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, 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. 1
9/18/2018 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 of Excellence (CCOE). • Stark MHAR staff and SCBDD staff have established the ability to meet weekly. We address systemic challenges and training needs that support our 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 • Promotes Change the same. • Mental Illness : • Improves Understanding: – Refers to a person’s moods, thought processes, and emotions – Can occur at any time in a – Language person’s life – Has nothing to do with – Roles & Responsibilities intelligence – Diagnoses & Prognoses can – Duties change • Intellectual Disabilities : – Funding supports – Below average abilities to learn and process information – Systems’ Limitations – Manifests before a person reaches adulthood – Eligibility Requirements – Refers to below average intellectual functioning – Diagnoses & Prognoses tend to remain the same COLLABORATIVE TRAININGS Historically Currently and On-going • • In 2011 we launched our MI/ID NADD Conferences collaborative with a series of • Stark MHAR Annual Conferences trainings : • Transition to Independence – MI/ID Dual Diagnosis Process (TIP) – Fetal Alcohol Spectrum Disorder • Hi Fidelity Wrap Around (FASD): “Understanding FASD & It’s • Crisis Intervention Training (Law Challenges” Enforcement) – Axis II, Trauma, Grief and Loss • SCBDD’s Monthly Provider – Autism Spectrum Disorders Meetings – Supporting Challenging Behaviors • SCBDD’s Quarterly Behavior Support Collaborative Meetings – 12 Aspects of Coping for Persons with Schizophrenia • And Others … 2
9/18/2018 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) 3
9/18/2018 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 Regional Shared Efforts: The MI/ID partnership • Hi Fidelity Wraparound Trainings was further strengthened • Transition to Independence Process (TIP) Trainings with the OhioMHAS and • Strengthening Families Trainings Developmental Disability’s • Local and Regional Respite and Strong Families/Safe Housing Resource List Communities grant award *Butler County Led Respite Learning Collaborative. that began in August • Wright State Telepsychiatry 2013. 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 or other difficult to diagnose and treat conditions 4
9/18/2018 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 of 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 5
9/18/2018 Contact Information Stark County Board of DD: Stark County Mental Health & Addiction Justin Madison, SSA Recovery: Supervisor Stephanie Kutcher, • 330.479.3688 Quality Improvement madisonj@starkdd.org Coordinator • 330.455.6644 Rose Morgan, SSA Stephanie.Kutcher@starkmhar.org Supervisor • 330.479.3588 morganr@starkdd.org Lucas County Board of Developmental Disabilities Lucas County Board of Developmental Disabilities Lucas County Board of Developmental Disabilities County-wide Collaborative for a Safer Community Lucas County Board of Developmental Disabilities 6
9/18/2018 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……………. Lucas County Board of Developmental Disabilities 7
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