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Santa Clara County Innovation: headspace Steven Adelsheim, MD Cha See, Ph.D. Sherri Terao, Ed.D.

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Page 1: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Santa Clara County Innovation: headspace

Steven Adelsheim, MDCha See, Ph.D.

Sherri Terao, Ed.D.

Page 2: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

SPENT ANNUALLY ON MENTAL. ~OTtONAL a. BEHAVIORAL DfSORDERS ~ONG YOUTH INCLUDING FOR MENTAL HEALTH SERVICES. LOST PRODUCTIVfTV AND CRIME

1 in

OF YOUNG ADULTS AGES 18 TO 25 REPORTED HAVING EXPERIENCED A MENTAL. BEHAVIORA~ OR EMOTIONAL DISORDER IN THE PAST YEAR

5

OF ALL UFET1ME CASES OF MEH'tAL ILLNESS BEGIN BY

AGE14

PARENTS FINDS IT Dt~CULT TO OBTAIN MEHTA1. HEALTH SERVICES FORTHEIR CHILD

AMERICAN AcADEMY OF CHJT.D &ADoLESCE::'IIT

PSYCHIATRY - - - ..... ... c- .- .. _ <O> __

Page 3: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Burden of disease by age

Burden'of'disease'by'age'

Orygen has been a global pioneer in early intervention

and working with 12–25 year-olds. This age is when

75% of all mental diseases occur.

11Capital project support request to the Ian Potter Foundation

Physical illnesses

Mental illnesses

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Global Burden of Disease:#1 Health Issue for Young People

Page 4: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Young people don’t seek or get professional help!!

Only 13% of young men and 31% of young women access professional mental health care

Young men aged 16-24 have the lowest professional help-seeking of any age group

Page 5: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

School health/

mental health

programs

Youth mental

health

Integrated care

(headspace)

Early

psychosis

programs

• Early Mental Health Support

• Primary care

• Supported education and

employment

• Early Substance Use Tx

• Peer support

A Public Mental Health Continuum for Youth

Page 6: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

A Public Mental Health Care System for Youth:School Mental Health – “headspace”- Early Psychosis Continuum

Goal: Earliest intervention across all diagnostic categories to ensure best quality of life: ◦ School health/ mental health programs provide opportunity to

find those with early mental health needs and link to early support

◦ Integrated youth mental health sites provide community one stop shop for youth 12-25 to easily access early services that are comfortable, stigma-free and youth friendly

◦ Early psychosis programs work to shorten duration of untreated psychosis (DUP), to improve quality of life, academic and employment success

Page 7: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Prevention And Promotion (IOM)

c .o .;:= 0 E e a..

Pro mot· ton

Prom at· I On

Page 8: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Integrated Youth Mental Health sites- The first stop in a public mental health system of care

Stand alone one stop shops for young people ages 12-25

Provide 4 core components in youth developed and friendly environment:

◦ Mental health support for those with mild-moderate issues

◦ Primary Care Support

◦ Alcohol and other Drug early intervention

◦ Supported education and employment

Page 9: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

maps by freevectormaps.com

YOUTH MENTAL HEALTH REFORM WORLDWIDE9

INTERNATIONAL

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f

t.._

U),,(_.,,

New Zealand

vo"LffH MENTAL HEALTH

Page 10: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

One stop service for mental health, AOD, physical

health, vocational assistance that is youth friendly

and free or low cost

Page 11: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

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II:JI!_~_,y_I_E» CHARLIE BIG SECRET'

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Page 12: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

headspace Partnerships

AROMA ~ ~coTTON ON i FOUNDATION u

mental as ...

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RedAware.org.au

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face book

val morgan

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Mental Health Australia

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Page 13: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

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U\ se><ual & ._od fwallh 1.1'> llhrsocol healfl U\ 110<ollonol ossislan<O

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Page 14: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Integrated Youth Mental Health sites in Santa Clara County

BHSD-Stanford Team collaboration

◦ Community-approach through consortium

Integrated service plan (i.e., four components)

Identify two sites in Santa Clara County

Develop Staffing Infrastructure

Develop a billing and financing model for the headspace program

Develop the Data Management System

Page 15: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Next Steps in headspace site Development and Implementation

Continued Funding Partnership Development

Developing 2 sites in Santa Clara County

◦ Initial funds from Santa Clara County support youth and school/employment specialists

◦ MHSA Innovation grant partnership with Santa Clara County for site start up

We’d love one in every California Count!

Page 16: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Partnership accomplishments to date

Developed community partnerships (BHSD-Stanford-CBOs-Schools)

Developed youth advisory groups

Identified potential sites: reviewing sites together with realty partners

Identified potential vendor to plan evaluation

Developed tentative staffing and budget plan

Working with consultant IDEO.org on name, brand and site design

Page 17: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

Learning Opportunities to date

Need for collaborative relationship between systems to build continuum of care

Cultural shift in collaboration process between County and Stanford

◦ Shared technical assistance: Leverage different expertise

◦ Shared service partnership with community

Page 18: Santa Clara County Innovation: headspacemhsoac.ca.gov/sites/default/files/documents/2018... · Next Steps in headspace site Development and Implementation Continued Funding Partnership

stanfordmentalhealth.com

2018 Adolescent Mental Wellness Conference

~ Stanford I Lu cile P ackard I# ttl # rttfH I I • bftj 5 Contact ReFer A. P•tient: En Esp•ftol

~ Children's H ealth C hild ren's Hosf>Otal Stanford

Our Locations Medical Services

MyChart Login MMC·j •§i.!M

About Us Research & Innovation

Adolescent Mental Wellness Conference: Overcoming Cultural Barriers to Access April 27-28, 2018 Santa Clara Convention Center

Patients & Visitors

This conference wil l bring together a diverse audience- including policymakers, educators, clinic ians, youth

a nd families-to better understand how we can best overcome cu ltural barriers to access in supeorting the

For Health Professionals

Adolescent Mental Well ness

Conference Overview

Registration Rates

Venue and Hotel Information

Sponsors

Program! Agenda