
For Immediate Release
April 5, 2011 - Chapel Hill, NC - People struggling with mental illness do better at getting better when they have access to a continuum of services designed to support the whole person as they progress toward recovery. North Carolinians who live with severe mental illness now have even more reason to hope for improved outcomes. As of March 28, 2011, the UNC Center for Excellence in Community Mental Health has merged operations with XDS, Inc.
Since 2004, XDS, Inc., or Cross Disability Services, has served adults with psychiatric, developmental, and substance abuse disabilities in Orange, Person, Chatham, Durham, and Alamance counties. Core to their service array has been a well-respected assertive community treatment (ACT) team. An ACT team provides wrap-around treatment and support for persons with the most complex mental health needs. The multidisciplinary team includes a psychiatrist, nurse, case managers, and a peer support specialist. They may deliver medications daily or help someone find safe and affordable housing. They also teach skills for managing symptoms and finding jobs. The goal of all treatment at XDS has been to assist persons with dually existing disabilities to lead meaningful lives in the community.
The UNC Center for Excellence in Community Mental Health is based at UNC-Chapel Hill School of Medicine. Through its specialized programs, Schizophrenia Treatment and Evaluation Program (STEP) and Outreach and Support Intervention Services (OASIS), the Center provides state-of-the-art treatment to people at any stage of mental illness with psychotic features, from those experiencing their first psychotic episode to those with long-standing schizophrenia. Care is provided by a multidisciplinary team and includes medical and psychosocial treatment, including family support. Additionally, the Center cultivates partnerships across the University, the local community, and the state to conduct leading-edge research and train current and future mental health care providers.
"Combining forces with XDS allows us to continue to develop evidence-based, cost-effective treatment and training models that span a continuum of care and address the changing needs of a patient whose illness lasts a lifetime," says John Gilmore, MD and director of the Center. "I am very excited about XDS staff joining with us in this work."
XDS leadership is energized about the merger as well. "We share the Center's values and commitment to improving care for people living with severe mental illness," states Thava Mahadevan, former executive director of XDS and now director of operations at the Center. "It is a pleasure to combine the vision and talents there with the skills and dedication of our staff from XDS."
The new venture is part of the UNC School of Medicine's critical access behavioral healthcare agency, or CABHA, the new model for mental health and substance abuse services developed by the NC Department of Health and Human Services.
A Stronger Organization Mental health services in North Carolina continue to go through unprecedented changes. Moving forward, they will also be affected by health care reform taking place at the national level. The formal joining of the Center and XDS will create an organization with the strength and flexibility needed to thrive in uncertain times, and to continue UNC-Chapel Hill's tradition of public service by keeping engaged scholarship active in public mental health care in North Carolina.
"We already share what works well with other communities, with legislators, and other policy makers to improve care for people with mental illness," says Gilmore. "With the addition of XDS services and experience, we will have more to contribute to the conversation."
Research and Training Efforts Will Grow
From a research perspective, the expanded Center will increase its ability to form new lines of study based on broader community mental health experiences to improve recovery outcomes. Likewise, it will also be able to expand its capacity to apply what is being learned in academic and scientific settings to real-life situations.
Gilmore also points to the merger as a way to significantly enhance training the next generation of community mental health providers. The Center has a long tradition of providing on-site training to psychiatry residents and graduate students from disciplines such as social work, psychology, nursing, pharmacy, and rehabilitation counseling psychology from institutions including UNC-Chapel Hill, NC State, and Duke.
The Center also trains mental health workers already in the field through coordinated efforts with NC Area Health Education Centers and local community groups. In the fall of 2010, the Center partnered with Wake County NAMI (National Alliance on Mental Illness) Central Regional Hospital, the NC Division of Health Services Regulation, and others, to launch Group Home Employee Skills Training Project (GHEST), a pilot training program for group home workers. Designed as an interactive, three-day program, GHEST teaches a variety of skills that direct care employees need to successfully support people with severe mental illness. Hours count towards training requirements for staff set by the state. "In our new form, the Center will have a broader range of clinical training experiences, plus greatly expanded numbers of experts on severe mental illness to better reach and teach mental health service providers across the state," says Gilmore.
Clients Will Benefit
But at the end of the day, any move to change or grow services is done with the person served in mind. "We anticipate that it will be much easier for clients to transition amongst levels of care," says Bebe Smith, LCSW, co-director of the Center. Smith goes on to say that the combined staff will be better equipped to develop flexible, long-term care models that can more easily fluctuate with an individual's needs.
"We will continue to place a focus on psychiatric treatment, but will expand into recovery-oriented areas that focus on healing through creativity," states Smith. "The Center has an established art gallery, Brushes with Life that has fostered a community of artists. XDS brings with it plans to develop an art and music studio, an organic farm, and walking and biking trails, on 40 acres of land in Chatham County."
The new, larger Center will be able to offer a comprehensive continuum of care for the people it serves--from inpatient and outpatient services, case management, community support, and housing support, to integrated substance abuse and mental health treatment, and assertive community treatment. It will also be able to offer newly developed models of care (such as social cognition interaction therapy or computer-based cognitive remediation) that are not typically available outside of research studies.
Charlene Lee, a local community member in recovery from mental illness has nothing but high hopes for the Center as it incorporates XDS services and staff into its midst. "I believe this merger will be great for the entire mental health community in our area," says Lee. "In this unsettled time of mental health funding, lack of services, and with those living with mental illnesses seemingly being left in limbo, it is so encouraging to know that there are agencies joining forces to serve this sector of our society."
About the UNC Center for Excellence in Community Mental Health
Founded in January 2009, the UNC Center for Excellence in Community Mental Health is part of the Department of Psychiatry at the University of North Carolina at Chapel Hill School of Medicine. Addressing quality of care and workforce development issues in North Carolina's mental health system, the Center and its programs are supported by a three-year grant from The Duke Endowment, as well as Cross Area Services Program (CASP) funds. The program operates in conjunction with multiple university, state, and community-based partners. For more information about the UNC Center for Excellence in Community Mental Health, visit unccmh.org.
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Contact:
UNC Center for Excellence in Community Mental Health
John Gilmore, MD, Director
UNC Center for Excellence in Community Mental Health
Department of Psychiatry, CB 7160
Chapel Hill, NC 27599-7160
jgilmore@med.unc.edu
Phone: 919.966.6971
Bebe Smith, MSW, LCSW, Co-Director
UNC Center for Excellence in Community Mental Health
200 N. Greensboro St.,
Suite C-6 Carrboro, NC 27510
besmith@med.unc.edu
Phone: 919.942.7363
Public Relations
Libbie Hough
Communication Matters
libbiehough@cmatters.org
www.cmatters.org
919.967.8070
Chances are you have met someone with a mental illness, as one in four adults - approximately 57.7 million Americans per year - experience a mental illness according to NAMI's Mental Illness: FACTS and NUMBERS. (Source: http://www.nami.org/).
Also consider that many people choose not to share information about their illness with others for fear of judgment or discrimination (stigma).