ohio mental health network for school success coordinating education and mental health services for...

Ohio Mental Health Network for School Success

Coordinating Education and Mental Health Coordinating Education and Mental Health Services for Students with Disabilities: Services for Students with Disabilities:

Ohio’s Community of PracticeOhio’s Community of Practice

Enhancing Collaborations to Promote a Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Mental Health—Schools—Families Shared

Agenda for Children’s Mental HealthAgenda for Children’s Mental Health

Mike Armstrong, Ohio Department of Education (Columbus)

Terre Garner, Ohio Federation for Children’s Mental Health (Cincinnati)Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

Kay Rietz, Ohio Department of Mental Health (Columbus)

Presentation at the NASDSE 66th Annual ConferenceLouisville, KentuckyNovember 11th, 2003


Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In Ohio

October 9, 2003


October 9, 2003

To view the the feature about the forum broadcast on theOhio News Network (10/9/03) go to:

http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html


October 9, 2003


Infrastructure for Ohio’s SharedAgenda Initiative

Hearing on Mental Health and School Success (February 8, 2001)

Presided over by Ohio’s First Lady Hope Taft and convened by:Ohio Department of Mental Health (ODMH)

Center for Learning ExcellenceOhio Department of Education (ODE)

Governor’s Office



Publication of Mental Health and SchoolSuccess: Hearing Summary and Resource

Guide (Spring, 2001)

Testimony summary

Facts, resources, and ideas highlighting the inter-dependency of good mental health and success in school



Follow-up Publication ofMental Health and School Success: What

We are Learning (Spring, 2003)

Chronicles the growing success ofmental health — education —family partnerships

Highlights innovative school-based mental health programs and services

Resource guide



Formation in 2001 of the Ohio Mental Health Network for School Success

(OMHNSS)

Action Networks spearheaded by affiliate

organizations in six regions of the State


The Ohio Mental Health Network for School Success

Mission

To help Ohio’s school districts, community-based agencies, and families work together to achieve improved educational and developmental outcomes for all children — especially those at emotional or behavioral risk and those with mental health problems.



Action Agenda

Create awareness about the gap between children’s mental health needs and “treatment” resources, and encourage improved and expanded services (including new anti-stigma campaign).

Partner with regional action networks to enhance within-region implementation of the action agenda, actively soliciting student and family input. Also, contribute to statewide efforts (e.g., training institutes, workshops, research, etc.).

Conduct surveys of mental health agencies, families, and school districts to better define the mental health needs of children and to gather information about promising practices.



Action Agenda (continued)

Provide training and technical assistance to mental health agencies and school districts, to support adoption of evidence-based and promising practices, including improvement and expansion of school-based mental health services.

Develop a guide for education and mental health professionals and families, for the development of productive partnerships.



Action Agenda (continued)

Assist in identification of sources of financial support for school-based mental health initiatives.

Assist university-based professional preparation programs in psychology, social work, public health, and education, in developing inter-professional strategies and practices for addressing the mental health needs of school-age children.


Report of President’s New Freedom Commission on Mental Health

http://www.mentalhealthcommission.gov

“…the mental health delivery system is fragmented and in disarray…leading to unnecessary and costly disability, homelessness, school failure and incarceration.”

Unmet needs and barriers to care include (amongothers):• Fragmentation and gaps in care for children.• Lack of national priority for mental health and suicide

prevention. July,

2003


Report of President’s New Freedom Commission on Mental Health: Six Goals

for a Transformed System

1. Americans understand that mental health is essential to overall health.

2. Mental health care is consumer and family driven.

3. Disparities in mental health services are eliminated.

4. Early mental health screening, assessment, and referral to services are common practice.

5. Excellent mental health care is delivered and research is accelerated.

6. Technology is used to access mental health care and information. July, 2003


Four Recommendations Supporting Goal 4: Early Mental Health Screening, Assessment,

and Referral to Services are Common Practice

1) Promote the mental health of young children.

2) Improve and expand school mental health programs.

3) Screen for co-occurring mental and substance use disorders and link with integrated treatment strategies.

4) Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and supports.

July, 2003


Mental Health, Schools and Families Working Together for All

Children and Youth

Ohio’s Shared Agenda Initiative


Policy Maker Partnership (PMP) at the National Association of State Directors

of Special Education (NASDSE) and the National Association of State Mental

Health Program Directors (NASMHPD)

Concept Paper:Mental Health, Schools and Families Working

Together for All Children and Youth:Toward A Shared Agenda (2002)


Purpose of the Concept Paper

“Encourage state and local family and youth organizations, mental health organizations, education entities and schools across the nation to enter new relationships to achieve positive social, emotional and educational outcomes for every child.”


The Aim

The aim is to align systems and ensure the promise of a comprehensive, highly effective systemic collaboration to coordinate and integrate programs and services for children and youth and their families.


The Vision

A vision for a shared education and mental health agendaensures that:

1. All children and youth have an equal opportunity to develop their fullest cognitive, social and emotional capacities; and

2. The needs of those who experience psychosocial problems and emotional and behavioral disabilities are effectively addressed.


The Framework

The framework encompasses a continuum of interventions,including:

1. Positive development of child, youth, families and communities and prevention of problems;

2. Early identification—interventions for children and youth at risk or shortly after the onset of problems; and

3. Intensive interventions—with a focus on integrated approaches.


The concept paper is available online at:

www.nasdse.org/sharedagenda.pdf

www.ideapolicy.org/sharedagenda.pdf

www.nasmhpd.org


Policy Maker Partnership (PMP) at the National Association of State Directors of

Special Education (NASDSE) and the National Association of State Mental

Health Program Directors (NASMHPD)

Shared Agenda Seed Grant Awards to:Missouri, Ohio, Oregon,

South Carolina, Texas, and Vermont

With Ongoing Across-State NetworkingFacilitated by PMP/NASDSE


Additional Funding for Ohio’s Shared Agenda Initiative

Ohio Department of Mental HealthOhio Department of Education

Ohio Department of Healthand

Numerous Additional State-level and Regional Organizations



The Shared Agenda seed grant is being implemented in Ohio within the

collaborative infrastructure of the Mental Health Network


Three Phases of Ohio’s SharedAgenda Initiative

Phase 1—Statewide forum for leaders of mental health, education, and family policymaking organizations and child-serving systems (March 3, 2003)

Phase 2—Six regional forums for policy implementers and consumer stakeholders (April-May, 2003)

Phase 3—Legislative forum involving key leadership of relevant house and senate committees (October 9, 2003)


Rachel’s TestimonyOctober 9, 2003

You can listen to Rachel’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html


Logo Here

Phase 1 and Phase 2Shared Agenda Forums

Columbus, OH — Statewide Forum, March 3, 2003

Athens, OH—Southeast Wooster, OH—North CentralApril 15, 2003 April 28, 2003

Columbus, OH—Central Bowling Green, OH—NorthwestApril 29, 2003 April 29, 2003

Cleveland, OH—Northeast Hamilton, OH—SouthwestMay 5, 2003 May 5, 2003


Strategies and Features of Various Phase 1 and 2 Shared

Agenda Forums

• Mark Weist, Center for School MH Assistance, U. of Maryland

• Steve Adelsheim, New Mexico School MH Initiative

• Howard Adelman & Linda Taylor, UCLA School MH Project

• Kimberly Hoagwood, Columbia University

• Howie Knoff, Project Achieve

• Joseph Johnson, Ohio Department of Education

• Eric Fingerhut, Ohio State Senator

Keynote presentations by national and state experts:


Promising work in Ohio showcased

Youth and parent testimony

Cross-stakeholder panel discussions

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Strategies and Features of Various Phase 1 and 2 Shared

Agenda Forums


Approximately 725 participants

Materials compiled and developed to inform the Fall, 2003 Shared Agenda Legislative Forum

Through Legislative Forum raise public awareness and build advocacy for policy and fiscal support for better alignment for education and mental health in the next biennial budget process

Website created to track and publicize Ohio’s Shared Agenda initiative (http://www.units.muohio.edu/csbmhp/sharedagenda.html)

Outcomes and Recommendationsfrom Phases 1 and 2


Selected Participant EvaluationFindings (mean/modal ratings) from Statewide and Regional

Forums

Logo Here

How positive was the forum?(scale: 1=poor; 2=needs to improve; 3=ok; 4=good; 5=very good; 6=great)

Statewide 4.8/5Southeast 4.6/5North Central 4.2/5Central 4.4/5Northwest 4.6/5Northeast 4.8/5Southwest 4.8/5


Participant Perspective (mean/modal ratings) on Extent of Barriers to Implementing a Mental Health,

Schools, Families Shared Agenda

What is the extent of barriers?(scale: 1=none; 2=a few barriers; 3=some barriers; 4=many barriers; 5=very difficult; 6=not possible)

Statewide 3.8/4Southeast 3.4/4North Central 3.7/4Central 4.0/4Northwest 3.8/4Northeast 3.9/4Southwest not rated


Selected Participant EvaluationFindings (mean/modal ratings)

from Statewide andRegional Forums

How much will the forum help collaboration efforts?(scale: 1=no help; 2=very little help; 3=a little help; 4=some help; 5=pretty good; 6=great)

Statewide 4.4/5Southeast 4.5/5North Central 4.1/4Central 4.4/4Northwest 4.4/4Northeast 4.5/4Southwest 4.4/5

Log Here


Tova’s TestimonyOctober 9, 2003

You can listen to Tova’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html


Development of format for forum, and selection of date

Commitment of participation from ODMH and ODE leadership

Identification and preparation of legislative co-chairs

Invitation to additional legislative panelists

Invitation to stakeholders throughout the state

Legislative Forum PreparationOctober 9, 2003


Promotional work

Selection of students for written and oral testimony and identification of facilitator

Selection of adults (parents, educators, and mental health providers) for written and oral testimony and identification of facilitator

Development of written materials for the legislators

Plan for pre-forum events with student and adult participants

More Legislative Forum Preparation

October 9, 2003


Detailed agenda

Executive summary of The President’s New Freedom Commission on Mental Health Final Report

Shared agenda fact sheet and recommendations

Overview of Ohio’s Shared Agenda Initiative

Written testimony by students

Written testimony by parents, educators, and mental health providers

Note: all available on Shared Agenda website at http://www.units.muohio.edu/csbmhp/sharedagenda.html, except New Freedom Commission Report which is available at www.mentalhealthcommission.gov

Written Material Provided to Participating Legislators

October 9, 2003


Hotel check-in for overnight stay in Columbus

Visit to Senate Finance Hearing Room and statehouse tour

Meeting with Senator Carey, forum co-chair

Student meeting with facilitator to practice testifying

Adult panelist meeting with facilitator to discuss testifying

Free time

Dinner and celebration with Mike Hogan (ODMH) and Mike Armstrong (ODE)

Pre-Forum Activities for Students, Their Parents, Adult Panelists, and

Members of the Mental HealthNetwork Affiliates

October 8, 2003

Pre-Forum Dinner and CelebrationOctober 8, 2003


Comments from Legislators Following the Adult Testimony

From Representative Joyce Beatty (Member House Education Committee)In a question/challenge to fellow legislative panelists:

“Is there legislation that we should be looking at?”

From Representative Arlene Setzer (Chair, House Education Committee)In response to Representative Beatty:

“During this whole process I was also taking notes and marking because, as you indicated there have been some specifics provided to us which we truly need many

times when looking at legislation. And, as most of you know currently the house and the senate are working on Senate Bill 2 House Bill 2 which is for the teacher success and

identifying highly qualified teachers. And within that realm…..I am going to guide that discussion around some of things that I have heard today about the idea that teachers

need to understand regardless of what their teaching assignment might be…”


Kristin’s TestimonyOctober 9, 2003

You can listen to Kristin’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html


Comments from Legislators Following the Student Testimony

From Senator Bill Harris (Chair, Senate Finance Committee)

“…I listened to the very brave and courageous young people tell us about things of their life. And as you were explaining that to us I am thinking

about my sons, I am thinking about my grandchildren, I am thinking about other people that I know and some of the struggles that they have…”

From Representative Joyce Beatty (Member, House Education Committee)

“…All of the student panel members, I don’t think I have ever heard anything so compelling and moving and informative and educating in my entire life. So let me say

to you thank you and let me give it to you with that smile that can be comforting because you have helped us…”


Four Next Steps for Ohio’s Shared Agenda Initiative

1. ODMH and ODE jointly formed three workgroups to address action steps related to the Shared Agenda Recommendations

Public Awareness and Advocacy Professional Development/Training and Service Delivery Policy and Funding



A first joint meeting of the three workgroups was held on November 4, 2003

Participants are being asked for a 1 year commitment, with quarterly meetings to report progress



2. Ohio is one of eight states selected to participate in a SAMHSA-funded 3-year Elimination of Barriers Initiative (EBI) to identify effective approaches in addressing the stigma and discrimination associated with mental illness.



ODMH is leading Ohio’s EBI effort, focusing on the school age population. Contact strategies being considered include:

Youth speaker panel/bureau

School resource kit



3. Expansion of Ohio’s Positive Behavior Support Initiative will continue through collaborative efforts of: Special Education Regional Resource Centers The Ohio Association of Elementary School Administrators The Ohio Association of Secondary School Administrators


Four Immediate Next Steps for Ohio’s Shared Agenda Initiative

There currently are over 700 building teams and 10,000 educational staff trained in Positive Behavior Supports



4. Ongoing work of the Ohio Mental Health Network for School Success will continue through implementation of the action agenda and through special targeted efforts.


This PowerPoint Presentation is posted on Ohio’s Shared Agenda website

http://www.units.muohio.edu/csbmhp/sharedagenda.html

ohio mental health network for school success coordinating education and mental health services for...

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