- Acronym overload: The folks at the Massachusetts Behavioral Health Partnership put together a great packet of information about the program as it seems to be evolving and included a glossary of selected CBHI terms. 33 of them, starting with APRN and ending with SOC. (The Free Dictionary lists 123 possibilities for that one). There is a lot of detail in this proposed system, and it will be confusing to many. I tried to focus on 4 key bits of jargon: SED, CANS, CSA, and "wraparound" in an effort to keep it simple.
- Capacity underload: People get the model, people understood the sorts of patients that we are trying to manage, but it was very clear that they thought that we were opening Pandora's box, that the number of children eligible for services would quickly overload the new CSAs. Perhaps, but we have to start somewhere....
- Desire for change: This was a group of people like me, who have been banging their heads against the "wall" of mental health services for many years. They are eager to engage the new system, but wary of get getting their hopes up.
All of this means that we need to continue to engage primary care providers in the next phase of the CBHI, if we are ever going to address the access issues raised in the Rosie D. lawsuit. Hope to see some of you at the next session in Waltham.