Childhood Trauma Learning Collaborative (C-TLC) Fellows Program Overview

1. New England MHTTC: An OverviewCHILDHOOD-TRAUMA LEARNING COLLABORATIVE (C-TLC) FELLOWS PROGRAMThe College of the Holy Cross, Worcester, MAApril 29, 2019 Larry Davidson, Maria E. Restrepo-Toro Yale Program for Recovery and Community Health Katie Volk Center for Social Innovation

2. New England Mental Health Technology Transfer Center of New England (NE-MHTTC)SAMHSA #1H79SM081775-01 Yale Program for Recovery and Community Health in partnership with Center for Social Innovation and Harvard University Department of Psychiatry

3. OUR MISSION To use evidence-based means to disseminate evidence-based practices across the New England region.

4. Main Findings of Strength Inventory & Needs Assessment Strengths: The region has several sources of training and technical assistance already in place. NE MHTTC efforts should not duplicate these existing resources, but should rather complement them. In addition, development and dissemination of T/TA need to be carried out in partnership with the communities who will be using them, so that they will be relevant, responsive, and effective. There has been a significant increase in the training and hiring of peer staff over the last several years. More attention could be paid to supervision, retention, and integration of these staff to maximize their effectiveness.

5. Needs: There appears to be a mismatch between graduate and professional training and the realities and demands staff face upon graduation. This lack of preparation for community-based practice puts pressure on states to do more initial, basic training, but such resources have dwindled through budget cuts, leaving little financial support for training, supervision, or maintaining fidelity to EBPs. There is thus a pressing need for equipping new hires, along with veteran staff, with the clinical and rehabilitative skills required for working with persons with serious mental illnesses on community-based teams. There are additional impediments to workforce development efforts, including high staff turnover due, in part, to low pay; difficulties agencies face in freeing up direct care staff to attend what in-person trainings are offered; and a heavy reliance on webinars which are insufficient to building provider competencies. While webinars and other on-line trainings can address certain basic educational needs, they typically need to be followed-up by face-to-face training for the development of advanced skills.

6. More work needs to be done in engendering cultural humility and increasing the cultural responsiveness of services to address enduring disparities in access, quality of care, and outcomes for communities of color, including Native American tribal communities. Despite decades of efforts to incorporate a recovery orientation, systems remain heavily oriented to hospital-based, symptom-focused, and clinically-oriented practices, with little focus on strengths, recovery supports, or person-centered care planning. Systems need more alternatives to emergency departments and hospitals, including peer-run respite programs and the marketing to, and increasing awareness and engagement of, youth and families that would enable early intervention programs to engage people prior to requiring hospitalization.

7. Area of Focus: NEMHTTC Recovery-Oriented Practices, including Recovery Support Services, within the Context of Recovery-Oriented Systems of Care This Photo by Unknown Author is licensed under CC BY-ND This Photo by Unknown Author is licensed under CC BY-ND

8. NEW ENGLAND MHTTC OVERVIEW GOALS AND OBJECTIVES ACCESSING TRAINING AND TECHNICAL ASSITANCE LEARNING COLLABORATIVES SCHOOL MENTAL HEALTH Photo credit: Unknown Author, licensed under CC BY-SA

9. Ensuring Inclusion To ensure the responsiveness of our work, we will actively develop and maintain a network of government officials, policy makers, system leaders, administrators, and community stakeholders, providers, researchers, youth and adults, and family members from each of the six states to guide The New England MHTTC activities. New England MHTTC, 2019 This Photo by Unknown Author is licensed under CC BY-SA-NC

10. Key Activities NE-MHTTC New England MHTTC, 2019

11. Measuring Our Success The New England MHTTC outcomes are as follows: • Increase the number of people in the mental health or related workforce trained in mental health-related practices/activities. • Increase the number of individuals who have received training in prevention or mental health promotion. • Increase the number of individuals contacted through program outreach efforts. • Increase the number of programs, organizations, and communities that implemented evidence-based mental health- related practices and activities. New England MHTTC, 2019

12. School Mental Health New England MHTTC, 2019 This Photo by Unknown Author is licensed under CC BY-SA

13. Trauma-Informed School Based Mental Health • One year of funding under the NEMHTTC to: • Trauma-informed, child-centered interventions improve resilience, learning and achievement for children who have experienced trauma. • Schools are ideal settings to provide support to ameliorate the effects of trauma and amplify protective factors. • Availability of educated and nurturing adults and teachers within schools can meet the mental health needs of children. New England MHTTC, 2019

14. Accessing Training and Technical Assistance New England MHTTC, 2019 This Photo by Unknown Author is licensed under CC BY-NC-ND

15. New England MHTTC, 2019

16. Outcomes New England MHTTC, 2019

17. Outcomes New England MHTTC, 2019

18. New England MHTTC, 2019

19. Upcoming Events • Early Psychosis Learning Collaborative (EPLC) • SUICIDE PREVENTION LEARNING COLLABORATIVE (SPLC/S) • Let(s)lead: Lived Experience Transformational Leadership Academy • Recovery-Oriented Trauma-Informed Care Learning Collaborative: A partnership between the New England MHTTC and Great Lakes MHTTC • Implementing Mental Health Recovery in Hispanic and Latino Communities is a partnership between the National Hispanic and Latino MHTTC, the Northeaster/ Caribbean MHTTC and the New England MHTTC.

20. Davidson, Larry larry.davidson@yale.edu Maria E. Restrepo-Toro maria.restrepo-toro@yale.edu O'Connell, Maria maria.oconnell@yale.edu Staeheli, Martha martha.staeheli@yale.edu Christine Mason cmason@edimprovement.org Lanteri, Stephanie stephanie.sangsterlanteri@yale.edu Keshavan,Matcheri mkeshava@bidmc.harvard.edu Mesholam-Gately,Raquelle rmeshola@bidmc.harvard.edu Kline,Emily R.ekline@bidmc.harvard.edu Friedman-Yakoobian,Michelle mfriedm3@bidmc.harvard.edu Livia Davis ldavis@center4si.com Katie Volk kvolk@center4si.com Sherrie Winton swinton@center4si.com Faculty and staff from the Yale University Program for Recovery and Community Health (PRCH), Harvard University Department of Psychiatry and The Center for Social Innovation This Photo by Unknown Author is licensed under CC BY-SA New England MHTTC, 2019

21. Need to contact us? networkoffice@mhttcnetwork.org https://mhttcnetwork.org/centers/new-england-mhttc/home