The Tri-County Board of Recovery & Mental Health Services will accept public comments regarding the Board’s Calendar Year 2020 Budget between 4:00 pm and 4:30 pm on Wednesday, June 19, 2019 at the Board office, 1100 Wayne St., Suite 4000 in Troy. For further information or to request a copy of the Tri-County Board’s Calendar Year 2020 Budget, please contact the Tri-County Board at (937) 335-7727, extension 206.
At its regular meeting September 22, the Shelby County Drug Free Coalition passed a resolution to endorse the Tri-County Mental Health & Recovery levy which will be on the ballot in Shelby, Darke and Miami Counties November 8.
The Tri-County Mental Health & Recovery levy is a 0.6 mill, 5-year renewal to provide ongoing funding for counseling and supportive services to children and adults through the operation of alcohol and drug addiction programs and mental health programs. Levy funds are administered by the Tri-County Board of Recovery and Mental Health Services.
The Shelby County Drug Free Coalition is made up of agencies, organizations, public officials, businesses and concerned citizens working together to make Shelby County, Ohio, a safe place to live and work. The Coalition's mission is advocacy, networking and collaboration to prevent harmful alcohol and other drug use in Shelby County by focusing on preventing youth consumption.
The Coalition meets the fourth Thursday of the month at 10:30am at St. John's Lutheran Church in Sidney. Information about the Coalition, including upcoming meetings, can be found online at drugfreeshelbycounty.weebly.com.
The Tri-County Board of Recovery & Mental Health Services will accept public comments regarding the Board’s Calendar Year 2017 Budget between 4:00 pm and 4:30 pm on Wednesday, June 29, 2016 at the Board office, 1100 Wayne St., Suite 4000 in Troy. For further information or to request a copy of the Tri-County Board’s Calendar Year 2017 Budget, please contact the Tri-County Board at (937) 335-7727, extension 206.
Full text of Executive Director McDaniel's Remarks Before the Ohio House Healthcare Efficiencies Study Committee September 8 2015
Good afternoon Chairman Huffman and members of the Committee. Thank you for the opportunity to speak to you today. My name is Mark McDaniel and I am the Executive Director of the Tri-County Board of Recovery and Mental Health Services. We are the ADAMHS Board that serves Miami, Darke and Shelby Counties. I have been the Executive Director of the Board for over 17 years and have worked in the behavioral health system for over 36 years. Over the span of those years I have provided direct clinical services, managed treatment teams and worked with families with both mental health and addiction issues.
To examine how the role of ADAMHS boards – and behavioral health care itself – is changing, I would like to briefly review where we have been, where we are now, and where we must go in the near future to meet the needs of the communities we serve in the most efficient and cost-effective ways possible.
Timely clinical services are crucial to effective treatment of individuals with mental illness and addictions; but that effectiveness is tempered by what happens the other 23 hours of the day. Housing, employment and other support services play a crucial role in an efficient system of care focused on long-term recovery.
Those who do well in recovery – that is, those who relapse less often, recidivate at a lower rate, and access fewer crisis services – are persons who have stable housing, meaningful employment, and social, emotional and wellness supports. Without these supports, those addicted to substances, and persons with severe mental illness, tend to follow the very inefficient path of living from crisis to crisis, taxing the most expensive point of interaction with emergency medical services; law enforcement, court and jail involvements; and emergency shelters.
In recent years, ADAMHS Boards in general and the Tri-County Board specifically have spent significant resources on the expansion of client supportive services, housing options and vocational training.
One example of social supportive services, SafeHaven is a client support program that is now available in all three counties and open to individuals who need help with their personal recovery and opportunities at socialization.
In terms of vocational support, the Board maintains a contract with Opportunities for Ohioans with Disabilities that serves all three counties. This provides assistance to clients with job preparation and search.
To provide stable and safe housing, the Tri-County Board owns houses and apartments in all three counties as well as maintains relationships with private landlords. We also maintain contracts for Adult Care Facilities and mental health residential services.
Since access to Medicaid was extended in Ohio, the Board’s focus has shifted to providing 24/7 staffing at existing recovery homes to increase accountability and have expanded other recovery housing options.
To aid in early recovery, Vivitrol projects are now active in all three counties to help with the heroin issue. Detox and residential substance abuse services are accessible through our treatment services providers. Trained Recovery Coaches will be introduced for the first time in our system in the coming months.
Telemedicine was mentioned in several of the previous presentations. We now have telemedicine available in each of the three counties which has expanded access to doctors for patients.
The Board has invested in reentry programs at both the prison and local jail level. This is a proactive approach to transitioning individuals returning to the community in a very structured and planned way.
To give just one example, with support of the Tri-County Board, Community Housing Inc. has for more than two years implemented a prison in-reach reentry program to assess needs and connect inmates with services prior to their release. In that time, Community Housing has worked with 58 people. Just 7 of those – 12 percent – re-offended, compared to more than 27 percent statewide. Given the high cost of arresting, prosecuting, incarcerating and monitoring an offender, any opportunity to reduce recidivism by half or more – while at the same time helping those persons be productive and healthy citizens - must be seen as an efficiency.
There is much more that needs to be done and the Tri-County Board has a plan. In the very near future we will be announcing the opening of a one-stop shop facility in Miami County which will offer a single point of entry for mental health and addictions, crisis, housing, vocational, consumer support, prevention and wellness, medical and even dental services under one roof. The overall goal of this plan is to streamline and create efficiency for access by individuals and families, and for those who refer.
To reduce the impact of addictions and mental illness over the long term, prevention and wellness planning and programming are vital. ADAMHS Boards are uniquely positioned to anchor coalitions of vested interests to assess community behavioral health needs, plan activities that can effect change over the long term, and evaluate those activities for effectiveness. To be clear, prevention and wellness programs move the needle on the scale of years, not months. We want to see our communities becoming healthier over generations.
Are prevention and wellness efforts efficient? Effective ones are. The Board is committed to supporting evidence-based prevention practices in our schools and in our communities. Being good stewards of the public trust means optimizing resources – both time and money – on prevention practices that meet national standards of effectiveness. In this way we maximize longterm outcomes and avoid using public resources where there is scant evidence for real change.
We’ve all heard the phrase “An ounce of prevention is worth a pound of cure.” Nowhere is that more true than in community behavioral health. Preventing one person from reaching a mental health crisis, or from becoming addicted, or even delaying first use of substances by young people until they are adults and physically and emotionally better prepared to make good decisions, all have significant benefits in dollars NOT spent over a lifetime. While it may be impossible to tally to a specific number, there is no question that effective prevention is an efficient use of public funds.
Yes, clinical services are the linchpin of behavioral health services. But what happens to that person in recovery the other 23 hours of the day are crucial to the effectiveness of treatment and the reintegration of that person into the community as a productive, tax-paying citizen. Safe, healthy communities are a goal we all share. The Tri-County Board is dedicated to finding ways for the people of Miami, Darke and Shelby Counties to work, live, laugh and love, free from the challenges of mental illness and addiction, and to do so efficiently and responsibly as a steward of the public trust.
I would be remiss if I didn’t speak to two programs we have had great experiences with in our tri-county area. They have been mentioned in previous testimony but I wanted to speak to them. The first is Mental Health First Aid; many of us in this room have taken CPR/First Aid from the Red Cross. Mental health first aid curriculum is somewhat parallel to this widely established program in that it provides education to individuals about mental health, how to recognize the symptoms and what to do about it. The second program is the Tri-County CIT Academy. This collaboration between our system and the law enforcement agencies in our area has been a very strong one. I am proud to state that this last spring the CIT Academy celebrated its tenth anniversary while graduating its tenth class. The Miami, Darke and Shelby County area has 198 CIT trained officers and that is pretty good.
Thank you, Mr. Chairman, for this opportunity, and for your time and I will answer any questions.
Are you ready for some fun, good food, door prizes, and fantastic auction items – all to help a worthy cause?
The Mission of The Recovery and Wellness Centers of Midwest Ohio is simple – TO SAVE LIVES !!! RWC serves the communities in Miami, Darke and Preble Counties with quality PREVENTION, EDUCATION and INTERVENTION Services for Mental Health and Addiction Recovery. RWC has a strong focus on CHILDREN and YOUTH. The philosophy of “It is Better to Build a Healthy Child NOW than to try to ‘fix’ an Adult Later” serves as a guidestone. R&WC is committed to insuring access and delivery of much needed services in the school setting, the local incarceration facilities, area Emergency Departments, in our local Mental Health and Recovery Centers as well as the community at large. RWC offers a full range of services at their various locations, which include: Mental Health Counseling; Community Psychiatric Support Treatment; Outpatient Psychiatric Services; Hotline and Mobile Crisis Services; Specialized Services for “At Risk” Youth; programming for Youth on topics such as “Bullying”, “Substance Abuse Issues” and “Self-Esteem”; Parenting Skills; and a Full Range of Counseling / Intervention Services for those struggling with addictions (drugs, alcohol, gambling…); as well as supportive intervention for their loved ones.
While the need for these services seems ever increasing, the funding for such services seems to be ever decreasing. Medicaid has not raised their reimbursement rates for these services in OVER 15 YEARS!!! Thus, the RWC is preparing for their first ever Charity Dinner and Auction Event !!! They are counting on local friends and neighbors to help make the event a success.
The Dinner / Auction will be held on Friday July 24, 2015 at the St. Boniface Parish Hall, 310 South Downing, Piqua, Ohio from 5:30p 10:00PM. Doors open at 5:30pm. Dinner will be served from 6:00-7:00 with musical entertainment by the band “FABLES”! Live and Silent Auction begins at 7:00pm.
Advanced tickets may be purchased at any of the RWC Locations for only $15 (or $20 at the door) which includes your dinner and delicious desserts!
There is truly “something for everyone” in the Auction! Donations are still coming in, but items include:
MANY Gift Cards from area Restaurants and Retail businesses; a brand new I PAD; FOUR Disney Hopper Tickets; Massage and Beauty Certificates; AUTOGRAPHED photos from the Bengals – AJ Green, Marvin Lewis, D Peko and Browns A Rubin; Autographed basketball and other items from the CLEVELAND CAVALIERS; “Grace” from American Girl Dolls; various pieces of ARTWORK; Several newly refinished pieces of FURNITURE, Tickets to the Illumination Christian Concert; Reds and Dragons TICKETS; Cincinnati Ballet tickets; collectibles; OSU and Michigan fan gear; beautiful QUILT, Two tickets to DOLLYWOOD; fishing gear; Two Tickets to see BUDDY GUY in Eaton and MUCH more…..
Tax Deductible DONATIONS still being accepted – contact Ruth McDaniel at email email@example.com 335-7166 ext 2039
The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is seeking input on the behavioral health system in Ohio through an online survey. The survey is open to mental health or addiction services recipients and family members, behavioral health professionals, advocates, law enforcement and local government personnel, and concerned citizens. The survey is an opportunity to share thoughts and ideas about addressing the needs of Ohioans with mental health and/or substance abuse challenges in communities throughout Ohio.
The Tri-County Board used local input to craft a three-year strategic plan for 2014-2016. The plan identifies local priorities and guides the Board in addressing behavioral health needs in Darke, Miami and Shelby counties.
Information gathered through this survey may be used to inform funding decisions in FY 15. This information will also be helpful in planning for the FY 16-17 biennium. All surveys must be completed by Wednesday, July 30, 2014.
Tri-County Board Executive Director Mark McDaniel spoke before the County Auditors Association of Ohio Southwest District meeting May 16, 2014, in Urbana. McDaniel shared a brief history of county-based mental health and addictions services boards, and reviewed recent and ongoing legislative and funding challenges the boards face, challenges common to county and local governments.
While results are unofficial until certified by the various boards of election, all four county mental health and addiction services levies on the Ohio May ballots appear to have passed with comfortable margins.
Three of the four measures were new levies, and one was a renewal.
The Tri-County Board serving Darke, Miami and Shelby Counties operates with a 0.6 mill, 5-year levy. It was last renewed by voters in 2011, for the 2012-2016 period. The levy generates approximately $2.3 million per year, almost one-third of the Board's annual revenue.
At its March 19, 2014, meeting, the Tri-County Board of Recovery and Mental Health Services passed a resolution to express "deep concern about the lack of consideration for local" assessment, planning, contracting, funding, monitoring and evaluating of mental health and addiction services in Darke, Miami and Shelby counties.
The resolution is in response to proposed funding shifts by the Ohio Department of Mental Health and Addiction Services prompted by Governor John Kasich's Mid-Biennium Review budget adjustments. OMHAS has indicated it will re-allocate a significant amount of funds planned by local boards for local priorities into projects of statewide scope.
Tri-County Board Executive Director Mark McDaniel, in a letter accompanying the resolution sent to legislators representing the three counties, said, "We are alarmed at the efforts underway by OMHAS to redirect resources away from these locally driven initiatives to state priorities."
McDaniel pointed to a number of initiatives in late-stage planning or already under way that are at risk of curtailment if the OMHAS funding shifts occur. Local priorities relate to opiate programming such as detox and residential programming, Vivitrol and Narcan projects, and greater access to physicians.
According to McDaniel, local boards have learned that the redistribution would be used to purchase electronic health records software for State Hospitals; fund statewide prevention efforts above and beyond statewide efforts funded by casino revenue sharing; and use $30 million to create five regional crisis stabilization units. He said it is not clear how these projects would be funded beyond Fiscal Year 2015.
In the letter to legislators, McDaniel identified other local priorities at risk that have reduced the use of State Hospital bed days. "These local programs have reduced civil bed usage of the State Hospital by 860 bed days in FY13 and 733 bed days so far in FY14," McDaniel said. "That's over $1 million less of state hospital bed days used in the past two years by the Tri-County area."
McDaniel added: "This is an excellent example of why local behavioral health resources should be increased and supported and not reduced or reprioritized. And by the way, OMHAS gets to enjoy the significant savings as a result of our local work; we receive none of it!"
The State of Ohio operates under a two-year, or biennial, budget. Historically, the Mid-Biennium review, or MBR, has been a housekeeping measure to correct errors or make minor adjustments to the two-year budget. However, in recent years the MBR has become a significant budgeting process unto its own. In March, Gov. Kasich introduced House Bill 472, a 1600-page bill that members of the Ohio House are considering splitting into as many as 20 separate bills.
Brad Reed is Director of Community Resource Development at the Tri-County Board of Recovery and Mental Health Services.