Thread by @NVPsychiatry

Some common acronyms you might hear or see during the @DhhsNevada budget hearing at #nvleg

@DhhsNevada Right now we're hearing from @DhhsNevada Director Richard Whitley on the impact of the Government shutdown on SNAP benefits for Nevadans. Proper nutrition is one component to maintaining #mentalhealth

@DhhsNevada Assemblywoman @sandra4nv asks how many Nevadans receive SNAP benefits.
Whitley response: 433,000 Nevadans receive SNAP benefits.

@DhhsNevada @sandra4nv .@sandra4nv current SNAP enrollment in your district... 7,159.

@DhhsNevada @sandra4nv Moving into the DHHS budget. Find the overview here.
leg.state.nv.us/App/InterimCom…

@DhhsNevada @sandra4nv Top priority for DHHS is Access to healthcare and Mental Health Services. This is the largest increase of general fund dollars in over a decade going to #mentalhealth

@DhhsNevada @sandra4nv Whitley states DHHS is interested in partnering with other areas like Corrections to leverage purchasing power for things like medications and durable medical equipment.

@DhhsNevada @sandra4nv Enhanced mobile crisis outreach is a successful intervention technique. Whitley states this helps law enforcement and prevents involvement in criminal justice system.

@DhhsNevada @sandra4nv The Healthy Nevada Funds support several wellness and services programs. In this breakdown you can see the funding proposals for mobile crisis and MOST. #Mentalhealth priorities outlined by @GovSisolak in his first State of the State. #NVleg budgets

@DhhsNevada @sandra4nv @GovSisolak Whitley states gambling is an addiction and addiction is a disease. Mentions new gambling court in Las Vegas. More via @reviewjournal
reviewjournal.com/business/busin…

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal DHHS is requesting more staffing for Office of Consumer Health Assistance to provide mediation for billing disputes and network issues. Asks #NVleg members for possible policy support as well so the office can have "teeth". More about this office - dhhs.nv.gov/Programs/CHA/

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal Social Services block grant funding includes set amounts for Children's Mental Health and Adult Behavioral Health.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal Presentation complete. On to questions from committee. First question from Assem. Neal - where are people landing that they are not having access to services?

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal Whitley - Jails are required to provide health services including #Mentalhealth. Healthcare system is not connected to this discharge. DHHS is working with places like Northern NV HOPES to ensure safe/stable discharge. We need connected healthcare and a seamless system

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal Follow up from Neal - regarding problem gambling, is there any crossover between problem gambling and homelessness and are there services there?

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal Whitley - there's not a lot of data in gambling unless there is a criminal aspect like embezzlement. We are working on prevention and working with @unlv gambling addiction specialists. We're in the first stages of this for the data side.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv Question from Assem. Dr. Titus - on Access to Care, how are we expanding access to not only entry level care but also specialists?

Whitley - It's important to quantify specialty providers but developing more community plans is key. Using data at community level for services.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv Assem Titus - we need to help people follow through on getting care and navigating this system especially those released from jails/prisons so they can make their own choices.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv Senator @Ben_Kieckhefer asks how money will get to problem gambling, specific carve out?

Whitley - There is a budget bill coming for this and it is, I believe, supported by industry.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer Overview is complete. Now onto DHCFP budget hearing with new Medicaid director Suzanne Bierman. 8th day on the job. Welcome to #NVleg Director Bierman!

Slides here:
leg.state.nv.us/App/InterimCom…

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer The organizational chart for DHCFP shows the broad scope of programs at DHCFP.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer Deputy Director Cody Phinney is up to discuss some of the highlights at DHCFP. CCBHCs integrate behavioral health and primary care. Collaborative project with DPBH.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer Where does Medicaid money come from and where does it go? These two charts from DHCFP show just that so you can follow the money.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer Nevada Medicaid budget enhancements include funds to grow behavioral health services at CCBHCs and to provide supported housing for homeless who tend to suffer from #mentalillness at a higher rate then the general population.

treatmentadvocacycenter.org/fixing-the-sys…

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer To help you with the DHCFP alphabet soup, here is a list of acronyms in this budget.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer 7 minute break! Thank you Chair @maggie_carlton

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton Budgets are back on. Check out the Welfare budget overview here: leg.state.nv.us/App/InterimCom…

Watch live: nvleg.granicus.com/MediaPlayer.ph…

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton Recess until 1:30 for lunch.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton Back from lunch and onto the DPBH budgets. You can see the cuts from 2017 and the proposed 2019 enhancements in the slides below.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton Chair @maggie_carlton requests DPBH look into issues affecting access to care especially related to women's health and where people go when they receive a diagnosis.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton From Assemblywoman @drrobintitus - on the MOST and mobile crisis, how many people were we able to keep out of our ERs? I think they save health care dollars in the long run.
DPBH will get the data.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton @drrobintitus Assem. Neal asks how mobile crisis is being integrated into schools and school safety teams?
DPBH- Mobile crisis can respond to a school, but we are not integrated into the school district.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton @drrobintitus Assemblyman @Thompson4AD17 asks how mobile crisis is working with different continuum of care inc. community cased groups.
DPBH - we do respond with fire and police in Clark County and have a formal agreement with LV Fire and Rescue.

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton @drrobintitus @Thompson4AD17 #NVleg - More information on Mobile Crisis Response at knowcrisis.com

@DhhsNevada @sandra4nv @GovSisolak @reviewjournal @unlv @Ben_Kieckhefer @maggie_carlton @drrobintitus @Thompson4AD17 Final budget on this #Nvleg agenda is @NevadaDcfs which supports Children's Mental Health. Follow along with the full sides here leg.state.nv.us/App/InterimCom…