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Are We There Yet? Reflections on the 5 Years of Children’s Medicaid Transformation
It is hard to believe that five years have passed since the New York State Children’s MRT Subcommittee released its blueprint to address the unique and complex needs of children in Medicaid Managed Care. In many ways the time has flown by yet today, New York State’s target date to fully...
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The System-of-Care Movement Through a Trauma-Informed Lens: Implications for Systems Transformation
Trying to change systems is never an easy task. Efforts to encourage, argue, incentivize, and mandate change, are often met with piecemeal results, only to revert back to business as usual. On rare occasions however, profound change can happen quickly and even effortlessly. These changes often...
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SIMHS SafeTY.net Early Intervention Program Fills Gaps in Services for Staten Island Youth Battling Trauma-Related Substance Use/Abuse
For more than a decade, Staten Island has been harboring a shameful secret that is only recently coming to light. Our Island outranks each borough, as well as the whole of New York City and State, in the rate of adolescent drug and alcohol abuse, including binge drinking and use of prescription...
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Improving Children’s Health by Focusing on Value
New York State is well down the path to instituting significant changes in how the State pays for health care for low-income and disabled individuals, many of them children. Like many other states, New York is testing new payment methodologies in an effort to achieve positive changes in how health...
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NYS Office of Mental Health Announces “1,700 Too Many” Statewide Suicide Prevention Plan
The New York State Office of Mental Health today announced the release of an extensive, multifaceted plan for suicide prevention, aimed at reducing New York State’s suicide rate. To guide suicide prevention statewide, 1,700 Too Many: New York State’s Suicide Prevention Plan will empower...
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Congressional Mental Health Policy Reform: Hope or Hype?
Since the tragic killings in Newtown, CT in 2013, most politicians have mistakenly maintained that mass murder is largely a consequence of a “broken” mental health system. In Washington, and elsewhere, elected officials have been promising to “fix” the system, and to their credit they have...
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The NYSPA Report: Momentum Building for Comprehensive Mental Health Reform in Congress
More than three years after the tragic shooting at Sandy Hook Elementary School sparked a national conversation on issues related to mental illness and the prevention of violence to self and others, Congress is currently closer than any point in recent history to act on bipartisan, bicameral...
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The NYSPA Report: Community Based Extended Inpatient Care
A cohort of persons with serious and persistent mental illness (SPMI) will continue to require extended inpatient psychiatric treatment beyond 2015, the year during which NYS will enroll virtually all of its Medicaid insured into managed care. Where their care will be provided remains to be...
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The NYSPA Report: The Final Parity Rule – What NYS Should Do About It
On November 21, 2013, five years after the passage of the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), the federal Departments of the Treasury, Labor and Health and Human Resources issued the final rule governing its implementation. Due to the...
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Healthcare Reform: The New School Lunchroom
What does the new healthcare environment have in common with a high school lunchroom? Many Behavioral Healthcare providers have been experiencing anxiety as they hear and read about all the fundamental ways their work, organizations, and very lives are about to transform. “It’s all going to...
