Healt ealth h Vi Visi sion on 20/20: /20: Go Goal al Prio - - PowerPoint PPT Presentation
North th Da Dakota ta Be Behavioral ioral Healt ealth h Vi Visi sion on 20/20: /20: Go Goal al Prio ioritization ritization and d Ref efinem inement ent December 2018 Bevin Croft, MPP, PhD Human Services Research Institute
December 2018 Bevin Croft, MPP, PhD Human Services Research Institute
Ov Overvi view of the e Strategic ic Plannin ning g Process cess Phase se 2: Priori riti tiza zati tion
Refine ineme ment nt Sur urvey y Resul sults ts
Goal Nomination Exercise
Support coordinated, data-driven system improvement activities through the implementation of the recommendations from the Behavioral Health System Study, with a focus on the first and last (“bookend”) recommendations Set the course for the community to engage in
and improvements in the long-term
Community Providers Peer and Family Advocacy Department of Human Services
Behavioral Health Planning Council
Children’s Behavioral Health Task Force
ND Brain Injury Network ND Rural Health Learning Collaborative Team
Medicaid Tribal
Consultation
Group Dual Status Youth Initiative Behavioral Health Workforce Work Group Free through Recovery
Social Service Agencies Public Health Criminal Justice and Law Enforcement
School Districts Local Health Systems Tribal Nations Child Welfare System Housing Authorities Implementation Facilitation
1915(i) Work Group Prevention Work Group Physical/ BH Integration Work Group
matrix)
Refinement
and indicators of progress
and objective
initiate action
needed
Planning
protocol
matrix
& Refinement
(protocol, goals &
progress report
Sustaining
strategic plan
report
responsibilities, and identify indicators of progress/success for each selected goal
round of surveys)
Has the public identified the goal as having high priority?
Can stakeholders take actions to advance policy and practice to reach the goal? Are anticipated barriers to progress surmountable?
Can the goal be accomplished in 2019? Or for longer- range goals, can a key objective be accomplished during 2019?
Will achieving this goal set the state on a course to continue transformation by changing the underlying structures or practices of the system itself?
Does it promote community values and priorities?
review and provide feedback on the 2019 Strategic Plan
document benchmark indicators for each goal and objective
two weeks of December 2018
stakeholders via email, press release, social media, word of mouth
level for 138 strategic goals
4% 22% 23% 23% 25% 26% 26% 28% 29% 30% 31% 36% 37% 37% 39% 39% 44% Other Justice-involved youth (juvenile justice) Justice-involved adults Veterans and/or military service members Children and youth with SUD Older adults LGBTQ and/or GNC persons Children and youth in foster care Persons with brain injury American Indian populations Persons experiencing homelessness All populations Adults with SUD Children and youth with SED Adults with SMI Children and youth in schools Persons with disabilities N=570 Most respondents indicated more than one
4% 2% 2% 2% 3% 3% 4% 5% 6% 6% 9% 22% 24% 25% 30% 31% 31% 52% Other Elected official Insurer/payer Housing provider Peer support specialist Researcher/analyst Social worker, counselor or care manager University employee Physical health provider School Employee Substance use disorder treatment provider Direct care staff/support provider Executive, administrator, or department head Mental health treatment provider Government employee Person with lived experience Advocate Family member of a person with lived experience N=570 Most respondents indicated more than one role
1% 5% 10% 24% 50% 56%
Other Statewide Tribal reservation Suburban Rural Urban
N=570
1. Implement training on trauma-informed approaches - including vicarious trauma and self-care - for all criminal justice staff 2. Expand in-home community supports for children, youth, and families, including family skills training and family peers 3. Implement Crisis Intervention Team training for all law enforcement officers and emergency medical responders statewide, with e-learning options for those in rural areas 4. Review behavioral health treatment capacity in jails and create a plan to fill gaps 5. Expand school-based mental health and SUD treatment services for children and youth.
1. Ensure syringe service programs statewide 2. Foster connections to national advocacy movements by supporting travel and attendance at national conferences and at virtual advocacy networks 3. Create a comprehensive database of behavioral health licensure to identify trends over time 4. Establish a state-level leadership position that represents the perspective of persons with lived experience 5. Establish a formalized training and certification process for peer support specialists
I think we need to pull out all stops in addressing social emotional health for infants, toddlers, and their families as early as we can! With limited resources, please focus on kids first. This will result in tough decisions. Invest in ND youth! Children ARE our infrastructure!
Native American individuals in ND generally do not feel trust for, or valued by, the state. We experience a high rate of discrimination and structural racism with fewer appropriate treatment services. Promoting collaboration with Tribal leaders and community members is key to determining the needs of tribal members and their road to recovery. We should lend support, listen but they should lead.
We have many people, especially our children, within our state that are suffering from trauma-induced events, substance abuse, and mental health issues. This problem will take the commitment and tenacity of many people working together statewide to use all resources available to begin the process of healing. Our most vulnerable population, our children, are being most affected. If this statewide issue is not addressed, we will see more and more negative social and emotional behaviors as these children grow into teens and adults.