
Chair: Michele Rowe, Director of Billing Services, South Jersey Behavioral Health Resources, Inc.
This committee improves the way NJAMHAA member agencies bill and collect for services rendered. With the Health Insurance Portability and Accountability Act (HIPAA) guidelines for electronic billing, and the overwhelming issues surrounding Medicaid billing and other third- party billing entities, this committee provides analysis, support and advocacy by identifying areas that require improvement and works toward a common goal to increase collection rates.
During FY 2011, this group: ▪ Obtained clarification and guidelines on the Medicaid Patient Certification requirement and procedure. ▪ Continued to advocate for an updated system for submitting Medicare claims. ▪ Continued to prepare for the change to the 5010 billing format. ▪ Continued to explore submitting a batch of consumers to determine their eligibility for Medicaid.
I can’t say enough about Deb [Wentz, “NJAMHAA CEO] and staff. As a Board, we couldn’t do what we do without having them in the trenches. — J. Michael Armstrong, MA,” MBA, NJAMHAA Past President and Board Member, Chief Executive Officer of Community Hope, Inc.
Practice Groups Care Management Organizations/Unified Case Management (CMO/UCM) Chair: Richard Hlavacek, Executive Director, Families and Community Together
The CMO/UCM Practice group was intimately connected to the issues related to the change in the contract for the CSA from ValueOptions to PerformCare, which is the chief vehicle for CMO/UCM management information functions. The practice group maintained constant communication with DCBHS and PerformCare through this complex transition, ensuring that underlying systems functioned adequately and important values-based processes were preserved.
The 15 CMO and UCM organizations focused on the following issues in the past year: ▪ The amendment to DCBHS contracts that caps compensation, cuts staff training and reduces travel reimbursement, among other things. ▪ Medicaid standards for intensive case management, the federal CMO reimbursement. As a result, agencies renewed their focus on key record keeping components in the event of audits. ▪ Program quality, through participation in national standards for wraparound services, the development of a certification and coaching model for staff. All members are now part of the National Wraparound Initiative. ▪ Ongoing collaboration with Rutgers School of Social Work. ▪ Operational issues, such as client and staff access to Facebook; bed bugs and other hazards of home based services; and transitioning young adults who require long term support.
Children’s Mobile Response and Stabilization Services (CMRSS) Chair: Rhoda Dompier, Program Director, Catholic Charities Diocese of Trenton
The CMRSS Practice Group is a forum for provider agencies that provide these types of services for DCBHS, to discuss issues of concern, share solutions to common problems, and provide public policy positions for NJAMHAA to advocate for at the State Legislature, DHS, DCF and the Governor’s Office.
During FY 2011, this group: ▪ Assessed, critiqued and brought issues regarding the CSA to PerformCare and DCBHS. ▪ Reprioritized essential components and issues critical to the work and mission of CMRSS. ▪ Gathered benchmark procedures to improve services and provide mutual support to other CMRSS programs. ▪ Collaborated with other NJAMHAA groups, such as the Children’s Committee, Children’s Screening Law Workgroup and Developmental Disabilities/Mental Illness Practice Group. ▪ Advocated about Medicaid/Presumptive Eligibility issues and processes in collaboration with NJAMHAA staff. ▪ Raised concerns about the impact of the downsizing of In-Home Behavioral Health services on CMRSS with increased demand and inadequate transition time.
Practice Groups Clinical Documentation Chair: Tom Ruben, Associate Executive Director, Jewish Family Service of Atlantic & Cape May Counties
This practice group grew out of the NJAMHAA Public Policy Committee’s desire to eliminate unfunded mandates and unnecessary paperwork that detracts from face-to-face time with consumers. Its members represent a cross-section of program services across the state. The group’s focus is on advocating for the reduction of burdensome, redundant and often conflicting clinical documentation requirements imposed by myriad regulators, licensing and accrediting bodies, including DMAHS and DMHS.
During FY 2011, this group: ▪ Addressed Medicaid certification issues. ▪ Completed a draft of Wellness and Recovery language guidelines. ▪ Canvassed DMHAS regarding integration of Wellness and Recovery language guidelines with DMHAS expectations. ▪ Progressed in a project to develop and disseminate best practice examples for Wellness and Recovery documentation.
Developmental Disabilities/Mental Illness (DD/MI) Chair: Peter Pastras, LCSW, Senior Partner, Clinical Services Management, P.C.
The DD/MI Practice Group remains one of the few forums seeking to maintain a dialogue between DDD and DMHAS providers of services to those dually diagnosed with developmental disabilities and mental illnesses. The Practice Group has been focused on the needs and planning processes involved with preventing out-of-state placements and returning individuals placed out of state to local settings.
Among the topics to be discussed in the year ahead are: ▪ Experiences with New Jersey’s acute care system. ▪ Increasing communication among the mental health, acute care and developmental disabilities systems of care. ▪ Increasing the level of service for dually diagnosed individuals. ▪ Implementation of recommendations outlined in the report developed by the DHS Dual Diagnosis Task Force.
Practice Groups Human Resources (HR) Co-Chairs: Jayne Knee, Executive Director of Human Resources, Archway Programs Kathryn Sikanowicz, Human Resources Manager, Family Service Association Val Soto, Director of Human Resources, Youth Consultation Services
The vision of the NJAMHAA Human Resources (HR) Practice Group is to be the premier behavioral healthcare HR resource group. The mission of the NJAMHAA HR Practice Group is to serve the needs of HR professionals in behavioral healthcare. The group is dedicated to improving and achieving organizational best practices of member agencies, providing professional development, networking and partnership opportunities. It is the group’s purpose to ensure that HR is viewed as an essential and effective partner in developing and executing organizational strategy and to effectively partner with NJAMHAA in advocacy efforts.
During FY 2011, this group: ▪ Continued to share agency best practices in HR/training, network with member agencies, discuss the challenges agencies are facing, share policies and procedures when requested, and discuss and strategize how to implement policy changes when new legislation is put in place. ▪ Presented the results of the 2010 NJAMHAA Compensation Study to the Board. ▪ Arranged for representatives from the federal Department of Labor to present a workshop on various federal laws, such as the Fair Labor Standards Act and Family and Medical Leave Act of 1993. ▪ Conducted a membership-wide Benefits Survey. ▪ Identified the following goals for 2011/2012: Continue information sharing and networking; identify and coordinate HR trainings and invite speakers to discuss topics of interest; distribute the results of the Benefits Survey to the NJAMHAA Board and member agencies; continue to work on ways to increase NJAMHAA member agencies’ participation in the Practice Group.
Practice Groups Information Technology (IT) Professional Advisory Committee (PAC) Chair: Jenni Tucci Pollen, MIS Specialist, Preferred Behavioral Health of New Jersey
The IT PAC plays an integral role in the advocacy efforts of the IT Project for member agencies’ IT needs. The PAC assists and facilitates the IT Project in meeting its mission to assist behavioral healthcare providers in the collection, processing, integration and interpretation of data through automation. By facilitating the sharing of technical expertise, future trends, and the management of outcome, performance and financial data, the Project investigates the application of new technologies that will increase efficiency, enhance revenue, reduce costs and, in general, support high-quality treatment to consumers of behavioral healthcare services.
During FY 2011, this group: ▪ Continued to work with DMHAS to improve Annex A documentation and the Quarterly Contract Monitoring Reports (QCMR) and to launch the QCMR portal.
▪ Fostered improved communication among members by launching a web-based group site.
▪ Discussed the importance of keeping behavioral health relevant in national healthcare reform.
▪ Initiated a NJAMHAA electronic health record (EHR) collaborative project to allow mental health and addiction treatment agencies to share in the costs and remain relevant in the move to overall healthcare reform implementation.
For 60 years, NJAMHAA has been a tireless “advocate for our members and I have no doubt that our efforts will continue in the future. Healthcare reform, the expected Medicaid restructuring in New Jersey and the many new initiatives that will reshape the way our members serve vulnerable populations will present many new opportunities, as well as challenges. I am certain that NJAMHAA, as always, will be at the forefront, assisting members in navigating through new requirements and helping shape public policy via our advocacy. — Thomas A. Leach Esq. ” Director of Public Affairs, NJAMHAA, Inc. Practice Groups Intensive Family Support Services (IFSS) Chair: Joyce Benz, Program Director, Mental Health Association in New Jersey - Esperanza
IFSS staff members meet to learn how existing programs currently provide services to families, to enhance communication among IFSS programs, to offer support to one another, and to share ideas and discuss options for statewide and regional projects or training. The IFSS Practice Group plans to continue working on these goals and to establish a statewide marketing plan in order to increase public awareness of IFSS programs.
During FY 2011, this group: ▪ Continued support for adult family members with serious mental illnesses through various services, including single family consultations, multi-family support groups and community psychoeducational workshops. ▪ Continued regular meetings with peers statewide to enhance professional development and service delivery, including the Wellness and Recovery model and the evidence-based practice of family psychoeducation. ▪ Collaborated with state staff and other stakeholders on IFSS program related issues. ▪ Enhancement of additional support services to families in crisis at local screening centers.
Intensive Outpatient Treatment and Support Services Chair: Warren Ververs, Program Administrator, Community Intervention Services, Saint Clare’s Hospital
The mission of the Intensive Outpatient Treatment and Support Services Practice Group is to develop best practices of developing models of high quality services with high levels of funding.
During FY 2011, this group:
▪ Expanded participation in the practice group by incorporating representatives from new IOTSS programs, which are now in 18 of New Jersey’s 21 counties. ▪ Continued collaboration with DMHAS for outcome measurements, which resulted in modifications to the QCMR. ▪ Continued to share best practices and information to enhance program development with all providers.
Practice Groups Mental Health Emergency Services Association of New Jersey (MHESA) Chair: Jim Romer, Director of Psychiatric Emergency Screening Services, Monmouth Medical Center
The MHESA Practice Group is geared to screening and emergency service coordinators. This group meets quarterly to identify issues that impact emergency services for individuals with mental health and other behavioral health issues and to provide input to program development, as well as NJAMHAA’s advocacy for mental health awareness.
Over the past year MHESA has focused on several areas vital to their role in the mental health system, including: ▪ Involuntary Outpatient Commitment (IOC) – MHESA members have responded to DMHAS’ request for information about the implementation of IOC and are in the process of finalizing a statement of concerns and recommendations they feel must be addressed and included in any implementation strategy. ▪ Patient Flow and Emergency Room Delays – MHESA continues to gather data and provide input as to potential strategies to alleviate this serious problem, in partnership with NJAMHAA’s Hospital- Based Committee. MHESA also addressed the issue of children and adolescents in emergency rooms and shared best practices to divert children from emergency departments and screening centers. ▪ Access to Inpatient Services – MHESA continues to dialogue with DMHAS about inconsistencies in, and barriers to, timely admission to public facilities. MHESA members are providing regular feedback concerning the effectiveness of Centralized Admissions. ▪ MHESA members have been prominently engaged in strategizing and planning with DMHAS in developing and implementing models of crisis services that emphasize outreach, diversion and wellness.
New Jersey Association of Integrated Case Management (NJAICM) Chair: Angela Romano-Lucky, MA, President of NJAICM and Program Manager, ICMS Union County, Mount Carmel Guild
This practice group supports and enhances communication among clinical case management providers. NJAICM advocates for the general advancement of clinical case management principles and service delivery while also promoting a shared commitment to individuals with psychiatric problems in need of or utilizing clinical case management services.
During FY 2011, this group:
▪ Held its annual conference, Reintegration & Beyond: Coming Together, in spite of state funding cuts, leading to no state support for this annual training event. Presentations included a plenary discussion, Engaging and Supporting Consumers with Difficult Behavioral Issues in the Community, and presentation of Case Manager of the Year Awards and a variety of educational workshops.
▪ Secured a DMAHS representative to meet with the group on a quarterly basis.
▪ Continued to examine and promote best practices in the delivery of ICMS.
Practice Groups New Jersey Coalition of Residential Providers (CORP) Chair: Tammy Wilson, President of CORP, SERV Centers of New Jersey
CORP is a private, non-profit coalition of residential mental healthcare providers throughout the State of New Jersey who work with and provide supportive residential services to individuals with disabilities. The purpose of this coalition is to promote the integration and normalization of individuals with disabilities into communities in New Jersey.
During FY 2011, this group: ▪ Met regularly with representatives from DMHAS, which fosters a continual process of feedback and information. ▪ Provided input into Olmstead planning, licensing regulations and QCMR revisions. ▪ Provided representation on the Statewide Olmstead Residential Committee, which is helping shape the future of residential mental health services, including contracting, referral processes, continuum of services and service provision across the systems of care. ▪ Provided training and information to members in the areas of evidence based practices, including Illness Management and Recovery and Integrated Dual Diagnosis Treatment.
New Jersey Programs in Assertive Community Treatment (PACT) Practice Group
Co-Chairs: Drew Wisloski, PACT Director, Steininger Behavioral Care Services
The PACT teams are comprised of multi-disciplinary individuals who treat people who are at high risk for psychiatric rehospitalization. The NJAMHAA PACT Practice Group is a forum for directors of programs statewide to discuss issues, seek solutions and develop positions on policies.
During FY 2011, this group addressed the following topics: ▪ ICMS Transfer Guidelines ▪ Axis II Referrals to PACT ▪ Site Review Preparation – Discussed and shared experiences related to DMHAS site visits and program inspections ▪ DMHAS Memo - Contract Evaluation ▪ CEPP [Conditional Extension Pending Placement] Expansions – Reviewed the impact of the increasing number of individuals who are discharged from state psychiatric institutions on PACT programs throughout the state.
Practice Groups Quality Assurance (QA) and Compliance Workgroup
Co-Chairs: Linda Rauh, Director of Quality Improvement, Bridgeway Rehabilitation Services, Inc.; Tracy Samuelson, Director of Quality and Compliance, SERV Behavioral Health System, Inc.
The QA and Compliance Workgroup reviews and discusses common goals and shares information about QA improvement, licensing, regulations, standards, accreditation, corporate compliance and more.
During FY 2011, this group:
▪ Continued to see increased active participation, including members’ input for meeting agendas, which has resulted in efficient use of staff time during the meetings.
▪ Increased members’ involvement (currently 58) with the QA and Compliance Groupsite. The committee has improved sharing of information and communication between scheduled meetings and posts the actual legislation and regulations that address issues identified.
▪ Discussed the following topics: Outcome Measures and Best Practices, Program Evaluation and Indicators, Incidents and Auto Accidents Decreasing, Health and Wellness: Multi-Cultural Focus, Compliance with Licensing Regulations, Medicaid and Medicare Requirement, Privacy and Security (HITECH, Red Flags Rule), Business Continuity Awareness, Clinical Risk Management, electronic health records (electronic signatures and regulations; scanning records and format that must be used to save old records before destroying them).
Transformation and Peer Workforce Practice Group
Co-Chairs: Bob Kley, Chief Operating Officer, Mental HealthAssociation in New Jersey (MHANJ); Charles Wuth, LCSW, Workforce Development Coordinator, MHANJ
This workgroup is the result of a partnership between NJAMHAA, MHANJ, the New Jersey Psychiatric Rehabilitation Association and the Consumer Providers Association of New Jersey, creating a broad based coalition of groups to address this critical systems and workforce issue.
During FY 2011, this group:
▪ Met with DMHAS Acting Assistant Commissioner Valerie Larosiliere to discuss the future of peer services and Medicaid funding.
Helped develop, implement and analyze a statewide survey of providers and peers that will be used to develop a series of recommendations to strengthen and expand the peer/consumer provider workforce in New Jersey in the spring of 2011.
Practice Groups Youth Case Management (YCM)
Co-Chairs: Cari Mulligan, YCM Director, Youth Consultation Service; Kim Veith, YCM Director, Ocean Mental Health Services, Inc.
The YCM Practice Group is a forum for YCM agencies to discuss issues of concern, share solutions to common problems, and provide public policy positions for NJAMHAA to advocate for at the State Legislature, DHS, DCF and Families and the Governor’s Office.
During FY 2011, this group: ▪ Continued to focus on improving service coordination between YCM and Residential Providers to ensure least restrictive care for youth in out-of-home placements; as well as in an effort to keep them close to their homes and families, reduce length of stay, and maximize utilization of community resources. ▪ Continued collaboration with the Office of Licensing (OOL) to create uniformity between DCBHS and OOL regulations and practices. ▪ Participated in a group, together with other system partners, to develop a comprehensive policy in an effort to ensure the most vulnerable youth are able to seamlessly access CMO level of care when indicated. ▪ Continued to collaborate with the Contracted System Administrator (CSA) around enhancement of the electronic medical record (EMR) system known as CYBER. PerformCare is continuously working to improve the EMR and recently released a new welcome page that has been very helpful to YCM workers in terms of lending to efficiency, making certain tasks and overall organization easier to achieve.
It is to be hoped that within a few years “ the combination of increased mental health insurance coverage, added State and local support, and the redirection of State resources from State mental institutions will help us achieve our goal of having community centered mental health services readily accessible to all. — President John F. Kennedy, 1963” In partnership with members, other stakeholders and state and federal leaders, NJAMHAA will continue to strive toward this mission, for both mental health care and addiction treatment.
Councils The Educational Council was established to impact curriculum and close the gap between theory and practice in community mental health; to provide opportunities for students to learn about community mental health and attract them to internships and careers in this field; and to promote development of the future workforce. The Council is also focused on eliminating stigma and is partnering with the Governor’s Council on Mental Health Stigma on a campaign that also aims to promote the mental health profession.
The Integrated Healthcare and Information Technology Councils are made up of for-profit and corporate entities that offer a variety of products and services that enhance providers’ effectiveness and efficiencies. While they meet formally only on an ad hoc basis, members actively participate in NJAMHAA conferences, committees and practice groups, and receive information from NJAMHAA on pertinent issues in New Jersey and around the nation. In addition, they benefit from interaction with members through demonstrations, publication of articles and reduced-rate vending opportunities and ads for increased visibility.
Integrated Healthcare Council members also share information and provides training for our members on issues of pertinence (e.g., RSI Gallagher on the business aspects of healthcare reform. NJAMHAA also has a number of Approved Vendors, one of which is McNamara & Associates, Inc., who provided safety training to members.)
In addition, members of the Information Technology Council continued to regularly hold demonstrations at NJAMHAA headquarters and member agencies to familiarize NJAMHAA members with their products and services. The Council affords NJAMHAA members the opportunity to take advantage of user groups and group purchasing discounts, including collaboratives for implementing EHR systems.
NJAMHAA continued to work closely with its longstanding Pharmaceutical Advisory Council, which is comprised of many of the nation’s leading pharmaceutical companies manufacturing medications for mental illnesses, and behavioral and emotional disorders; other organizations serving the pharmaceutical and behavioral health industries; and representatives from major state divisions, including DMHAS and DMAHS.
Together with Pharmaceutical Advisory Council members, NJAMHAA, Collaborative Support Programs of New Jersey, Mental Health Association in New Jersey and NAMI New Jersey presented Charting the Future: Mental Health and Addictions in Healthcare Reform. State and national leaders provided valuable information about the diverse needs of individuals suffering with mental illnesses and addictions; the challenges and opportunities that healthcare reform and federal parity legislation will bring for these individuals and other vulnerable populations; and the need to ensure open access to all medications that physicians prescribe for mental health and addiction consumers. Legislators, policymakers and their staff, as well as members of Gov. Christie’s staff, attended the event, and highlights of the presentations were prepared and distributed to all members of the State Legislature and key leaders in state departments.
NJAMHAA and members of the Pharmaceutical Advisory Council are also working to develop a Mental Health Caucus in New Jersey’s State Legislature, along with Mental Health Association in New Jersey.
New Jersey Mental Health Institute (NJMHI)/ National Resource Center for Hispanic Mental Health (NRCHMH) NJAMHAA established the New Jersey Mental Health Institute (NJMHI) in July 2000 to promote quality mental health services through training, technical assistance, research and policy development, and anti-stigma and anti-discrimination campaigns. One of its first initiatives was collaborating with University Behavioral HealthCare for nearly five years to provide training for more than 11,000 System of Care partners. Shortly thereafter, in 2001, NJMHI created the award-winning and nationally and internationally recognized Changing Minds, Advancing Mental Health for Hispanics project, which aimed to enhance resources for New Jersey’s Hispanic communities and the providers who serve them. As a result of it, NJMHI is expanding its focus to ensure availability of, access to and delivery of culturally competent services to a variety of minority populations.
The Changing Minds project was so widely successful, that NJMHI expanded it into the National Resource Center for Hispanic Mental Health (NRCHMH) in 2006. NRCHMH specifically aims to reduce disparities and to increase treatment quality and availability of mental health services for Hispanics throughout the nation. The NRCHMH also aims to heighten awareness, acceptance and understanding of mental illness among the nation’s Hispanic population.
NJMHI and NRCHMH provide a variety of materials and training opportunities, and have influenced significant policy and funding decisions on the state and national levels that benefit NJAMHAA members and the individuals they serve. In addition, NJMHI/NRCHMH’s efforts expand not only throughout the state, but also the nation and world.
During FY 2011, NJMHI accomplished the following: ▪ Transitioned the Tsunami Mental Health Relief Project into the Mental Health Relief Project in Sri Lanka to inform the people of Sri Lanka about the signs and symptoms of mental illness and addictions and how to obtain help. This project is trilingual; materials that have been developed in English, Sinhala and Tamil were recently distributed. ▪ Continued implementing an array of activities on its multi-year project, Partners for Culturally Competent Behavioral Health Service Delivery to Hispanics. The project aims at increasing availability of, access to and provision of quality and culturally and linguistically competent mental health services for Hispanics, especially those with limited English proficiency, in three New Jersey counties. The project specifically seeksto evaluate the effectiveness of implementing the Institute’s Model Mental Health Program for Hispanics Report in eliminating disparities experienced by Hispanics in need of mental health care at two community mental health agencies and securing the Model as an evidence-based practice. An ultimate goal of the project is to develop a training curriculum/tool kit that can be utilized by others across New Jersey and the nation to effectively implement the model recommendations and significantly contribute to eliminating disparities for Hispanics in need of mental health care. ▪ Sponsored the fourth Improving Treatment Quality through Cultural Competence Statewide Conference. Nearly 125 behavioral health agency administrators and direct service providers participated in a keynote address from DMHAS leadership and participated in eight workshops on enhancing mental health service delivery to individuals from the African American, Asian American, Arab American and Hispanic populations, and to individuals from the gay, lesbian, bi-sexual and transgender communities. ▪ Spearheaded a successful collaborative partnership with NAMI NJ en Español to host a community educational program in Spanish titled Recognizing and Advancing Mental Health for the Hispanic Community. The educational forum attracted nearly 150 participants and was held in recognition of National Minority Mental Health Awareness Month. ▪ Raised funds to award scholarships through the agency’s Hispanic Higher Education fund. totaling $8,000 to four bilingual individuals who are pursuing a Master’s level degree in Social Work at New Jersey academic institutions. To date, the fund has raised nearly $100,000 in donations and awarded 29 scholarships.
During FY 2011, NRCHMH accomplished the following: ▪ Continued its partnership with the United States Department of Health and Human Services Office of Minority Health (OMH) on its national initiative, Movilizandonos Por Nuestro Futuro: Strategic Development of a Mental Health Workforce for Latinos. In 2010, the initiative resulted in the release of a nationally disseminated report that has garnered positive attention from media outlets, elected and appointed officials, and new potential funding partners. As a result of a Consensus Statements and Recommendations Report published in 2010, authors Henry Acosta, MA, MSW, LSW, NRCHMH Executive Director and NJMHI Deputy Director, and OMH leaders were invited to speak at several national conferences and interviewed for national trade publications on the collaborative initiative. ▪ Continued efforts to formally establish and operationalize a national Alliance for Latino Behavioral Health Workforce Development aimed at ensuring the successful attainment of the recommendations contained in the Movilizandonos Por Nuestro Futuro Report. ▪ Hosted the seventh annual Shining Lights: Outstanding Leaders for a Brighter Future for Hispanics fundraising event honoring leaders and organizations from across the nation. ▪ Conducted two sessions on mental health for the U.S. Congress’ Hispanic Caucus.
NJMHI has been able to expand resources “ available to the Hispanic communities of New Jersey and the providers who serve those communities. — Bill Sette, President, NJMHI Board of ”Trustees
TOMORROW Looking Ahead to Achieving More for a Stronger Community
Clearly, NJAMHAA makes a substantial impact on governmental decisions that affect the delivery of mental health and addiction treatment services. Looking ahead, even as the economy improves, challenges will continue, particularly underfunding, overregulation and the resulting restricted access to services. NJAMHAA is poised to persevere in its fight to overcome these challenges and ensure that the behavioral health community is an ongoing priority for state and federal leaders.
“Although it seems the world is at a turning point, so much change is on the horizon. We look forward to leading the way and having a key yet changing role in ensuring that individuals with mental illnesses and addictions achieve good health and success in the community,” said Dr. Wentz. “The real challenge will be helping members shift operations to remain viable as businesses in this changing environment and to get people to move quickly toward business models that will enable them to continue playing key roles in the future,” she added, referring to the possibilities of mergers, acquisitions and other types of affiliations.
The fact that NJAMHAA has many long-term members and is continuing to grow is a “testament to our effectiveness in positioning our members and paving the way for the future as the environment evolves,” Dr. Wentz said. “While member trade associations nationwide are struggling and losing members, our membership is stronger than ever.”
“As I conclude my term as President of NJAMHAA, I am excited by the potential we have for truly transforming the quality of mental health and substance use disorder treatment. We must continue to work together to embrace opportunities and ensure that a commitment to partnership helps drive the next chapter in our association,” Cooney said. “Partnerships, which help us exchange information, share resources and work together more efficiently and effectively, will be key to our success in the future. With this in mind, we have created many opportunities to share information and connect with colleagues and partners,” he added, stressing the importance of continuously developing new and better ways of treating and hopefully curing mental illnesses and addictions.
In addition to the services and resources that NJAMHAA provides, decisions made by the Board will continue to be essential for the success of member organizations, as well as NJAMHAA overall. According to Dr. Altamura, “The NJAMHAA Board decisions that guide the organization over the coming years will be especially critical, just as they were in the early ’90s when budget cuts and managed Medicaid had to be anticipated and faced. With good Board leadership and steady management, both the state and its behavioral health providers will come out fine...very changed perhaps, but fine.”
Also in addition to improving quality of care and thriving through financial and other challenges, NJAMHAA will need to work continuously to garner support from government leaders, as well as the general public and business community. “We’re on track with our marketing committee,” according to Bill Sette. “We must lead the charge not only in advocating for services, but also marketing us so that the community sees us and consumers in a positive light. That takes us farther down the path than anything. We’re also going to be fighting issues, but at the end of the day, it’s an image we need to create.” Overall, NJAMHAA needs to stay ahead of the curve, according to Armstrong. “I’ve been in the field for more than 30 years, and I never saw things in flux as much, I’ve never seen as much tension as there is now. NJAMHAA has the vision to help us navigate through the changes and challenges,” he said. “We may have different maps, but we all have the same destination: better care for consumers. Even though we may disagree, we’re all in this together.”
“As I look ahead, I am filled with hope by the potential opportunities, such as those presented by healthcare reform. My vision for NJAMHAA continues to be for all of us to work together to create a future in which every human being is an equal partner in achieving wellness and recovery. Working in collaboration, I know we can make this vision a reality!” Dr. Wentz said.
“Today’s fiscal and regulatory environment presents an increasing number of challenges for NJAMHAA members. I look forward to working with our members to renew collaborative efforts with the State and to create new opportunities to advance mental health and addictions services in New Jersey,” said Tom Leach, Esq., Director of Public Affairs.
In addition to continuing to address the issues and challenges that members face, NJAMHAA staff also looks forward to enhancing the quality of its communications and IT services. All of these efforts are part of NJAMHAA’s mission to maximize members’ effectiveness in performing the wonderful work they do.
“I’m so glad to have the enjoyable job of learning about and sharing the successes of our member agencies and their clients in NJAMHAA News. We recently made changes to this publication, which I hope members find valuable, and we look forward to receiving suggestions, as well as more terrific stories to share,” said Shauna Moses, Associate Executive Director.
“The next few years will see a lot of change for our member agencies as it relates to IT. HITECH and the implementation of EHR systems are changing the way our members will use their IT systems and how they do business. The IT Project will be taking the lead on staying on top of these issues and advocating for our agencies to be included in economic incentives to implement these systems,” Ron Gordon said. “NJAMHAA and the IT Project will be helping members implement and use new systems to analyze and share data to improve client care. These are exciting times for the IT Project with lots of changes that will transform the project and our membership in many positive ways to better serve the community in New Jersey.”
“It has been my honor and privilege to be NJAMHAA’s Event Planner and have the opportunity to meet so many wonderful people through the events I have planned. Seeing an event come to fruition is truly an adrenaline rush and I enjoy what I do every day. I look forward to more opportunities to provide our members with the training opportunities they need to further their organizations’ missions,” said NJAMHAA Administrative Event Planner Robin Crist
Get Involved and Make a Difference
Everyone’s unique experiences, expertise and insight enable NJAMHAA to develop compelling cases that help ensure ongoing funding for and access to mental health care and addiction treatment services. This brochure provides proof that members’ involvement in Board Committees and Practice Groups is not only valuable, but also effective. Join us and help NJAMHAA make an even greater impact in the months and years ahead. To join a Board Committee or Practice Group, contact Shauna Moses, Associate Executive Director, at 609-838-5488, ext. 204, or [email protected].
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1951-2011 6anniversary
NJAMHAA Is Proud to Have Achieved So Much in Our First 60 Years in Partnership with All of Our Members and Other Fellow Stakeholders
Thank You for Working with Us to Strengthen New Jersey’s Behavioral Health Community
We Look Forward to Achieving Many More Successes with You in the Years to Come