FY 2008 - Community Mental Health Services Block Grant Application

Helping Families. Supporting Communities. Empowering Individuals.

Community Mental Health Services Block Grant Application - 2008 (pdf) 

Executive Summary

The Illinois Department of Human Services-Division of Mental Health (DMH) is responsible for managing and purchasing a comprehensive array of services that provide effective treatments to people most in need of publicly funded mental health care. The policies and practices of the DMH focus on fostering coordination and integration of services provided by DMH funded community agencies, private hospitals, and state hospitals across Illinois. The DMH has implemented a wide range of initiatives to increase coordination with other state agencies whose services are accessed by individuals receiving mental health services. The FY2008 Mental Health Block Grant Plan reflects these coordination efforts as well as an emphasis on developing and directing care that is consumer and family driven. During the last year, the DMH has undertaken a number of efforts to continue the transformation of the mental health service delivery system in Illinois to one that is recovery-oriented. These efforts include an expanded focus on planning and implementation of evidenced-based practices, continued planning for the transition to a fee-for-service system from a primarily grant-based funding system, and increasing consumer and family involvement in planning and implementation activities. A wide array of stakeholders representing consumers, family members of individuals with mental illnesses, advocates and public service agencies purchasing or providing treatment to individuals with mental illnesses have participated in these efforts. The anticipated outcome of these efforts is the continued enhancement of activities that support the recovery-orientation of the mental health system, and consumers and their families. There continue to be significant fiscal challenges to the mental health service system in FY 2008. Illinois, like many other states, experienced a serious economic downturn that began in 2001, and although there has not been an increase in funding, the Division has worked diligently to increase revenue from Medicaid and to seek grant funding to support programmatic efforts.

During FY 2008, the efforts of the DMH remain focused on:

  1. planning efforts to continue transformation of the Illinois Mental Health service delivery system,
  2. sustaining the significant accomplishments of recent years,
  3. continuing the development of the public mental health service system through joint planning, coordination and implementation efforts,
  4. emphasizing consumer education, recovery orientation and enhanced consumer and family involvement in planning and evaluation activities, and
  5. continuing development and initiation of strategies to expand access to evidence-based practices. The format of this FY 2008 plan reflects these themes, and is synchronized with the overall planning process of the DMH.

Plan Organization

As the Illinois Mental Health Authority, the DMH is responsible for public mental health services for both children and adults. The previous organization of the plan reflected this service integration. The FY 2008 plan has been re-organized to reflect the SAMHSA CMHS format, which calls for two separate plans ---one for adults and one for children. Each Criterion contains separate sections for adult services and child services. This organization is reflected in the Narrative, as well as in the performance indicators that relate to the plan. 

The following are highlights of this year's application and plan:

  • Use of block grant dollars to promote consumer-to-consumer outreach and mentoring;
  • Continuing development of housing services, including a new supported housing initiative;
  • The continuing investment of block grant dollars to increase and improve psychiatric leadership and services;
  • The use of block grant funds to support crisis services;
  • Enhancing mental health services for children and adolescents through a range of pilot projects for services to transitioning youth, tele-psychiatry in rural areas, early intervention and early childhood consultation;
  • Continuing to develop strategies to increase access to evidence-based practices;
  • Established linkages with jails, juvenile detention facilities, and the Courts;
  • Providing training and consultation to community-based staff serving children and adolescents in Evidence-Informed Practices;
  • Working collaboratively in consultation with schools to expand early intervention and prevention in mental health; and
  • Initiatives for elderly persons in rural areas aimed at providing consultation and promoting the integration of mental health services for meeting the needs of older adults.

Mental Health System Performance Indicators

The FY2008 plan contains Illinois-specific performance indicators, as well as indicators relating to the SAMHSA CMHS National Outcome Measures (NOMS). The system performance indicators are described and clearly referenced in the plan narrative so that the reader may cross-reference them, or simply review them as a set. The Illinois specific indicators are used to monitor the impact of the mental health services that are purchased on behalf of mental health consumers. These indicators include information that is collected and reported as part of the CMHS Uniform Reporting System. This ability to track values of indicators across time has assisted in identifying issues that need to be addressed within the public mental health service system serving as a basis for planning.  Additional indicators are added as required to meet the priorities of mental health system development.

Public Comment on the FY 2008 Illinois Mental Health Block Grant Application

The development of the state mental health block grant plan is made available for public comment in several ways. 

  1. The Illinois Mental Health Planning and Advisory Council (MHPAC) includes consumers of mental health services and family members who also participate in a range of advocacy groups such as the Mental Health Summit, the Mental Health Association and the Illinois Alliance for the Mentally Ill. Council members regularly consult with their respective advocacy groups during the development of the state plan.
  2. All Council meetings are open to the public. Council meeting dates are set up a year in advance to facilitate participation. Persons with an interest in the state plan may attend meeting at which the plan is discussed and provide feedback and comments. 
  3. The FY 2008 block grant plan was reviewed by the Planning Committee for the Illinois MHPAC during its development on several occasions. A formal meeting to review the plan was held on August 2nd. The Block Grant Plan has also been discussed at all MHPAC meetings in the past year. Notice of the availability of the plan via the web was emailed to all Council members. 
  4. The public can access this DHS DMH Internet site (www.dhs.state.il.us).  Interested parties have been instructed to contact Dr. Mary E. Smith to provide comment.

Contact

For questions reguarding the 2008 Community Mental Health Services Block Grant Application or for an accessible version contact:

Mary E. Smith, Ph.D, Chief, Strategic Planning, Evaluation and Systems Analysis

Illinois Department of Human Services
Division of Mental Health
160 North LaSalle Street
10th Floor
Chicago, Illinois 60601

Telephone: (312) 814 - 4948

Fax: (312) 814 - 4832