Game Change! Lessons Learned to Improve Outcomes May 19, 2015
SAMHSA’ S “N OW IS THE T IME ” I NITIATIVES Banning military-style assault weapons and P RESIDENT ’ S high-capacity Closing background magazines, and taking “ N OW IS THE T IME ” check loopholes to other common-sense keep guns out of steps to reduce gun P LAN dangerous hands. violence. SAMHSA’ S Making Increasing access to “ N OW IS THE T IME ” schools mental health safer. services. I NITIATIVES H EALTHY P ROJECT T RANSITIONS AWARE SEA P ROJECT AWARE LEA
T ODAY ’ S T EAM
F EDERAL R ESPONSE Partnerships for Youth Transition • SAMHSA and Department of Education • Awarded to 5 jurisdictions from 2002 - 2006 • Focus on Practice Change • Cooperative Oversight – Child, Adolescent and Family Branch – Community Support Programs Branch – Homeless Programs Branch
F EDERAL R ESPONSE Healthy Transitions Initiative (HTI) • SAMHSA awarded to 7 states from 2009 - 2014 • Cooperative agreements to integrate services and supports for youth and young adults 16 – 25 with serious mental health conditions and their families. • State level policy change • Local service delivery change leading to state wide processes
7 S TATES A WARDED GEORGIA MAINE MARYLAND MISSOURI OKLAHOMA UTAH WISCONSIN
L EGACY D OCUMENTS An issue brief series to document the impact of this initiative has been prepared by The National Technical Assistance Center for Children’s Mental Health in partnership with Pathways for Positive Futures (Portland State University), the state jurisdictions and SAMHSA. The first two briefs of the series are now available. Brief 1 describes the impact of the HTI at the local community level, with special emphasis on practice improvements. The impact of HTI on state level policy and system change is the focus of Brief 2. Both legacy documents can be found at … .. Look for Brief 3 focusing on impact of HTI as captured through data this winter. The briefs can be found at: • http://gucchdtacenter.georgetown.edu/Resources/HTIIssueBrief1.pdf • http://gucchdtacenter.georgetown.edu/Resources/HTIIssueBrief2.pdf In collaboration with HTI state project directors, a web based tool kit that can be used to inform replication across HTI states and in other communities and states has also been produced. The primary purpose of the tool kit is to preserve and make available many of the tools that the HTI states have developed, refined and evaluated through practice. The toolkit will be available on the SAMHSA website, the Georgetown TA Center website and the Pathways to Positive Futures website. The current toolkit which will be updated regularly can be found at: • http://www.pathwaysrtc.pdx.edu/HTItoolkit/
N OW IS THE T IME H EALTHY T RANSITIONS To keep young adults from falling through the cracks!
GEORGIA Melissa Robinson Graves, LMFT Department of Behavioral Health and Developmental Disabilities in the Division of Behavioral Health, Federal Grant Programs
R OLE C HANGE : B E I NTENTIONAL A BOUT O VERSIGHT WITHOUT O VERKILL
R OLE OF THE “S TATE ” • Unique position as oversight of the grant without direct management of sites – site staff serve two bosses: agency and state/grant • Is everyone on the same page? – Be clear on the vision from the beginning • Whose job is it? – Know your role and the roles of all key players – A irplane view, but know when to get “in the weeds” • No one wants to get in trouble – Sites may be reluctant to tell you their challenges
S YSTEM C HANGE - N OT AN E ASY B USINESS • We are Agents of Change – Not given federal money to do business as usual • Tendency of sites to do what they know – Help them think outside the box • What’s it all for? – Keep the vision in mind; remind yourself & others often • It’s going to be OK – Learn from your successes and challenges; keep a record
I T ’ S A LL IN THE C ONTRACT - W HERE THE M ONEY H ITS THE R OAD • Being a good steward of federal money – It’s all in your hands • Performance-based contracting – Your new best friend • What do you need to know? – Meeting SAMHSA’s requirements – Getting the information you need • If it’s not in writing… – You can’t hold people to what’s in your head
O THER H ELPFUL T IPS • Know your history – Federal - PYT, HTI – State - what have others done already; what’s happening now? • Things don’t go as planned – Change happens. Go with it. Learn from it.
UTAH Ming Wang Principle Investigator Utah Department of Human Resources Michelle Vance Youth Coordinator NAMI Utah
H OW TO GET THE STATE AND LOCALS ON THE SAME PAGE ?
E MPHASIS ON S YSTEM P ERSPECTIVES • Make sure that the point person at the local level to coordinate youth and family development has system perspectives and sees young people and family members as system partners, not consumers. • Help front line staff get system perspectives on how youth and family development can help staff succeed at their work.
M ATURITY IN S YSTEM R EADINESS • State system needs to develop a good sound infrastructure in youth and family development before it can help locals grow • Grow (both in numbers and quality) Youth and Family Coordinators and Advocates – Family Coordinator and Youth Coordinator can’t do it alone. They need an army of advocates to help them. 18
S OME C OMMON Q UESTIONS /S TATEMENTS • What can/do advocates do? • They are not ready to become advocates. • They can’t be advocates if they still drink. • Let’s piggy back advocacy on church groups or activities. 19
W HAT C AN W E D O ? • Develop mutual understanding of what youth/family advocacy are and what advocates can do • Understand the good and bad of piggy backing • Develop true understanding of recovery 20
MAINE Alice Preble State Project Director Moving Forward (NITT-HT)
Y OUNG A DULT P ROFESSIONALS WITH L IVED E XPERIENCE A Best Practice that is Complex!
P EER S UPPORT IN M AINE • It is about giving and receiving • It is not based on diagnosis • We encourage one another to re- evaluate how we’ve come to know what we know • Is about creating relationships that challenge us at how we have learned to be in the world • Is trauma informed • Is intentional
T HE T ASKS OF P EER S UPPORT • Building connection • Helping each other understand how we’ve come to know what we know • Re-defining help as a shared learning and growing process • Helping each other move towards what we want instead of away from what we don’t want
F ACTORS TO C ONSIDER W HEN R ECRUITING FOR H IRE • Lived experience • Previous work experience • What supports do you have in place for prospective peer support • Capacity for peer support specialist to provide own self care • Check references
S UPERVISION AND S UPPORT • Consider specific situations (personal/work) • Intentional supervision • Clear written protocols • Live supervision • Strategic sharing
C ONSIDERATIONS • Enhanced peer training for Young Adult Peer Support Specialists • Involve Peer Support Specialists in development and revising of policies • Involve Peer Support Specialists in job expectations • Peer Support Brings Value!!!
MARYLAND John Coppola, MHS Transition Age Youth/Emerging Adult Consultant & Trainer University of Maryland School of Medicine, Department of Psychiatry, Evidence Based Practice Center
C AREER D EVELOPMENT ’ S P LACE IN T RANSITION A Useful and Valuable Tool!
C AREER D EVELOPMENT ’ S P LACE IN T RANSITION • Transition is an interesting and complex Legal developmental process for young adults • Successful transitions often necessitates that Family the young adult address issues across multiple (interconnected) life domains Self Vocational Awareness Education Identity Community Relationships Health & Mental Housing Wellness Culture health
I T C AN B ECOME A B IT C ONFUSING
M ANY Q UESTIONS P RESENT A RISE Who am I today? Who do I want to be tomorrow? Where do I fit in? Where could I fit in? What skills do I have? What do I value? What do others value in me? Where do I start???
F INDING A NSWERS C OULD BE H ARD W ORK & R EPRESENT A L ARGE I NVESTMENT • Introspection • Self-honesty • Identity exploration • Social skills development • Risk taking • Commitment of time and effort • Perseverance
H ARD W ORK IS V ALUED IN O UR S OCIETY Just think of how helpful it could be to relationship development, engagement retention, self efficacy (& lots of other good stuff) if this effort had: • Measurable return on investment • Increasing opportunities for advancement • Unlimited potential for growth • Opportunity to pay young adult $$$
C AREER D EVELOPMENT P AYS & IS A U SEFUL & V ALUABLE T OOL • Developmentally appropriate • Socially accepted (even encouraged) • Provides valuable experiential learning opportunities • Gives real-time feedback • Increases social connectedness • Expands world view • Affects and is affected by other life domains • Self reinforcing ($$$$$$$$)
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