williams county summit powerpoint€¦ · ron rittichier –m.ed, sshs project director williams...
TRANSCRIPT
9/19/2017
1
Care Coordination and School Based Mental Health Services in a Rural Setting:
strategies, lessons learned, challenges and value to the community
9/19/2017
2
Paula Fry – LISW, School Based Mental Health Therapist
Michelle Kannel – LISW‐S, Supervisor of Student and Family Service Coordination
Ron Rittichier – M.ED, SSHS Project Director
Williams County Demographics
County population = 37,715
(64% rural 36 % urban)
Public school enrollment =5,610
Ethnicity
88% White
5% Hispanic
7% Minority
27% Ohio minority population
9/19/2017
3
Williams County School Districts
Bryan City Schools
Edgerton Local Schools
Edon‐Northwest Local Schools
Montpelier Exempted Village Schools
Millcreek‐West Unity Local Schools
North Central Local Schools
Stryker Local Schools
School District Enrollment
9/19/2017
4
DUM DUM Trivia
How many calories are in one Dum Dum sucker?
A. 25
B. 35
C. 50
D. 60
SSHS VIDEO
9/19/2017
5
Objectives
•Key strategies for implementation
Lessons learned during implementation
Challenges of implementation
Value to the community
LINC ‐Linking Individuals with needs to the community
The visionCollaboratively network community agencies and institutions to ensure continuity of care for children and youth struggling with mental health, emotional and behavioral needs.
The History…
9/19/2017
6
Care Coordination
9/19/2017
7
Starting Points
Evidence Based Practice‐Hot Springs, Arkansas model
Staffing at schools
Work expectations/Job Description
Referral forms
Challenges
Guidance counselor/Care Coordinator role clarification
Sustainability – Balancing needs with available funding. Logistics of transferring policies, procedures and supervision to schools
Managing unique community personalities
Administrative turnover
Confidential work space in the schools
9/19/2017
8
Guidance Counselor/Social Worker roles
Balancing needs with available funds
9/19/2017
9
Managing unique community personalities
Administrative Turnover
9/19/2017
10
Providing Confidential Work Space
Care Coordination Data
Before Programing ‐ Baseline 2014‐2015
68 students reported being served/referred for services
Throughout out 2015‐2016 & 2016‐2017 school years
612 students served by Care Coordinators
492 Mental Health referrals
289 students received Mental Health services
9/19/2017
11
67
45
50 50
46
53
87
43
56 55
3129
2124
40
18
28
2
0
10
20
30
40
50
60
70
80
90
100
Bryan Edon‐Northwest Millcreek‐West Unity Montpelier North Central Stryker
County‐Wide Care Coordination Reach
2015‐2016 2016‐2017 Active Caseload
2015‐2016 Total: 311
2016‐2017 Total: 301
Active Total: 133
0
20
40
60
80
100
120
140
160
180
200
2014‐2015 2015‐2016 2016‐2017
21
105
184
29
68
115
18
0
20
County‐Wide Mental Health Referrals
Services Received Referral Declined Services Pending
Prior to Care Coordination
Implementation
After Care Coordination Implementation
(173 Total) (319 Total)(68 Total)
9/19/2017
12
0
5
10
15
20
25
30
35
40
2014‐2015 2015‐2016 2016‐2017
1
26
37
1
26
19
0
2
County‐Wide Physician Referrals
Services Received Referral Declined Services Pending
Prior to Care Coordination
Implementation
After Care Coordination Implementation
(52 Total)(2 Total) (58 Total)
Youth Mental Health First Aid Training
Trained staff from Family Services of Northwest Ohio
In cooperation with Four County ADAMhs Board, 8 trainings offered with the potential to impact 200 community members.
9/19/2017
13
School Based Mental Health
School Based Mental Health…The Beginning
Orientation
Referral/registration process
Initial service rollout plan
9/19/2017
14
Challenges and Successes of Implementing
School Based Mental Health
Launching a New Program
9/19/2017
15
Geographic Concern
Acceptance and Trust
9/19/2017
16
Build it and they will come!
SBMH Success
Success =
School Based Mental Health (9 months)
Baseline 2015‐16 = 0
104 referrals
63 served
9/19/2017
17
22
27
14
School Based Mental HealthEnrolled Students 2016‐2017 School Year
Edon‐Northwest Millcreek‐West Unity Montpelier
63 Total
22
30
11
16
School Based Mental Health Referral Possibilities(at schools without the service)
Bryan Edgerton North Central Stryker
79 Total
9/19/2017
18
Community Partnership Success
Expansion Plan Success
Hiring 2nd SBMH therapist
Sustainable funding
9/19/2017
19
DUM DUM Trivia
How many Dum Dums are manufactured in one day?
A. 5 million
B. 8 million
C. 12 million
D. 32 million
Strategies
Community Needs Assessment
Community Readiness Assessment
Collaboration –Strategic Prevention Framework
Communication
Community Management Team
Evaluation
Sustainability – Collective Impact
9/19/2017
20
Community Readiness/Needs
Assessment Increase social/emotional readiness for Kindergarten
To improve mental health outcomes for children ages 5‐18
To improve engagement between schools, families and communities.
Prevent and decrease substance abuse
Reduce the level of violence in schools and increase student perception of safety in the school and community
Decrease disciplinary actions
Communication
‐Purposeful education
‐Meaningful professional development
‐Trainings
‐Data
‐Solicit stakeholder opinions
9/19/2017
21
Collaboration
Strategic Prevention Framework
Assess the need
Build capacity
Plan
Implement
Evaluate
Community Management Team (CMT)
Local partners with vested interest in making the community better
‐Intentionally focus on community needs instead of grant needs
‐Identify common community goals and seek solutions
9/19/2017
22
Collective Impact for Sustainability
Evaluation
Parent survey, stakeholder survey, school survey, care coordination data, PAX data,participant data, EMIS data, OHYES data, Health Department data, KRA data
Examples:
9/19/2017
23
Lessons Learned
Administrative support leads to success
CMT Partnerships are essential
Start Small
Needs Assessment prior to Readiness Assessment
Community communication
School Administrator Support
Include key staff
Listen
Communicate
Utilize passionate staff
9/19/2017
24
CMT Partnerships are essential
‐Focus on common community goals instead of working alone in a
‐Talk about frequently
Start Small
9/19/2017
25
Be aware of overload
9/19/2017
26
Make a Plan/Work the Plan
Needs Assessment
Readiness Assessment
Communication with the community
9/19/2017
27
Challenges
Communication misunderstanding
EBP approval process was cumbersome
Approval for Local Evaluator (year 3)
Managing unique community personalities
Administrative turnover (Local and State)
Managing Federal, State and Local fiscal calendars
Providing confidential work areas
Balancing needs with available funds/personnel
Guidance counselor/Care Coordinator role clarification
Sustainability
Logistics of transferring policies, procedures and supervision to schools
Limited interest in some element requirements
Communication
9/19/2017
28
More than bargained for–5 Elements?
Evidence Based Programs
9/19/2017
29
Local Evaluator‐Late invitation
Logistics of transferring ownership of policies and
procedures
9/19/2017
30
Sustainability and finding sustainability partners
Limited interest
9/19/2017
31
Value to the Community
Dum Dum Trivia
How many Dum Dums are in this bag?
9/19/2017
32
Contact Information
Paula Fry [email protected]
Michelle Kannel [email protected]
Ron Rittichier [email protected]