Olmstead planning activities in Kentucky began with grant funding from the Robert Wood Johnson Foundation and the Center for Health Care Strategies that convened a broad stakeholder group in 2000. The Olmstead Planning Committee presented a final report to the Cabinet for Health and Family Services in October 2001. In response, the Cabinet issued an Olmstead Compliance Plan in 2002.
Kentucky's Legislature has provided $800,000 in Olmstead "Wraparound" funding to assist in discharge planning efforts for individuals with complex service needs who are long-term inpatients in state psychiatric facilities. The Department has established an Olmstead Transition Committee at each of the four state hospitals that meet and plan for community placement.
These Transition Committees comprise hospital discharge staff, community service providers, state staff and family and consumer organization members. They have successfully transitioned a number of individuals in the community who would not otherwise have had the opportunity to leave the hospital setting. Even though funding is not adequate to meet all needs, these committees have been identifying barriers to community placement that will be used as the basis for future budget requests. The Kentucky State Olmstead Coalition, including members from each of these Transition Committees, was formed to develop a community integration curriculum.
In response to the Olmstead decision and in keeping with the President's New Freedom Initiative, Kentucky received a three-year grant (10/1/06-9/30/09) from the Substance Abuse & Mental Health Services Administration and the Center for Mental Health Sservices, to concentrate on developing initiatives to reduce levels of institutional care, to expand access to community-based services, and to help people return to their home communities. This funding will build on existing initiatives in order to provide education and awareness about critical community integration issues and to develop a stronger coalition to advocate for evidence-based community services and supports. The primary goal is to embed Olmstead principles into existing programs.
In the area of adult mental health, three DVDs (Psychiatric Advanced Directives, Housing, and Recovery) are currently being produced for use in educating consumers, providers, family members and others. In the area of children's mental health, a series of training and technical assistance initiatives is currently being conducted to further educate parents and providers regarding the Individuals with Disabilities Education Act, the Americans with Disabilities Act, and Kentucky's newly revised laws.
Training sessions are also available to providers and parents about working with adolescents, and plans exist to offer Trauma Informed Care training statewide. A work group has been established to further address the need for additional services and supports for transition age youth with mental health and substance abuse disorders, including those who are aging out of the state's foster care system.