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, GRACE KOLLIESUAH, MSW, LSW, SSHS PRINCIPAL INVESTIGATOR SSHS PRINCIPAL INVESTIGATOR CHIEF, BUREAU OF CHILDREN AND CHIEF, BUREAU OF CHILDREN AND FAMILIES, OHIO DEPARTMENT OF MENTAL FAMILIES, OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES HEALTH AND ADDICTION SERVICES
Judge Steven Bird, Williams County Ohio Juvenile and Probate Court THE COLLABORATIVE IDEA
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 Court s • School psychologist • Mental Health providers • Juvenile Justice professionals • Educators/School Administrators
How do we do this…. Schools (students and educators) Families Prevention • Awareness Education • Busting Stigma by educating
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
How do we do this? Identification Community Family LINC Assessment /Intervention Resources
A Change in the Culture • Stigma and misinformation • Teachers ill-equipped to recognize mental health issues • Juvenile Justice systems overwhelmed
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 ownership 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…
Jeff Spears, External Grants Administrator, Ohio Department of Youth Services THE STATE’S ROLE
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 operations 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 other 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)
Ron Rittichier, Safe Schools/ Healthy Students Project Director, Williams County, Ohio THE LOCAL LEVEL
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 6 th -12 th 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
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