Integrated Management and Service Delivery Model

If you would like to provide comment on these concepts, please email AMH-Web. 

Two recent legislatively funded reports; one on the mental health system and one on the addictions system, identified the complicated structure of the mental health and addiction systems in Oregon. Both reports recommended changing the system to an integrated funding and service model that will:

• Provide consistent service through out the state
• Consolidate funding
• Regionalize
• Make the system more transparent
• Gain efficiencies in utilization of resources

At the direction of the Joint Committee on Ways and Means, Subcommittee on Human Services, AMH is moving forward with the establishment of two or three demonstration projects that will integrate addictions, mental health, and physical health services in Oregon. The system change will also focus on an integrated service management and payment system. These two changes will result in a simpler, more efficient use of state, federal and local resources and better services to those in need.

This Web site will be our primary vehicle for communicating about this project. We recommend that you sign up for the e-alert notification so as this site is updated you will receive an email notifying you of the update.

Guiding Principles

The demonstration projects will be guided by the following principles:

• The goal of treatment and recovery is to provide services and opportunities for individuals to become self-sufficient.
• The array of treatment and recovery services must address the therapeutic needs of people in a holistic fashion. To the extent possible services need to be delivered in a seamless and integrated manner. Services include a continuum of core health, mental health and addiction services, as well as wraparound services for housing and employment/education assistance.
• The service delivery system must be managed in the most cost effective and individually focused manner. Funding for services should follow the shortest line from the state to community provider. The management structure used will consolidate all available funds, Medicaid and non-Medicaid funds, to pay for the array of core and wraparound services being provided with state funds.
• The service payment process will focus on achievement of measurable outcomes wherever possible.
• Core mental health and addictions services must be geographically located to encourage access as close to home as possible. To avoid management and program duplication, services should be provided in a regional manner where possible.

• Integrated Management and Service Delivery System Demonstration Project (June 29, 2009) (PDF)
• May 11 Informational Hearing on Integration Before the Senate Human Services and Rural Health (PDF)
• System Reform for Mental Health and Addiction Services - Senator Bates and Representative Kotek (March 19, 2009) (PDF)
• Elements of an Effective Mental Health and Addictions - Richard Harris (March 24, 2009) (PDF)
• Stakeholder Meeting Summary (April 3, 2009) (PDF)
• AMH Report to Ways and Means - (April 20, 2009) (PDF)
• Frequently Asked Questions (PDF)
• Report to Joint Committee on Ways and Means Subcommittee on Human Services (April 23, 2009) (PDF)

Other Resources:

Integrating Publicly Funded Physical and Behavioral Health Services: A Description of Selected Initiatives (FINAL REPORT) (Feb. 2007) (PDF)