FY 2007 - Community Mental Health Services Block Grant Application

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 FY 2007 Mental Health Block Grant Plan reflects these coordination efforts as well as an emphasis on consumer and family driven and focused care. 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, 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 2007. 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 2007, the efforts of the DMH remain focused on: (1) sustaining the significant accomplishments of recent years, (2) continuing the development of the public mental health service system through joint planning, coordination and implementation efforts, (3) emphasizing consumer education, recovery-orientation and enhanced consumer and family involvement in planning and evaluation activities, (4) continuing development and initiation of strategies to expand access to evidence-based practices, and (5) developing the capacity and readiness for moving the mental health system toward a transformed mental health system in a strategic and targeted manner. The format of the FY 2007 plan reflects this theme, synchronizing it 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 organization of the FY 2007 Block Grant Plan is in transition. This year, we have started to separate the two plans. The Illinois DMH Block Grant Plan for FY 2007 is organized around Criterion and 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:

  • The continued use of block grant funds to promote consumer-to-consumer outreach and mentoring,
  • Continuing development of residential 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,
  • 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,
  • Working collaboratively in consultation with schools to expand early intervention and prevention in mental health, and
  • Initiatives for elderly persons in rural areas that are aimed at providing consultation and promoting the integration of mental health services in meeting the needs of older adults.

The FY 2007 Plan:

Criterion 1.

Priorities for this criterion reflect the goals and recommendations of the New Freedom Commission particularly the importance of involving consumers of mental health services and their families in orienting the mental health system towards recovery, and of providing excellent, evidence-based mental health care.

  • Strategies to improve consumer participation and engagement in services which will help towards recovery and skill development including training consumers as facilitators of Wellness Recovery Action Planning
  • Continuation of a pilot demonstration project to enhance supported employment activities
  • A variety of efforts to facilitate and improve services to special population groups including: cultural and linguistic resource development for those with special cultural needs, services for individuals with co-occurring disorders, and the continuing exploration of community-based alternatives for those in long term care facilities.
  • Continued joint planning with DHS offices and other state departments geared toward increasing and improving integration of services.

Criterion 2.

  • Continuing development of performance measurement and Illinois' participation in national studies on performance measurement and outcomes.
  • Maintaining efforts to ensure an accurate data reporting system from which quantitative targets are being set and monitored.

Criterion 3.

  • Continued implementation of The System of Care - Chicago Collaboration that promotes the development of a system of care involving all child-serving systems and partnerships in the Chicago area. Illinois was awarded another System-of- Care grant that is housed in McHenry County---therefore initiatives related to the system of care project are being expanded to other community areas in Illinois.
  • Continuation of the Mental Health and Juvenile Justice Interface initiative that provides mental health services for children/adolescents with serious emotional disturbance who exit detention centers.
  • Continued efforts around planning for youth with serious emotional disturbance who are transitioning from the child and adolescent mental health service system to the adult mental health service system.
  • Continuation of joint planning with DHS Divisions and state departments, as well as collaboration through the Illinois Children's Mental Health Partnership to improve the integration of mental health prevention planning and early intervention services for youth and their families in schools, child care programs, and domestic violence programs.

Criterion 4.

  • Continued funding to maintain outreach services to homeless adults with serious mental illnesses.
  • Use of federal PATH funds to serve individuals with mental illnesses that are homeless persons and homeless families in an area of increasing incidence of homelessness.
  • Outreach efforts to homeless youth
  • Continuing emphasis on improving continuity of care and access to services for residents of rural areas.

Criterion 5.

  • Increasing financial resources for mental health services through Medicaid reimbursement and conversion of the DMH grant-in-aid funding to a fee for service system.
  • Continuation of training, technical assistance and consultation to community agency providers and DMH staff to improve the efficacy and efficiency of mental health service delivery.

Mental Health System Performance Indicators

The DMH 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. The values for the indicators that are reported in this application reflect data collected during FY 2006 where available. We expect a slight modification of some values as a small amount of data for FY 2006 is still being processed. Where necessary, this information will be updated in the Implementation Report.

NOTE: PUBLIC COMMENT ON THE FY 2007 ILLINOIS MENTAL HEALTH BLOCK GRANT PLAN. 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 Alliance 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 2007 block grant plan was reviewed by the Planning Committee for the Illinois MHPAC during its development on several occasions. Formal meetings were held July 14th and August 9th. The Block 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 final state block grant application and proposed plan will be posted on the web site for the Division of Mental Health (www.dhs.state.il.us) by September 6, 2006. The public can access this DHS DMH Internet site. A contact procedure will be noted for persons who wish to comment on the plan.Person to Contact with Questions Regarding the Application

Mary E. Smith, Ph.D
Chief, Strategic Planning & Evaluation
Ilinois Department of Human Services
Division of Mental Health

160 North LaSalle Street, 10th Floor
Chicago, Illinois (ZIP) 60601

Phone: (312)-814-4948

Fax: (312) 814-4832

The link to the full contents of the FY 2007 MENTAL HEALTH BLOCK GRANT APPLICATION can be accessed on the DHS Website.