If Georgia fully expanded Medicaid with the federal government absorbing 95% of the tab, the state could cover more than 350,000 of the over 400,000 uninsured people living in Georgia,…
Legislative Update: Week 2
General Assembly meets for joint budget hearings
The Georgia General Assembly met last week for joint budget hearings. During “budget week” both the House and Senate heard from Governor Kemp and agency leaders about their requests for the current and upcoming state budgets. The General Assembly’s budgetary considerations consist of two parts:
1) Changes to the current FY 2021 state budget (sometimes called the “little budget”) which will run through June 30, 2021, and
2) The FY 2022 general state budget (the “big budget”), which will begin on July 1, 2021.
After the agency presentations, the House will pull together the budget requests into legislation and continue to review funding requests.
Below we highlight some of the primary asks made by the state agencies that most impact consumer health, especially during the current health crisis. For more detailed budget analysis, please see the Georgia Budget and Policy Institute’s Overview of Georgia’s 2022 Fiscal Year Budget.
The General Assembly will reconvene tomorrow, January 26th for the fifth day of legislative session and will schedule future days of session in another resolution.(more…)
Suicide is third leading cause of death among 10-24 year olds in Georgia. In order to combat this growing issue Governor Deal and the state legislature included an additional $21.4 million in the FY2019 state budget to improve and expand children’s behavioral health services. Out of that appropriation, $1,092,000 was directed to suicide prevention efforts, which will in part go towards expanding the capacity of the Georgia Crisis and Access Line (GCAL). GCAL provides 24/7 online and telephone support for Georgians who are seeking services for or in crisis as a result of developmental disabilities, mental health, or substance use conditions.
GCAL connects callers with trained professionals and clinicians who screen and assess the severity of callers’ need for service. The GCAL operators then provide the appropriate assistance, referrals to necessary services, or dispatch crisis services when needed. The call center can:
- Provide telephonic crisis intervention services,
- Dispatch mobile crisis teams or emergency services when needed,
- Assist individuals in finding an open crisis or detox bed across the state,
- Link individuals with urgent appointment services,
- Help individuals find a mental health, substance use treatment, or developmental disability provider in their area in a non-emergency; and
- Connect families and individuals with community-based support services.
GCAL also provides language assistance for people with limited English proficiency.
Even though GCAL’s name includes the word “crisis,” consumers do not need to be in crisis to call or visit the website. As mentioned above. GCAL provides non-emergency or crisis services. Call center staff are available to answer routine questions about behavioral health and provide callers with a choice of providers and assistance in scheduling appointments for service.
Georgia consumers can call 1-800-715-4225 or visit mygcal.com if they or someone they care for is facing a behavioral health crisis or in need of services. For more on how GCAL is making a difference in the lives of individuals and their families, check out this video from Voices for Georgia’s Children.
Georgia currently ranks 51st in children’s mental health services but an infusion of dollars into Georgia’s system of care is expected to have a positive impact around the state. Governor Deal and the state legislature included an additional $21.4 million in the FY2019 state budget to improve and expand children’s behavioral health services. Of that allotment, $4.3 million are dedicated to fund 13 additional grants for the Georgia Apex Program, a school-based mental health program that improves early identification, access to and coordination of needed behavioral health (BH) services for children with behavioral health needs.
Nearly one in ten Georgia children ages 2 to 17 years have one or more diagnosed emotional, behavioral, or developmental conditions and these conditions become more prevalent as children hit adolescence. Behavioral health issues can manifest in chronic absenteeism, classroom disruption, discipline issues, or other adverse behaviors at school, which can prevent young people from being academically successful.
To address the behavioral health needs of Georgia’s students, the Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) launched the Georgia Apex Program in 2015 to “[create] partnerships between community-based mental health providers and local schools to provide school-based mental health services.” The three main goals of the Apex Program are:
- To increase access to mental health services for children and youth;
- To provide early detection of child and adolescent mental health needs; and
- To increase coordination between community-based mental health providers and the local schools and districts they serve.
The Apex Program places mental health providers in schools to provide services like screening, assessment, counseling and therapy, and referrals to community support services like youth club houses. The program began with 29 community health providers in 104 Georgia schools, and as of February 2018, the program had expanded to 320 schools. Over the first two years of the program, more than 5000 students who had not previously received mental health services were screened and provided with the appropriate services and supports for their needs.
More than three quarters (76%) of the schools served by the Apex Program are located in rural areas where behavioral health services are more limited, and almost half (46.6%) are located in elementary schools so that services are available to younger students, when behavioral health conditions are often less severe and more treatable.
In addition to increasing access to care for students in need, the program has demonstrated success by integrating into a variety of school settings and improving coordination and communication between providers and school staff. Further, providers are able to bill for 75-90% of the students served each month, indicating the model may be financially sustainable.
The Georgia Apex Program is a promising model that brings mental health care services to Georgia children, reducing barriers to health care and improving their chances for academic success.
To learn more about the Georgia Apex Program:
- Visit the Georgia Department of Behavioral Health & Developmental Disabilities’ Office of Children, Young Adults and Families or email firstname.lastname@example.org
- Read the resources available at Georgia State University’s Center of Excellence for Children’s Behavioral Health at the Georgia Health Policy Center.
- Watch the video below from the Georgia Department of Behavioral Health & Developmental Disabilities and see how the Georgia Apex Program is making a difference in the lives of children and their families.
Georgians for a Healthy Future hosted an educational forum titled Strong Foundations: Building a System of Care to Address the Behavioral Health Needs of Georgia Children on Tuesday, May 15. The forum explored the behavioral health needs of Georgia children and youth, Georgia’s publicly-supported behavioral health landscape, and successes and opportunities in the current system of care. The event also raised awareness about Georgia’s system of care in an effort to improve access to behavioral health services for children and youth.
The event began with Respect Institute speaker Tammie Harrison, who shared her experiences navigating the behavioral health care system and getting to a place of recovery.
Because many of the event attendees were new to the topic of children’s behavioral health (BH), GHF’s Executive Director Laura Colbert provided some foundational information about the prevalence of children’s BH conditions, contributors to poor BH, and the pathways to BH care and supports for young Georgians. You can find Laura’s PowerPoint slides here. She also debuted GHF’s new behavioral health fact sheet.
Dante McKay, Director of the Office of Children, Young Adults, & Families at the Georgia Department of Behavioral Health & Developmental Disabilities (DBHDD) provided attendees with an overview of DBHDD’s work, the 2017 System of Care state plan, and how the recently signed FY19 budget would impact the department’s ability to serve Georgia children and youth.
Dr. Erica Fener-Sitkoff, Executive Director of Voices for Georgia’s Children moderated a panel discussion of BH service providers, which included Wendy Farmer of Behavioral Health Link, Laura Lucas of Project LAUNCH (DBHDD), and Monica McGannon of CHRIS 180. The panelists discussed barriers to accessing BH services, which they said include continued stigma, lack of trained workforce, and transportation. The panel also identified innovative efforts, like Project LAUNCH and mobile crisis services, to bring BH services closer to consumers when and where they need it. When asked how Georgia’s next Governor could continue to make progress in the area of children’s behavioral health, panelists suggested a focus on workforce development, increasing access to community-based substance use treatment for teens, and prevention and early intervention.
If you missed the event, a recording of the webcast is available here.
To see photos, review materials, and read more about our Strong Foundations event, please visit the event page.