Hamilton County Mental Health and Recovery Services Board Provider Meeting

1. Hamilton County Mental Health and Recovery Services Board Provider Meeting Transforming the Hamilton County System of Care and Community for Transitional Age Youth Journey to Successful Living (JOURNEY) October 22, 2009

2. SAMHSA Funding/Child Mental Health Initiative (CMHI) • The purpose of SAMHSA funding is to support the development of programs and community-based services and supports for children and youth with serious emotional disturbances and their families by encouraging the development and expansion of effective and enduring systems of care.

3. System of Care • A “system of care” is an organized philosophy and framework that involves collaboration across agencies, families, and youth for the purpose of improving access and expanding the array of coordinated community-based, culturally and linguistically competent services and supports for children and youth with a serious emotional disturbance and their families.

4. Transformation • The SAMHSA grant provides the opportunity for venture capital to transform the Hamilton County system to assist youth to transition into adulthood.

5. Population • JOURNEYwill have as its target population transitional age youth (TAY), with a serious emotional disturbance, age 14-21, and their families.

6. Need to Serve Youth

7. Ohio Youth Scales Data Mart, 2008 • 13% of the youth were in juvenile detention or jail • 13% were in residential treatment facilities; 3% were in group homes • 15% were in therapeutic foster care and another 13% in non-therapeutic foster care

8. Partners • Mental health and substance abuse system, child welfare system, juvenile justice system, and/or mental retardation and developmental disability system. • JOURNEY will strategically build upon the existing above partnership by adding youth and families, as well as partners from schools, the social services and business community.

9. Purpose • With CMHI funding, Hamilton County Mental Health and Recovery Services Board will strengthen the system of care (SOC) in Hamilton County, making improvements for youth/young adults, ages 14-21, and their families, by creating a broad based, sustainable systemic change, inclusive of policy reform and infrastructure development, that can be maintained after federal funding has ended.

10. JOURNEY • JOURNEY will have a year of planning and then five years of implementation. • There are mandatory activities and positions required by SAMHSA, such as • Youth Coordinator • Technical Assistance/Social Marketing Coordinator • Cultural and Linguistic Competence Coordinator • Lead Family Contact • (2) Evaluators • State local liaison

11. Planning • Example of planning activity: develop and implement a comprehensive cultural competency plan; with sensitivity to the overrepresentation of African American youth

12. Planning • Example of planning activity: establish an infrastructure with policies, protocols and tools that facilitate comprehensive service planning designed to address: behavioral health, education, employment, social, housing, financial, health insurance and physical health needs of TAY as they move into adulthood.

13. Implementation • Example of Implementation Activities: • increase workforce competency and youth and family understanding relative to TAY and evidence based practices • implement a comprehensive evaluation plan to improve the infrastructure, quality of the project and sustainability of JOURNEY.

14. JOURNEY: Incorporation of Evidence Based Practices • Transition into Independence Process (TIP) • Assertive Community Treatment (ACT) • Cognitive Behavioral Therapy (CBT) • Trauma Informed Treatment.

15. JOURNEY • Will serve over 200 youth a year and about 500 youth and families over the length of the grant. • The Board will operate as the fiscal agent and will identify the appropriate entities for operationalizing the grant.

16. ACTUAL AWARD • At this time, the total anticipated award amount is $9 million with up to $1 million in Year one, 1.5 million in year two, 2 million in year three and four, and 1.5 million in year five, 1 million in year six.

17. Goals • Journey will establish a sustainable system of care that: • 1) will be youth-focused, family driven and culturally and linguistically competent, with particular sensitivity to the African American population; • 2) transforms the current infrastructure serving youth/young adults transitioning to the adult service system;

18. Goals Cont.’ • 3) ensures the best, most efficacious treatment practices are available through expansion of non traditional services and use of evidence-based and promising practices; • 4) increases workforce competency through comprehensive training and technical assistance;

19. Goals Cont.’ • 5) allows for a cross system management information system to better inform planning and practice; and • 6) incorporates a comprehensive evaluation, which will facilitate the infrastructure, quality and sustainability of JOURNEY.

20. Great Opportunity • For Hamilton County transitional age youth and families by strengthening and transforming the system of care through expansion of community services and supports, workforce development, financing strategies and technical assistance.