OJJDP TRIBAL JUVENILE DETENTION & REENTRY MEETING April 6 & 7, 2011 Choctaw, Mississippi

1. OJJDP TRIBAL JUVENILE DETENTION & REENTRY MEETINGApril 6 & 7, 2011Choctaw, Mississippi

2. Mission Statement: Strengthening Individuals, Families, and Communities SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES

3. Southern Plains MISSION OFFICE

4. Serving South Central South Dakota Gregory, Mellette, Todd, Tripp CountiesIncluding a Safe Schools Healthy Students Partnership with Todd County School & Community Partners

5. WHO WE ARE… • Community Mental Health Center • Comprehensive Outpatient behavioral health care • Serve individuals/families/communities with issues related to stress/relationships/PTSD/trauma

6. CHARACTERISTICS OF SPBHS • Private non-profit • Locally governed • Authorized by the CMHC Act of 1963 • Regulated under the provisions of ARSD 46:20 • Contract with SDDSS to serve target populations • Accredited by DHS • Multi-disciplinary practices • Provide 24/7 on-call crisis services

7. WHAT WE DO………… • Adult mental health services SMI • Children’s services SED • Outpatient • Psychiatric care • Group counseling • Individual counseling • Family Counseling • Aggression Management • Common Sense Parenting • Systems of Care for Children/Families • Community Education & Awareness • 24-hour Emergency Services • Co-occurring Services

8. ADULT SERVICES • Outpatient • Emergency/crisis intervention • Psychiatric/Medication Management • Continuous Assistance, Rehabilitation and Education Program (CARE) • Programs of Assertive Community Treatment (IMPACT) • Residential/Transitional • Co-occurring

9. CHILDREN’S MENTAL HEALTH SERVICES • In-home, individual therapy • In-home family education/support/therapy • Out of home therapy • Crisis intervention • Case management • Assessment and evaluation • Psychological evaluation • Group therapy

10. OUT OF HOME THERAPY Southern Plains Caseworker and Client

11. CO-OCCURRING SERVICES • Substance Abuse/Addiction Services • Screening/assessment • Prevention • Early Intervention • Outpatient/intensive outpatient • Continuing care • Case management/referral • Lo-intensity residential/referral • Intensive inpatient/referral

12. PSYCHIATRIC SERVICES • History • Registered Nurse Aftercare • Telemedicine Pilot • Safe Schools Healthy Student Grant • Child Psychiatry • Increase in psychiatry

13. PSYCHIATRIST

14. SYSTEMS OF CARE PROCESS • Children-earlier intervention • Child/Adolescent and Family Formation of child/family team • Team commitment to UNCONDITIONAL treatment • Team develops individualized plan • Services are comprehensive, community-based, culturally-competent

15. JUVENILE DEPARTMENT OF CORRECTIONS

16. SYSTEMS OF CARE CORE VALUES • Child/Family Focused • Strength Based • Needs Dictate Services • Cultural Sensitivity • Evidence-based Practice • Community Based • Natural Environment

17. SYSTEMS OF CARE TREATMENT RECOVERY PLAN • Driven by child/family NEEDS • Based on child/family STRENGTHS • Focuses on BASIC HUMAN NEEDS • Addresses needs in 3 or more LIFE DOMAIN areas • Identifies OUTCOME measures

18. CITY OF MISSION

19. SINTE GLESKA UNIVERSITY

20. SYSTEMS OF CARE BLENDED SERVICES • Address physical, emotional, social, vocational, family, spiritual • Agencies collaborate for planning, developing & coordinating services • Individualized services • Early identification & intervention • Families involved in all aspects of planning and delivery • Services provided sensitive to cultural differences & special needs • Transition to adult service as children reach maturity • Provide in least restrictive environment • Advocacy for children/youth rights • Multiple services delivered in therapeutic manner

21. PLANNING AND IMPLEMENTATION OF TELE-PSYCHIATRY WITH SAFE SCHOOLS HEALTHY STUDENT PROJECT • Collaborate with Safe Schools Healthy Partners • Todd County School, Children’s Court & Juvenile Justice, Rosebud Sioux Tribe Law Enforcement, Sinte Gleska University Reclaiming Futures • Identify needs/Conduct Community Needs Assessment • Prioritize needs identified in Needs Assessment • Identify community partners, resources and services • Develop infrastructure to promote efficiency and create collaborative process to support and utilize programs currently in place

22. SAFE SCHOOLS HEALTHY STUDENT Coordinator/Med Management Judy Bartels RN

23. TODD COUNTY SCHOOLS High School South Elementary School Security

24. TELE-PSYCHIATRY • Trials and assessment of system reliability • Child and family involvement • RN medication management & Case management • Evaluation of process • Make changes as necessary

25. TELE-MED JUDY RN DIONE RN

26. ACHIEVEMENTS • Positive outcomes & challenges • Number of families served • Increase in staff • Update tele-medicine system • Increase in & strengthening of partnerships/teams in the communities & state

27. ACHIEVMENTS • Reduction in gaps in services/less duplication of services • Stronger partnerships result in better outcomes for everyone-children/families/programs/professionals • Decrease in number of suicides and attempts • Increase in services plus increase in collaboration and networking of partners • State commitment to fund services following completion of Safe Schools Healthy Student Project • Flex funding

28. Mission Bike Giveaway

29. PARTNERS • Todd County School Administration, staff, counselors & alternative education • Rosebud Sioux Tribe Education • Rosebud Sioux Tribe JDC & Courts • Rosebud Sioux Tribe Law Enforcement • Sinte Gleska University • Rosebud Indian Health Services ER, Mental Health & other health care • Co-occurring partners Rosebud Sioux Tribe Drug and Alcohol Program/ Main Gate • Cultural partners-Sweats, prayer ceremonies, Lakota language, • Rosebud Sioux Tribe and State Social Services

30. STRESS AND A GLASS OF WATER • How heavy is a glass of water • Hold it for a minute • Hold it for an hour • Hold it for a day