Consulting with Schools on OPNA Results

1. Consulting with Schools on OPNA Results

2. Prevent Planning Fatigue!

3. Our Plan for Planning! • Prioritization • Orientation 2 • Intervention & Treatment Planning 5 1 3 • Family/ • Community Planning 4 • Prevention Planning

4. Find Shared Language!

5. Tiered Strategies

6. Teach Accessible Prevention Language

7. Upstream Thinking Upstream Public Health

8. What’s wrong with Johnny?

9. What’s wrong with Johnny’s Environment?

10. Portraits or Landscapes?

11. We talk about “risky” individuals, but not necessarily “risky” communities. ts

12. Risk and Protective Factors in each Domain • Individual • Family • School • Community

13. Go over OPNA results

15. Prioritize DataWe looked at items:- Above the state rate- Not above the state rate, but still concerning

16. Make Data Meaningful(what follows is not OKCPS data)

17. Mental Health – Need for Treatment Definition Needs Mental Health Treatment was estimated using the K6 Scale that was developed with support from the National Center for Health Statistics for use in the National Health Interview Survey. The tool screens for psychological distress by asking students During the past 30 days, how often did you: feel nervous? feel hopeless? feel restless or fidgety? feel so depressed that nothing could cheer you up? feel that everything was an effort? feel worthless? Answers to each were scored based on responses: None of the time (0 points), A little of the time (1 point), Some of the time (2 points), Most of the time (3 points), All of the time (4 points). Students with a total score of 13 or more points were determined to have high mental health treatment needs. Table 6 also shows the percentage of students with moderate (scoring 7-12 points) and low (scoring 0-6 points) mental health treatment needs. DRAFT ONLY

18. Let’s say moderate need for treatment is 14.7% and high need for treatment is 9.6%

19. Mental Health – Need for Treatment Overall low need – 3/4 high or moderate need – 1/4 DRAFT ONLY

20. - Each component is on a Likert scale(5 points)- Can combine “most” and “all of the time” for areas of highest needLet’s say 16% report they feel hopeless most or all of the time and 10% report they feel worthless most or all of the time…

21. Mental Health – Need for Treatment Each Question In the past 30 days, how often students felt the following MOST or ALL of the time… feel hopeless feel worthless about 1 in 10 students (two kids in a classroom of twenty) about 1 in 6 students (three kids in a classroom of twenty)

22. Suicide Definition Suicide Related Indicators are based on a series of questions about suicide. These questions provide information about suicidal ideation and attempts of suicide (e.g., “During the past 12 months, did you ever seriously consider attempting suicide?” and “During the past 12 months, how many times did you actually attempt suicide?”). DRAFT ONLY

23. Suicide Overall During the past 12 months, did you ever seriously consider attempting suicide? No – about 90% Yes – about 10% DRAFT ONLY

24. May be useful to compare serious contemplation in last 12 months with plan and attempts

25. Alcohol Use Definition Lifetime & 30 Day ATOD Use Charts Lifetime use is a measure of the percentage of students who tried the particular substance at least once in their lifetime and is used to show the percentage of students who have had experience with a particular substance. 30-day use is a measure of the percentage of students who have used the substance at least once in the 30 days prior to taking the survey and is a more sensitive indicator of the level of current use of the substance. Problem substance use is measured in several different ways: binge drinking (having five or more drinks in a row during the two weeks prior to the survey) DRAFT ONLY

26. Alcohol Use Overall 30-Day Use Lifetime Binge-Drinking Yes – about 10% Yes – about 40% Yes – about 20% DRAFT ONLY

27. Alcohol Use Sources DRAFT ONLY

28. DRAFT ONLY

29. Alcohol Use During the past 12 months, I have talked with at least one of parents about the dangers of… DRAFT ONLY

30. Marijuana Overall 30-Day Use Lifetime Yes – about 20% Yes – about 9% DRAFT ONLY

31. Gender Considerations Female Females universally higher in certain outcomes Females universally higher on certain protective factors Females noticeably higher on certain risk factors in certain board regions Male Females universally higher in certain outcomes Females universally higher on certain protective factors Females noticeably higher on certain risk factors in certain board regions DRAFT ONLY

32. Race/Ethnicity Considerations Race X Highest in need for mental health need for treatment Lowest in most risk factors; highest in most protective factors One of highest risk factor X Race Y Lower in mental health need for treatment Highest in several risk factors Highest in one specific protective factor Hispanic Jumps around Sometimes has lower risk or higher protection in neighborhoods that are predominantly Hispanic, but opposite in neighborhoods that are predominantly white DRAFT ONLY

33. Board Region Considerations Region A Lower in outcome X, but still higher than desirable Region A and B Lowest risk in most risk factor categories, except risk factor X Usually highest ranked in protective factors Region C Highest risk in risk factors X, Y, Z, Q DRAFT ONLY

34. A note about consistency of OPNA data… DRAFT ONLY

35. Kids telling us what is wrong • How to prioritize – cons/cons/ivs • RF Scales for SA • RF model for Depression • Book – strategies for Px • Matrix – strategies for SA • Comprehensive • Programs, Policies, Practices • Lifespan • Px, Ix, Tx

36. Kids telling us what is wrong • How to prioritize – cons/cons/ivs • RF Scales for SA • RF model for Depression • Book – strategies for Px • Positive – weed/garden • Matrix – strategies for SA • Comprehensive • Programs, Policies, Practices • Lifespan • Px, Ix, Tx

37. Kids telling us what is wrong • How to prioritize – cons/cons/ivs • SA rates • RF Scales for SA • Psych Distress rates • RF model for Depression • Book – strategies for Px • Positive – weed/garden • Matrix – strategies for SA • Comprehensive • Programs, Policies, Practices • Lifespan • Px, Ix, Tx • Domains

38. Steps to Student Mental Health Assess Plan Capacity Implement Measure Assess student risk and protection with the OK Prevention Needs Assessment and other instruments. Identify priorities and develop a plan of evidence-based programs and practices. Ready the school and community for change. Build capacity and commitment to implement mental health plan. Deliver a comprehensive set of prevention, intervention and treatment interventions. Measure progress, monitor student, adjust where needed.

39. How do we prioritize?

40. Developing a Comprehensive Mental Health Plan • The OPNA survey is an important tool to not only understand the rates of problem behaviors, but also the drivers of those problems • Addiction and other behavioral disorders are driven by the presence of risk factors in one or more domains – including individual, peer, family, school, and community domain • The strategy behind Embrace OKC is to reduce risk and increase protection across all domains Any factor that puts a student at risk (or protects) a student from a social problem Frequency or intensity of any social problem including substance use and mental illness Suicidality, early death, disease, car crashes, injury, academic failure, social and relational problems

41. Activity

46. Psychological Distress Assess Assess • Overall mental health, or psychological distress,is estimated using the K6 Scale developed by the National Center for Health Statistics for use in the National Health Interview Survey. • The tool assesses psychological distress by asking students: • During the past 30 days, how often did you: • feel nervous? • feel hopeless? • feel restless or fidgety? • feel so depressed that nothing could cheer you up? • feel that everything was an effort? • feel worthless? • Student responses are scored on a scale of low, moderate, or high, indicating level of psychological distress and potential need for mental health treatment.