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Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Agenda for Children’s Mental Health: Ohio's Experience. Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

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slide1

Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Agenda for Children’s Mental Health: Ohio's Experience

Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University)

Kay Rietz, Ohio Department of Mental Health (Columbus)Terri Johnston, Positive Education Program (Cleveland)

Terre Garner, Ohio Federation for Children’s Mental Health (Cincinnati)Diana Leigh, Center for Learning Excellence (Ohio State University)

Presentation at the 8th National Conference On Advancing School-Based Mental HealthPortland, Oregon

October 24th, 2003

slide2
Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003
slide3
Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003
slide4

Infrastructure for Ohio’s Shared

Agenda Initiative

Hearing on Mental Health and School Success (February 8, 2001)

Presided over by Ohio’s First Lady Hope Taft and convened by:

Ohio Department of Mental Health (ODMH)

Center for Learning Excellence

Ohio Department of Education (ODE)

Governor’s Office

infrastructure for ohio s shared agenda initiative
Infrastructure for Ohio’s SharedAgenda Initiative

Publication of Mental Health and School

Success: Hearing Summary and Resource

Guide (Spring, 2001)

  • Testimony summary
  • Facts, resources, and ideas highlighting the inter-dependency of good mental health and success in school
infrastructure for ohio s shared agenda initiative6
Infrastructure for Ohio’s SharedAgenda Initiative

Follow-up Publication of

Mental Health and School Success: What We are Learning (Spring, 2003)

  • Chronicles the growing success of

mental health — education —family partnerships

  • Highlights innovative school-based mental health programs and services
  • Resource guide
infrastructure for ohio s shared agenda initiative7
Infrastructure for Ohio’s SharedAgenda Initiative

Formation in 2001 of the Ohio Mental Health Network for School Success (OMHNSS)

Action Networks spearheaded by affiliate

organizations in six regions of the State

slide8

The Ohio Mental Health Network for School Success

Mission

To help Ohio’s school districts, community-based agencies, and families work together to achieve improved educational and developmental outcomes for all children — especially those at emotional or behavioral risk and those with mental health problems.

slide9

The Ohio Mental Health Network for School Success

  • Action Agenda
  • Create awareness about the gap between children’s mental health needs and “treatment” resources, and encourage improved and expanded services (including new anti-stigma campaign).
  • Encourage mental health agencies and school districts to adopt mission statements that address the importance of partnerships.
  • Conduct surveys of mental health agencies and school districts to better define the mental health needs of children and to gather information about promising practices.
slide10

The Ohio Mental Health

Network for School Success

  • Action Agenda (continued)
  • Provide technical assistance to mental health agencies and school districts, to support adoption of evidence-based and promising practices, including improvement and expansion of school-based mental health services.
  • Develop a guide for education and mental health professionals and families, for the development of productive partnerships.
slide11

The Ohio Mental Health

Network for School Success

  • Action Agenda (continued)
  • Assist in identification of sources of financial support for school-based mental health initiatives.
  • Assist university-based professional preparation programs in psychology, social work, public health, and education, in developing inter-professional strategies and practices for addressing the mental health needs of school-age children.
slide13

Ohio’s Shared Agenda Initiative

Mental Health, Schools and Families Working Together for All Children and Youth

slide14

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National Association of State Mental Health Program Directors (NASMHPD)

Concept Paper:

Mental Health, Schools and Families Working Together for All Children and Youth:

Toward A Shared Agenda (2002)

slide15

Purpose of the Concept Paper

“Encourage state and local family and youth organizations, mental health organizations, education entities and schools across the nation to enter new relationships to achieve positive social, emotional and educational outcomes for every child.”

slide16

The Aim

The aim is to align systems and ensure the promise of a comprehensive, highly effective systemic collaboration to coordinate and integrate programs and services for children and youth and their families.

slide17

The Vision

A vision for a shared education and mental health agenda

ensures that:

All children and youth have an equal opportunity to develop their fullest cognitive, social and emotional capacities; and

The needs of those who experience psychosocial problems and emotional and behavioral disabilities are effectively addressed.

slide18

The Framework

The framework encompasses a continuum of interventions,

including:

Positive development of child, youth, families and communities and prevention of problems;

Early identification—interventions for children and youth at risk or shortly after the onset of problems; and

Intensive interventions—with a focus on integrated approaches.

slide19

The concept paper is available online at:www.nasdse.org/sharedagenda.pdfwww.ideapolicy.org/sharedagenda.pdfwww.nasmhpd.org

slide20

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National Association of State Mental Health Program Directors (NASMHPD)

Shared Agenda Seed Grant Awards to Six States:

Missouri, Ohio, Oregon,

South Carolina, Texas, and Vermont

slide21

Additional Funding for Ohio’s Shared Agenda Initiative

Ohio Department of Mental Health

Ohio Department of Education

Ohio Department of Health

and

Numerous Additional State-level and Regional Organizations

slide22

Infrastructure for Ohio’s Shared

Agenda Initiative

The Shared Agenda seed grant is being implemented in Ohio within the collaborative infrastructure of the Mental Health Network for School Success

slide23

Three Phases of Ohio’s Shared

Agenda Initiative

Phase 1—Statewide forum for leaders of mental health, education, and family policymaking organizations and child-serving systems (March 3, 2003)

Phase 2—Six regional forums for policy implementers and consumer stakeholders (April-May, 2003)

Phase 3—Legislative forum involving key leadership of relevant house and senate committees (October 9, 2003)

slide24

Phase 1 and Phase 2Shared Agenda Forums

Logo Here

Columbus, OH — Statewide Forum, March 3, 2003

Athens, OH—Southeast Wooster, OH—North Central

April 15, 2003 April 28, 2003

Columbus, OH—Central Bowling Green, OH—Northwest

April 29, 2003 April 29, 2003

Cleveland, OH—Northeast Hamilton, OH—Southwest

May 5, 2003 May 5, 2003

slide25

Strategies and Features of Various Phase 1 and 2 Shared

Agenda Forums

  • Keynote presentations by national and state experts:
  • Mark Weist, Center for School MH Assistance, U. of Maryland
  • Steve Adelsheim, New Mexico School MH Initiative
  • Howard Adelman & Linda Taylor, UCLA School MH Project
  • Kimberly Hoagwood, Columbia University
  • Howie Knoff, Project Achieve
  • Joseph Johnson, Ohio Department of Education
  • Eric Fingerhut, Ohio State Senator
slide26

Strategies and Features of Various Phase 1 and 2 Shared

Agenda Forums

  • Promising work in Ohio showcased
  • Youth and parent testimony
  • Cross-stakeholder panel discussions
  • Facilitated discussion structured to create a collective vision, build a sense

of mutual responsibility for reaching the vision, instill hope that systemic

change is possible, and problem-solve regarding implementation issues

  • Appreciative Inquiry model for promotion of systems-level change and

transformation informed the process

slide27
Mental Health, Schools and Families Working Together for Ohio’s Children: Shared Agenda Policymakers’ ForumColumbus, Ohio - March 3, 2003
  • First jointly convened ODMH/ODE Forum
  • 125 policymakers
  • Keynote presentations by Mark Weist (Center for School Mental Health Assistance at University of Maryland) and Steve Adelsheim (New Mexico School Mental Health Initiative
  • Promising work in Ohio showcased
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, and instill hope that systemic change is possible
  • Appreciative Inquiry model for promotion of systems-level change and transformation informed the process
slide28
Southeast Ohio Forum—Finding NewWays to Collaborate:Breaking Down theBarriers to LearningAthens, OhioApril 15, 2003
  • 75 policy implementers and stakeholders
  • Keynote presentation by Howie Knoff (Project Achieve)
  • Cross-stakeholder panel discussion
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
slide29

North Central Ohio Forum—AddressingBarriers to Learning: Frameworks forSchools & Communities Working Togetherto Close the Achievement GapWooster, OhioApril 28, 2003

  • 117 policy implementers and stakeholders
  • Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project)
  • Individual county break-out sessions to explore potential collaborations
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
slide30
Central Ohio Forum—The Child We Have in Common: Families, Schoolsand Mental HealthColumbus, OhioApril 29, 2003
  • 65 policy implementers and stakeholders
  • Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project)
  • Individual county break-out sessions to explore potential collaborations
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
slide31

Logo Here

Northwest Ohio Forum—Strengthening the Partnership: Mental Health and Education Helping Kids Succeed in SchoolsBowling Green, OhioApril 29, 2003

  • 80 policy implementers and stakeholders
  • Keynote presentation by Mark Weist (Center for School Mental Health Assistance at University of Maryland)
  • Cross-stakeholder panel discussions
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
slide32

Logo Here

Northeast Ohio Forum—Mental Health, Schools and Families Working Together for All Children & Youth Toward a Shared AgendaCleveland, OhioMay 5, 2003

  • 120 policy implementers and stakeholders
  • Keynote presentation by Eric Fingerhut (Ohio State Senator)
  • Local collaboration showcased
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
  • Appreciative Inquiry model for promotion of systems-level change and transformation informed the process
slide33

Logo Here

Southwest Ohio Forum—Mental Health, Schools & Families Working Together for All Children & Youth: Toward a Shared AgendaHamilton, OhioMay 5, 2003

  • 140 policy implementers and stakeholders
  • Keynote presentations by Kimberly Hoagwood (Columbia University) and Joseph Johnson (Ohio Department of Education)
  • Youth panel and testimony
  • Parent panel and testimony
  • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues
slide34

Outcomes and Recommendationsfrom Phases 1 and 2

  • Approximately 725 participants
  • Materials compiled and developed to inform the Fall, 2003 Shared Agenda Legislative Forum
  • Through Legislative Forum raise public awareness and build advocacy for policy

and fiscal support for better alignment for education and mental health in the

next biennial budget process

  • Website created to track and publicize Ohio’s Shared Agenda initiative

(http://www.units.muohio.edu/csbmhp/sharedagenda.html)

selected participant evaluation findings mean modal ratings from statewide and regional forums

Logo Here

Selected Participant EvaluationFindings (mean/modal ratings) from Statewide and Regional Forums

How positive was the forum?

(scale: 1=poor; 2=needs to improve; 3=ok; 4=good; 5=very good; 6=great)

Statewide 4.8/5

Southeast 4.6/5

North Central 4.2/5

Central 4.4/5

Northwest 4.6/5

Northeast 4.8/5

Southwest 4.8/5

slide36
Participant Perspective (mean/modal ratings) on Extent of Barriers to Implementing a Mental Health, Schools, Families Shared Agenda

What is the extent of barriers?

(scale: 1=none; 2=a few barriers; 3=some barriers; 4=many barriers; 5=very difficult; 6=not possible)

Statewide 3.8/4

Southeast 3.4/4

North Central 3.7/4

Central 4.0/4

Northwest 3.8/4

Northeast 3.9/4

Southwest not rated

selected participant evaluation findings mean modal ratings from statewide and regional forums37

Log Here

Selected Participant EvaluationFindings (mean/modal ratings) from Statewide andRegional Forums

How much will the forum help collaboration efforts?

(scale: 1=no help; 2=very little help; 3=a little help; 4=some help; 5=pretty good; 6=great)

Statewide 4.4/5

Southeast 4.5/5

North Central 4.1/4

Central 4.4/4

Northwest 4.4/4

Northeast 4.5/4

Southwest 4.4/5

slide39

Legislative Forum Preparation

October 9, 2003

  • Development of format for forum, and selection of date
  • Commitment of participation from ODMH and ODE

leadership

  • Identification and preparation of legislative co-chairs
  • Invitation to additional legislative panelists
  • Invitation to stakeholders throughout the state
slide40

More Legislative Forum Preparation

October 9, 2003

  • Promotional work
  • Selection of students for written and oral testimony and

identification of facilitator

  • Selection of adults (parents, educators, and mental health

providers) for written and oral testimony and identification

of facilitator

  • Development of written materials for the legislators
  • Plan for pre-forum events with student and adult participants
slide44

Written Material Provided to Participating Legislators

October 9, 2003

    • Detailed agenda
    • Executive summary of The President’s New Freedom Commission on Mental

Health Final Report

    • Shared agenda fact sheet
    • Shared agenda recommendations
    • Overview of Ohio’s Shared Agenda Initiative
    • Written testimony by students
    • Written testimony by parents, educators, and mental health providers
  • Note: all available on Shared Agenda website at http://www.units.muohio.edu/csbmhp/sharedagenda.html, except New Freedom Commission Report which is available at www.mentalhealthcommission.gov
slide47

Pre-Forum Activities for Students, Their Parents, Adult Panelists, and Members of the Mental Health

Network Affiliates

October 8, 2003

  • Hotel check-in for overnight stay in Columbus
  • Visit to Senate Finance Hearing Room and statehouse tour
  • Meeting with Senator Carey, forum co-chair
  • Student meeting with facilitator to practice testifying
  • Adult panelist meeting with facilitator to discuss testifying
  • Free time
  • Dinner and celebration with Mike Hogan (ODMH) and Mike Armstrong (ODE)
slide50

Comments from Legislators Following the Adult Testimony

From Representative Joyce Beatty (Member House Education Committee)

In a question/challenge to fellow legislative panelists:

Is there legislation that we should be looking at?

From Representative Arlene Setzer (Chair, House Education Committee)

In response to Representative Beatty:

During this whole process I was also taking notes and marking because, as you indicated there have been some specifics provided to us which we truly need many times when looking at legislation. And, as most of you know currently the house and the senate are working on Senate Bill 2 House Bill 2 which is for the teacher success and identifying highly qualified teachers. And within that realm…..I am going to guide that discussion around some of things that I have heard today about the idea that teachers need to understand regardless of what their teaching assignment might be…

slide51

Comments from Legislators Following the Student Testimony

From Senator Bill Harris (Chair, Senate Finance Committee)

“…I listened to the very brave and courageous young people tell us about things of their life. And as you were explaining that to us I am thinking about my sons, I am thinking about my grandchildren, I am thinking about other people that I know and some of the struggles that they have…”

From Representative Joyce Beatty (Member, House Education Committee)

“…All of the student panel members, I don’t think I have ever heard anything so compelling and moving and informative and educating in my entire life. So let me say to you thank you and let me give it to you with that smile that can be comforting because you have helped us…”

slide52

Immediate Next Steps for Ohio’s Shared Agenda Initiative

ODMH and ODE are jointly forming a workgroup to address action steps related to the Shared Agenda Recommendations

A first meeting has been scheduled for November 4, 2003

slide53

Immediate Next Steps for Ohio’s Shared Agenda Initiative

  • Ohio is one of eight states selected to participate in a SAMHSA-funded 3-year Elimination of Barriers Initiative (EBI) to identify effective approaches in addressing the stigma and discrimination associated with mental illness.
  • ODMH is leading Ohio’s effort, focusing on the school age population. Contact strategies being considered include:
    • Use of the Arts
    • Peer mentoring/sponsorship approaches
    • Peer-driven lesson plans about stigma
    • Youth speaker panel/bureau
slide54

Immediate Next Steps for Ohio’s Shared Agenda Initiative

Ongoing work of the Ohio Mental Health Network for School Success will continue through implementation of the action agenda and through special targeted efforts.

slide55

This PowerPoint Presentation will be posted on Ohio’s Shared Agenda website and the Center for School-Based Mental Health Programs website

http://www.units.muohio.edu/csbmhp/sharedagenda.html

http://www.units.muohio.edu/csbmhp