Table of contents

Table of contents

Table of figures ....................................................................................................................................... 4 Acknowledgments....................................................................................................................................... 5

Results First Advisory Committee.......................................................................................................... 5 Report Authors........................................................................................................................................ 5 Results First Adult Mental Health benefit-cost analysis ? Executive summary......................................... 6 Minnesota Results First............................................................................................................................... 8 Background ............................................................................................................................................. 8 Results First framework .......................................................................................................................... 8 Adult mental health in Minnesota............................................................................................................. 10 Background ........................................................................................................................................... 10 Mental health system governance ......................................................................................................... 12 Adult mental health challenges in Minnesota ....................................................................................... 14 Recent funding and ongoing efforts...................................................................................................... 17 Adult mental health funding ................................................................................................................. 17 Findings..................................................................................................................................................... 22 Overview............................................................................................................................................... 22 Key considerations................................................................................................................................ 39 Conclusion ................................................................................................................................................ 47 Appendix A: Inventory of services ........................................................................................................... 48 Appendix B: Summary of research methods ............................................................................................ 52 Appendix C: Adult Mental Health Initiatives (AMHI)............................................................................. 60 Appendix D: Highlights of 2015 legislative changes for adult mental health .......................................... 62 References................................................................................................................................................. 63

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Service Profiles Cognitive Behavioral Therapy (CBT) ...................................................................................................... 27 Certified Peer Specialists .......................................................................................................................... 29 Illness Management and Recovery (IMR) ................................................................................................ 31 Individual Placement and Support (IPS)................................................................................................... 33 Mobile Crisis Response ............................................................................................................................ 35 Wellness Recovery Action Plan (WRAP) ................................................................................................ 37 Table of figures Figure 1: Summary of benefit-cost analysis ............................................................................................... 7 Figure 2: Explanation of a benefit-cost ratio .............................................................................................. 9 Figure 3: Mental health continuum of care............................................................................................... 11 Figure 4: Adult mental health service availability in 2014....................................................................... 15 Figure 5: Sources of health insurance coverage, 2015 ............................................................................. 18 Figure 6: Direct care and treatment services............................................................................................. 21 Figure 7: Benefit-cost analysis terms........................................................................................................ 23 Figure 8: Mental health continuum of care............................................................................................... 42 Figure 9: Estimated lifetime crime, earnings, and healthcare cost of serious mental illness ................... 44

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Acknowledgments

Minnesota Management & Budget's Results First team owe debts of gratitude to researchers, practitioners, and professionals that provided data and context. In particular, we would like to thank the staffs of Dakota, Hennepin, Olmsted, and Otter Tail counties; the Department of Human Services Adult Mental Health Division; Wilder Foundation; the Minnesota Center for Chemical and Mental Health; National Alliance on Mental Illness Minnesota; Minnesota Association of County Social Service Administrators; Association of Minnesota Counties; Senate Fiscal Analyst, Dennis Albrecht; the PewMacArthur Results First Initiative's Catherine An, Kevin O'Connell, and Steve Lize; and many others. Special thanks to our advisory committee, which offered invaluable guidance and their staff's time. Results First Advisory Committee Myron Frans, Commissioner, Minnesota Management & Budget Emily Johnson Piper, Commissioner, Minnesota Department of Human Services Tom Roy, Commissioner, Minnesota Department of Corrections Michelle Benson, Senator, Minnesota Senate Ron Latz, Senator, Minnesota Senate Tony Lourey, Senator, Minnesota Senate Diane Loeffler, Representative, Minnesota House of Representatives Tara Mack, Representative, Minnesota House of Representatives Marion O'Neill, Representative, Minnesota House of Representatives Dawn Torgerson, Deputy State Court Administrator, Minnesota Judicial Branch Toni Carter, Commissioner, Ramsey County Kelly Harder, Director of Community Services, Dakota County Gary Hendrickx, Commissioner, Swift County Tim Houle, County Administrator, Crow Wing County Report Authors Weston Merrick, Kristina Shuey, and Pete Bernardy. For more information, contact: ResultsFirstMN@state.mn.us

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