Local Partnerships for Improved Behavioral Health for Students

1. Local Partnerships for Improved Behavioral Health for Students Presented by: Gwenda Summers, MA, LPCKim Thalison Karlin J. Tichenor, Ph.D.

2. Agenda • Brief Overview of CMHA-CEI – Families Forward • Catchment Area • Mission • Services (emphasis on Trauma) • Overview of Partnerships involving access to behavioral health and trauma • Mid-Michigan Trauma Collaborative • Tri-County Lifesavers Youth Suicide Coalition • Handle with Care • Critical Incident Stress Management (CISM) • Local Partnerships to promote behavioral health(trauma included), (why, what, how, strategies, lessons learned outcomes) • Clinton County MH/JJ Project • Lansing School District • Peace Grant • School Based Health Centers through the FQHC’s (Health Department in partnership with CMHA – CEI) • Trauma Training • Other behavioral health initiatives • Eaton RESA • Joint Partnerships with CMHA-CEI? (Eaton TIP, SOS, etc. • Prevention Projects with the school districts

3. Community Mental Health of Clinton, Eaton, Ingham Counties (CMHA-CEI) • Serve over 12,000 per year • Four Clinical Areas: • Adult Mental Health Services • Services to the Developmental Disabled • Substance Use Disorder Services • Families Forward

4. FF: Criteria • Serve about 3000 families per year • Birth through 17 • Severe Emotional Disturbance Diagnosis (SED) • Significant Impairment in the Level of Functioning • Determined by the Child & Adolescent Functioning Assessment Scale (CAFAS/PECFAS) • Assessing the following areas: home, school, behavior towards others, moods, self-harm, thinking & substance use

5. Families Forward (FF): Programs • Early Intervention • Ages 0-5 • Parent Infant & Parent Young Child Programs • Home-based Individual & Family Therapy and Case Management • Child & Adolescent • Ages 5-17 • Individual and Family Therapy • Locations in Charlotte, Lansing & St. Johns • Family Guidance Service • Ages 5-17 • Home-based Individual & Family Therapy and Case Management

6. FF: Programs • Children’s Emergency Services • 24-Hour Crisis Assessment and Intervention • Youth Mobile Crisis • Urgent Care • Crisis Respite • Heath Care Integration • Primary care behavioral health (Behavioral health intervention, screening and brief follow-up) • Locations • Ingham County Health Department (Child Health and Well Child Clinics) • Sparrow Family Practice (central campus) • MSU Pediatrics Child Health Care Center

7. FF: Supportive Services • Psychiatric Medication Clinic • Wraparound • Behavioral Management Consultation • Trauma Services: individual and group • Parenting Groups • Parent to Parent Support • Respite Services • Social Recreational Activities

8. FF: Evidence-Based Treatments • Dialectical Behavioral Treatment • Parent Management Training - Oregon • Parenting through Change • Trauma Focused Cognitive Behavioral Therapy • Treatment Foster Care-Oregon Model

9. Partnerships involving access to behavioral health and specifically trauma • Mid-Michigan Trauma Collaborative • Tri-County Lifesavers Youth Suicide Coalition • Handle with Care • Critical Incident Stress Management (CISM)

10. Partnerships around Behavioral Health • Ingham County Health Department • Eaton RESA – Truancy Intervention Program (TIP) and prevention • Lansing School District • Clinton County TIP program

11. Clinton County Truancy Intervention Program

12. Clinton County Truancy Intervention Program • The Truancy Intervention Program is offered to any youth in Clinton County, who are referred by the school, court or community partner, that may be in need of mental health services. • The Truancy Intervention Specialist, a Masters level clinician, would complete a mental health screening during a face-to-face appointment. Results of the screening would be shared with the youth and his/her parent(s)/ guardian(s). • The Truancy Intervention Specialist would then help link the youth with the appropriate services. These services can be mental health, academic, housing, parenting support, etc. • There is no cost associated with the screening process. • Categories addressed: • Substance use • Anger • Depression • Suicidal thinking • Trauma • Signs of mental/emotional distress

13. What will the screening process look like? • Meet with a Truancy Intervention Specialist at school, court, or other office. • Screens take around 45 minutes. • Complete a MAYSI 52-question screening (12 and over) • Complete a Pediatric Symptoms Checklist (12 and Younger) • Follow-up with parent/guardian with results and recommendations for services if necessary. • Check in with family at 30 days, 90 days, 6 months and 1-year related to follow through, change in services, ongoing needs, or reassessment.

14. Why Offer the TIP Program? • To meet with youth who are not reaching their potential or achieving success. • To meet with youth and assess their mental health concerns. • To link youth and families with services to help them through these challenges. • To prevent and divert youth away from potential involvement in the Juvenile Justice System.

15. Local Partnerships • Promoting Social Emotional Health in an Urban District

16. Visioning • Assessing Needs of Students, Families, and Community • Identifying Gaps in Services • Strategic Planning

17. Defining School Culture and Climate • School Culture • School Climate

18. Defining School Culture and Climate • School Culture refers to the values, beliefs, norms, traditions, expectations, relationships, results, and symbols that guide the whole operation or mission of the school. • School Climate refers to the physical, psychological, and emotional aspects of the school that are more susceptible to change and that provide the precondition necessary for teaching and learning to take place.

19. Improving School Culture • Implementation of Office of School Culture – creating a positive culture and predictable climate • Culturally Responsive Positive Behavior Intervention Support • Restorative Minded and Trauma Informed Lens • Trauma District PD • Trauma Certificate • Mental Health Summer Summit

20. Establishing Partnerships • Community Mental Health CEI • Child and Family Charities • Eaton RESA • Ingham ISD • MSU School of Social Work • Refugee Development Center • Resolution Services Center of Central Michigan • Department of Health and Human Services • Lansing Police Department • Mid Michigan Trauma Collaborative

21. Implementing Programs • Project Prevent/Project PEACE • Student Support Specialist Program - LSD • Eaton Truancy Intervention Program (TIP) • Signs of Suicide - CMH • School Based Health Centers through the FQHC’s - Health Department in partnership with CMHA – CEI • Pathways to Potential – DHHS • Youth Mental Health First Aid – CMH & Eaton RESA • Ok2SAY and Handle with Care – Lansing Police Department

22. Sustaining the Work – Partnerships • Behavioral Health Clinics – ICHD and CMH • Everett New Tech High School • Gardner International Magnet School • Pattengill Biotechnical Magnet School • Federally Qualified Health Clinics (FQHC) – ICHD • Sexton High School • Eastern High School • Youth Mental Health First Aid Train-the-Trainer – Eaton RESA

23. Sustaining the Work – Partnerships • Substance Prevention Services – Child and Family Charities

24. Sustaining the Work – Services • Mental Health Specialists • Restorative Practices in all 4-12th grades • Investment in Coordinator of Mental Health Integration

25. Local Partnerships Promoting Social Emotional Health Through Shared Services

26. Prevention Program Services Eaton RESA • Providing “whole family” supports to Clinton, Eaton, and Ingham Counties • Grant Funded (local, state, federal) • Tier 1 Services (health curriculum, sex education supports, youth data assistance, community coalitions, grant writing, systems work, school attendance strategies) • Tier 2 & 3 Services (case management, early intervention, parenting classes, truancy intervention, sexual health supports) • 8 full time Prevention Specialists, 4 part time specialist, 2 Clerical Support

27. Collaboration is Key Outside agency collaborations: • Local school districts • Law enforcement • Courts (adult and juvenile) • Hospitals & primary care • Community Mental Health • Mental Health Providers • Early Childhood • Public Health • Non-profits • Community trainings What are you bringing to the Potluck?

28. Collective Impact What happens when we bring together people with a vested interest in solving the same problem but with different assets? Elizabeth River Cleanup https://www.youtube.com/watch?v=CJ204qstzUk

29. Tri-County Life Savers Addressing the increase in adolescent suicide • Partnership between Community Mental Health & Eaton RESA • Planning – a year of strategy • Early partnership – American Foundation for Suicide Prevention/MSU doctoral student – Corbin Standley, assisting with local data reports • Slow, deliberate launch • Increased membership • Early wins (products, funding, barriers reduced)

30. Truancy Intervention Program Addressing the mental health needs of absent students • Partnership between Community Mental Health & Eaton RESA • Started small after truancy data revealed that there were some students not attending school who could benefit from a direct referral for mental health care • Grand funded through Juvenile Justice millage to support mental health services for families struggling with attendance. Referred from the schools, evaluated by truancy coordinator, and referrals to CMH made if there is a need/willingness

31. Taking Pride in Pregnancy Prevention Sexual Health Education Partnership • 7 year collaboration between Lansing School District and Eaton RESA • Eaton RESA writes the grant and is fiduciary to the funds that pays for the implementation of sexual health education. Eaton RESA manages the funds, the reports, the data entry, and other grant requirements • Lansing implements programming, supplies the raw data, and helps coordinate activities with the teen participants

32. Lessons Learned in Collaboration • The common goal is critical • Start small • Establish formal talking points about the relationship to share with any new leadership • Transparency in agenda builds trust • Practice using positive presuppositions between • Maintain data for mutual review • Not all partnerships are forever. Sometimes the common goal changes