Subcommittee on Consumer/Survivor Issues
September 2 - 3; Washington, DC

Sylvia Caras, PhD

Power (new CMHS director, formerly in RI): ... in recovery and supported appropriately in their lives, broadcast CMHS work, my work is a metaphor for who I am, recovery -focused and peer-supported services, (No disability institutions in RI), reducing stigma means eliminating discrimination, connect behavioral health and primary care, guide the transformation of the m h system at the federal level, here to move the Report from recommendations to implementation, "our" work - define transformation, how translated into public m h system, never-ending change, flexibility (Cebrowski) ; map goals against current CMHS activities, action agenda in next several months, lay out the next five years; "I am driven by performance measures," follows John Gardener’s nine leadership tasks (On Leadership), servant leadership (Greenlead), the motto of the state of Rhode Island is "Hope." (Very clear, strong sure, impressive. S.)

Criminal Justice:

Brown, Morrissette - last year of community action grants, newly designed program anticipated;

Honberg, Seltzer

Honberg: Are mental health courts coercive? It depends on how you define coercive. Mental health courts are an example of "therapeutic jurisprudence." Judges use their bully pulpit to advocate for change. (Therapeutic specifically in the context of mental health.) Treatment staff are routinely at court and there is little lawyering. Treatment courts. "We don’t differ a whole lot." (Which usually means my difference doesn’t matter. S.) C/s/x movement should be as informed as possible.

Seltzer: People with mental illness don’t have the same kinds of opportunities to not end up in the system, pre-trail releases; Mental health courts wouldn’t be needed if the system worked. If used at all should only be used for felony offenses. Misdemeanors can often be diverted. Having a mental illness is not an illegal activity.

Fricks - Medicaid billable peer support under skills-building piece of rehab option, tie ISP to recovery, , billed 10 million in three years

Schauer - early next year, CMHS will hold a meeting to develop an initiative for SAMHSA about consumer-directed self-determination. Copeland is developing WRAP train-the-trainer materials for the states.

Terrel: How does CMS, a traditional top down agency creatively fund a consumer-driven bottom-up . What are the policy steps? Sterrell@cmh.hhs.govne:

 Recommendations from SOCSI to NAC about focusing on jobs, loosening CMS Medicaid restrictions, information technology were devised for Larry Fricks, new NAC member, to put to the National Advisory Meetings on September 4 - 5.