1 sandy keenan ta partnership for child and family mental health(soc) national center for mental...
TRANSCRIPT
1
Sandy KeenanTA Partnership for Child and Family Mental Health(SOC)
National Center for Mental Health Promotion and Youth Violence Prevention(SSHS/PL)
November 5, 2009
2
4.5 to 6.3 million children have mental health needs in this country, approximately 20%.
2/3 of them do not receive the services they need.
3
Evidence that mental, emotional and behavioral disorders are common and begin early in life(20% of school age).
Evidence of multi-year effects of multiple preventive interventions on reducing substance abuse, conduct disorder, behavior, aggression and child mistreatment.
Evidence that school-based violence prevention can reduce the rate of aggressive problems by 25% to 33%.
Evidence that school-based preventive interventions for SEL can also improve academic outcomes.
Advances in implementation science, including its complexity and the importance of relevance to the community
www.nap.edu 2009
4
Safe Schools Healthy Students PBIS
Systems of Care
5
Department of Health and Human Services
◦ Substance Abuse & Mental Health Services Administration, ( SAMHSA)
Department of Education
◦ Office of Safe and Drug Free Schools (OSDFS)
Department of Justice
◦ Office of Juvenile Justice & Delinquency Prevention (OJJDP)
6
Element 1: Safe School Environments and Violence Prevention
Element 2: Alcohol, Tobacco and Other Drug Prevention Activities
Element 3: Student Behavioral, Social and Emotional Supports
Element 4: Mental Health Services Element 5: Early Childhood SEL Programs
7
Community based promotion and prevention initiative
Partnership with Education, Law Enforcement, Juvenile Justice, Mental Health and other community agencies
Implementation of evidence based practices at the school, classroom and individual level
Core management team (community) Data driven decision making
8
A framework for intervention 3- tiered model of promotion, prevention
and intervention(all, some and few) Implemented at the individual, classroom,
school, or district level Team approach Data driven decision making
9
Community based initiative Multi agency partnerships between mental
health and other major system partners Population of Focus: MH diagnosis and at
risk for out of home or out of school placement
Family and youth driven Individual community based planning and
interventions(through a local, county, tribal or statewide project)
10
Family Driven Youth Guided Cultural competence Evidence Based Practice Interagency collaboration Home, community, and school-based Individualized strength-based care Continuous Quality Improvement (CQI)
11
Behavioral and emotional problems decreased (35% improved at 6 months, 48% at 18 months)
Youth involvement with juvenile justice decreased (e.g., arrests fell by 60% at 18 months)
Youth became less depressed and less anxious
Youth suicide attempts were reduced by half in 6 months
12
Community based collaborative efforts involving multiple agency partners
Variety of models/share a value of shared responsibility for meeting the emotional and behavioral needs of children and youth
Interagency training and professional development activities
Implementation of evidence based interventions
13
Time Limited resources Change Blending of multiple cultures Trained workforce Integration into existing initiatives Sustainability
14
Focus of ChangeFocus of Change
System levelSystem level
Organizational levelOrganizational level
Direct ServiceDirect Service
Focus of Systems Reform
Focus of Evidence Based Services
15
Focus of ChangeFocus of Change
System levelSystem level
Organizational levelOrganizational level
Direct ServiceDirect Service
Systems Integration and Strategic Planning
16
These 3 initiatives have a large federal investment that usually can not be met by communities alone.
Assumption that communities “want” to change these systems and achieve better outcomes (just by applying).
Administrative support at multiple levels(just by applying).
Policies developed/resources appropriated to support system change.
17
Regular School Attendance (> 80% of the time) increased from 74% to 81% in 6 months
Absences due to behavioral and emotional problems were reduced by 1/5 in 18 months
31% more youth achieved passing grades after 18 months
18
Behavioral and emotional problems decreased (35% improved at 6 months, 48% at 18 months)
Youth involvement with juvenile justice decreased (e.g., arrests fell by 60% at 18 months)
Youth became less depressed and less anxious
Youth suicide attempts were reduced by half in 6 months
19
improved school attendance Fewer discipline problems Fewer arrests More passing grades Improved academic performance Less depression and anxiety Less suicide attempts Improved social and emotional health Improved environments which promote better
outcomes
20