SB19-195 Enhancing Children and Youth Behavioral Health Services - - PowerPoint PPT Presentation

SB19-195

Enhancing Children and Youth Behavioral Health Services

May-20

Our Mission

Improving health care access and

• utcomes for the people we serve

while demonstrating sound stewardship of financial resources

2

• Introductions and overview of SB19-195
• Departmental updates
• Single Entry Point: HMA presentation
• Discussion and questions

3

Today’s Agenda

4

Introductions

5

Dept of Health Care Policy & Financing Dept of Human Services – Office of Behavioral Health

Tasks

6

Updates

• HCPF resource webpage

https://www.colorado.gov/pacific/hcpf/COVID

• OBH resource webpage

https://www.colorado.gov/pacific/cdhs/article/covid-19-behavioral- health-info

• State resource webpage

https://covid19.colorado.gov/

7

COVID-19

Office of Behavioral Health Population in Need Study: SB-195 Related Findings

Office of Behavioral Health

Study Findings Will Inform…

Statewide behavioral health priorities that will assist the State in standardizing and prioritizing services Statewide behavioral health funding allocation priorities A comprehensive five- year behavioral health strategic plan and annual implementation plan Baseline behavioral health data to use in an evaluation of the strategic plan implementation

Purpose of the Needs Assessment

PIN Approach

1. Key informant interviews and focus groups in communities 2. Behavioral health provider survey 3. County government survey 4. Pediatric survey 5. Coordinating with existing efforts Review of Population Health Data Review of Past Reports and Assessments Examples of Engagement Focused on Children and Youth

• Early Childhood Councils
• Schools
• Denver Children’s Home
• BHTF Community Conversations
• Parents
• Pediatric Partners of the Southwest
• Young People in Recovery
• Children’s Hospital Partners in

Mental Health

• CCHAP

Children and Youth Themes

• Among children and adolescents specifically, CO ranks

48th in the country across several indicators including prevalence of mental illness and access to care.

• Nearly one of three high school students (30%)

reported feeling so sad for at least two weeks in a row that they stopped engaging in normal activities.

• According to school data, resources are lacking,

with 29% of elementary schools in Colorado without a school counselor, 11% without a school psychologist, and 47% without access to a school social worker

• Lack of trained providers specialized in child

populations

• Suicide is the leading cause of death among those ages

10-24 years in Colorado. ✓ Access to Care ✓ Psychiatric Services ✓ Continuum Needs ✓ Sub-Population Needs

Survey Data

10% 20% 31% 51% 48% 29% 50% 5… 10% 22% 31% 50% 52% 27% 51% 47% Newborns and Infants (Birth to 1… Young Children (ages 1 - 5) School Age Children (ages 6 to 12) Adolescents, ages 13 to 19 Young adults, ages 20 to 24 Women, ages 25 to 64 Men, ages 25 to 64 Older Adults, ages 65 and older

What THREE age groups are LEAST LIKELY TO GET the mental health and substance use services and supports they need in the community in which you live?

Providers (n=86) Consumers (n=157)

Source: OBH PIN Community Survey, 2020

13% 27% 67% 40% 67% 46% 50% 43% 39% 61% 35% 40% 50% 35% 45% 35% 41% 51% 38% 57% Newborns, Infants, and Young Children (Birth to 4 year of age) School Age Children (ages 5 to 12) Adolescents (ages 13 to 17) Adults (ages 18 to 65) Older Adults (ages 65 and older)

Age Group Least Likely to Access Behavioral Health Care

Frontier (n=15) Rural (n=28) Urban (n=20) All Counties (n=63)

Source: OBH PIN County Government Survey, 2020

60% 51% 48% 47% 45% 44% 42% 39% 37% 35% 34% 33% Children and youth with fetal alcohol syndrome Children, age 0 to 4 years Youth with serious mental health service and support… Youth with co-occurring Traumatic Brain Injury and MH… Youth with co-occurring I/DD and MH and/or SUD Children, age 5 to 9 years Children, age 10 to 12 years Youth actively engaged within the child welfare system… Youth actively engaged within the juvenile justice system… Youth, age 13 to 18 years Youth with SUD service needs Youth with mild/moderate MH service needs

Percent of Providers with Children and Youth Exclusions at Intake into Services (n=62)

Source: OBH PIN Behavioral Health Provider Survey, 2020

Populations Who May be Excluded at Time from Intake into Services

Stakeholder View of Single Entry Point Needs…

• A reliable funding stream
• To be a place to go for all types of end users,

including primary care, social services, hospitals, behavioral health, community

• rganizations, schools, and households
• A strong marketing and communications plan
• An evaluation plan for continuous quality

improvement

• Multiple modes of access, including website,

phone, email, text.

• Accurate and updated information (i.e. waitlists,

eligibility, locations, costs, etc.)

• Reliable local information and resources

58% 53% 43% 40% 30% 28% 21% 19% 17% 10% 8% 6% 6% 15% Community based organizations Health clinics/hospitals Advocacy organizations Word of mouth (from my friends and family) Government agencies (Women, Infants and… Virtual/internet groups Faith based organizations Schools Face-to-face groups Libraries There is no one I feel I can talk to about mental… Ads or brochures at bus stops or other public… 211 Other (please specify)

Where do you seek health information or discussion about mental health/substance use issues? (n=144)

Source: OBH PIN Community Survey, 2020

County Led Initiatives for Single Entry Point

• Douglas County
• Larimer County
• Eagle County

• In 2014, in relation to a series of tragic events in the community,

Douglas County began the Douglas County Mental Health Initiative (DMCHI).

• Partnership of over 40 organizations committed to finding

solutions to provide effective, coordinated behavioral health and substance use services for all community members.

• Developed a model and blueprint for implementing a countywide

mental health care delivery system. The model is community- driven and aims to improve services and resources available to all populations across the behavioral health continuum

• Overall, the goals of the blueprint are to: (1) create a networked

system of care; (2) rebrand mental health and substance use; (3) develop programs and interventions to address current gaps; (4) work on policy and systems improvements; and (5) develop the workforce.

Douglas County

• Between 2014 and 2018, Eagle County saw local emergency department

visits for anxiety and depression increase by 465 percent, suicides rise by 183 percent over three years (2016-18), and the percentages of 7th and 8th graders who felt sad or hopeless for two or more weeks rise by 63 percent from 2011 to 2017. The county saw that their behavioral health system was failing its citizens and undertook a mapping process that would inform a collaborative transformation of the behavioral health system.

• The main goals of the transformation plan are: (1) build a cross functional

behavioral health facility; (2) expand behavioral health provider access and capacity; (3) develop system coordination/transformation; (4) expand prevention and education efforts; (5) integrate crisis response and transition services; and (6) expand and enhance school based behavioral health services.

Eagle County

• County put out a community master strategic plan that
• utlines the changes that need to take place over the

next 20 years to create a comprehensive behavioral health system. The plan follows a three-pronged approach:

• Expand and enrich local behavioral health services

across the County;

• Facilitate connections between community-based

services with service/providers in a centralized facility providing a stronger care coordination system and building transition bridges across providers and services in and outside of the facility; and

• Build a regional behavioral health facility to

provide coordinated care and crisis services.

Larimer County

SINGLE ENTRY POINT PROGRAMS AND CONCEPTS

New Jersey-Unique Feature Family Support Organizations (FSO’s) are family-run, county-based organizations that provide direct family-to-family peer support, education, advocacy and other services to family members of children with emotional and behavioral problems. Maryland MD Think

• Child Welfare Module going live this Summer across all counties and Baltimore
• Master Client Index
• Universal Screening Tool
• Confidentiality and Private Rules/Policies for shared Data

Considerations

• Fluid protocols for stepping up and down
• Strong prevention focus
• More work up front for educated staff
• Enhanced referral or warm referral

Discussion or questions?

22

23

Andrew Gabor Director of Child, Youth, and Family Behavioral Health Andrew.Gabor@state.co.us Susanna C. Snyder Child and Youth Behavioral Health Program Manager Maternal Child Health Policy Susanna.Snyder@state.co.us Brett Snyder Child and Youth Behavioral Health Stakeholder Specialist Brett.Snyder@state.co.us