Alaska Mental Health Trust Authority is an organization to assist people who experience mental illness, developmental disabilities, chronic alcoholism and Alzheimer’s disease and related dementia to implement change and improvement in Alaska’s mental health continuum of care. The Trust funds nonprofits, state agencies, projects and activities that promote long-term system change. It is the duty of the Alaska Mental Health Trust Authority to provide leadership in the advocacy, planning, implementing and funding of services and programs for Trust beneficiaries. The Trust Land Office is contracted exclusively by the Alaska Mental Health Trust Authority to manage its approximately one million acres of land and other non-cash assets to generate revenue to better serve our beneficiaries.
The Beneficiary Employment and Engagement focus area aims to improve outcomes for beneficiaries through integrated, competitive employment, and meaningful engagement opportunities. The Trust promotes evidence-based strategies and best practices that increase opportunities and enable beneficiaries to gain integrated, competitive employment and meaningful engagement in their communities. The Trust supports varying strategies through both funding and advocacy that include integrated employment supports, meaningful activities, beneficiary and workforce training, and peer-based recovery support programs.
Trust beneficiaries are at increased risk for involvement with the criminal justice system, both as victims and defendants, due to their disabilities as well as deficiencies in the community treatment and support systems. Hundreds of beneficiaries each year are incarcerated for their safety because adequate service alternatives do not exist. Thousands more are arrested for offenses resulting from behaviors associated with symptoms of their mental disorders. The disability justice focus area is aimed at reducing the involvement and recidivism of Trust beneficiaries in the criminal justice system. The Trust’s board of trustees has directed significant funding and staff resources towards criminal justice reform efforts in Alaska to address this and other justice related issues affecting beneficiaries, including reducing the involvement and recidivism of Trust beneficiaries in the criminal justice system as well as preventing the victimization of beneficiaries. The Trust uses the Sequential Intercept Model as the foundation for making funding allocations and policy decisions. The overall goals are:
- Developing criminal justice and community behavioral health partnerships;
- Civerting trust beneficiaries from the criminal justice system; and,
- Maintaining public safety by improving the health of beneficiaries and Alaska communities.
- Below are the SIM intercepts where strategies and Trust supported activities are employed to achieve the goals above:
- Systems and Policy Development
- Increased Capacity, Training and Competencies
- Community Prevention
- Community Intervention/Diversion
- Booking and Screening Practices
- In-facility Practices
- Re-entry
- Community Aftercare
The Trust's Housing and Long-Term Services & Supports focus area concentrates on ensuring beneficiaries have access to a continuum of services and supports that maximize independence in their home and community. Supportive housing services are for people who are homeless who have one or more chronic conditions or disabilities and need a range of support services to remain housed. People who are served through supportive housing have a history of institutionalization or are at risk of institutionalization. LTSS are delivered in home- and community-based settings as well as institutions. Assistive technology, devices, equipment, smart home technology, physical alterations to a home including ramps, and technology based interactive medical devices are examples of supports that can be put in place to support a person. Services examples include:
- Case management
- Care coordination
- Personal care services
- Supervision and cuing
- Transportation
- Supported employment
- Chore
- Respite
- Assisted living home care.
Services typically involve a combination of family caregivers and direct service workers. Goals of this focus area are to:
- Reduce number of beneficiaries who experience homelessness
- Increase access to affordable housing
- Ensure overall system of care is person directed
- Build a robust continuum of care that supports autonomy, independence and inclusion
- Funding is allocated by the following strategies:
- Policy coordination
- Beneficiary access to appropriate community based services
- Beneficiaries live in safe, affordable housing through a balanced continuum of housing
- Home- and community-based services
The Trust shifts its focus and limited funding to other important needs in order to make additional improvements to the state’s comprehensive mental health program. In keeping with this proven formula, the Trust provided the transitional funding necessary to support the essential administrative infrastructure for Medicaid expansion enrollment. The goal is a redesigned and enhanced system of behavioral health services that fully encompasses health promotion, prevention, early intervention, appropriate treatment and the services and necessary supports to sustain a person in recovery.
The Substance Abuse Prevention and Treatment focus area is focused on the full continuum of care from prevention and early intervention to treatment and recovery for Trust beneficiaries. A wide range of partners are necessary to address this and to develop effective strategies that may be mutually supported through leveraged funding and effort. Planning and engagement at this level ensures positive impacts across the lifespan of beneficiaries ensuring healthier lives and increased quality of life.
Access to treatment is of considerable concern to the Trust and our partners, while most individuals with addictions do not enter a formal drug and alcohol treatment program, we want to ensure our state has statewide capacity and availability of treatment when an individual is ready for it. The needs of Alaskans and the capacity of the behavioral health system to meet those needs have evolved over the years and will continue to do so with statewide reforms underway which include a redesign of our current behavioral health system of care. To better understand our services, the Trust commissioned a statewide assessment of services, with the ultimate goal of utilizing this information to inform decision-making, at the regional and statewide levels, and to improve system functioning so that it can produce better outcomes for the people it serves. The overall goals are to decrease youth alcohol and substance use and adult binge drinking and illicit drug use. And, ultimately, that adults and children are free of the burdens created by alcohol and substance abuse. Currently the Trust focuses investments toward the following areas:
- Engaged state, tribal and community based partnership in the development of strategies and policy related to substance abuse/use and prevention.
- Investing in programs and strategies to enhance access to treatment including screening, brief intervention and treatment and enhancement of primary care/behavioral health integration.
- Support to criminal justice re-entry coalitions working towards reduction of recidivism and linkage of services and supports to support successful re-entry and stability in the community.
- Funding of innovative strategies that both expand access to treatment and address other key Trust investment areas such as beneficiary employment and engagement, housing and homelessness, disability justice and re-entry initiatives, early intervention and workforce.
- Capital funding to support improved access, service enhancement or capacity expansion for drug and alcohol treatment.
The Trust provides technical assistance to agencies serving trust beneficaries to support organizational capacity development, enhancement and sustainability of services.
Organisation
Address: 3745 Community Park Loop, Suite 200 Anchorage, Alaska 99508
Country: United States of America
