CCCooolllooorrraaadddooo HHHJJJRRR 000777---111000555000 BBBeeehhhaaavvviiiooorrraaalll HHHeeaaalllttthhh TTTaaassskkk FFFooorrrccceee RRReeepppooorrrttt JJJaaannnuuuaaarrryyy 222000000888 Colorado HJR07-1050 Behavioral Health Task Force Report To access this report electronically on or after January 31st, 2008: http://www.csi-policy.org/1050taskforce/1050Report.pdf To cite this report: McHugh, D., Lynn, J., Portman-Marsh, N., Kahn, R., 2008. Colorado HJR 07-1050 Behavioral Health Task Force Report. Denver, CO: Colorado State Legislature. Colorado HJR07-1050 Behavioral Health Task Force Report Table of Contents Acknowledgements ................................................................................................................3 Executive Summary................................................................................................................5 The 1050 Task Force Structure and Process .......................................................................5 The Final Report ...................................................................................................................5 The Vision and Guiding Principles ........................................................................................6 The Recommendations.........................................................................................................6 Conclusion ............................................................................................................................8 Section 1. Introduction and Background..............................................................................9 The 1050 Task Force Structure and Process .......................................................................9 The Research Process........................................................................................................10 The Final Report .................................................................................................................11 Section 2. Planning Together: The Recommendations.....................................................13 The Vision and Guiding Principles ......................................................................................13 The Recommendations.......................................................................................................14 Recommendation #1: Leadership Structure.......................................................................15 Recommendation #2: Shared Outcomes ...........................................................................16 Recommendation #3: Alignment of Service Areas..............................................................16 Recommendation #4: Joint Auditing Across Systems.........................................................17 Recommendation #5: Joint Budget Planning Across Departments ....................................17 Recommendation #6: Integrated Behavioral Health Policies, Rules, and Regulations.......18 Recommendation #7: Financing Reform to Support an Integrated Behavioral Health System ................................................................................................................................18 Recommendation #8 Electronic Cross-System Data Collection, Sharing, and Evaluation .19 Recommendation #9: Cultural Competency .......................................................................19 Recommendation #10: Adult, Youth, and Child Consumer and Family Involvement..........20 Recommendation #11: Workforce Development ................................................................21 Conclusion ..........................................................................................................................21 Section 3. Q-Sort Survey Results........................................................................................22 Survey of Stakeholders’ Priorities for State Infrastructure ..................................................22 Cluster 1: Integrated Behavioral Health Authority ...............................................................22 Cluster 2: Improved Fiscal Policies and Accountability.......................................................23 Cluster 3: Successful Service Delivery ...............................................................................24 Cluster 4: Coordinated Behavioral Health Systems ............................................................24 Comparisons Between Clusters..........................................................................................25 Conclusion ..........................................................................................................................27 Section 4. Colorado’s Behavioral Health System: Themes ..............................................29 Themes Identified from State Agency Interviews and Plans...............................................29 Relationships with Service Providers: Cross System Alignment.........................................30 Information Collection and Sharing .....................................................................................32 Cultural and Linguistic Competence ...................................................................................35 Consumer and Family Involvement.....................................................................................36 Service Areas and Regions.................................................................................................37 Approaches to Behavioral Health........................................................................................38 Workforce Development......................................................................................................38 Budget and Funding............................................................................................................39 Section 5. Colorado’s Behavioral Health System: Behavioral Health Related Funding Streams..................................................................................................................................40 Prioritized Funding Streams................................................................................................40 Appendix A: Enabling Resolution and Members of the Task Force ................................42 Center for Systems Integration (CSI) and NPM Consulting in partnership 1 of 123 with the Western Interstate Commission for Higher Education (WICHE) Colorado HJR07-1050 Behavioral Health Task Force Report HJR 07 – 1050 Behavioral Health Task Force Enabling Resolution...................................42 Members of the 1050 Behavioral Health Task Force..........................................................45 Appendix B: 1050 Task Force Subcommittee Members ...................................................46 Joint Budget and Funding and Streamline / Coordinate Services Committee Members ....46 Program Committee Members ............................................................................................46 Appendix C: Presenters to the 1050 Task Force................................................................47 Presentation to the August 28th, 2007 1050 Task Force Meeting .......................................47 Presentations to the September 13th, 2007 1050 Task Force Meeting...............................47 Presentations to the October 9th, 2007 1050 Task Force Meeting.....................................47 Presentations to the October 30th, 2007 1050 Task Force Meeting...................................47 Presentations to the November 15th, 2007 1050 Task Force Meeting...............................47 Presentation to the November 30th, 2007 Joint Meeting of the 1050 Behavioral Health and Methamphetamine Task Forces..........................................................................................48 Presentations to the December 4th, 2007 1050 Task Force Meeting.................................48 Presentation to the December 13th, 2007 1050 Task Force Meeting..................................48 Appendix D: Funding Streams Matrix.................................................................................49 Appendix E: Colorado’s Behavioral Health System: Descriptions of State Agencies ...63 Colorado Department of Corrections (DOC) .......................................................................63 Colorado Department of Education (CDE)..........................................................................68 Colorado Department of Health Care Policy & Financing (HCPF)......................................70 Colorado Department of Human Services (CDHS).............................................................74 Colorado Department of Public Health and Environment (CDPHE) ...................................79 Colorado Department of Public Safety – Division of Criminal Justice (DCJ) ......................83 Appendix F: Framework .......................................................................................................88 Appendix G: The Substance Abuse and Mental Health Services Administration’s National Outcome Measures (NOMs)..................................................................................89 Appendix H: List of States Interviewed, with Organizations ..........................................100 Appendix I: Comments on the Draft Final Report............................................................102 Intro and Background: 1050 Task Force Structure and Process ......................................102 Intro and Background: The Research Process .................................................................103