2016 Rural Behavioral Health Webinar Series Developing Partnerships - - PowerPoint PPT Presentation

2016 Rural Behavioral Health Webinar Series

Developing Partnerships Between Juvenile Justice and Schools: Providing Mental Health Services in Rural Communities July 27, 2016

Thank you for attending this webinar! It will begin shortly at 3:00 pm E.T.

Welcome to Today’s Webinar

Audio Information: Dial Into: 877-326-2337 Conference ID: 5314165 For Technical Assistance: Dial: 1-866-493-2825 To Submit Questions: Use the Q&A button at the top of your screen

2016 Rural Behavioral Health Webinar Series

Developing Partnerships Between Juvenile Justice and Schools: Providing Mental Health Services in Rural Communities

Presenters: Judge Steven Bird, Williams County Ohio Juvenile and Probate Court Jeff Spears, External Grants Administrator, Ohio Department of Youth Services Ron Rittichier, Safe Schools/Healthy Students Project Director, Williams County, Ohio Facilitator: Karen Francis, Ph.D., Principal Research, American Institutes for Research

Learning Objectives

Participants in today’s webinar will:

• Learn how rural communities can support the

development of partnerships between juvenile justice, mental health and schools to address the mental health needs of children and youth;

• Examine the key roles of state and community agencies

in developing effective partnerships:

• Explore effective strategies for the implementation of

comprehensive and coordinated mental health services in rural communities; and,

• Learn about available resources to facilitate effective

partnerships between juvenile justice, mental health and schools to provide services and supports.

Polling Question #1

In what region of the US is your community located?

• Northeast/Mid Atlantic
• Midwest
• South/Southeast
• West/Northwest/Mountain
• Southwest
• Alaska/Hawaii
• Territories

Polling Question #2

What is your role in your program/community?

• Management/Administration
• Clinician/Service Provider
• Family/Youth
• Community-Based Provider
• Federal, State, or Local Policy Maker
• Faith-based/Advocacy/Community Coalition/
• Other

GRACE KOLLIESUAH, MSW, LSW, SSHS PRINCIPAL INVESTIGATOR CHIEF, BUREAU OF CHILDREN AND FAMILIES, OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES GRACE KOLLIESUAH, MSW, LSW, SSHS PRINCIPAL INVESTIGATOR CHIEF, BUREAU OF CHILDREN AND FAMILIES, OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES

THE COLLABORATIVE IDEA

Judge Steven Bird, Williams County Ohio Juvenile and Probate Court

The Idea

Reclaiming Futures Conference (2011)

• A different way to think about the

process

• Consistent Screening and Assessment
• Community based approach
• Mental health and Juvenile Justice

Primary Issues

We asked ourselves: what issues bring kids to court?

• Behavioral
• Mental Health
• Family systems issues

Who Do We Need ?

Formed a Think Tank of people we needed at the table:

• Cory Dobbelaere, Ohio Supreme Court

Committee on Mental Health and the Courts

• School psychologist
• Mental Health providers
• Juvenile Justice professionals
• Educators/School Administrators

Prevention

• Awareness

Education

• Busting Stigma

by educating

Families

Schools

(students and educators)

How do we do this….

Problem Solving Approach

• Looked at different court models
• Looked at the possibility of earlier

intervention

• Worked with school administrators
• Worked with teachers
• Worked with mental health providers

LINC Project

• Identify problems at the earliest stages
• Foster understanding of mental health

issues

• Provide early intervention for lower risk

children

• Schools provide linkage to services
• “Mental Health 101” - an introduction to

mental health issues for teachers

Identification /Intervention Family LINC Assessment

Community Resources

How do we do this?

A Change in the Culture

• Stigma and misinformation
• Teachers ill-equipped to

recognize mental health issues

• Juvenile Justice systems
• verwhelmed

Reclaiming Futures Model

• Court model to increase community

involvement and secure better treatment

• Uses screening and brief intervention

as a tool

• Requires the community to take
• wnership of court involved kids
• Reduce the negative impact of court

intervention for court involved youth

Implementation

Family Intervention Court

• Certified by the Ohio Supreme Court in

September 2015

• Alternative Docket Treatment Court
• Allows the Court to supervise the entire

family structure

• Work within the family structure to

improve outcomes

Putting It All Together

• LINC provides hope for kids by…
• Early identification and intervention
• Mental health providers, the community, schools, and

courts work together to make a positive impact on kids

• Reclaiming Futures and Family Intervention Court helps

the Court screen, access and deliver evidence based interventions We just needed to put it all together…

THE STATE’S ROLE

Jeff Spears, External Grants Administrator, Ohio Department of Youth Services

Our Foundation/History

• Home Rule State
• RECLAIM Ohio - funding initiative which encourages

juvenile courts to develop or purchase a range of community-based options

• Settlement Agreement - created a long-term investment

in Ohio youth by infusing new resources into DYS

• perations including funding for evidence-based

community programs

• Behavioral Health Juvenile Justice (BHJJ)

Guiding Principles

• Multi-System Youth – engage your state and community

partners

• Screening and assessing is imperative – mental health

substance abuse, and criminogenic

• Intensity (dosage) of service should match risk level
• State should incentivize the use of Evidence-Based

Practices (EBPs) found on National Registry of Evidence-based Programs and Practices (NREPP) and CrimeSolutions.Gov

Guiding Principles

• Require appropriate use of Medicaid
• Robert Wood Johnson Foundation’s RECLAIMING

FUTURES

• Annie E Casey Foundation’s Juvenile Detention

Alternatives Initiative

Our Investments

Promoting Ohio Youth Assessment System with all juvenile courts Promoting MAYSI-2 at detention RECLAIM Ohio – providing financial support for what the community identifies as their problem and their solution Wraparound

Our Investments

• 74 community programs funded under BHJJ,

Competitive RECLAIM, Targeted RECLAIM, and the Detention Alternatives

• Contract with university partners for quality

assurance (QA)- Case Western Reserve University is one of Ohio’s Coordinating Centers of Excellence

Rural EBPs Do Work

• Wraparound, MST, ICT (integrated co-occurring

treatment), IHBT (intensive home based treatment), Multidimensional Treatment Foster Care (MDFTC)

• Try expanding existing EBP team from a contiguous

county

• Use licensed clinicians to access Medicaid
• Services delivered in school and home
• Blend state, local and federal dollars
• Fund clinicians in detention to divert to treatment

(SBIRT)

Our Outcomes

• Decreased commitments to state agency – From 1,579

in FY2009 to 478 in FY2016 with savings reinvested

• Decreased out-of-home placement for juvenile courts

and community partners with savings reinvested

• Know your outcomes – Contract with university partners

to provide quality assurance services that include monitoring the fidelity tools established by the model developer

• Conduct ongoing longitudinal study – share your results

Ongoing Challenges

• Some Community Based EBPs may place strain on
• ther systems (such as Children Services)
• Medicaid not permissible in detention centers – even

pre-adjudication, and while trying to identify the issues

• Inadequate number of clinicians in rural areas (workforce

development is a component of the OhioMHAS SAMHSA State Youth Treatment Planning grant)

THE LOCAL LEVEL

Ron Rittichier, Safe Schools/ Healthy Students Project Director, Williams County, Ohio

Williams County, Ohio Demographics

Safe Schools/ Healthy Students

• Collaboration – schools, Juvenile Justice, agencies
• Continuity of care
• Position social workers in schools
• Professional development on MEB health for those

working with children and youth

Goals

• 1. Adopt evidence based resources to improve the social,

emotional, and behavioral health of children ages 0-5.

• 2. Place care coordinators (social workers) in the schools
• 3. Improve communication and increase involvement

between parents and schools.

• 4. Prevent substance use and abuse among 6th-12th grade

students

• 5. Address bullying and other school safety issues
• 6. Improve the social and emotional skills of elementary

students and improve classroom climate.

Addressing the Concern

Evidence Based Programs

• PAX Good Behavior Game
• Care Coordination
• School Based Mental Health Counseling
• F.A.S.T. (Families and Schools Together)
• Youth Led Prevention-Peers Making Peace
• Second Step Curriculum
• PBIS (Positive Behavioral Interventions and Supports)
• Too Good For Drugs

The Rural Edge

• Improving continuum of care
• Collaborative relationships
• Focused efforts on prevention
• Doing lots with little
• Healthy, productive students and

families

Q & A

Upcoming Webinars

Community Schools in Rural Communities

August 31, 2016, 3:00 pm – 4:30 p.m. Eastern

Addressing Maternal and Child Health: The Rural Perspective

September 7, 2016, 3:00 - 4:30 p.m. Eastern For additional information and to register, please visit: http://ruralbehavioralhealth.org/

Don’t forget to visit the Rural Behavioral Health website!

http://ruralbehavioralhealth.org

Thank You

For information and resources on partnerships between juvenile justice and schools, please visit: The National Technical Assistance Center for the Education of Neglected or Delinquent Children and Youth (NDTAC) http://www.neglected-delinquent.org/ The National Registry of Evidence-based Programs and Practices (NREPP) http://www.samhsa.gov/data/evidence-based- programs-nrepp

Participant Feedback

https://www.surveymonkey.com/r/JJpartnershipsRBH