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Mental Health Services Act

Mental Health Services Act. Prevention and Early Intervention Sub Committee Meeting July 30, 2008. Sharon Browning. Advocate – Planner Roles. Advocate. ADVOCATES call attention to the needs of groups they represent and support targeting services to these groups. Advocate.

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Mental Health Services Act

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  1. Mental Health Services Act Prevention and Early Intervention Sub Committee Meeting July 30, 2008

  2. SharonBrowning Advocate – Planner Roles

  3. Advocate • ADVOCATES call attention to the needs of groups they represent and support targeting services to these groups.

  4. Advocate • Advocates are important to the process because they: • Help ensure that attention is brought to the needs of specific populations • Question assumptions made by other members (i.e., other advocates) • Help ensure consideration of community factors • Help ensure appropriate strategies and interventions for particular populations

  5. Planner • PLANNERS consider the needs of all target populations and subpopulations in Orange County, and prioritize needs and allocate resources to services based on sound data and objective criteria.

  6. Planner • Each person, as a planner is, responsible for: • Managing conflict of interest • Taking responsibility for an equitable and sound process

  7. Advocate and Planner • Managing the personal struggle between advocate and planner is essential so priorities are based on demonstrated relative need, and not the power, influence, or advocacy skills of any single member.

  8. Advocate and Planner • The advocatein each member informs the process • The plannerin each member makes the decision

  9. SharonBrowning Requested Materials

  10. KimariPhillips PEI Community Survey Updates

  11. Survey Dissemination • Mailed over 3,000 surveys to OC organizations and community members • Handed out over 5,000 surveys throughout OC at meetings, clinics, community based organizations, etc. • E-mailed announcements regarding the online surveys (including a hyperlink for easy access)

  12. 1,564 Community Surveys Received Survey Type 81.5% Print (n = 1,275) 18.5% Online (n = 289) Survey Language 84.7% English (n = 1,325) 11.7% Spanish (n = 183) 3.6% Vietnamese (n = 56)

  13. Information Gathered from OC Community(Residents/MH Consumers) • Demographic info (age, gender, race/ethnicity, annual household income, home ZIP code) • Satisfaction with amount & accessibility of PEI services in OC • Opinions regarding: • Populations in greatest need of PEI in OC • Priority PEI issues in OC communities • Most effective settings for identifying OC residents with a need for PEI services • Best approaches for addressing PEI in OC

  14. Race/Ethnicity of Community Respondents(n=1,514)

  15. Community Respondents’ • Average Age(n=1,476) 43.5 years (15-91 yrs) • Gender(n=1,531) 66.8% Female 33.1% Male

  16. Average Annual Household Income(n=1,429)

  17. There are enough existing PEI resources and services(n = 1,512 community/public responses, average = 2.25 on a 5-point scale, where 1=Strongly Disagree, 5=Strongly Agree)

  18. There is enough information available about how to find and access existing PEI resources and services.(n = 1,527 community/public responses, average = 2.29 on a 5-point scale, where 1=Strongly Disagree,5=Strongly Agree)

  19. Community Opinions Regarding Priority Populations for PEI in OC(n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)

  20. Community Opinions Regarding Priority Populations for PEI in OC (n > 1,500, averages on a 5-point scale, where 1=Very Low Need, 5=Very High Need)

  21. Community Opinions Regarding Priority Goals/Needs for PEI in OCREDUCTION OF…

  22. Community Opinions Regarding Priority Goals/Needs for PEI in OC REDUCTION OF…

  23. Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services

  24. Community Opinions Regarding Effective Settings for Identifying OC Residents Needing PEI Services

  25. Community Opinions RegardingBest Strategies for Addressing PEI in OC

  26. For more information regarding methods used for data collection, preliminary analyses, or this summary of results … Contact: Kimari Phillips, MA, CHES Research Analyst, OC Health Care Agency Office of Quality Mgmt – Planning & Research 714-834-7402 kphillips@ochca.com

  27. AlanAlbright / Kate Pavich PEI Roundtable

  28. KatePavich PEI Categories and Definitions

  29. Outreach and Engagement Services • Projects/programs that actively identify members of the PEI priority populations who are at risk of emotional, behavioral or mental health conditions and provide easy and immediate access, information and referral assistance to culturally competent early intervention services as needed.

  30. Prevention • Programs and services occurring prior to a diagnosisfor a mental illness which are designed to reduce risk factors or stressors, build protective factors and skills, and increase support. Prevention projects/programs promote positive cognitive, social and emotional development and encourages a state of well-being that allows the individual to function well in the face of changing and sometimes challenging circumstances.

  31. Prevention (cont.) • Prevention projects/programs may be classified according to their target groups: • Universal: target the general public or a whole population group that has not been identified on the basis of individual risk • Selective: target individuals or a subgroup whose risk of developing mental illness is significantly higher than average.

  32. Early Intervention • Projects/programs directed toward individuals and families for whom a short-duration (usually less than one year), relatively low-intensity intervention is appropriate to measurably improve a mental health problem or concern very early in its manifestation, thereby avoiding the need for more extensive mental health treatment or services; or to prevent a mental health problem from getting worse.

  33. Screening and Assessment Services • Projects/programs that incorporate the use of voluntary mental health screening and assessment tools, brief structured interviews, and other activities designed to identify individuals who may be at risk of developing emotional, behavioral or mental health conditions.

  34. Crisis and Referral Services • Crisis response projects/programs encompass a wide range of culturally competent, population-specific strategies aimed at reducing suicidal behavior and its impact on family, friends, and communities. This spectrum includes warmlines/hotlines; integrated mobile crisis response teams; promotion and prevention strategies that offer community education campaigns, foster resiliency, increase appropriate help-seeking behaviors and enhance protective factors in individuals and communities; build the capacity of providers and systems to offer appropriate services including interventions to address mental health problems early and to reduce suicidal behaviors; and follow-up care services for those who have survived a suicide attempt and for family members and others who have suffered the loss of a loved one.

  35. Training Services • Training projects/programs targeting staff and volunteers working in schools and universities, primary care setting and emergency medical services, refugee and recent immigrant programs, law enforcement, teen programs, violence prevention programs, sexual assault crisis centers, homeless programs, disaster assistance/response programs, grief support programs, to better understand, identify and address potential mental health needs of PEI priority populations and access/utilize local community mental health resources.

  36. Training Services • Training projects/programs may also target the general community and/or specific at-risk populations in an effort to increase the understanding and awareness of factors that contribute to the development of mental health problems, reduce the potential for stigma and discrimination against individuals with mental illness, and increase access to and awareness of local mental health resources.

  37. School-Based Services • Projects/programs that provide outreach and education to children, youth, families, and school staff to increase awareness of mental health issues and reduce stigma and discrimination; build resiliency and increase protective factors in children and youth; foster a positive school climate; prevent suicide; expand early intervention services; develop school-wide approaches to prevent bullying and violence; provide professional development/training on mental health for those working with children and youth in schools; and support policies and practices that demonstrate that students’ social/emotional health and competencies are a primary part of the school’s mission.

  38. Parent Education and Support Services • Projects/programs would specifically target mothers and fathers, as well as grandparents and others who have responsibility for caring for at-risk children and youth. These projects/programs would foster effective parenting skills and family communication, healthy identities and extended family values, child growth and development, and self-esteem.

  39. Parent Education and Support Services • Parenting support, education and skills training to parents or other adults who suffer from a mental illness and who are raising children should also be considered. Services may also include assisting parents in reducing the incidence of child abuse, substance abuse, juvenile delinquency, gang violence, learning disorders, behavior problems, and emotional disturbances.

  40. AlanAlbright Examples of PEI Projects

  41. Outreach and Engagement Services • Outreach efforts where consumers congregate (e.g., community centers, churches, Family Resource Centers, homeless shelters, etc.) • 211 mental health resource line • “Friendly Visitor” programs for seniors • Mental health outreach to foster and probation youth • Homeless shelter programs • Care coordination/case management services

  42. Prevention • Training on warning signs for suicide and how to intervene • After school programs • Nurse-Family partnerships • Leadership and resiliency programs • Peer counseling/mentoring • Support groups for older adults who have lost a spouse • Programs to reduce substance abuse, gang violence and school failure • Education for school-aged children and youth on mental illnesses • Mental health consultation to senior and child care centers • Mental health resources for youth engaged in substance use/abuse and children of substance-abusing parents

  43. Early Intervention • Brief mental health interventions for at-risk individuals, families, mothers and infants, etc. • Cognitive-Behavioral Intervention for trauma victims • Home-based intervention programs • Mental health interventions for at-risk dependent children (SSA) • Intervention programs for school attendance/adjustment problems • Mental health consultation with interventions in child care environments • Socialization programs with a mental health emphasis for home-bound older adults with signs of depression • Anger management programs • “First Break” assessment and treatment programs • Web-based program for transitional age youth

  44. Screening and Assessment Services • Preschool/early identification programs • Adolescent mental health screenings • Depression, suicide and substance abuse screening for older adults • Depression screening by primary care physicians • Screening women for post partum depression and targeting children of parents with depression for intervention

  45. Crisis and Referral Services • OC-based suicide hotline • Crisis warm line • PTSD/substance abuse programs • Veteran’s services

  46. Training Services • Mental health training for professionals (e.g., physicians, teachers, probation, etc.) • Peer mentoring training • Senior peer counseling training • Faith-based mental health training • Community mental health information/media programs

  47. School-Based Services • Positive Behavioral Interventions • School based mental health resources • Curriculum on risk and protective factors • Parent-School collaboratives • Programs for high risk children

  48. Parent Education and Support Services • Life skills training • Teen parenting classes/support groups • Family support services • Positive parenting programs

  49. KatePavich Workgroups Facilitator – Introductions

  50. SharonBrowning Workgroup Decision Making Process

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