System of Care: Cultural Competency KICK OFF. Stark County Mental Health and Recovery Services Board of Stark County

Transcription

1 System of Care: Cultural Competency KICK OFF Stark County Mental Health and Recovery Services Board of Stark County

2 Welcome Purpose Housekeeping Introduc=ons Stark County Mental Health and Recovery Services Board Coming Together Stark County Georgetown, Na=onal Center for Cultural Competence Kent State University, College of Public Health

3 Introductions Jessica Zavala Community Engagement- Youth Services Coordinator Stark County Mental Health and Recovery Services Board since 2013 Collect, review, and report youth, family, school, and geographic neighborhood behavioral health access data and stakeholder input, with paricular ajenion to the underserved populaions, to support informed community and system of care planning; Monitor, and review programs that outreach and serve tradiionally underserved populaions and exising programs that serve youth and families; Promote and coordinate cultural and linguisic competence within Stark County s Behavioral Healthcare network; Support efforts and partnerships that improve access, quality and uilizaion of service within culturally diverse and underserved communiies and populaion hgp://

4 Introductions Remel Moore Coming Together Stark County Execu=ve Director Local Expert in Diversity and Inclusion Training Coming Together Stark County 2014 Diversity Award Champions Website: hgp://comingtogetherstarkcounty.org

5 Introductions Vivian Jackson Ph.D. LICSW Na=onal recognized expert and consultant Assistant Professor, Senior Policy Associate Na=onal Center for Cultural Competence and Na=onal Technical Assistance Center for Children s Mental Health Georgetown University Center for Child and Human Development Website: hgp://ncccc.georgetown.edu/

6 Introductions Jeff Hallam Professor and Chair, Social and Behavioral Sciences at Kent State University, College of Public Health Project Facilitator SAMHSA - System of Care Stark County Mental Health and Recovery Services Graduate Assistants Melissa Mirka Ryan Tingler Website: hgp://goo.gl4mdmsal

7 MHRSB Oversight: What is the Mental Health and Recovery Services Board? O.R.C Board of alcohol, drug addicion, and mental health services - powers and duies Serve as the community mental health planning agency for the county or coun=es under its jurisdic=on, and in so doing it shall: (a) Evaluate the need for facili=es and community mental health services; (b) In coopera=on with other local and regional planning and funding bodies and with relevant ethnic organiza=ons, assess the community mental health needs, set priori=es, and develop plans for the opera=on of facili=es and community mental health services Serve uninsured, Medicaid, Medicare, and underinsured

8 MHRSB Overview Provides funding and oversight to 12 behavioral health provider organiza=ons to serve the preven=on, interven=on, treatment and recovery support needs of children and adults throughout Stark County 18 Member Board of Directors makes yearly alloca=on decisions amidst rapidly changing state funding and priori=es Local Levy funding Ac=vely seeks and obtains addi=onal sources of funding (grant writer on staff) to meet local needs Embraces collabora=ve efforts to leverage and maximize funding and outcomes (local and regional)

9 System of Care History/ Background Stark County- Ohio Department of Mental Health was awarded a SAMHSA System of Care Grant in the 1990 s. Stark County was 1 of 2 coun=es chosen to par=cipate. Stark County System of Care planning expansion grant 2014 Purpose: To develop a comprehensive strategic plan for improving, expanding and sustaining services provided through a system of care (SOC) approach for children and youth with serious emo=onal disturbances and their families.

10 Kent State University- College of Public Health Facilita=on of the planning process Jeff Hallam Sonia Alemagno Ken Slenkovich Melissa Mirka and Ryan Tingler Evalua=on team Jonathan VanGeest John Hoornbeek Josh Filla Next step: readiness to change assessment

11 SAMHSA System of Care Grant Mental Health and Recovery Services Board was awarded by - The Substance Abuse and Mental Health Services Administra<on (SAMHSA), Center for Mental Health Services Planning Grant for Expansion of the Comprehensive Community Mental Health Services for Children and their Families

12 System of Care Defini=on: System of Care is: A spectrum of effec=ve, community- based services and supports for children and youth with or at- risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguisic needs, in order to help them to funcion bejer at home, in school, in the community, and throughout life.

13 Planning Efforts Review policies and prac=ces focus to support our planning strategies Review recent and relevant data and stakeholder input already available within each of our systems and organiza=ons and we will be hearing the voices of today s young people and families Consultants available to us throughout the planning process: Kent State University School of Public Health, Na=onal Council on Behavioral Health, Georgetown Center on Cultural Competence, Coming Together Stark County, Young Adults, Youth and Families with Lived Experience As Past and Present Consumers in our System of Care Organiza=ons, and SAMHSA System of Care Technical Assistance.

14 Readiness to Change Assessment

15 Focus Areas Cultural Competence Other Focus Areas Trauma Informed Care Social Media & Website Communica=ons Youth and Family Voice Wellness & Resiliency Affordable Care Act, Insurance Health Homes

16 Coming Together Stark County

17 What is Culture to YOU?

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20 Why is Cultural Competence Important?

21 Data & Statistics Who we serve? Category 4 Category 3 Category 2 Category 1 Series 3 Series 2 Series

22 If solved.

23 Diversity Video: DO WE UNDERSTAND, & are WE Doing enough? hgp://

24 Youth & Family Voice 21 st Century Diversity : What should services look like? How do we gather the youth voice? What social media strategies work best to reach millennials? What are young peoples defini=on of cultural competence?

25 Georgetown- National Center For Cultural Competence

26 Cultural competence Cultural Appropriateness What s in a Word? Overrepresentation Cultural responsiveness Cultural awareness Cultural and linguistic competence DispariIes in mental health care Cultural sensi=vity Disparities in mental health status 2-26

27 CULTURAL COMPETENCE antudes structures policies behaviors prac=ces requires that organizations have a clearly defined, congruent set of values and principles, and demonstrate behaviors, attitudes, policies, structures, and practices that enable them to work effectively cross-culturally. (adapted from Cross, Bazron, Dennis & Isaacs, Slide Source: National Center for Cultural Competence

28 Five Elements of Cultural Competence INDIVIDUAL LEVEL 1 acknowledge cultural differences 2 understand your own culture 3 engage in self- assessment 4 5 acquire cultural knowledge & skills view behavior within a cultural context (Cross, Bazron, Dennis and Isaacs, 1989) Slide Source: National Center for Cultural Competence

29 ESSENTIAL ELEMENTS IN A CULTURALLY COMPETENT SYSTEM These five elements must be manifested at every level of an organization or system including: policy making administration practice & service delivery child, youth, family community and reflected in its attitudes, structures, policies, practices, and services. Adapted from Cross, Bazron, Dennis, & Isaacs, 1989 Slide Slide Source: Source: National - National Center Center for Cultural for Cultural Competence Competence

30 LINGUISTIC COMPETENCE FRAMEWORK POLICY DEDICATED FISCAL RESOURCES PRACTICES LINGUISTIC COMPETENCE DEDICATED PERSONNEL RESOURCES STRUCTURES PROCEDURES Goode & Jones, Revised 2009, Na=onal Center for Cultural Competence Slide Source: Na=onal Center for Cultural Competence

31 National CLAS Standards Themes Principal Standard 1: Provide effec=ve, equitable, understandable and respecqul quality care and services that are responsive to diverse cultural health beliefs and prac=ces, preferred languages, health literacy and other communica=on needs.

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33 DISCUSSION

34 Next Steps: Planning efforts Readiness Assessment Next Mee=ng

35 Contact Information Jeff Hallam- Kent State University College of Public Health Project Facilitator Jessica Zavala- Community Engagement- Youth Services Coordinator Remel Moore- Coming Together Stark County