Jama DodsonExecutive DirectorSt Louis Mental Health Board
Mission
MHB improves the quality of life for city residents by investing and
participating in a coordinated system of social behavioral and physical health services aligned
with community priorities
1 Present Needs Assessment findings and recommendations
2 Introduce FY19-21 Community Childrenrsquos Services Fund (CCSF) investment framework and funding priorities
3 Provide an overview of the application process including enhancements
Wendy Orson CEO Behavioral Health Network of Greater St Louis
Cynthia Berry OwnerChief Organizational Development DirectorBerry Organizational amp Leadership Development (BOLD) LLC
Sally Haywood Strategic Projects ManagerBehavioral Health Network of Greater St Louis
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Jama DodsonExecutive DirectorSt Louis Mental Health Board
Mission
MHB improves the quality of life for city residents by investing and
participating in a coordinated system of social behavioral and physical health services aligned
with community priorities
1 Present Needs Assessment findings and recommendations
2 Introduce FY19-21 Community Childrenrsquos Services Fund (CCSF) investment framework and funding priorities
3 Provide an overview of the application process including enhancements
Wendy Orson CEO Behavioral Health Network of Greater St Louis
Cynthia Berry OwnerChief Organizational Development DirectorBerry Organizational amp Leadership Development (BOLD) LLC
Sally Haywood Strategic Projects ManagerBehavioral Health Network of Greater St Louis
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Mission
MHB improves the quality of life for city residents by investing and
participating in a coordinated system of social behavioral and physical health services aligned
with community priorities
1 Present Needs Assessment findings and recommendations
2 Introduce FY19-21 Community Childrenrsquos Services Fund (CCSF) investment framework and funding priorities
3 Provide an overview of the application process including enhancements
Wendy Orson CEO Behavioral Health Network of Greater St Louis
Cynthia Berry OwnerChief Organizational Development DirectorBerry Organizational amp Leadership Development (BOLD) LLC
Sally Haywood Strategic Projects ManagerBehavioral Health Network of Greater St Louis
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
1 Present Needs Assessment findings and recommendations
2 Introduce FY19-21 Community Childrenrsquos Services Fund (CCSF) investment framework and funding priorities
3 Provide an overview of the application process including enhancements
Wendy Orson CEO Behavioral Health Network of Greater St Louis
Cynthia Berry OwnerChief Organizational Development DirectorBerry Organizational amp Leadership Development (BOLD) LLC
Sally Haywood Strategic Projects ManagerBehavioral Health Network of Greater St Louis
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Wendy Orson CEO Behavioral Health Network of Greater St Louis
Cynthia Berry OwnerChief Organizational Development DirectorBerry Organizational amp Leadership Development (BOLD) LLC
Sally Haywood Strategic Projects ManagerBehavioral Health Network of Greater St Louis
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Overview of 2017 Youth Behavioral
Health Needs Assessment
Prepared for St Louis Mental Health Board
82117
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
About BHN
The full spectrum of services and supports (prevention treatment and community supports)
Across the lifespan (youth and adults)
With emphasis on the uninsured underinsured and underserved population of the DMHrsquos ldquoEastern Regionrdquo
Mission To improve our community by leading behavioral health planning and coordination
BHN is a collaborative effort of providers advocacy organizations government leaders and community members dedicated to developing an accessible and coordinated system of behavioral health care that encompasses
Youthbull Primary focus on youth adolescents and young
adults ages 0-21
bull Reach to age 25 for Transition-Age Youth
Behavioral Healthbull Including mental health and substance use
bull Broadly encompassing concerns at all levels of severity and points on the service continuum
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Methods Regional Report Review
bull 13 Regional Reportsbull 10 Hospital
Community Health Needs Assessments
Qualitative Data
Collection
bull 9 Participatory Groups (gt200 people)
bull 13 Key Informant Interviews
bull Data from 10 Other Groups
Quantitative Data
Collection
bull Secondary Databull Primary Data (Access
to Care Reports)
Recommendations and Priorities
Identified key findings in each data collection
source
Developed major thematic
recommendations based on key
findings
Identified key findingsthematic recommendations emphasized in all
three sources
Identifying Priorities
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Descriptors of the Cityrsquos Youth Cityrsquos pop is 315685 pop of whom 71044 are
youth (23 of City pop is youth)
The Youth population is declining rapidly - 29 decrease in 10 years
with 76 of the Cityrsquos population decrease being youth
Greater Diversity - Percent of youth who are racialethnic minorities is increasing
Children (age 5-17) with Limited English Proficiency ndash 35 of St Louis City Youth (2175)
rate has not changed notably since 2004
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Concerns Facing Youthfrom all 3 data sources (not ranked)
Violence
Juvenile Justice Involvement
School Concerns
Poverty
Homelessness
Behavioral Health Concerns
Suicide and Self Harm
FriendPeer Relationships
Yout
h at
Ris
k
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Poverty - almost 2 out of 5 live in poverty (almost double the MO rate)
Homeless ndash in schools noted as homeless (almost 1 out of 5 triple the 2010 reported rate)
Risk of homelessness ndash Per gross rent costs of 30 or more of their household income (48 of households)
Children benefiting from Food Stamps (almost 3 out of 4 more than double MO rate)
Violent Teen Death Rate (more than double the MO rate)
Juvenile Law Violation Violent offenses
Neglect Offenses
School Drop-out rate (117 5 x MO)
Out of school suspensions (more than double the MO rate)
Disciplinary incidents (more than double the MO rate)
See more trends including disability types in the full report
St Louis City Youth at Risk high rates of
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Youth Mental Health Of St Louis Cityrsquos 71044 youth ages 0-19
bull Over 17000 projected to have MH challenges that qualify for a diagnosis (24)
bull Over 3500 are projected to have a mental illness with severe impact (5)
MH amp Overall hospitalizations for youth have sharply
Of youth receiving DMH psychiatric services clients trending younger (6-9 year olds)
ER youth encounters with BH diagnoses increased by 11 over the past year and account for 32 of all ER encounters in 2015
BHR ndash 44 of City callers considered high risk cases (209475 cases) and 27-28 of County cases
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Youth Substance Use
One in four City youth self-reported binge drinking and one in three reported marijuana use (DOH)
Several Community reports identified the need for youth-focused or otherwise expanded access to SU treatment (4 Reports + 5 City-serving hospital CHNA)
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Threats of violence or being injured by another peer - 39 of North County middle school students gang violence identified by 35 of middle school students and 46 of high school students (proxy for StL City)
Top BH Issues Students self-reportSt Louis County student survey ndash4200 (large sample for generalizability)Middle School
Bullying cyber-bullying 61
Friend Peer relationships social skills problem-solving self-esteem
Friend Peer relationships social skills problem-solving self-esteem
49
Depression sad a lot 44
Bullying cyber-bullying 44
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Prominent BH Assets Availability of BH Resources including
Increased Availability of Services
Specific Community Agencies and Programs that work well
Provider Strengths including
Improved Provider Expertise
Provider RelationshipsCollaborations
Provider Attributes (fostering successful linkage and referral )
Broader Community Strengths including
Youth Recreational Activities and Youth Development Programs (when available)
Collaborative Community Relationships
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Accessible Behavioral Health Programs and Services
Assessment and Early Intervention
School Supports
Family Systems ApproachCaregiver Supports
Services for Specific Populations
Community Strengthening
bull Community Violence and Trauma
bull Youth Development Opportunities
bull Barrier Reduction for Social Determinants Environmental Stressors
BH Gaps included limitedlack of or desire for more
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Stigma Negative experiences by youth and families and Mistrust of Providers
Transportation and location of services
Provider Capacity (Wait Lists)
Affordability of services
Lack of Service AwarenessInability to Navigate System
Eligibility restrictionsrequirements
Care coordination (among provider sectors and care settings)
Barriers within family supportive environments(eg weak caregiver support for youth BH services)
BH Barriers that obstruct access
Identified primarily in Community Reports and Qualitative Data Collection Identified as an Asset and GapBarrier
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
8 Thematic Recommendations
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH
Strengthen the Service Providing Communityrsquos Responsiveness (BH and non-BH)
Respond to Youth Experiences of Trauma
Increase Early Identification of BH Vulnerability and Provide Early Intervention
1
2
3
4
5
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Thematic Recommendations continued
Invest in School-Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development
Prioritize Supports for Vulnerable Populations
6
7
8
8
Note
All 8 and population information are detailed in the Report
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Enhance access to programs and services Re-organize to increase responsiveness in service ldquogaprdquo areas Integrate follow-up and case management Invest in system level disconnects and sustainable policies and care integration that can are sustainable
Lack of access to pediatric psychiatrists
Wait times for appointments high
Services identified as requiring additional capacity
Transform Behavioral Health (BH) Services to be Optimally Accessible to Youth
1
1
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Opportunities - Examples
Transportation and location of services
Improve follow-up activities
Enhance care coordination
Expand specialty services
Transform BH Services to be Optimally Accessible to Youth
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Integrate services for youth BH needs with an understanding that the youth are best served as a part of their family We must attend to caregiversrsquo needs to achieve lasting impacts for youth
Providers often not funded to work with the whole family
Need for family counseling parent education and family involvement in services
Caregiversrsquo need for training and supports on how to respond to their youthrsquos BH issues
Invest in Family Systems Approaches and Caregiver Supports to Address Youth BH2
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Opportunities - Examples
Fund intergenerational service approaches and caregiver specific services
Invest in BH supportstreatment to caregivers
Integrate Family Support Providers (peer mentors)
Facilitate caregiversrsquo awareness and navigation of available services and resources
Invest In Family Systems Approaches and Caregiver Supports to Address Youth BH
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Improve approaches to transitions of care for youth with agencyprovider expertise coordination and collaboration
Enhance service agencies and providers to be better equipped to respond regardless of care setting or sector
Need for enhanced care coordination
Need for more quality staff
Difficulties following-up with a case referral Particular barriers around confidentiallyprivacy policies
Strengthen the Service Providing Communityrsquos Responsiveness (BH and Non-BH Providers)
3
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Establish stronger points for families to know about BH services options and assistance to access care
Promote provider collaboration across care sectors amp settings
Investigate funding strategies that support flexibility and address geographic boundaries
Technology to improve communication enhance care coordination and strengthen regional data reporting Invest in a linkage amp referral data-informed network
Opportunities - ExamplesStrengthen the Service Providing Communityrsquos Responsiveness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Violence traumatic experiences and toxic stress can have a devastating impact on youth development
Of note community violence is a special consideration in St Louis City and a key trigger for BH needs in the region
City rate of violent deaths to teens is high
Qualitative data - limited BH support offered to families and children who experience trauma (separate from crime victims services)
Students engaging in self-injury at alarming rates
79 of City homeless adults reported at least one traumatic experience before the age 19
Respond to Youth Experiences of Trauma4
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Increase trauma-informed competency of organizations and practitioners
Expand trauma-focused services and targeted case management
Increase specialized services for survivors of trauma with attention to demographic differences
Opportunities - ExamplesRespond to Youth Experiences of Trauma
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Identification of BH Vulnerability and Provide Early Intervention5
Foster BH intervention earlier in the life- and disease-course Enable assessment of BH needs and expedite youth access to services and to promote an understanding of youth needs
Needs emerge in early childhood and often go un-addressed until school age
Key informants in multiple sectors (physical health schools juvenile justice) noted that early identification is an unmet need
Waitlist are common and times can range from 15-19 weeks
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Foster BH interventions earlier in the life and disease course
Enable assessment of BH needs to expedite youth access to services and to promote an understanding of youth needs
Establish earlier screening and intervention for BH issues in children through primary care and other settings
Expand early intervention programs which support youth resilience
Opportunities - ExamplesIncrease Early Identification of BH Vulnerability and Provide Early Intervention
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Invest in School Based Capacity to Address BH Needs6
Bolster the infrastructure and reach of schools for BH prevention awareness skill building and connection to needed treatment Qualitative respondents experienced limited
access to in-school BH services The top BH issues youth face in school include
bullyingcyber-bullying Friendpeer relationships social skills problem-solving and self-esteem Threats of violence or being injured by a peer
Select Indicator Data 2 increase in City Public high school dropouts to
12 (is 10 higher than MO or St Louis County rate) SLPS rate of disciplinary incidents (3) is more than
double the statewide rate (13) School-related truancy juvenile law violation
referrals in St Louis City outpace St Louis County 3-to-1 despite the considerable population size difference
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Invest in BH support for teachers and school staff to include supports beyond trainingmdashongoing skill development to identify and respond to generalized BH needs of students
Invest in more BH counseling and surveillance within the schools to address youth tx needs (ie depression anxiety emotion-control SU etc)
Look for additional opportunities for school-based reimbursement for BH services delivered in the school
Opportunities - ExamplesInvest in School Based Capacity to Address BH Needs
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Increase BH Engagement by Addressing Social Determinants of Health Environmental Stressors
7
Mobilize innovative approaches to address social determinants of health including intentional collaborations with other sectors of care to gain significant BH and physical health improvements
Transportation and access of services (location hours etc) are top barriers identified by families and providers
Homelessness and familiesrsquo transience influence a youthrsquos ability to stay in school and access engage in BH services
Compelling Indicator Data Trends regarding City residentsrsquo needs regarding Stability of Housing Income Employment Poverty Number Percentage of Children in Single-Parent Households (60) Youth Needing Financial Support etc
72 of City youth in households using food stamps and 946 enrolled in FreeReduced Price lunch program
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Address youthrsquos familiesrsquo basic needs through partnerships and alignment with the social service sector to promote access health wellness and equity Address familiesrsquo housing instability
Address basic needs as part of youth BH care planning (eg via flexible funding)
Increase transportation to and from services to decrease access barriers andor provide more hours sites or places where people can access services
Help more families gain insurance
Opportunities - ExamplesIncrease BH Engagement by Addressing Social Determinants of Health Environmental Stressors
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Foster Positive Youth Social Development8
Provide opportunities for youthrsquos positive community engagement and activities for developmental progress personal empowerment (ie interests skills and abilities) and recreation Select Indicator Data Trends
14 of the St Louis City population ages 16-24 is neither employed nor in school This is higher for African Americans at 25
St Louis City has the 3rd highest percentage of disconnected African American youth among 25 major metropolitan areas at 25 (struggle to stay in school or enter workforce)
SLPSrsquos out-of-school suspension rate is almost triple the Missouri rate
Qualitative date - respondentsrsquo experience perception that there is limited affordable and accessible recreational activities (esp after school programming and during the summer day) and limited opportunity for positive community involvement especially for teens
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Increase skill building for independent living including healthy relationships
Increase Positive Youth Development (PYD) programming that is future-focused
bull Increase activities to build knowledge and job-readiness skills promote career awareness and develop social responsibility and leadership skills
Promote youth employment opportunities for meaningful work (eg fair wages)
Provide safe places for youth during evenings weekends and summer
Opportunities - ExamplesFoster Positive Youth Social Development
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Additional Considerations
Build Resilience in our Youth
Build Provider Cultural
Competence
Apply a Racial
Equity Lens
Within all recommendations prioritize supports for vulnerable populations Youth with co-occurring disorders transition age youth child welfare involved juvenile justice-involved homeless LGBTQ
Cultivate resilience by creating positive environments and relationships
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Youth BH Community Needs Assessment Final Words Full report amp data will be available via web sites MHBrsquos
BHNrsquos and on ldquoThink Healthrdquo
BHN ongoing commitment to utilize findings to inform regional planning and coordination
Thank you for your partnership for reviewing this Report and for your commitment to improving the lives of youth and families living with behavioral health challenges in our region
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Cassandra KaufmanDeputy DirectorSt Louis Mental Health Board
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Community Connectedness
Leadership Development
Impact Area 3 Ready for Work
Career Awareness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Cultural Competence
Impact Area 2 Learning amp
Leading
Academic Achievement
Learning and Innovation Skills Engagement in Learning
Social Responsibility
Workforce Readiness
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health SafetyInjury Prevention
Positive Identity Positive Relationships
SocialEmotional Development
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
Consistent with MHBrsquos mission Supported by 2017 Youth Needs Assessment
findings and recommendations Aligns with identified community priorities that
support the well-being of St Louis City children and youth
Revised funding framework aligns strategies outcomes and indicators
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
1 Project LAUNCH Environmental Scan2 RECAST Needs Assessment3 2014 MHB Youth Mental Health Needs Assessment4 City of St Louis Dept of Health CHA amp CHIP and St Louis County Dept
of Public Health CHNA amp CHIP5 Coro Report of Behavioral Health Stakeholders6 Regional Health Commission Access to Care 20167 St Louis County Childrenrsquos Services Fund Behavioral Health amp Substance
Use Needs Assessment8 St Louis County Dept of Public Health CHNA amp CHIP9 United Way 2020 10 Ferguson Commission Report11 For the Sake of All12 Promise Zone Needs Assessment and Crosswalks13 Ready by 21 Landscape Report
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
SAMHSA System of Care Philosophy Ferguson Commission Signature Calls to Action For The Sake of All Recommendations St Louis Area Violence Prevention Collaborative
Recommendations Hawkins amp Catalano Risk and Protective Factors St Louis Regional Early Childhood Council Plan
Strategies and School Readiness Road Map Ready By 21 St Louis Aspirational Goals for the Child
Well-Being Ecosystem and Priority Outcomes
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
School drop out rate and High School graduation rate Rate of disciplinary incidents and out-of-school suspensions rate Number of child deaths and violent teen death rate Infant mortality rate and number of low birth-weight infants Youth suicide rate and self-injury rates Juvenile crime rate (especially violent offenses) Number of substantiated cases of child abuse and neglect
number of neglect referrals and number of out-of-home placements
Number of youth requiring psychiatric services Age of first substance use and number of youth requiring
treatment for substance use Number of births to teens
Children and youth identify manage and appropriately
express emotions
Children and youth effectively
manage behaviors
Children and youth possess knowledge and skills to make
healthy life choices
Children and youth have safe
and healthy relationships
Children and youth have
strong bonds with school and
community
Children and youth have
strong families and nurturing
parents
Children and youth experience fewer mental emotional andor behavioral
symptoms
Children and youth will avoidreduce substance use
Children and youth have independent
livinglife skills
Children and youth gain knowledge about safe and
healthy relationships
Children and youth are connected to their community (feel a sense of
belonging)
Children and youth are free from substantiated
incidents of child abuse andor
neglect
Children and youth will maintainimprove
their level of functioning
Children and youth will not become
pregnant or father a child(ren) during
teen years
Children and youth have decision-making skills
Children and youth have positive
friendships with peers
Children and youth are on track to
graduate high school
Parentscaregivers have knowledge amp skills for positive
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy Impact Area 2 Socially ConnectedDesired OutcomesFunding Focus Areas
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
North Star ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
FY 2007 - 2009 FY 2010 - 2012 FY 2016 - 2018 FY 2019 - 2021July 2006 - June 2009 July 2009 - June 2012 July 2015 - June 2018 July 2018 - June 2021
Parents amp caregivers will use new skills to
effectively manage [childrens] problem
behaviors
Parents provide for their families
Parents provide safe and nurturing
environments for their families
Socially Connected Children and youth
have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance
andor substance abuse issues will be stabilized
Emotionally Healthy Children and youth identify manage amp
appropriately express emotions
Youth will avoid using alcohol tobacco and
other drugs
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their
immediate and critical risk factors
Youth develop character and life
skills
Youth develop character and life
skills
Ready for Work - Youth are career
ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient
levels
Children are successful learners
High school students will graduate from high
school
High school students graduate from high
school
Socially Connected Children and youth
have safe and healthy relationships
Socially Connected Children and youth have strong bonds
with school and community
Emotionally Healthy Children and youth effectively manage
behaviors
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Thriving amp Connecting -
Children amp youth are safe healthy and
connected
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Children are successful learners
Learning amp Leading - Children amp youth learn lead and
succeedSe
rvic
e sy
stem
s m
eet f
amily
and
chi
ldre
ns
need
s
FY 2013 - 2015July 2012 - June 2015
FY16-18 CCSF Framework
FY13-15 and 16-18 Crosswalk
Evolution Crosswalk
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
5
FY 2007 - 2009
FY 2010 - 2012
FY 2013 - 2015
FY 2016 - 2018
FY 2019 - 2021
July 2006 - June 2009
July 2009 - June 2012
July 2012 - June 2015
July 2015 - June 2018
July 2018 - June 2021
Parents amp caregivers will use new skills to effectively manage [childrens] problem behaviors
Parents provide for their families
Parents provide safe and nurturing environments for their families
Service systems meet family and childrens needs
Thriving amp Connecting - Children amp youth are safe healthy and connected
Socially Connected Children and youth have strong families and nurturing parents
Children amp youth diagnosed with serious emotional disturbance andor substance abuse issues will be stabilized
At-risk and troubled youth are stabilized
At-risk and troubled youth are stabilized
Emotionally Healthy Children and youth identify manage amp appropriately express emotions
Youth will avoid using alcohol tobacco and other drugs
Emotionally Healthy Children and youth effectively manage behaviors
Individuals experiencing juvenile justice family court involvement will demonstrate stability
Children amp youth will build resilience to their immediate and critical risk factors
Youth develop character and life skills
Youth develop character and life skills
Ready for Work - Youth are career ready and work able
Emotionally Healthy Children and youth possess knowledge and skills to make healthy life choices
3rd graders will read at satisfactory or proficient levels
Children are successful learners
Children are successful learners
Learning amp Leading - Children amp youth learn lead and succeed
Socially Connected Children and youth have strong bonds with school and community
High school students will graduate from high school
High school students graduate from high school
MHB Community Childrens Services Fund Framework Evolution amp Crosswalk FY 2007 - FY 2019
Socially Connected Children and youth have safe and healthy relationships
St Louis Mental Health Board
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Former Impact Areas
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Parenting amp At-Risk Youth Stabilized
Positive Identity
Positive Relationships
Social Emotional Development
Cultural Competence
Successful Learners
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Life Skills
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
FY 2016 - 2018 Community Childrens Services Fund Strategic Framework
Community Childrens Services Fund Impact Area Domains and Outcome Framework
Impact Area 1 Thriving amp Connecting
ActiveHealthy Living
SocialEmotional Health
SafetyInjury Prevention
Positive Identity
Positive Relationships
SocialEmotional Development
Cultural Competence
Impact Area 2 Learning amp Leading
Academic Achievement
Learning and Innovation Skills
Engagement in Learning
Community Connectedness
Leadership Development
Social Responsibility
Impact Area 3 Ready for Work
Career Awareness
Workforce Readiness
1 Increase early identification of behavioral health vulnerability and provide early intervention
2 Increase family systems approaches and caregiver supports
3 Respond to youth experiences of trauma4 Increase the number of prevention and readiness
programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage
behaviors
Children and youth possess
knowledge and skills to make
healthy life choices
Children and youth have safe and
healthy relationships
Children and youth have strong bonds
with school and community
Children and youth have strong families and
nurturing parents
Mental health screening
assessment referrallinkagecare
coordination
Substance use screening
assessment amp outpatient treatment
Substance use prevention
Positive relationships with
peers amp adultsYouth recreation Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved
youth
Violence preventionconflict
resolution
Conflict resolution skills
Leadership development Parenting education
Individual group or family counseling
and therapy services
Alternative interventions to
support behavior management
Life skills self-management
decision-making resilience
School engagement Child welfare
Crisis intervention Crisis intervention Transitional living Pro-social activities Respite careEarly childhood social emotional
development
Impact Area 1 Emotionally Healthy Impact Area 2 Socially Connected
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Examples of Programs Services Interventions Strategies
Funding PrioritiesIncrease early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Framework interventions
FY19-21 CCSF Framework
CCSF Impact Areas (3)
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Individual Group or Family Professional Counseling and Therapy Services
Psychological Evaluations and Mental Health Screenings
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Sample Outcome Indicators
Children and youth experience fewer mental emotional andor behavioral symptoms
Children and youth will avoidreduce substance use
Children and youth have independent livinglife skills
Children and youth gain knowledge about safe and healthy relationships
Children and youth are connected to their community (feel a sense of belonging)
Children and youth are free from substantiated incidents of child abuse andor neglect
Children and youth will maintainimprove their level of functioning
Children and youth will not become pregnant or father a child(ren) during teen years
Children and youth have decision-making skills
Children and youth have positive friendships with peers
Children and youth are on track to graduate high school
Parentscaregivers have knowledge amp skills for positive parenting
Children and youth have coping skills
Children and youth are free from law enforcement involvementjuvenile justice involvement or re-offending
Children and youth have social skills (eg conflict resolution)
Children and youth have healthy relationships with family members caregivers
Children and youth are engaged in school (eg involvement in activities)
Children and youth experience no out of home placements
FY19 - 21 Community Childrens Services Fund Strategic Outcome Funding Framework
Northstar ChildYouth Well-Being
Focus Children and Youths Social Emotional amp Behavioral Health
Funding Impact Areas
Impact Area 1 Emotionally Healthy
Impact Area 2 Socially Connected
Desired OutcomesFunding Focus Areas
Children and youth identify manage and appropriately express emotions
Children and youth effectively manage behaviors
Children and youth possess knowledge and skills to make healthy life choices
Children and youth have safe and healthy relationships
Children and youth have strong bonds with school and community
Children and youth have strong families and nurturing parents
Examples of Programs Services Interventions Strategies
Mental health screening assessment referrallinkagecare coordination
Substance use screening assessment amp outpatient treatment
Substance use prevention
Positive relationships with peers amp adults
Youth recreation
Home visitation
Psych evals amp outpatient psychiatric treatment
Services for juvenile justice involved youth
Violence preventionconflict resolution
Conflict resolution skills
Leadership development
Parenting education
Individual group or family counseling and therapy services
Alternative interventions to support behavior management
Life skills self-management decision-making resilience
School engagement
Child welfare
Crisis intervention
Crisis intervention
Transitional living
Pro-social activities
Respite care
Early childhood social emotional development
Funding Priorities
Increase early identification of behavioral health vulnerability and provide early intervention
Increase family systems approaches and caregiver supports
Respond to youth experiences of trauma
Increase the number of prevention and readiness programs that address social emotional and behavioral health
Overview
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
Governed by State statute RSMo 210861 Serves only St Louis City Residents Serves children amp youth ages 18 and younger their
parents amp caregivers Must meet MHBrsquos general eligibility requirements
specified in Community Investment Policies
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
1 Temporary shelter (up to 30 days)2 Respite care3 Services to teen parents4 Outpatient psychiatric treatment and substance abuse
treatment5 Transitional living (counselingrelated services) 6 Home and community-based family intervention programs7 Crisis intervention services8 Prevention programs which promote healthy lifestyles
among children and youth and strengthen families9 Individual group or family professional counseling and
therapy10 Psychological evaluations and mental health screenings
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Current grantees complete Intent to Apply vs Concept Paper
Standard outcome indicators benchmarked (eg United Way and St Louis County Childrenrsquos Service Fund)
3-year cycle FY19-21 (July 2018 ndash June 2021)
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
Collaboration and service networks Care coordination (including referral linkage case
management amp follow-up) Stigma reduction Racial equity amp cultural competence (CLAS standards) Provision of services that are childyouth centered and
family amp youth drivenguided recognizing the value of lived experience
Peer supportpeer run Integration of primary amp behavioral healthcare Evidence-based evidence-informed and promising
practices Support for vulnerable populations
Use a Racial Equity lens to guide decision-making and funding
Continue the use of external reviewers in application phase
Engage consumers andor family of consumers in Trustee review and recommendation process
Limit concept papers to maximum of 2 per organization (programs not currently funded by MHB)
Date Activity
October 24 Community meeting to share needs assessment findings and announce opening of FY19-21 CCSF Application Process
November 6 Grant portal opens for Pre-Application submissions
November 8-9 Pre-Application workshops for currentpotential applicants
December 1 Pre-Application submission deadline
January 18 Trustees approve Concept Papers invited to submit full application
Date Activity
January 22 Grant portal opens for full application submissions
Jan 23 - 31 Application workshops
Feb 1 ndashMar 2 Technical assistance
March 9 Application deadline
May 1 ndash 8 Joint TrusteeConsumer Review Meetings
May 17 Trustees approve FY19-21 CCSF grantees and FY19 funding awards
May 21 ndashJune 30 Contracting process
Registration opened on MHB website October 6 2017 Wednesday November 8
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thursday November 9bull Morning session 830 AM ndash 1200 PMbull Afternoon session 100 PM ndash 430 PM
Thomas Dunn Learning Center3113 Gasconade St Louis MO 63118
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
Current FY18 CCSF funding = $584 millionbull 35 funded projectsgrantsbull Average grant = $167000bull Range = $64000 to $293000
FY16-18 CCSF Application Processbull 124 concept papers + 46 intents to apply = 170 pre-applications bull 100 intents to apply (currently funded) + 28 of concept papers
invited to submit full application bull 48 of all pre-applications invited to submit full applicationbull 46 of full applications were awarded funding
Projected FY19 funding available through competitive application process = Approximately $6 million
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
Kristin CowartCCSF Project DirectorSt Louis Mental Health Board
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
Thank YouFor more information or to register for the Pre-Application Workshops visit
Please indicate at the top of your note card whether your question(s) pertain to thebull Needs Assessmentbull Community Childrenrsquos Services FundMHB generalbull Application Process
Break to collectsort questions (10 minutes) Q amp A (20 minutes)
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