Mental Illness & Intellectual Disabilities Teams Presented by: - - PDF document

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Mental Illness & Intellectual Disabilities Teams Presented by: - - PDF document

9/18/2018 Mental Illness & Intellectual Disabilities Teams Presented by: Stephanie Kutcher, PC, Stark County Mental Health & Addiction Recovery Justin Madison, PC, & Rose Morgan, LSW, Stark County Board of DD Michele Myerholtz,


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Mental Illness & Intellectual Disabilities Teams

Presented by: Stephanie Kutcher, PC, Stark County Mental Health & Addiction Recovery Justin Madison, PC, & Rose Morgan, LSW, Stark County Board of DD Michele Myerholtz, Lucas County Board of DD Captain Tricia White with the Lucas County Sheriff’s Office Robert Kasprzak – CIT Coordinator with the Lucas County Mental Health and Recovery Services Board

Stark County’s Mental Illness & Intellectual Disabilities Team

Presented by: Stephanie Kutcher, PC, Stark County Mental Health & Addiction Recovery Justin Madison, PC, & Rose Morgan, LSW, Stark County Board of DD

OBJECTIVES

  • Participants will learn the value of the Mental Health

and Developmental Disabilities systems formally working/collaborating together.

  • Participants will understand the process of

developing a team and fostering its continued growth.

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STARK COUNTY’S MI/ID JOURNEY

  • Stark County’s Mental Health and Addiction Recovery Board (Stark MHAR)

& Development Disabilities Board (SCBDD) formed a Mental Illness/Intellectual Disabilities (MI/ID) training and consultation partnership in 2010 with support from Ohio’s MI/ID Coordinating Centers

  • f Excellence (CCOE).
  • Stark MHAR staff and SCBDD staff have established the ability to meet
  • weekly. We address systemic challenges and training needs that support
  • ur agency providers in better serving individuals in our systems who have

co-occurring development disabilities.

WHY IS TRAINING IMPORTANT?

MI and ID are not the same & should not be treated the same.

  • Mental Illness:

– Refers to a person’s moods, thought processes, and emotions – Can occur at any time in a person’s life – Has nothing to do with intelligence – Diagnoses & Prognoses can change

  • Intellectual Disabilities:

– Below average abilities to learn and process information – Manifests before a person reaches adulthood – Refers to below average intellectual functioning – Diagnoses & Prognoses tend to remain the same

  • Promotes Change
  • Improves Understanding:

– Language – Roles & Responsibilities – Duties – Funding supports – Systems’ Limitations – Eligibility Requirements

COLLABORATIVE TRAININGS

Historically

  • In 2011 we launched our MI/ID

collaborative with a series of trainings :

– MI/ID Dual Diagnosis – Fetal Alcohol Spectrum Disorder (FASD): “Understanding FASD & It’s Challenges” – Axis II, Trauma, Grief and Loss – Autism Spectrum Disorders – Supporting Challenging Behaviors – 12 Aspects of Coping for Persons with Schizophrenia

Currently and On-going

  • NADD Conferences
  • Stark MHAR Annual Conferences
  • Transition to Independence

Process (TIP)

  • Hi Fidelity Wrap Around
  • Crisis Intervention Training (Law

Enforcement)

  • SCBDD’s Monthly Provider

Meetings

  • SCBDD’s Quarterly Behavior

Support Collaborative Meetings

  • And Others …
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MI/ID PURPOSE

The purpose of each MI/ID Team consultation is to properly identify the balance of services needed to help the dually diagnosed individual be most successful, by:

  • Utilizing the Mental Health, Developmental Disabilities, and other resources

available in our community, as they meet the needs of the individual;

  • Ensuring that each professional is fulfilling their role to their maximum capacity

and with consistency for the individual;

  • Brainstorming services and supports not necessarily available, but NEEDED, while

maintaining focus on strengths and solutions - Thinking outside the box and building on technological advances is also encouraged; and

  • Understanding that funding issues can be addressed at a later date, not during

MI/ID.

MI/ID GOALS & EXPECTATIONS

The following goals & expectations have been established in order to facilitate a beneficial, strength-based meeting:

  • All conversation needs to be polite and professional;
  • Be respectful of the conversation taking place and of those who are speaking (No

sidebar conversations, or interrupting others);

  • Meetings are solution-focused, to identify and build on the strengths, interests,

and abilities of the individual;

  • The individual is given the opportunity to participate in his/her meeting to the

extent they are comfortable;

  • The team includes, empowers, and maximizes involvement of the family and

natural supports identified by the individual;

  • Discussion incorporates factors into the planning process such as, medical

conditions, trauma triggers, lack of control over their own life, and communication challenges; and

  • Discussion centered on identifying the skills, supports, and accommodations

needed to help the individual be successful and live the life they want.

THE MI/ID TEAM

  • Ability to hold Weekly Meetings
  • For individuals serviced in both systems
  • Providers from either system can refer
  • Received three Team Awards from the State

(2010, 2015, 2017)

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9/18/2018 4 RESOURCE SHARING & GRANT OPPORTUNITIES

  • Using the best of what our

systems can offer

  • Researching and creating an

individualized option with shared funding

  • Researching and applying

for program funding and grant opportunities to meet needs we identify

STRONG FAMILIES/SAFE COMMUNITIES OHIOMHAS/DODD FUNDING

The MI/ID partnership was further strengthened with the OhioMHAS and Developmental Disability’s Strong Families/Safe Communities grant award that began in August 2013.

Regional Shared Efforts:

  • Hi Fidelity Wraparound Trainings
  • Transition to Independence Process

(TIP) Trainings

  • Strengthening Families Trainings
  • Local and Regional Respite and

Housing Resource List *Butler County Led Respite Learning Collaborative.

  • Wright State Telepsychiatry

Consultation

  • Trauma Training
  • Youth in Crisis (SCBDD &

CommQuest)

System of Care

A 4-year SAMHSA grant, beginning 10/1/2016. Population of Focus: Youth, ages 11-21, with significant functional challenges in their home, school, community and their families with one or more of the following: 1) Multi-System Involvement 2) Minority Youth Living in High Poverty/High Crime Neighborhoods 3) At-risk for court placement or removal from their home 4) Experiencing hospitalization or residential treatment 5) Co-occurring substance abuse, developmental disabilities

  • r other difficult to diagnose and treat conditions
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Questions REFERENCES

Ansberry, C. (2014). Splintered System Often Fails Mentally Ill With Low IQs. Retrieved from http://online.wsj.com/news/articles/SB10001424052702304244904579278230969230304 Davis, M., Jivanjee, P., & Koroloff, N. (2010). Paving the way: Meeting transition needs

  • f young people with developmental disabilities and serious mental health conditions.

Portland, OR: Research and Training Center on Family Support and Children’s Mental Health. Fletcher, R. J., Loschen, E., Stavrakaki, C., & First, M. (Eds.). (2007). Diagnostic manual

  • intellectual disability: A textbook of diagnosis of mental disorders in persons with

intellectual disability. Kingston, NY: National Association for the Dually Diagnosed. Walker, J. S. (2008). How, and why, does wraparound work: A theory of change. Portland, OR: National Wraparound Initiative, Portland State University.

WEB RESOURCES

National Wraparound Initiative - http://www.nwi.pdx.edu/ Strengthening Families Program - http://www.strengtheningfamiliesprogram.org Transition to Independence Process (TIP) Model - www.tipstars.org

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Contact Information

Stark County Board of DD: Justin Madison, SSA Supervisor

  • 330.479.3688

madisonj@starkdd.org

Rose Morgan, SSA Supervisor

  • 330.479.3588

morganr@starkdd.org

Stark County Mental Health & Addiction Recovery: Stephanie Kutcher, Quality Improvement Coordinator

  • 330.455.6644

Stephanie.Kutcher@starkmhar.org

Lucas County Board of Developmental Disabilities

Lucas County Board

  • f Developmental Disabilities

Lucas County Board of Developmental Disabilities Lucas County Board of Developmental Disabilities

County-wide Collaborative for a Safer Community

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Lucas County Board of Developmental Disabilities

Meet

  • Captain Tricia White with the Lucas

County Sheriff’s Office

  • Robert Kasprzak – CIT Coordinator with

the Lucas County Mental Health and Recovery Services Board

Lucas County Board of Developmental Disabilities

Getting Started

  • How we met.
  • What was the value to each of us/our agencies?
  • Building the relationship: time, good follow through/up,

unselfish. It’s all about the Relationship!!!! Without it, there’s no buy- in, trust, or respect.

Lucas County Board of Developmental Disabilities

Some things we do together…………….

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Lucas County Board of Developmental Disabilities

Project Lifesaver

  • What is it? Partnership between Lucas County

Sheriff, LCBDD, Autism Society, and Alzheimer’s Association.

  • How did it get started?
  • Why are we doing it?
  • How do you get information for your County?

Lucas County Board of Developmental Disabilities

Crisis Intervention Training (CIT)

  • What is it? Partnership between Lucas County Mental

Health and Recovery Services Board, LCBDD, Local Law Enforcement, and National Alliance on Mental Illness (NAMI). CIT is a collaborative model designed to improve the outcomes of law enforcements interactions with people who have a mental illness, addiction, and/or a developmental disability. The focus of the training is to educate the officers in basic mental health definitions, symptoms, and de-escalation techniques.

  • How did it get started?
  • Why are we doing it?
  • How do you get information for your County?

Lucas County Board of Developmental Disabilities

LUCAS COUNTY CIT

  • Free
  • Volunteer
  • Five day training (40-hours)
  • Monday through Friday, 8:00am to 4:00pm
  • Classroom & site visits
  • Presenters

Local experts & family members

  • Local data
  • Dispatcher & Refresher trainings
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Lucas County Board of Developmental Disabilities

Pathways to Justice

  • Education and Collaboration building program for

criminal justice, law enforcement, victim services, and DD professionals.

  • National ARC – Ohio Pilot project
  • What we are doing/want to do in Lucas County.

Lucas County Board of Developmental Disabilities

Where do we go from here?

  • Formalize relationship
  • Build team to include other key agencies/players
  • Ensure the team we build is sustainable no matter which

staff are involved from each agency.

Lucas County Board of Developmental Disabilities

Mental Health & Recovery Services Board of Lucas County 701 Adams Street, #800 Toledo, OH 43604 Phone: 419-213-4240 www.lcmhrsb.oh.gov

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Lucas County Board of Developmental Disabilities

Lucas County Sheriff’s Office

Lucas County Board of Developmental Disabilities

Lucas County Board of Developmental Disabilities Service and Support Administration Offices: 1155 Larc Lane Toledo, OH 43614 Phone: 419-385-5771 Fax: 419-380-2628 www.lucasdd.org