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Mental Health Planning and Evaluation Template -- ONLINE TJ Cosgrove, LICSW Public Health – Seattle & King County Laura Hurwitz, LCSW Director, School Mental Health Programs. Objectives of Webinar. Participant will be able to…
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Mental Health Planning and Evaluation Template -- ONLINE TJ Cosgrove, LICSW Public Health – Seattle & King County Laura Hurwitz, LCSW Director, School Mental Health Programs
Objectives of Webinar Participant will be able to… assess whether the on-line Mental Health Planning and Evaluation Template is an appropriate tool for your setting. learn the steps for using the on-line Mental Health Planning and Evaluation Template. learn how the on-line Mental Health Planning and Evaluation Template can be used in a quality improvement process.
MHPET Purpose • Enhance the evaluation of mental health services in the SBHC and/or in any school setting • Improve mental health practices in the SBHC and/or in any school setting • Collect data for school mental health advocacy and technical assistance efforts at NASBHC
Mental Health Services in SBHCs With (n=655) and Without (n=277) Mental Health Providers * P<.01
Mental Health Services in SBHCs • Fastest growing component of SBHC. • In ten years, the percentage of SBHCs with mental health staff went from 30% to over 65%. • Survey of SBHC providers in 2004/2005 found that expansion of mental health services was the first priority for program funding.
Need for Quality Improvement in Mental Health in SBHCs • Increased recognition that objective measures were needed for SBHC quality of care, especially in mental health • Such a measure would need to recognize: • Many disciplines • Wide range of interventions • Limited translational research around best practice in schools
Continuous Quality Improvement (CQI) at NASBHC • Seeks to improve all performance not just areas of unacceptable care. • Focuses on the processes of health care delivery and use of research-based approaches to reduce variations in those processes. • Need to understand and revise process in order to improve quality • 2001 - NASBHC developed CQI tool to assess clinically based sentinel conditions, including MH
MHPET Development • January 2004 NASBHC convened a workgroup to develop an evaluation tool • Based on School Mental Health Quality Assessment Questionnaire (MH-QAQ) developed by Mark Weist et al. at the Center for School Mental Health • Broadened questions from clinician to program level • Expanded questions to be more inclusive of school staff and non-mental health providers • Shortened, fewer dimensions and indicators
MH-QAQ School Mental Health Quality Assessment Questionnaire (MH-QAQ) • Developed by Mark Weist et al. at the Center for School Mental Health (CSMH) http://csmha.umaryland.edu/research.html/quality_assessment.html • Part of first ever systematic study “Enhancing quality in expanded school mental health” of school mental health quality assessment and improvement (QAI) • This study was supported by theNational Institute of Mental Health
MHPET Beta-test • 41 individuals completed the MHPET tool • 20 mental health providers • 11 medical providers • 6 support staff members • 4 administrators • 21 unique SBHC sites were represented (Talbot - 9, Illinois - 5, Seattle - 3, Montefiore - 4)
MHPET Beta-test • Responded to interview questions • Revised and finalized tool accordingly: • generalized to school mental health • changed name (“program” to “planning”) • simplified dimensions and language • included substance abuse
Beta-test on-line MHPET • Beta-test with 29 participants in 6 schools (3 SBHCs) in Baltimore, Pittsburgh, Little Rock, and Worchester • Teams completed both sets of MHPET and were given follow-up interview questions • Team leads participated in conference calls • Based on feedback, adjusted web links and revised instructions (e.g. clarified role of participants and team leads)
MHPET web-based tool • Now online www.nasbhc.org under “mental health” section • Set up to be completed by teams • Teams complete tool and go back 3-6 months later to complete a second time • Computer generates scores
Principles for SBHCs • Supports the school • Responds to the community • Focuses on the student • Delivers comprehensive care • Advances health promotion activities • Implements effective systems • Provides leadership in adolescent and child health http://www.nasbhc.org/site/c.jsJPKWPFJrH/b.2743459/k.9519/NASBHC_Principles_and_Goals_for_SBHCs.htm
James A Davis Middle School 1224 Clarendon Ave. Bessamer, AL 2