Background and Overview In response to recommendations from the - - PDF document

SLIDE 1

8/3/2018 1

OSPI/Educational Service District Regional Behavioral Health Pilot Project Update Children’s Mental Health Workgroup June 28, 2018

• Dr. Mona Johnson, Director

Student Engagement and Support Office of Superintendent of Public Instruction

1

Background and Overview

• In response to recommendations from the Children’s Mental Health Workgroup, E2SHB

1713 (2017) and E2SHB 2779 (2018) created the Children’s Behavioral Health Regional Pilot Project at the Office of Superintendent of Public Instruction (OSPI).

• OSPI currently collaborates with Educational Service Districts 101 and 113 to implement

and study the efficacy of funding a regional coordinator to manage system-wide activities to increase access to behavioral health services for school-aged children and families eligible for Medicaid.

• Goal: To cultivate cross system regional and state collaboration, between schools and

communities, to increase equitable access to care for students in need of behavioral health services and supports.

• Purpose: Investigate the benefits of having a dedicated regional staff position to network

with partners and K-12 school districts to coordinate behavioral health service delivery to students and families eligible for Medicaid.

SLIDE 2

8/3/2018 2

ESD 114 Olympic

• 15 LEAs

ESD 189 Northwest

• 35 LEAs

ESD 171 North Central

• 29 LEAs

ESD 101 Northeast

• 59 LEAs

ESD 123 Southeast

• 23 LEAs

ESD 105 South Central

• 25 LEAs

ESD 112 Southwest

• 30 LEAs

ESD 113 Capital Region

• 45 LEAs

ESD 121 Puget Sound

• 35 LEAs

OSPI, ESDs, and LEAs

3

ESD Regional MH Coordinator Activities

 Coordination of Medicaid billing for schools and school districts in the ESD region  Facilitation of partnerships across systems (State-ESD-District- Regional-Local Partners)  Integration of service models and ensure the adequacy of system level supports for students in need of behavioral health supports  Collaboration among pilots sites and OSPI  Delivery of comprehensive instruction to students in one high school in each pilot site that improves mental health literacy in students and is designed to support teachers  Conduct Case study of the pilot project impact and recommendations due to the Governor and Legislative committees by December 1, 2019.

4

SLIDE 3

8/3/2018 3

Goal

To cultivate cross system regional and state collaboration, between schools & communities, to increase equitable access to care for students in need of behavioral health supports.

Inputs Outputs Activities Participation Outcomes/Impact

Who We Reach

• ESD’s
• Local School Districts
• State/Regional

Partners (HCA, DOH, etc.)

• Decision Makers
• Community Partners
• Students & Families

Intermediate

(2 years)

• Increased access

to MH/BH care

• More efficient

service delivery

• Effective regional

and local service delivery to K12 students and families

• Partnership

growth

• Increased

knowledge

• Sustained funding

and resources

Long Term

(3-5+ years)

• Reduced systems

barriers

• Increased access to

MH/BH care

• Continuity &

coordination of MH/BH care

• Sustainable

partnerships

• Policy change
• Funding for

replication

• Improved behavioral

(per HYS) & educational

• utcomes

Evaluation

Collect data, analyze, interpret and report to Legislature, Governor & Stakeholders Determine ability to replicate across other ESD’s and state Influence workforce capacity & skills

What We Invest

• Staff (OSPI, Two pilot

ESD’s, Program Evaluator)

• Legislative guidance
• Funding
• Leadership Facilitation
• Partnerships
• Evaluation/Continuous

Quality Improvement

• Support

Assumptions

School-based MH/BH service delivery is effective An ESD Regional Coordinator increases access to care for K12 students and families Fostering school & community partnerships increases access to care Schools effectively use Medicaid reimbursement to expand health services to students Medicaid service delivery and billing is accessible for schools

External Factors

Legislative/Decision Maker Support(s) Sustained Funding Partnerships Clear Communication Across Systems Stakeholder Buy-in

Project Logic Model: Children’s Mental Health OSPI/ESD Regional Pilot Study RCW 28A.630.500

What We Do

• Coordinate Medicaid

Billing in ESD regions

• Facilitate partnerships
• Integrate system supports
• Collaborate with regional

and state partners

• Enhance regional

coordination of BH/MH care

• Increase education,

awareness and support to local school districts

• Develop community &

school partnerships

• Deliver a MH literacy

program

• Pursue Sustainability

Short Term

(1 year)

• ESD Lead/Point
• f Contact
• Needs & Gap

Analysis

• Resource & Fund

Mapping

• Increased

education & awareness

• School-based

service delivery

• Coordination of

care

• Data collection

Working Draft

5.25.18

Department

• f Health

(DOH) Healthy Students Promising Futures Learning Collaborative (HSPF) Educational Service Districts Health Care Authority (HCA) Division of Behavioral Health and Recovery (DBHR) Managed Care Health Plans (MCOs) CMS Affinity Group

Project Partnerships

ESD 101 & ESD 113 Regional MH Pilot Coordinators Draft 5.25.18 ESD Regional MH Pilot Coordinator Families and Students Office of Superintendent

• f Public

Instruction (OSPI) Educational Service Districts (ESDs) All School Districts in ESD Region

Our Goal: To cultivate cross system regional and state collaboration, between schools & communities, to increase equitable access to care for students in need of behavioral health supports.

Department

• f Children

Youth and Families (DCYF) Children’s Mental Health Legislative Workgroup University of MD National Center for School Mental Health Other interested partners

SLIDE 4

8/3/2018 4

Children’s Behavioral Health Regional Pilot Project Timeline and Status

2015 2016 June 2017 July 2017 Oct 2017 Jan 2018 Feb 2018 March 2018 April 2018 May 2018…

June 2018

… Dec 2019

Recommendations from MH Workgroup for increasing access to care across systems deliver to the legislature E2SHB 1713 passes, includes implementation of MH Workgroup Recommendations Contract with Maike & Associates for Case Study Establish Formal Partnership with HCA Children’s Mental Health Legislative Committee Forms ESD 101 & 113 Regional Pilots Launch, begin meeting monthly Begin bi- weekly TA calls Intensive District and Regional Partner Outreach Establishes Pilot Regional Mental Health Coordination at ESD 101 & 113

Conduct Case Study for Future Recommendations (Due 12/1/2019)

Create Project Plans and Logic Models Establish Formal Activity Reporting and Ongoing Data Collection Assess Progress, Prepare for 2019 Implementation Quarterly Meetings with HCA Health Students Promising Futures National Learning Collaborative

Last Updated: 6.26.18

Children’s Behavioral Health Regional Pilot Project Case Study

Guiding Questions for Research:

• Access to Care
• Connections with schools and partners to learn about systems and needs to reduce barriers
• Compare and contrast across and within regions to learn from schools and ESDs
• Systems Integration
• Regional and State Level monthly activity data collection reports to track coordination,

facilitation, and integration to determine impact

• Sustainability
• Increase school district ability to receive reimbursement for services that can be re-invested in

school-wide health services

SLIDE 5

8/3/2018 5

What we are Learning

• Dedicated Staff Time is Key
• Establish connections with all districts in the region to identify current school systems use of

School-Based Health Services and Medicaid Administrative Claiming Program for Medicaid reimbursement to learn from their experience

• Gain an understanding of the funds schools are receiving through reimbursement to provide

support in planning for reinvestment in their health system

• Engaging in local health transformation work matters!
• Strong OSPI and HCA collaboration for state, regional and local project implementation
• Creating cross-systems school/community relationships and building trust
• Increasing school understanding of health integration and what that means for student success
• Participating with Accountable Communities of Health
• Establishing connections with Managed Care Providers

Project Contacts

Office of Superintendent of Public Instruction Capital Regional ESD 101 Counties: Ferry, Stevens, Pend Oreille, Lincoln, Spokane, Adams, Whitman North East Washington ESD 113 Counties: Grays Harbor, Mason, Pacific, Thurston, Lewis Case Study Maike & Associates Camille Goldy, Behavioral Health & Suicide Prevention Program Supervisor, camille.goldy@k12.wa.us Andrew Bingham, Regional Coordinator, abingham@esd101.net Sara Ellsworth, Regional Coordinator, sellsworth@esd113.org Michelle Maike, Evaluation Director/Research Partner, mmaike@olypen.com

• Dr. Mona Johnson, Director,

Student Engagement and Support, mona.johnson@k12.wa.us Ramona Griffin, Director of Prevention Programs, rgriffin@esd101.net Erin Riffe, Director, Behavioral Health and Student Support, eriffe@esd113.org Megan Osborne, Research Associate, Megan.b.Osborne@gmail.com Martin Mueller, Assistant Superintendent, Student Engagement and Support, martin.mueller@k12.wa.us Mick Miller, Assistant Superintendent, mmiller@esd101.net Mike Hickman, Assistant Superintendent, mhickman@esd113.org