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Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Agenda for Children’s Mental Health: Ohio's Experience. Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

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Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

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  1. Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Agenda for Children’s Mental Health: Ohio's Experience Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University) Kay Rietz, Ohio Department of Mental Health (Columbus)Terri Johnston, Positive Education Program (Cleveland) Terre Garner, Ohio Federation for Children’s Mental Health (Cincinnati)Diana Leigh, Center for Learning Excellence (Ohio State University) Presentation at the 8th National Conference On Advancing School-Based Mental HealthPortland, Oregon October 24th, 2003

  2. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003

  3. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003

  4. Infrastructure for Ohio’s Shared Agenda 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 Excellence Ohio Department of Education (ODE) Governor’s Office

  5. Infrastructure for Ohio’s SharedAgenda Initiative Publication of Mental Health and School Success: 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

  6. Infrastructure for Ohio’s SharedAgenda Initiative Follow-up Publication of Mental Health and School Success: What We are Learning (Spring, 2003) • Chronicles the growing success of mental health — education —family partnerships • Highlights innovative school-based mental health programs and services • Resource guide

  7. Infrastructure for Ohio’s SharedAgenda Initiative 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

  8. 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.

  9. The Ohio Mental Health Network for School Success • 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). • Encourage mental health agencies and school districts to adopt mission statements that address the importance of partnerships. • Conduct surveys of mental health agencies and school districts to better define the mental health needs of children and to gather information about promising practices.

  10. The Ohio Mental Health Network for School Success • Action Agenda (continued) • Provide 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.

  11. The Ohio Mental Health Network for School Success • 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.

  12. Ohio’s Shared Agenda Initiative Mental Health, Schools and Families Working Together for All Children and Youth

  13. 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)

  14. 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.”

  15. 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.

  16. The Vision A vision for a shared education and mental health agenda ensures that: All children and youth have an equal opportunity to develop their fullest cognitive, social and emotional capacities; and The needs of those who experience psychosocial problems and emotional and behavioral disabilities are effectively addressed.

  17. The Framework The framework encompasses a continuum of interventions, including: Positive development of child, youth, families and communities and prevention of problems; Early identification—interventions for children and youth at risk or shortly after the onset of problems; and Intensive interventions—with a focus on integrated approaches.

  18. The concept paper is available online at:www.nasdse.org/sharedagenda.pdfwww.ideapolicy.org/sharedagenda.pdfwww.nasmhpd.org

  19. 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 Six States: Missouri, Ohio, Oregon, South Carolina, Texas, and Vermont

  20. Additional Funding for Ohio’s Shared Agenda Initiative Ohio Department of Mental Health Ohio Department of Education Ohio Department of Health and Numerous Additional State-level and Regional Organizations

  21. Infrastructure for Ohio’s Shared Agenda Initiative The Shared Agenda seed grant is being implemented in Ohio within the collaborative infrastructure of the Mental Health Network for School Success

  22. Three Phases of Ohio’s Shared Agenda 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)

  23. Phase 1 and Phase 2Shared Agenda Forums Logo Here Columbus, OH — Statewide Forum, March 3, 2003 Athens, OH—Southeast Wooster, OH—North Central April 15, 2003 April 28, 2003 Columbus, OH—Central Bowling Green, OH—Northwest April 29, 2003 April 29, 2003 Cleveland, OH—Northeast Hamilton, OH—Southwest May 5, 2003 May 5, 2003

  24. Strategies and Features of Various Phase 1 and 2 Shared Agenda Forums • Keynote presentations by national and state experts: • 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

  25. Strategies and Features of Various Phase 1 and 2 Shared Agenda Forums • 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

  26. Mental Health, Schools and Families Working Together for Ohio’s Children: Shared Agenda Policymakers’ ForumColumbus, Ohio - March 3, 2003 • First jointly convened ODMH/ODE Forum • 125 policymakers • Keynote presentations by Mark Weist (Center for School Mental Health Assistance at University of Maryland) and Steve Adelsheim (New Mexico School Mental Health Initiative • Promising work in Ohio showcased • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, and instill hope that systemic change is possible • Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

  27. Southeast Ohio Forum—Finding NewWays to Collaborate:Breaking Down theBarriers to LearningAthens, OhioApril 15, 2003 • 75 policy implementers and stakeholders • Keynote presentation by Howie Knoff (Project Achieve) • Cross-stakeholder panel discussion • 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

  28. North Central Ohio Forum—AddressingBarriers to Learning: Frameworks forSchools & Communities Working Togetherto Close the Achievement GapWooster, OhioApril 28, 2003 • 117 policy implementers and stakeholders • Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project) • Individual county break-out sessions to explore potential collaborations • 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

  29. Central Ohio Forum—The Child We Have in Common: Families, Schoolsand Mental HealthColumbus, OhioApril 29, 2003 • 65 policy implementers and stakeholders • Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project) • Individual county break-out sessions to explore potential collaborations • 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

  30. Logo Here Northwest Ohio Forum—Strengthening the Partnership: Mental Health and Education Helping Kids Succeed in SchoolsBowling Green, OhioApril 29, 2003 • 80 policy implementers and stakeholders • Keynote presentation by Mark Weist (Center for School Mental Health Assistance at University of Maryland) • 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

  31. Logo Here Northeast Ohio Forum—Mental Health, Schools and Families Working Together for All Children & Youth Toward a Shared AgendaCleveland, OhioMay 5, 2003 • 120 policy implementers and stakeholders • Keynote presentation by Eric Fingerhut (Ohio State Senator) • Local collaboration showcased • 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

  32. Logo Here Southwest Ohio Forum—Mental Health, Schools & Families Working Together for All Children & Youth: Toward a Shared AgendaHamilton, OhioMay 5, 2003 • 140 policy implementers and stakeholders • Keynote presentations by Kimberly Hoagwood (Columbia University) and Joseph Johnson (Ohio Department of Education) • Youth panel and testimony • Parent panel and testimony • 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

  33. Outcomes and Recommendationsfrom Phases 1 and 2 • 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)

  34. Logo Here Selected Participant EvaluationFindings (mean/modal ratings) from Statewide and Regional Forums How positive was the forum? (scale: 1=poor; 2=needs to improve; 3=ok; 4=good; 5=very good; 6=great) Statewide 4.8/5 Southeast 4.6/5 North Central 4.2/5 Central 4.4/5 Northwest 4.6/5 Northeast 4.8/5 Southwest 4.8/5

  35. 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 3.8/4 Southeast 3.4/4 North Central 3.7/4 Central 4.0/4 Northwest 3.8/4 Northeast 3.9/4 Southwest not rated

  36. Log Here 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 4.4/5 Southeast 4.5/5 North Central 4.1/4 Central 4.4/4 Northwest 4.4/4 Northeast 4.5/4 Southwest 4.4/5

  37. Legislative Forum Preparation October 9, 2003 • 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

  38. More Legislative Forum Preparation October 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

  39. Written Material Provided to Participating Legislators October 9, 2003 • Detailed agenda • Executive summary of The President’s New Freedom Commission on Mental Health Final Report • Shared agenda fact sheet • Shared agenda 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

  40. Pre-Forum Activities for Students, Their Parents, Adult Panelists, and Members of the Mental Health Network Affiliates October 8, 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)

  41. Pre-Forum Dinner and CelebrationOctober 8, 2003

  42. Pre-Forum Dinner and CelebrationOctober 8, 2003

  43. 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…

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