2018 Annual Report Ohio Department of Mental Health and Addiction Services

Mission: The mission of the Ohio Department of Mental Health and Addiction Services (OhioMHAS) is to provide statewide leadership of a high-quality mental health and addiction prevention, treatment and recovery system that is effective and valued by all Ohioans.

Vision: OhioMHAS will be a national leader in implementing a comprehensive, accessible, and quality-focused system of addiction and mental health care and wellness for all Ohio citizens.

Letter from the Director

Director Tracy Plouck and her family at the 2018 We are the Majority Youth Rally

Ohio has always been a cradle of creative thinking, innovation and progress. A visionary place where dreamers dream, doers do; a place where the “can-do” spirit empowers individuals to identify challenges, focus on solutions and seize opportunities to thrive. As director of the Ohio Department of Mental Health and Addiction Services for the past eight years, it has been an honor and a privilege to contribute to that legacy. Under the leadership of Gov. John R. Kasich, with support from the Ohio General Assembly, Boards, providers and stakeholders, we’ve reimagined and reinvigorated Ohio’s mental health and addiction services system. We’ve worked diligently to eliminate traditional barriers to services and transform a once-fractured system into a modern, integrated health care network.

Whether it’s tackling the opioid crisis, strengthening suicide prevention efforts or investing in recovery housing and other critical supports, our achievements have been numerous. With one eye on accountability to taxpayers and the other on the hundreds of thousands of individuals who rely on us annually to provide a pathway to much-needed behavioral health resources, we take great satisfaction in overseeing a statewide network of care that includes 51 Alcohol, Drug Addiction and Mental Health Boards, six regional psychiatric hospitals and more than 600 community-based provider agencies.

In 2018, our cross-agency partnerships resulted in: leveraging an additional $26 million in federal funding made possible via the 21st Century Cures Act to aggressively respond to the opioid epidemic; launching Be Present, a statewide youth wellness initiative focused on preventing/reducing youth suicides; providing $20 million to communities for capital development to improve access to recovery housing; significant efforts to strengthen and enhance Ohio’s behavioral health care workforce; a significant expansion in evidence-based prevention services for schools; continued investments in early childhood mental health designed to prevent/reduce expulsions among young learners; improving access to mental health and substance use disorder treatment for criminal justice involved individuals; and launching a statewide state-of-the-art web-based substance use disorder treatment finder complete with tools and resources to support people who are struggling with addiction and their loved ones. There was a time when mental health and addiction issues seemed to be an afterthought. Stigma and lack of awareness fueled the mystery and misunderstanding. We’ve made significant strides bringing mental illness and addiction into the light and promoting acceptance, but our work is far from over.

As the pages of this annual report will attest, more Ohioans have access to quality, cost-effective services than ever before. That achievement would not be possible without the support of our partners at all levels. We all can take pride in leaving our mark upon history and contributing to the advancement of a robust system of care. But we can’t let up, not now, not ever.

Director Plouck recaps the accomplishments of the past 8 years.

PREVENTION - Promoting mental and emotional wellbeing.

In the U.S., suicide is the 10th leading cause of death overall and the second leading cause of death among youth and young adults (aged 10-24 years). In 2016, more than 1,700 Ohioans died by suicide.

Research shows that the potential lifetime benefits of preventing mental, emotional, and behavioral disorders are greatest by focusing on young people, and that early interventions can be effective in delaying or preventing the onset of such disorders.

Prevention Support for Ohio's Youth and Young Adults

OhioMHAS promotes good social and emotional wellness of all children, from birth to adulthood.

Be Present Campaign

The Ohio Department of Mental Health and Addiction Services (OhioMHAS) is proud to sponsor the “Be Present” campaign for youth, teens and young adults across the state from high school, through college and early adulthood. Be Present provides easy-to-use resources that can help youth better cope with life’s stressors — day-to-day or in a crisis — and then take the steps to support others.

Sample BePresent campaign material

Youth Led Prevention

OhioMHAS supports youth-led substance misuse prevention across the state through peer prevention, positive youth development and community service. Ohio's Youth-Led Prevention Network (OYLPN) provides needed support for student, school and parent organizations, and can connect youth with other like-minded groups in addition to providing resources, training, and more. As a joint-venture between Prevention Action Alliance and The Ohio Department of Mental Health and Addiction Service. Ohio is building and expanding prevention efforts at the state and local levels.

More than 150 organizations have joined the OYLPN since its creation in 2011 by Prevention Action Alliance with funding from the Ohio Department of Mental Health and Addiction Services. OhioMHAS also funds training and technical assistance opportunities for adults who are working with youth to develop community prevention plans.

The OYLPN Youth Council consists of up to 25 high school students from each every region of the state. Every year, the OYLPN Youth Council: engages with state legislators, organizes the We Are the Majority Rally, promotes protective factors, and empowers youth across Ohio.

Learn more about OYLPN's Youth Council by watching this short video.

Crisis Text Line

24 hours/day, 7 days/week

Throughout Ohio, individuals can text the keyword “4hope” to 741 741 to be connected to a trained Crisis Counselor. This keyword was originally chosen by Stark County Mental Health & Addiction Recovery and is now available statewide through this partnership. Since the creation of the keyword, there have been 12,787 total conversations. The public can now see Ohio’s live data trends through the new 4HOPE data dashboard.

Watch a short Crisis Text Line promotional video

College and University Student Resources

In 2018 OhioMHAS continued its support of college campus-focused prevention services, including support for Ohio’s colleges in raising suicide awareness and developing suicide prevention and postvention programming. Free online suicide prevention and mental wellness resources are available on line at http://suicideprevention.ohio.gov/.

In addition, in 2018, OhioMHAS ' on-campus prevention activities reached nearly 1,300 faculty, staff, and students. On campus prevention activities included: health fairs, training for university staff on suicide prevention and mental wellness for the college population, and mental health first aid training among others.

Elementary School Resources

Check out this short video on the PAX program.

The PAX Good Behavior Game is a universal preventive intervention used by teachers and schools to teach self-regulation, self-management, and self control in young people. The intervention is designed to create an environment that is conducive to learning, improve academic success and improve mental health and substance use outcomes later in life.

Using funds from the 21st Century CURES grant, OhioMHAS offered free PAX training to all of Ohio's school teachers and support staff. In FY 2017/2018, more than 1,800 school workers and teachers from throughout the state received free PAX training, with another 1,536 currently scheduled to receive training prior to the start of the 2018-2019 school year.

Early Learning Classroom Resources

In 2018, OhioMHAS expanded Ohio's Early Childhood Consultants program to provide service to the entire state. Consultants work with teachers, staff and families and at-risk children across Ohio in preschools and other early-learning settings to prevent expulsion. Services include on-site interventions, resources for parents and training for professionals. The goal is to engage early to reduce expulsions in pre-school and kindergarten so that children can succeed in the future.

Watch this short video highlighting the program.

Prevention Support for Families and Communities

Strong Families, Safe Communities

When families with children in crisis need help, they can benefit from the Strong Families, Safe Communities project. It engages local systems to identify intervention services that can quickly stabilize children who are at risk of harming themselves, their families or others because of mental illness or a developmental disability. Care coordination, rapid-response interventions, youth mentoring and short-term respite options are among the available services to reduce the risk of harm and help the family remain together.

See how investments in Strong Families, Safe Communities have impacted one Ohio family.

Start Talking! to Prevent Drug Abuse

Start Talking! is Ohio’s drug prevention program that encourages conversations with children about the importance of being drug-free. Gov. Kasich created Start Talking! in 2014 to give parents, guardians, teachers and community leaders the tools to start the conversation with youth about the importance of living a healthy drug-free life. Through Start Talking!, over 60,000 people receive bi-weekly email tips to help keep kids drug-free and more than 180,000 students have participated in the program.

Prevention-Focused Workforce Development

OhioMHAS is striving to provide community behavioral health providers with the resources they need most to prevent suicide and substance abuse, and to promote mental wellness. In 2018, 140 counselors and medical professionals participated in Ohio’s Zero Suicide academies, where they learned techniques for recognizing risk, prevention and reducing suicide.

Supporting Postvention

When individuals take their own lives, there is a severe ripple effect among the people surrounding that person. OhioMHAS supports statewide infrastructure and capacity building for Local Outreach to Suicide Survivors (LOSS) Teams. LOSS Teams provide immediate support and assistance to family members, friends, classmates or co-workers who are grieving a suicide.

Screening and Intervention

Ohio SBIRT (Screening, Brief Intervention and Referral to Treatment) is in the final year of a five-year, $10 million cooperative agreement from the Substance Abuse and Mental Health Services Administration to promote the screening and training of health care providers in its use. In 2017, OhioMHAS staff celebrated passing the milestone of 50,000 completed screenings. As of June 2018, more than 65,000 Ohioans have been screened for behavioral health disorders through programs operating within primary care practices, hospitals and other health settings

TREATMENT - Promoting Comprehensive Care

One in Five Americans will struggle with a mental health issue in his or her lifetime.

In Ohio, nearly 500,000 people are receiving treatment for a severe mental illness.

The best treatments for serious mental illnesses today are highly effective. Between 70 and 90 percent of individuals have a significant reduction of symptoms and improved quality of life with a combination of pharmacological and psychosocial treatments and supports.

Working to improve long term outcomes for people living with mental illness

OhioMHAS deploys a number of strategies across the continuum of mental health care to support healthy Ohioans.

This year, Governor Kasich and the Ohio General Assembly made significant investments to strengthen access to much-needed mental health services for Ohioans. Investments ranged from improvements to state-run psychiatric hospitals, to support for local law enforcement and community treatment providers.

State Psychiatric Hospitals

In March 2018, Governor Kasich signed House Bill 529, Ohio's Capital Budget, which included a $112 million investment in replacing the existing Twin Valley Behavioral Health Care hospital. The outdated central Ohio facility will receive a state-of the -art update that will serve the needs of central Ohio for the next 50 years.

OhioMHAS provides quality inpatient mental health care at its six regional psychiatric hospitals. Statewide capacity is typically at 96 percent occupancy in the 1,133-bed system. During SFY18, there were 6,535 admissions for inpatient care.

While we serve patients with insurance, our primary niche is the provision of clinical care to people who are uninsured or justice- involved. Civil (or voluntary) patients with acute needs make up about 30 percent of those in treatment with an average length of stay of 12 days. Most of these patients are uninsured. The remaining 70 percent of our patients are “forensic,” meaning under the jurisdiction of the civil or criminal courts. They may stay months or even years based on their charges and the direction of the court.

For more information on the history, structure, available programming and location of each state psychiatric hospital, please visit: http://mha.ohio.gov/Treatment/State-Psychiatric-Hospitals or click the Learn More button below.

State Psychiatric Hospital Financials

Operating Costs for FY 2017 (The most recent fiscal year for which data is available.)

FY 2017 Hospital Census Trends

Forensic Services

OhioMHAS funds forensic competency-to-stand-trial and not-guilty-by-reason-of-insanity evaluations for courts of common pleas through 10 designated forensic evaluation centers. In addition, the department pays for second opinion psychological evaluations or individuals being released from the state hospital.

OhioMHAS reimburses county probate courts for commitment hearings for mentally ill individuals. Reimbursable court costs include fees or expenses for police, sheriffs, physicians, witnesses, transportation, conveyance assistants, attorneys, referees, reporters, and court costs.

While the number of Forensic (Court-Referred) admissions had been steady for many years, there has been a recent increase. Between FY15 to FY16 there was an 18% increase in Forensic Admissions. Between FY12-16 there was a 31% increase in referrals from Competency Restoration services. Approximately 85% of the forensic admissions are admitted for Competency Restoration.

Supporting Access to Treatment through Ohio Medicaid

Not all mental illnesses need to be treated in a hospital setting. When an individual is hospitalized for mental illness, the hospital stay is often short with the intention of stabilizing the person and helping them to connect to outpatient treatment options in his or her community.

Many times mental health challenges can be addressed in a community treatment setting. Through the expansion of Ohio's Medicaid program, more than 650,000 Ohioans who were not previously eligible for Medicaid insurance - were able to access behavioral health treatment. In addition, Ohio implemented a complete redesign of how community treatment providers are paid by the Medicaid program. This redesign helps the state-run Medicaid insurance entity to better understand the services being provided, and strengthens the Medicaid benefit package by extending new behavioral health services to Ohioans.

Interventions for First Episode Psychosis

The word psychosis is used to describe conditions that affect the mind, where there has been some loss of contact with reality. When someone becomes ill in this way it is called a psychotic episode. During a period of psychosis, a person’s thoughts and perceptions are disturbed and the individual may have difficulty understanding what is real and what is not.

OhioMHAS funded 10 First Episode Psychosis (FEP) programs to provide services to individuals ages 15-35 who are experiencing early psychosis. Services are team-based, person-centered and emphasize maintaining or pursuing educational opportunities and/or employment. Clients who are participating in programs have no or reduced hospitalizations, decreased involvement with the criminal justice system and improved social connections.

Ohio has dedicated FEP programs located 28 counties.

FEP programs around Ohio

In SFY 2018, OhioMHAS initiated a statewide project to assist treatment providers working with clients experiencing symptoms of early psychosis. The First Episode Psychosis (FEP) Project ECHO offers professionals ongoing technical assistance, coaching and strategies to improve patient outcomes.

In addition, the department is supporting development of online curriculum to provide easy access to effective approaches and information to assist in working with persons with schizophrenia. All products will available on the department’s E-Based Academy.

Expanding Trauma Informed Care

Trauma is more than just experiencing an immediate feeling of fear or of being “shaken” by an experience. It can be a powerful, long-lasting negative reaction in an individual’s body and brain when he or she perceives that an experience or series of events is overwhelming or life-threatening. Trauma can negatively affect people mentally, physically, socially, emotionally and/or spiritually over a long period, sometimes a lifetime.

OhioMHAS and the Ohio Department of Developmental Disabilities partner on a statewide initiative to promote trauma-informed interventions through training and technical assistance. As of 2018, more than 13,000 professionals have been trained in how to implement Trauma-Informed Care approach to services.

The initiative also expanded awareness to Ohio’s law enforcement agencies by assisting in the development of a trauma-responsive curriculum offered through the Ohio Peace Officer Training Academy, which is a division of the Ohio Attorney General’s Office. Beginning in 2017, all sworn and commissioned law enforcement officers (more than 30,000) must take the six-hour trauma-informed care training.

To learn more about the impacts of trauma on lifelong wellness, view the video below.

To learn more about Ohio's trauma informed care strategies click the "Learn More" button below.

Problem Gambling

OhioMHAS continues to build out a statewide continuum of care for individuals and families affected by problem gambling and gambling disorder. An SFY 2018 analysis showed that about 843,000 Ohio adults are at-risk of problem gambling and constitute the audience for prevention and education messaging.

In 2018, the number of Ohioans screened for gambling disorder increased by 38% to more than 68,000. Calls to the Ohio Problem Gambling Helpline totaled 5,246, with 112 calls to the Helpline's Chat line. In addition, 11 Ohio clinical supervisors have graduated from the first two cohorts of the Problem Gambling Treatment Supervision Fellowship Program.

Sample of the new Before You Bet campaign material.

Wrapping up its third year, the Ohio for Responsible Gambling "Before You Bet" campaign, formerly “Be the 95%,” again won national awards. Beforeyoubet.org provides tools and education for anyone who gambles or is concerned about a gambler. The campaign drives Ohioans to a website to take a quiz to gauge levels of at-risk gambling. To date, more than 35,000 individuals have taken the quiz. To extend the campaign deeper into communities, local agencies have made more than 5,200 visits to the online Community Toolkit for free resources.

Click on Learn More to view the toolkit and access other helpful problem gambling prevention and treatment resources.

Combatting Substance Use Disorders

In 2016, 4,050 Ohio residents died from unintentional drug overdose. Fentanyl and related drugs were involved in 58.2 percent (2,357) of all unintentional drug overdose deaths in 2016.

Alcohol Use Disorder is the leading type of substance use disorder in Ohio. An annual average of about 629,000 Ohioans aged 12 or older (6.5% of all individuals in this age group) had an alcohol use disorder in the past year.

Mental health and addiction disorders are more common than diabetes or heart disease, and they are just as treatable. Appropriate awareness, treatment and community supports can benefit families and communities.”

- Mark Hurst, M.D., Medical Director, Ohio Department of Mental Health and Addiction Services

Governor's Opiate Action Team

Empowering doctors, patients and local communities to address the opiate epidemic continued to be a major focus of OhioMHAS in 2018. Through the Governor's Cabinet Opiate Action Team (GCOAT) administrators from multiple cabinet level state agencies focused collectively on reducing rates of opiate use disorder and overdose. Through GCOAT, Ohio continued to implement the nation's most aggressive and comprehensive efforts combat opiate addition.

GCOAT members visited several counties across Ohio in 2018 to discuss on-the-ground challenges and solutions to stemming the tide of opiate addiction. In addition, GCOAT agencies jointly issued the 2018 Opiate Action Guide for local communities. The guide highlights promising practices from across the state, and provides a framework for an organized local approach to strategy development and implementation.

GCOAT agencies collaborated across departments to produce a series of educational videos on safe medication disposal, what to do if you are pregnant and addicted, addressing secondary trauma experienced by first responders, and the dangers of fentanyl. These videos can be accessed through the GCOAT webpage.

Life Saving Measures

OhioMHAS committed $750,000 per year in FY 2018 and FY 2019 for the purchase of the life-saving drug, naloxone. Funds allocated to the department by the Ohio General Assembly in FY 2018 were used to purchase naloxone, including complete Project DAWN Kits (Deaths Avoided with Naloxone), for county health departments to distribute to local law enforcement, emergency personnel and first responders who are not able to bill or be reimbursed for dispensing.

Ohioans saved by first responders who treated their overdose with naloxone say thank you below.

Promoting Access to Treatment and Recovery Resources

In January 2018, the OhioMHAS kicked off an exciting partnership with the Emerald Jenny Foundation, to provide a new and improved substance use disorder (SUD) treatment finder. The Foundation offers users the ability to search providers closest to them, regardless of county. It also provides users with an easy way to filter through provider features to find the service best suited to their needs. Filters in the Emerald Jenny search tool include: distance from a zip code (in miles), licensure status of the provider, gender served, age category served, type of services desired, VA facilities, pregnancy programs and a keyword search.

Watch a short demonstration of the Emerald Jenny treatment finder.

In addition to a new treatment finder, OhioMHAS partnered with Ohio Department of Health to launch the TakeChargeOhio.org/GetHelp resource page. This webpage highlights where to get help for addiction in Ohio, provides tips for choosing the right providers and has guidance for the loved ones of those struggling with addiction. The webpage was the focus of a multi-media campaign across Ohio.

Treatment-Focused Workforce Development

Expanding Medication-Assisted Treatment (MAT) in Ohio

In the past year, an estimated 79,886 individuals in Ohio were treated with MAT at least once.

The use of medication to treat certain substance use disorders, particularly opiate use disorder improves chances of long-term recovery over treatment methods that do not include medication. Some medications used for the treatment of opiates require special certifications from the federal government which is often a barrier to providers wishing to offer multiple treatment options to their patients.

At the beginning of 2018, only two percent of Ohio’s doctors were licensed to prescribe Suboxone and similar drugs which require special certification by the federal government. This number of doctors was too few to handle the need for medication-assisted treatment in Ohio’s addiction crisis. Using 21st Century Cures Act funds, OhioMHAS aimed to double the number of trained and certified prescription writers over two years.

One year later, 687 number of prescribers received state provided training on all forms of medication-assisted treatment. Because of those trainings, 326 prescribers have become certified to prescribe Suboxone and similar drugs for the treatment of opiate use disorder. This has resulted in the addition of 9,780 MAT slots, significantly increasing Ohio's treatment capacity.

For more information about OhioMHAS workforce development efforts, please click the Learn More button below.

Expanding Treatment Provider Capacity to Recruit and Retain Professionals

In 2018, OhioMHAS awarded $4 million to 41 behavioral health agencies to enhance workforce development capabilities. Behavioral health agencies were awarded up to $100,000 each for workforce recruitment and retention activities.

In addition, OhioMHAS also supported various opportunities for clinicians, peers and community leaders to advance their knowledge of behavioral health issues and solutions. From in-person and web-based trainings to conferences, OhioMHAS offered learning opportunities on topics ranging from culturally competent care to business process improvement for the behavioral health workforce.

To learn more about OhioMHAS' behavioral health treatment workforce development efforts please click the Learn More button below.

Meeting People Where The Are

Prison Recovery Services

OhioMHAS operates a variety of treatment and recovery programs and services inside of Ohio's prisons. In 2017, more than 11,000 individuals received substance use disorder treatment and recovery services while inside a prison. Services range from participating in recovery groups and family support groups, to treatment readiness programs and intensive outpatient treatment services.

Community Linkages

OhioMHAS has recently initiated a new program focusing on individuals with a serious mental illness as they leave prison and return to their communities. This program has provided approximately $4 million in funding to participating community behavioral health authorities for expanding treatment and recovery support services for these individuals.

Individuals who struggle with drugs and alcohol are also being linked to community treatment resources and supports prior to their release from prison through the Community Transitions Program (CTP). CTP provides linkage to drug and alcohol counseling, improved access to housing resources, vocational services, peer support and other recovery services for individuals with histories of substance abuse disorders who are re-entering the community from Ohio Prisons.

Therapeutic Communities, Ohio's Tapestry Program

Due to the number of incarcerated individuals struggling with drug and alcohol addiction, the Ohio Department of Rehabilitation and Correction (ODRC), the Ohio Department of Mental Health and Addiction Services (OhioMHAS) and CompDrug Corporation came together to create focused therapeutic communities in six prisons across the state. Members are housed separately from the general population to enhance the Therapeutic Community experience for positive behavioral reinforcement of commitment to pro-social change. The program is aimed at reducing recidivism and improving likelihood that recovery will be sustained after the member leaves prison.

Ohio Women's Reformatory (ORW) hosts a therapeutic community called Tapestry. Tapestry serves 90 alcohol/drug dependent women. In addition to living in a supportive and accountable community while in prison, Tapestry offers participants the opportunity to connect with communities outside of the prison. Take a look at this short documentary highlighting one such opportunity for community connections.

Jail and Court Partnerships

The number of people with mental illness or addiction disorders in the criminal justice system is both a significant challenge and an opportunity to connect those who need it to care. Law enforcement, courts, jails and prisons have joined with consumers and family members in developing locally driven solutions to this issue. OhioMHAS collaborates with these constituencies to connect individuals with clinical treatment and/or pre-release care coordination services so they will be more likely to make positive life changes.

Services available to local jails and courts include: funding for medication-assisted treatment, administrative costs for case management services, assistance with paying for treatment and recovery services for court-involved individuals and their families.

In response to the Ohio’s heroin and opioid epidemic, OhioMHAS was given the opportunity to create the Specialized Dockets Subsidy Project to assist drug courts and other specialized docket programs with funding to effectively manage offenders in the community, thereby reducing commitments to the state prison system. In 2018, OhioMHAS provided $5 million dollars in funding to 140 specialized docket programs. Fifty-four counties in Ohio also received funding through OhioMHAS's Addiction Treatment Program. The program funds addiction-treatment, including medication assisted treatment, and recovery supports for individuals participating in a drug or family-dependency court.

In 2018, OhioMHAS invested $8 million ($4 million each fiscal year) to fund 34 Criminal Justice and Behavioral Health Linkage Grants in 57 counties to reduce the number of individuals with a severe mental illness, addiction or co-occurring disorder who are incarcerated in local correctional facilities. The grants to encourage communities to build collaborative relationships between the behavioral health and criminal justice systems, to improve outcomes for people with with mental illness and/or alcohol and other drug addiction.

Support for Women who are Pregnant and Addicted

Maternal Opiate Medical Supports (M.O.M.S.) is a program for pregnant women and who struggle with opioid use. A care team of doctors and other staff work with these mothers to understand their needs and support them. This program has shown positive outcomes for women and their babies. Positive outcomes include: increased number of infants with healthy birth weights, no or shorten stays in the neonatal intensive care units, fewer infants born with Neonatal Abstinence Syndrome and fewer infants with feeding and respiratory issues.

In 2017-2018, OhioMHAS invested a portion of 21st Century CURES funding in expanding access to the M.O.M.S. model of care for pregnant women. Through this expanded program, 219 additional women were served last year. Among these women, illicit drug use decreased from 85% to 12% while in the program, and 71% of the women remained in the program through the time of the birth of their babies.

Licensure and Certification

OhioMHAS has statutory/regulatory authority over 2,000 providers, including behavioral health agencies, privately run inpatient units/hospitals and community living options. In the past year, OhioMHAS’ licensure and certification team received over 140 initial applications from entities seeking to provide certified treatment services in Ohio. In FY 2018, OhioMHAS’ licensure and certification team has seen an increase of over 40% in the number of applications received from entities seeking initial certification to provide treatment services in Ohio. Click the Learn More button for more information about OhioMHAS’ licensure and certification section.

Research and Evaluation

In addition, OhioMHAS also supports quality in public behavioral health services by conducting research, analyzing data, monitoring epidemiological trends and assessing needs. Click the Learn More button see OhioMHAS research and evaluation products.

Recovery - Supporting Long-Term Success

The process of recovery is highly personal and there are many paths to recovery, including: clinical treatment, medications, faith-based approaches, peer support, family support and self-care. Recovery supports foster health and resilience; increase housing to support recovery; reduce barriers to employment, education and other life goals; transition individuals from institutional types of settings to community living; and find necessary social supports.


It is extremely difficult to focus on recovery and wellness if you are homeless or lack access to stable housing. Therefore, Ohio has taken strides to enhance housing for people with serious and persistent mental illness or substance abuse disorders.

Recovery Housing

Through a community capital program, OhioMHAS works with ADAMHS boards to build and renovate housing for people who are served in our system. In the 2018–19 Operating budget the Ohio General Assembly and Gov. Kasich approved an additional $20 million in capital funds for development of substance use disorder recovery housing. As of result of this funding and other capital investments for recovery housing, $6,875,194 in capital funds were released to communities for development of 29 local projects.

In addition, OhioMHAS provided over $4 million in capital funds to local communities for 15 capital projects for varying purposes including: permanent supportive housing, treatment facilities, consumer-operated spaces and similar purposes.

To learn more about OhioMHAS capital development activities, please click on the Learn More button below.

Recovery Requires a Community

Recovery Requires a Community helps individuals diagnosed with mental health or substance use disorders by providing them with financial assistance if they desire to move from nursing facilities to sustainable community living settings. Resources can be used for flexibly to meet the need of the individual and help offset the expense of living in integrated community-based settings with supportive services. During FY17 and the first five months of FY 2018, 555 people were able to be transitioned through this program to integrated settings in the community.

Residential State Supplement

Residential State Supplement (RSS) provides financial assistance to adults who have increased needs due to a disability that is not severe enough to require long-term care in an institution, such as a nursing home or hospital. Individuals use these resources to supplement their income, to pay their rent, as well as the cost of supervision and personal care services at eligible living arrangements in the community. In FY18, RSS had a budget $16 million. These funds have already served nearly 2300 people in the first five months of FY18, helping them to remain in the community and out of nursing homes or hospitals. As of May, 2018, 90% of program participants had a behavioral health diagnosis, 3% had a developmental disability diagnosis, 26% had a physical disability, and 8% are at least age 60.

Pre-Admission Screening and Resident Review (PASRR)

OhioMHAS staff determine if individuals who are placed in nursing homes are in the most-appropriate setting based upon their needs, and also participate on an Inter-Agency Transitions Team when a nursing home is scheduled to close. OhioMHAS role is to identify individuals with mental illness and assist in their resettlement to a place that suits their needs. Additionally, in partnership with the Ohio Department of Aging, OhioMHAS has developed a trauma informed care toolkit to aide nursing home staff and residents during these transitions.

During FY18, the PASRR Bureau’s licensed clinical reviewers processed more than FY18 12,200 reviews, with 316 people proceeding to discharge planning because the they were deemed able to live in a more integrated environment.

Employment Services

OhioMHAS supports employment services that help individuals obtain, maintain, and advance in meaningful jobs and careers in the competitive and integrated environments. Employment has been proven to increase self-sufficiency and further recovery for those struggling with mental illness and substance use disorders. OhioMHAS invests in education, technical assistance, consultation, and training to behavioral health provider organizations to implement, improve, and expand employment programs and services.

Individual Placement and Support (IPS) Supported Employment is an evidence-based practice that helps people with severe and persistent mental illness or co-occurring mental illness and substance use disorders obtain, maintain, and advance in competitive jobs. There are currently 25 qualified IPS providers in the state and more than 60 behavioral health providers certified to provide employment services. In 2017, 4,004 Ohioans received employment services and supports through IPS.

Housing University

In September 2017, OhioMHAS had the first inaugural Housing University specifically focused on business acumen of community-based housing organizations that serve individuals with severe mental illness and/or substance use disorders. This conference was in partnership with the Ohio Capital Corporation for Housing (OCCH), Ohio Recovery Housing (ORH), Corporation for Supportive Housing (CSH), Ohio Adult Care Facilities Association (OACFA) and Coalition on Housing and Homelessness in Ohio (COHHIO). The Housing University is the first in Ohio to equip seasoned and emerging professionals with skills in operations and development of strong and sustainable housing programs.

It was anticipated that 200 individuals would participate in the two-day training event, but OhioMHAS hosted 330 operators and owners of Adult Care Facilities, Permanent Supportive Housing and Recovery Housing attended.

For more information about OhioMHAS workforce development efforts, please click the Learn More button below.

Workforce Development, Certified Peer Supporters

Peer Services are a process of giving and receiving support and education from individuals with shared life experiences. Peer Services are provided by individuals in recovery from mental illness and/or addiction who use their lived experience as a tool to assist others by sharing their personal journeys and knowledge. Individuals engaged in peer services play a vital role in laying the foundation for sustained recovery. They encourage, inspire and empower others to set recovery goals and achieve them.

OhioMHAS certifies peer supporters. Ohio's peer supporter certification requirements includes successful completion of a 40 hour in-person integrated peer training, 16 hours of online course work and passage of a test.

Since the integrated curriculum was introduced in August 2013, OhioMHAS has trained approximately 1800 individuals with lived experience. Since July 2016, OhioMHAS has certified approximately 780 Peer Recovery Supporters Peer Recovery Support Specialists.

For more information about OhioMHAS workforce development efforts, click the Learn More button, below.





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