NAMI North Carolina Public Policy Platform for 2015

1. Advocate for increased access and funding for first episode psychosis programs.

  • Advocate for use of screening for 100% of children/adolescents in school and within pediatric practices that is then used to access services
  • Educate transitional youth (ages 16-24) regarding services such as IPS and first episode programs
  • Expand recovery programs, psycho-education programs and employment and education, tapping into their funding
  • Reach educators in middle and high schools and secondary education to ensure they are aware of resources such as campus clubs, Parents and Teachers as Allies, Youth Mental Health First Aid
  • Support programs that allow students within the school system to have minimal disruption due to their illness.
2. Improve quality and length of life for those with severe mental illnesses through integrating primary and behavioral health care.
  • Advocate for restoration of time-limited case management services with a focus on early access, timely help in a crisis, transitional services and aftercare, and peer bridge programs
  • Improve access to crisis services and psychiatric bed capacity through advocacy for more local beds and better use of existing beds, expansion of existing capacity at state hospitals through staffing increases, and expanding crisis walk-in centers throughout the state
  • Educate our members about new crisis options and involve them in grassroots advocacy
  • Expand use of Psychiatric Advance Directives in NC
  • Ensure family and consumer engagement in shaping mental health services
  • Support an array of mental health services that are cost effective, outcome driven, and are recovery oriented, such as peer support specialists
  • Increase ease and accessibility for health care coverage (including mental health) for more North Carolinians.
  • Continue to build on the strengths that exist in our current mental health system in order to improve outcomes for individuals under the care of the LME-MCO.
3. Leverage our collaboration with the Prison Advisory Committee to ensure the health and safety of adults and juveniles with mental illnesses within the prison system and judicial justice system.
  • Expand treatment mall to one more prison
  • Develop a dashboard report for prisons to measure their progress and track regularly
a) Percentage of screenings that resulted in a referral to increase from current 12% (usual prevalence is 12-22%)
b) Admissions to mental health case load (should be 65-70%)
c) Variability of admits among prisons
d) Seclusion and restraint data
e) Treatment 10 hours of the time, and recreation 10 hours
f) Meeting criteria of seeing psychiatrist once/month, provider once/week, and weekly mental health rounds
g) Institution of a new suicide prevention
h) Sentinel events and follow up
i) Staffing levels – FTE against number filled
j) Introduction of NAMI programs within prisons (In Our Own Voice, Connection, Peer-to-Peer)
k) Engagement of providers during transitions in and out of prison to include follow up upon discharge.
  • Improve treatment options to include evidence based or promising practices
  • Expand CIT to more prisons and start with parole and probation
  • Continue to support expansion of jail diversion programs
  • Advocate for additional funding to ensure prison rules are adopted and accreditation is achieved
4. Develop independence and stability, reduction of emergency department usage through a system of available, affordable housing.
  • Expand the availability of Special Assistance slots to help people with their choice of where to live
  • Move the group home definition towards more one of recovery
  • Advocate with the Department to define a sustainable and adequate funding stream for room and board rates
  • Service array needs to include a service to provide training to acquire active engaging community living skills
  • Advocate for improved effectiveness and quality of facility based crisis programs by ensuring that all accept individuals under IVC orders, and operates as supportive drop off centers for law enforcement and families and individuals.
5. Improve the economic and personal self-sufficiency of individuals with mental illness through employment
  • Increase affiliate participation in advocating for IPS through their MCOs.
  • Expand Dartmouth model of supported employment
  • Support the Employment First initiative

Approved by the Board of Directors January 17, 2015