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MENTAL HEALTH NEEDS IN DEKALB COUNTY

MENTAL HEALTH NEEDS IN DEKALB COUNTY. A Report to the Community of a Comprehensive Assessment of Needs. September 2009. Prepared for DeKalb County Community Mental Health Board. Prepared by Health Systems Research University of Illinois College of Medicine Rockford. DEKALB COUNTY

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MENTAL HEALTH NEEDS IN DEKALB COUNTY

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  1. MENTAL HEALTH NEEDS INDEKALB COUNTY A Report to the Community of a Comprehensive Assessment of Needs September 2009 Prepared for DeKalb County Community Mental Health Board Prepared by Health Systems Research University of Illinois College of Medicine Rockford

  2. DEKALB COUNTY MENTAL HEALTH NEEDS ASSESSMENT

  3. How is the mental health and well being of local residents? • How is the current health and human services system working for those with emotional problems, substance abuse or developmental disabilities? • What are the strengths and weaknesses of services in DeKalb County? • What unmet needs or gaps exist that are not being met?

  4. THE FOUR STUDY COMPONENTS

  5. THE FOUR STUDY COMPONENTS

  6. THE FOUR STUDY COMPONENTS

  7. HOUSEHOLD SURVEY • Used a questionnaire specifically for this study developed by the Community Mental Health Board working with Health Systems Research. • Topics of the 8 page questionnaire included: • Views of mental illness. • Use of support groups, new ones needed. • Needs not being cared for at this time. • Barriers to the use of services. • Prevalence of conditions among household members and the respondent. • Use of professional services, hospitalization. • Were benefits received from the use of services?

  8. HOUSEHOLD SURVEY ANALYSIS

  9. HOUSEHOLD SURVEY • Mailed to a random sample of 4,000 (1 in 20) households proportional to the number of households in each zip code. Student areas near NIU were excluded. • Cover letter from Board President urged participation. • Business reply postpaid envelope for returning the survey. • Questions answered at 800 number. • Follow-up postcard sent after 10 days. • 417 surveys or 10.4% of the sample returned. Those households contained 1,179 persons. • If representative, the margin of error would be plus or minus 4.5%.

  10. HOUSEHOLD SURVEY

  11. KEY INFORMANT INTERVIEWS

  12. KEY INFORMANT METHODOLOGY • Health Systems Research staff conducted the Key Informant interviews. • Following an introductory letter to Key Informants, HSR staff made appointments for hour-long interviews.

  13. KEY INFORMANT AREAS OF EXPERTISE • Health Systems Research staff conducted interviews with 52 key informants at 27 in-person interviews. • Key Informants were broadly representative of mental health, substance abuse and developmental disabilities populations and services as well as being distributed across the entire county.

  14. KEY INFORMANTS INTERVIEWED Matthew Toohey, Executive Director, Access Services of Northern IL Michael Flora, President and CEO Ben Gordon Mental Health Center Richard Salazar, Consumer Advocacy Agency Chief Don Thomas Sycamore Police Department Lt. Carl Leoni Representing Chief Bill Freithen DeKalb Police Dept. Ron Matekaitis DeKalb County State’s Attorney Margi Gilmour, Administrator DeKalb County Court Services Bette Chilton, Director Personal Health Services Kay Chase, Coordinator WIC and Family Case Management DeKalb County Health Department Thomas Dennison, MD, Psychiatrist Thomas Kirts, MS, Psychiatrist Gil Morrison, Regional Office with DeKalb County School Superintendents and Administrators Carolyn Beard, Director, DeKalb County Special Education Association Lynette Spencer, Kim, Volk, Lynette Swedbert, Steve Withrow, Emily Hummel DeKalb County Therapists in Private Practice Deanna Cada, Executive Director, DeKalb County Youth Service Bureau Ziv Sabin, Executive Director, Elder Care Services Cara Witkowski, Director of Client Services Epilepsy Foundation of North/Central Illinois, Iowa, and Nebraska Susan Plote, Executive Director, Family Service Agency Lesley Wicks, Hope Haven

  15. KEY INFORMANTS INTERVIEWED Dolly Scanlon, Mental Health Administrator Illinois Department of Human Services Division of Mental Health Kevin Poorten, President and CEO Kishwaukee Health System Kathleen Dust, Volunteer National Alliance for the Mentally Ill (NAMI) Dr. Micky Sharma, Director Northern IL University Counseling Center Dave Baker, Executive Director Open Door Rehabilitation Center Bob Shipman, Executive Director Opportunity House Pam Wiseman, Executive Director Safe Passage Lillian Pickup, Director Planning and Performance State of Illinois Division of Alcohol and Substance Abuse Kevin Byrd, Northwest Region Coordinator State of Illinois Division of Developmental Disabilities Mary Gentile, Social Worker Pam Pickins, Counselor Katie Peska, Counselor Julie French, Counselor Michelle Eklund, Counselor; Sycamore and Genoa-Kingston School Dist. Tom Zucker, Executive Director, The Voluntary Action Center (VAC)

  16. KEY INFORMANT INTERVIEWS

  17. FOCUS GROUPS

  18. METHODOLOGY • Focus groups were chosen by the Mental Health Board. • Area agencies and organizations were asked to help identify individuals willing to participate. • 11 focus groups were convened, 73 persons took part in the convened discussions. • The sessions were held at various sites around DeKalb County.

  19. FORMAT OF GROUPS

  20. COMMUNITY ANALYSIS Compiled Data About DeKalb County From Existing Sources. • 2000 Census and updates from the American Community Survey. • Vital statistics from IDPH, CDC for deaths, suicide. • Measures from the Behavioral Risk Factor Survey for mental health, • Depression of a DeKalb County telephone sample. • Crime and violence including abuse plus drug related arrests. • Estimates of the prevalence of mental health and substance abuse • based on the literature especially the National Comorbidity Study. • Illinois Youth Survey for substance abuse and violence. • Alcohol Related Vehicle Incidents. • School District Special Education data. • Hospitalizations and Emergency Department • use from Illinois Hospital Association CompData.

  21. COMMUNITY ANALYSIS

  22. A BIG THANKS TO • The Mental Health Board for funding and guiding the study. • Key informants and focus group members for taking part. • Respondents to the household survey. • Everyone who will use the information and address County needs.

  23. RESULTS AND PRIORITIES DeKalb County Mental Health Needs Assessment

  24. UNDERLYING FACTORS AND THEMES The information developed and interviews often presented services and needs within the contexts of:

  25. UNDERLYING FACTORS AND THEMES

  26. UNDERLYING FACTORS AND THEMES

  27. DEKALB COUNTYMENTAL HEALTH DELIVERY SYSTEMSTRENGTHS

  28. DEKALB COUNTYMENTAL HEALTH DELIVERY SYSTEMSTRENGTHS

  29. SELECTION OF PRIORITIES Criteria for Selection of Priorities

  30. SELECTION OF PRIORITIES For each priority, the key evidence from the study is shown.

  31. Priority

  32. Priority Broad Based System-Based Priorities

  33. PRIORITYACHIEVE AN EFFECTIVE INFORMATION AND REFERRAL SYSTEM

  34. PRIORITYACHIEVE AN EFFECTIVE INFORMATION AND REFERRAL SYSTEM Optimally, information should be available through a variety of modalities An ongoing mechanism to update information must be in place

  35. PRIORITYACHIEVE AN EFFECTIVE INFORMATION AND REFERRAL SYSTEM Household Survey

  36. PRIORITYACHIEVE AN EFFECTIVE INFORMATION AND REFERRAL SYSTEM Key Informant Study

  37. PRIORITYACHIEVE AN EFFECTIVE INFORMATION AND REFERRAL SYSTEM Focus Group Study

  38. PRIORITYEDUCATE THE COMMUNITY ON MENTAL HEALTH CONDITIONS AND STIGMA Community Analysis

  39. PRIORITYEDUCATE THE COMMUNITY ON MENTAL HEALTH CONDITIONS AND STIGMA

  40. PRIORITYEDUCATE THE COMMUNITY ON MENTAL HEALTH CONDITIONS AND STIGMA

  41. PRIORITYEDUCATE THE COMMUNITY ON MENTAL HEALTH CONDITIONS AND STIGMA

  42. PRIORITYORGANIZE A COMMUNITY SERVICES NETWORKING FORUM

  43. PRIORITYORGANIZE A COMMUNITY SERVICES NETWORKING FORUM

  44. PRIORITIES Population Focused Priorities

  45. PRIORITYPROVIDE ADDITIONAL SUPPORT GROUPS AND SERVICES

  46. PRIORITYPROVIDE ADDITIONAL SUPPORT GROUPS AND SERVICES

  47. PRIORITYPROVIDE ADDITIONAL SUPPORT GROUPS AND SERVICES

  48. PRIORITYDEVELOP NEW STRATEGIES TO MEET THE NEEDS OF ADULTS WITH ACUTE MENTAL ILLNESS AND OTHER CONDITIONS

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