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Building an Integrated Delivery System Through Community Collaborations
Coordinated Behavioral Care (CBC) was launched in 2011 by a committed group of NYC not-for-profit behavioral health organizations to meaningfully participate in NYS’s Medicaid Redesign and Value Based Purchasing initiatives. CBC is dedicated to improving the quality of care for New Yorkers with...
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Will “System Transformation” Transform the System? Before We Celebrate: 20 Questions That Need Answers
System transformation is underway in New York State and throughout the United States through the development of elaborate financial structures such as accountable care organizations and health homes. No doubt these new structures will change the way business is done in the mental health system. But...
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Social Isolation: A Solution-Focused Approach
Doris has been living in her studio apartment in the Crown Heights section of Brooklyn for the past 15 years. She obtained this apartment after finding herself homeless following the breakup of her marriage and other stressors she was experiencing. Doris is quite humble as she describes how her...
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A Virtual Pathway to Technology-Assisted Care Models: Keeping Up with New Technology in Behavioral Health Care
Community-based behavioral health organizations and the individuals they serve would benefit from embracing new media and digital technologies. Technology-assisted care allows providers an additional set of tools to supplement engagement and establish more meaningful lines of communication. With...
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A Human Right Still Unmet: Medical Treatment of Mentally Ill Prisoners
Individuals with mental illness have the right to receive appropriate medical treatment in correctional settings and upon release. It sounds perfectly reasonable, but unfortunately, is far from reality. That was the consensus of a distinguished panel of mental health and legal experts who recently...
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A Good Place to Live Is Critical for Older Adults with Psychiatric Disabilities: Needed Public Policy Changes
Not so many years ago a diagnosis of schizophrenia was a life sentence, shortened only by the low life expectancy of people with serious and persistent mental illness. Thanks to the recovery movement, we now understand that a diagnosis of schizophrenia or other serious psychotic disorder does not...
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Housing and Support Services Create Greater Stability for Adults with Behavioral Health Issues
As supportive housing continues to be a necessity for individuals across New York City, Unique People Services’ (UPS) social workers, clinicians and case managers are working together to create safe havens and essential resources for hundreds in need. Our Bronx-based agency operates nearly 30...
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Housing People with Serious Mental Illness in Jails and Prisons: Why Are We Still Criminalizing Mental Illness?
Lack of appropriate access to mental health care for the seriously mentally ill in the U.S. is a critical issue. Such lack of access can lead to significant, adverse living outcomes for individuals living with mental illness, including homelessness and incarceration. It is a disturbing fact that...
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The NYSPA Report: Taking Stock and Taking Leave
Advocacy must be unending, ongoing work because there is always more to accomplish and always the danger that hard-won gains may be undone. For the past 14 years I have either written or edited the work of guest columnists for the quarterly NYSPA Report in Behavioral Health News (BHN) or in Mental...
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Behavioral Health, the LGBTQ Community, and Managed Care
A wise man once said that at times of sweeping transformation, “all that is solid melts into air.” As the delivery system responds to changes driven by the transition to Medicaid managed care and, ultimately, value-based payment, many are concerned about meeting the needs of historically...
