Prevention, Treatment, and Recovery: Toward a 10-Year Plan for Improving Mental Health and Wellness in Tulsa

SOCIAL DETERMINANTS OF HEALTH PLANNING REPORT Prevention, Treatment, and Recovery: Toward a 10-Year Plan for Improving Mental Health and Wellness in Tulsa Laudan Aron Mary Bogle Mychal Cohen Micaela Lipman March 2018 ABOUT THE URBAN INSTITUTE The nonprofit Urban Institute is dedicated to elevating the debate on social and economic policy. For nearly five decades, Urban scholars have conducted research and offered evidence-based solutions that improve lives and strengthen communities across a rapidly urbanizing world. Their objective research helps expand opportunities for all, reduce hardship among the most vulnerable, and strengthen the effectiveness of the public sector. Copyright © March 2018. Urban Institute. Permission is granted for reproduction of this file, with attribution to the Urban Institute. Cover image by John Wehmann. Contents Acknowledgments v Executive Summary ix Tulsa’s Challenges and Strengths ix The Evidence behind Tulsa’s Mental Health Plan Strategies xi Five Action Areas xii Four Pillars of Success xiv Moving Ahead xv Foreword xvii Improving Health across the Tulsa Region xviii A Call to Action xix Introduction 1 Background 3 The Need for a Mental Health Continuum of Care 3 Addressing Mental Illness and Substance Use Disorders 6 Tulsa’s Challenges and Strengths 9 Tulsa Challenges 11 Tulsa Strengths 14 Strategies 18 Action Area 1. Prioritize Children and Youth 20 Action Area 1 Strategies 29 Action Area 2. Strengthen Community-Based Services/Supports 31 Action Area 2 Strategies 36 Action Area 3. Integrate Mental Health into the Health Care System 39 Action Area 3 Strategies 55 Action Area 4. Work with Criminal Justice Settings 57 Action Area 4 Strategies 59 Action Area 5. Collaborate with Existing Community-Wide Initiatives 61 Action Area 5 Strategies 64 Pillar 1. Human Capital: Workforce/Education and Training 66 Pillar 1 Strategies 70 Pillar 2. Physical Capital: Facilities, Transportation, and IT 72 Pillar 2 Strategies 74 Pillar 3. Intellectual Capital: Data, Research, Policy, and Practice 76 Pillar 3 Strategies 78 Pillar 4. Financial Capital: Funding Sources and Models 80 Pillar 4 Strategies 83 Conclusion 85 Appendix 87 Notes 89 References 92 About the Authors 94 Statement of Independence 96 V Acknowledgments This report was developed with funding from The Anne and Henry Zarrow Foundation. We are grateful to them and to all our funders, who make it possible for Urban to advance its mission. The views expressed are those of the authors and should not be attributed to the Urban Institute, its trustees, or its funders. Funders do not determine research findings or the insights and recommendations of Urban experts. Further information on the Urban Institute’s funding principles is available at urban.org/fundingprinciples. We also thank our partners in Tulsa and Oklahoma, including those on the Tulsa Mental Health Steering Committee: Jeffrey Alderman, director of The University of Tulsa Institute for Health Care Delivery Sciences; Melissa Baldwin, director of criminal justice reform at Mental Health Association Oklahoma; Monica Basu, senior program officer at the George Kaiser Family Foundation; Jason Beaman, assistant clinical professor and c hair of the Department of Psychiatry and Behavioral Sciences at the Oklahoma State University Center for Health Sciences; Michael Brose, chief executive officer of Mental Health Association Oklahoma; Gerard Clancy, president of The University of Tulsa; Sara Coffey, assistant professor of child and adolescent psychiatry at the Oklahoma State University Center for Health Sciences; Tom Cooper, president of the William K. Warren Foundation; Bryan Day, chief executive officer of 12 & 12 Inc.; Jeff Dunn, chief executive officer of Mill Creek Lumber & Supply Company; Jan Figart, associate director of the Family Safety Center; Susanna Ginsberg, president of SG Associates Consulting; Hank Harbaugh, cotrustee of the Oxley Foundation; Ebony Johnson, executive director of student and family support services at Tulsa Public Schools; Courtney Latta Knoblock, program director at The Anne and Henry Zarrow Foundation; Gail Lapidus, chief executive officer of Family & Children’s Services; Bill Major, executive director of the Zarrow Family Foundations; Beatriz Pérez, program coordinator at the University of Tulsa Institute for Health Care Delivery Sciences; Mark Reynolds, director of decision support services at the Oklahoma Department of Mental Health and Substance Abuse Services; Carrie Slatton-Hodges, deputy commissioner of treatment and recovery services at the Oklahoma Department of Mental Health and Substance Abuse Services; Richard Wansley, emeritus professor of psychiatry and behavioral sciences at Oklahoma State University; Terri White, commissioner of the Oklahoma Department of Mental Health and Substance Abuse Services; and Jay G. Wohlgemuth, chief medical officer and senior vice president of research and development at Quest Diagnostics