• Assess program capability to deliver integrated MH and SUD treatment services using the Dual Diagnosis Capability in Addiction Treatment Index (DDCAT) Index.
• Develop a strategic plan to enhance co-occurring disorder treatment services.
• Apply a change model to implement effective improvements.
• Access resources to support change within the seven integrated treatment dimensions of the DDCAT.
• The final data from the OCBH/ATTC co-occurring project is currently used to inform OHA co-occurring treatment work initiated by the aforementioned legislation. The project will be presented at the National Council for Mental Wellbeing conference in Washington DC in April of 2022, where it will gain exposure to national policy leaders and providers from across the country. OCBH plans to use the project data in the 2023 Oregon legislative session concept work on co-occurring reimbursement & administrative improvements.
• In this proposal, OCBH will use the full 18-month timeline to engage the five peer organization grantees (participants) in a learning collaborative (LC) model. The LC will support the participants' required contract outcomes of sustainable skills development for data collection, sustainability planning, & implementation while creating a community of practice.
• The required policy & advocacy components will be addressed in the LC & coincide with the deadlines for policy development in the 2023 long session. Unaddressed policy concepts will be wrapped in the fall of 2023 by including participants in our annual leadership conference, providing further 2024 legislative short session recommendations.
• OCBH also recommends that the LC participants develop a system of participating in policy with the Central Oregon Health Council (COHC) BH Regional Health Assessment group which is sustainable past the end of the project. OCBH will coordinate this work with the COHC. To increase policy acumen & foster a community of practice, the five organizations will receive member-level access to OCBH resources even if they are not already OCBH members. This access includes the community of practice convenings, training sessions, events, & advocacy activities. This access opportunity will enhance their LC training and support described within this consultation proposal.

OCBH's Diversity Equity & Inclusion (DEI) committee members have collected, implemented, & provided training using a wide variety of tools & resources for our internal OCBH DEI assessment & strategic planning & through our educational & operations training supports of providers. The OCBH DEI committee is comprised of DEI leaders from our member organizations, many of which are local experts training & implementing DEI practices in Behavioral Health settings across Oregon. Their support informs our policy implementation, projects, scheduled trainings, & our Board of Directors. This is an ever-changing, evolving process. In 2022 OCBH leaned into the following resources through our DEI committee to inform our work, including contracted operations. https://www.ocbh.org/organizational-toolkit-for-dei-implementation https://www.nichq.org/insight/savior-designed-equity-empowered-systems

OCBH will support equity assessment & improvements ensuring equity informed ongoing practices.

OCBH will support LC members in assessing resources and relationships in developing consumers and identified coalitions, community groups, and members in their process. These relationships are critical to mature health equity in operations and increase and support equity-focused partnerships to drive advocacy. These relationships can occur in a wide variety of ways including but not exclusive to co-located services, advisory bodies, board membership, and other collaboration. Building these models must be developed in partnership with diverse communities and not offered in a prescribed manner by a requesting entity. The LC will support development over the 18 month period but cannot prescribe the form of the outcome of the model for each of the five peer service grantees before starting the work.