Comprehensive Gaps Analysis of Behavioral Health … - tampa behavioral health hospital

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Nevada Department of
Health and Human Services
DIVISION OF PUBLIC AND BEHAVIORAL HEALTH
2013
Comprehensive Gaps Analysis of
Behavioral Health Services
Prepared by Social Entrepreneurs, Inc.
Lisa Watson, MA
Kelly Marschall, MSW
Table of Contents
Acknowledgements _________________________________________________________________________________________ 1
Executive Summary _________________________________________________________________________________________ 2
Introduction _______________________________________________________________________________________________ 11
Methods of the Study
Context of the Study
Historical Context _________________________________________________________________________________________ 17
50 Year Retrospective of Behavioral Health in Nevada 1963 - 2013
Current Service System___________________________________________________________________________________ 21
Primary Providers
Secondary Providers
Linkages and Coordination Efforts
Financing Behavioral Health Services
Profile of Behavioral Health Consumers________________________________________________________________ 28
Age
Gender
Race & Ethnicity
Gaps Analysis ______________________________________________________________________________________________ 37
Prevalence, Utilization and Unmet Need
Situational Assessment ___________________________________________________________________________________ 53
SWOT Analysis
Strengths
Weaknesses/Gaps
Opportunities
Threats
Summary
Recommendations ________________________________________________________________________________________ 71
Appendix ___________________________________________________________________________________________________ 78
Appendix 1.1: Key Informant Interview Questions
Appendix 1.2(a): Consumer Survey Questionnaire (English)
Appendix 1.2(b): Consumer Survey Questionnaire (Spanish)
Appendix 1.3: Expanded Service System Description
Appendix 1.4: California Mental Health Timeline 1957-2013
Appendix 1.5: Summary of New Articles Published
Appendix 1.6: Cross-Tabulation Charts and Graphs
Appendix 1.7: Bibliography
NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH
Gaps Analysis 2013
Acknowledgements
This report was developed by Social Entrepreneurs, Inc. under contract by the Nevada
Primary Care Office in the Division of Public and Behavioral Health. The following
individuals guided the planning and execution of the project:
Dr. Tracey D. Green, Chief Medical Officer, Division of Public and Behavioral Health
Richard Whitley, Administrator, Division of Public and Behavioral Health
Laura J. Hale, Manager, Primary Care Office
The following are greatly acknowledged for sharing their time and expertise as key
informants.
Key Informant Organization
Kathryn Baughman State of Nevada -Rural Counseling and Supportive Services
Tim Burch Clark County Social Services (CCSS)
Dave Caloiaro State of Nevada - Division of Public and Behavioral Health Administration
Christy Craig Clark County Public Defender Office
Jodie Gerson State of Nevada - Southern Nevada Adult Mental Health Services (SNAMHS)
Tracey D. Green, MD State of Nevada - Chief Medical Officer
Stephanie Humphrey Nevada Public Health Foundation
Sheila Leslie Washoe Specialty Courts
Barry Lovgren General Public/Advocate
David Mee-Lee, MD Psychiatrist
Jeremy Matuszak MD University of Nevada School of Medicine
Betsy Neighbors State of Nevada - Lake's Crossing
Cody Phinney State of Nevada - Northern Nevada Adult Mental Health Services (NNAMHS)
Kevin Quint Mental Health and Developmental Services Commission
Kevin Schiller Washoe County Social Services (WCSS)
Chelsea Szklany State of Nevada - Southern Nevada Adult Mental Health Services (SNAMHS)
Alyce Thomas A.T. Consulting, Coaching & Advocacy
Richard Whitley State of Nevada - Division of Public and Behavioral Health
Mike Willden State of Nevada -Department of Health and Human Services
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