SAMHSA S CHILDREN S MENTAL HEALTH INITIATIVE

Transcription

1 SAMHSA S CHILDREN S MENTAL HEALTH INITIATIVE

2 Welcome! Welcome and Introductions Housekeeping

3 Overview Recognize the benefits of utilizing the natural supports available within communities as a result of developing strong relationships and partnering with the faith community using the Open Table Model. Increased awareness/understanding of the Open Table model specifically. Implement the Open Table model within any system or community with support and technical assistance from the Open Table team.

4 Quick History of System of Care System of Care is a national initiative (see map) that began over 25 years ago Provided a definition, framework and philosophy Intended to guide the field in reforming systems and services

5 A Few Saginaw Statistics Population 200,169 70% of population in city 22.2% of the population lives below the poverty level Designated as the most violent American city (per capita) by the FBI in 2010

6 System of Care Communities of the Comprehensive Community Mental Health Services for Children and Their Families Program Funded Communities Date Number

7 What is a System of Care? What it is It is a philosophy; a process and practice for building a more collaborative and effective service structure for families who are experiencing the most mental health needs What it s not It is not a program

8 Why develop a System of Care? Systems of Care can: Improve outcomes for children and families Create cost savings Improve the service delivery system

9 Who are we? Represent Public Mental Health, Juvenile Justice/Courts, the Department of Human Services, Schools and many community partners who have committed to this initiative. Brief explanation of Public Mental Health

10 What are we seeing? What else we know about Saginaw County: % of youth involved with Saginaw County Juvenile Court that appear to have significant mental health concerns % of youth beginning treatment with SCCMHA that have moderate to severe problems in school 75% 80%

11 Cont. % of Saginaw County youth in foster care that have clear mental health treatment needs % of youth involved with the Saginaw County Juvenile Court report that they have seen someone get killed or severely injured in person 60% 36%

12 Needs Assessment Revealed Need for System of Care in Saginaw We discovered that families were not being served well across systems and we had data to back this up We had real-life examples of the systems not working for families We had an opportunity for a start-up grant from the State of Michigan to begin the reformation work

13 SOC TIMELINE: st System of Care Community Established MDCH Block Grant for SOC Start up and Exploration Applied for Substance Abuse and Mental Health Services Admin. Awarded Cooperative Agreement with SAMHSA Grant

14 What is the overall vision? We believe that every child deserves the opportunity to live a fulfilling life, especially children with serious emotional or behavioral challenges. We are committed to their success through these principles: Use of family driven, youth guided practice Respect for the unique background and culture of each family A collaborative, unified team of community partners A provision of supports and services that have proven results

15 How have we been achieving our vision? 1. By changing how we do business and how we serve families with mental health challenges 2. By challenging the status quo 3. By changing policies and procedures that pose barriers to successful treatment 4. By including youth and families in all areas of planning and implementation of this initiative 5. By educating our community

16 Saginaw SOC Identified Population Children and youth, ages 6 to 17 with serious emotional disturbances who are involved in the child welfare, special education, and/or juvenile justice systems and are at risk for out-of-home placement, psychiatric hospitalization, expulsion from school, or court involvement

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18 Work that is being done now M.U.T.T. (Mobile Urgent Treatment Team) Co-located Mental Health, JJ, and DHS workers between agencies Community Education Initiative Collaborative arrangement with Family Court/ Juvenile Justice/ Detention for shared mental health screening on all youth entering JJ system Evidence Based Practice Implementation

19 Work that is being done now (cont.) Wraparound Development and Implementation Family Leadership Training Intensive Cultural Trainings for the community, including law enforcement Faith-based mentoring initiative Collaboration and blended funding between the schools, Department of Human Services, Juvenile Court, and Mental Health Community based summer day camps On-the-job training opportunities for youth

20 WHAT S NEXT Original Grant Ending Expansion Grant Starting Open Table Pilot

21 From Transaction to Transformation. From Poverty to Community. One Person at a Time. The Open Table, Inc., 2015

22 52 years (and counting) The Open Table, Inc., 2015

23 Challenges Government funding limitations Professionals have expiration dates Addressing poverty and long-term service needs Sustainability of impacts Untapped community resources New opportunities for voice and choice Helping to address disparities and disproportionate minority contact The Open Table, Inc., 2015

24 Solution Creating an evidence-based, replicable intervention that taps the untapped social capital assets of faith congregations; and works in partnership with government to support America s poor, including youth involved with childserving systems and families The Open Table, Inc., 2015

25 Open Table Return on Investment [ROI] Investment Created Volunteer 1,700+ hours $35,000+ Goods & Services $9,000 Capital $1,000 - $3,000 (micro loans) Total: $40,000-$45,000+ Return on Investment Using a return on investment model, the City of Phoenix Human Services Department analyzed the economic impact of six completed Tables in the city. Results indicate that for every dollar Open Table, government programs and other program partners invested in the families, the families benefited $7.44. Also, as some Brothers/Sisters complete educational programs that began while on their Tables and earn higher levels of income, this financial impact could The Open Table, Inc., 2015 increase substantially.

26 Expanding and Sustaining your System of Care: A Model for Partnerships with the Faith Community The Open Table, Inc., 2015

27 An Introduction by Gary Blau, Ph.D., SAMHSA Growing national recognition that partnerships including faith-based organizations are beneficial, and offer a unique perspective in responding compassionately to the human condition. --SAMHSA, One Voice, One Community (2013)

28 Faith Communities About 50% of all Americans participate in faith communities. Total church membership in 2012=145,691, ,000+ congregations (Hartford Institute for Religious Research) 91.7% of congregations participate in social service programs (only 14.3% use outside funding support). (National Congregations Study/Duke University) More than 180 different denominations, with incredible cultural diversity. (American Church List) The Open Table, Inc., 2015

29 Partnerships that Work Faith communities and volunteers Government / systems of care The Open Table staff and consultants American Institutes for Research Center for Public- Private Partnerships TA Network The Open Table, Inc., 2015

30 Roles of Government/Systems of Care Convene and lead Provide seed and matching dollars to support technical assistance and training and help continue to build Open Table infrastructure An openness to blended funding arrangements Provide in-kind resources (e.g., conduct clearances for table members; train congregations to be trauma informed ) Agree to prepare and refer Brothers and Sisters Integrate/coordinate public/faith-based services through transition Help in identifying private funding sources The Open Table, Inc., 2015

31 The Initial SAMHSA Pilot RFA to all systems of care Three diverse system of care sites selected: -- Orlando, FL; Saginaw, MI; and Chautauqua, NY 9-month pilot (February-November 2015) SAMHSA-funded training and technical assistance (TTA) support to localities and faith-based organizations (FBOs) Local governments made 1:1 matching investments Local governments paid Year One licensing costs for faith communities as vital seed funding TTA provided by Open Table and system of care consultant hired by AIR to provide individualized support for each site The Open Table, Inc., 2015

32 The Public/Private Investment Strategy Is Working! Small seed start-up money from Federal/State government philanthropy and/or Local government and/or provider commitment to match seed funding, provide in-kind resources, agree to prepare and refer target brothers and sisters and integrate/coordinate services Intensive orientation, preparation, training and support of interested faith congregations in the Open Table model A sustainable local resource in support of people in poverty and transition that can be grown in all 50 States! The Open Table, Inc., 2015

33 Pilots in Three States SaginawMax Case History Saginaw MAX SOC (MI) Tapestry SOC (Chautauqua Co., NY) Wraparound Orange (FL) 2015: 20+ faith community partners with 30,000+ members

34 Wraparound and The Open Table: Fundamental Similarities Wraparound Individualized Builds on strengths of consumers Consideration of the personal culture of the consumer Unconditional care: Don t give up Community involvement Consumer driven Support oriented System of care community dedicated to outcomes Integrated across systems Informal supports Practical, relevant outcomes The Open Table Individualized Builds on strengths of Brothers and Sisters Consideration of the personal culture of the Brothers and Sisters Unconditional care: Don t give up Faith and broader community involvement Driven by Brother or Sister Support oriented Broadly focused, faith-based missional community Volunteer based Practical, relevant outcomes

35 Systems of Care are Developing Innovative Relationships with Faith Communities Through the Open Table Model

36 Research/Evaluation Wraparound as an evidence-based practice The Phoenix Return-on-Investment (ROI) Study Study of 2013 program graduates by Dr. John VanDenBerg Link: Find the Written Report at The Open Table, Inc., 2015

37 Research/Evaluation Qualitative study by American Institutes for Research Center for Public/Private Partnerships (AIR-CP3) AIR-CP3 piloting a survey tool measuring Brothers and Sisters gains Future plans: Measure impact of Table involvement on volunteers and participating congregations The Open Table, Inc., 2015

38 Open Table: A Poverty Transformation Movement for Faith Congregations From Transaction......To Transformation The Open Table, Inc., 2015

39 Photo Robert Terrell Poverty Maintenance Providing little of what helps people leave poverty and a lot of what doesn t. The Open Table, Inc., 2015

40 Responses to Poverty If WE are in danger of poverty: A different solution for the POOR: The Open Table, Inc., 2015

41 A Model Is The Missing Link Transactions require stuff Transformation requires models The Open Table, Inc., 2015

42 THE SECRET SAUCE The Open Table, Inc., 2015

43 The Secret Sauce: Networking Congregation Every 100 members = 5000 community connections Family Work Alumni Civic Groups Clubs Hobbies Friends The Open Table, Inc., 2015

44 Harvesting Networks: Renewable Resources Tables have successfully connected to resources like those listed. Each Table has unique needs based on the Brother/Sister s goals and situation. Accounting/Taxes Auto Mechanic Behavioral Health Career Mentoring Child Care Dentistry/Medicine Education Advice Housing/Furniture Jobs Law The Open Table, Inc., 2015

45 The Secret Sauce Reciprocal Sharing between Brothers and Sisters and Table Members Relationship/Trust Building Networking for Intellectual/Social Capital New Gains by Brothers and Sisters The Open Table, Inc., 2015

46 Bridging Divides: From a Table Member We wanted to work with a youth aging out of the system. Our first table was with a boy who had been in foster care and was coming out of prison. We carried many preconceived notions of what people in prison would be like. When we met him, we were so surprised at how open and honest he was with us. He had made bad choices, served his time, and was ready to start again. He was motivated. We had to learn to see him as a new man, not a man with a history. He s a welder. He is engaged to a great girl. He doesn t take any social services. He has embraced us as extended family. Table Member, Iowa

47 Open Table Members and Their Networks Represent Enormous Renewable Capital With ten people on a table, we collectively know almost everyone in the congregation, and what resources they are. The congregation members always offer their skills for whatever contribution is needed; and we also use third parties, people not in the congregation, whom we knew from our backgrounds. Table Member, Scottsdale, AZ The Open Table, Inc., 2015

48 The Open Table, Inc., 2015

49 The Open Table, Inc., 2015

50 No responsibility for creating change No responsibility for creating change Intent to make change and preparing environment for change Demonstrate d effort to create change Keeping change on track Assessment: Stages of Change Preparation Action Maintenance Precontemplation Contemplation Center for Psychology & Poverty in Houston --Based on James O. Prochaska s Transtheoretical Model of Behavior Change, developed in the late 1970's at the University of Rhode Island. The Open Table, Inc., 2015

51 Candidate Backgrounding Identifies Barriers to Progress Table members are trained to help the brother/sister with finding what is a potential barrier. The Open Table, Inc., 2015

52 Launch Process Steps in the Table Launch Process 1. Complete Licensing 2. Congregation Mission Leader(s) Confirmed 3. Get Started Form Completed 4. Navigation Begins 5. Table Members Recruited/Trained 6. Tables Launch The Open Table, Inc., 2015

53 Pre Launch Meetings Table Member Training Breaking of The Bread Life Story Life Plan The Open Table, Inc., 2015

54 Open Table Training and Technical Support Infrastructure Model handbook Trained Mission Leader for every congregation Open Table Navigator for every congregation Online member portal System of care learning community Table member training On-site, hands-on assistance with partnership building Assistance with volunteer recruitment and selection Basecamp (online project management for tables) The Open Table, Inc., 2015

55 Open Table Locations USA: 20 plus States Expanding nationally MODEL VERSIONS: Homeless/Working Poor Young Adults in Transition Foster Care LGBTQ Homeless Juvenile Justice Survivors of Human Trafficking Fatherhood Veterans Re-Entry from Prison/ Probation The Open Table, Inc., 2015

56 The Open Table, Inc., 2015

57 To Learn More Contact: Or Visit our Website Saginaw MAX and Open Table (Video) The Open Table, Inc., 2015

58 Questions?

59 Contact Information Wardene Talley Project Director Terry Kuhns CEO, PACT, Inc Dalia Smith Cultural and Linguistics Competency Coordinator