Coordinating Education and Mental Health Services for Students with Disabilities: Ohio

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Coordinating Education and Mental Health Services
for Students with Disabilities Ohios Community
of Practice Enhancing Collaborations to Promote a
Mental HealthSchoolsFamilies Shared Agenda for
Childrens Mental Health
Mike Armstrong, Ohio Department of Education
(Columbus) Terre Garner, Ohio Federation for
Childrens Mental Health (Cincinnati) Carl E.
Paternite, Center for School-Based Mental Health
Programs (Miami University) Kay Rietz, Ohio
Department of Mental Health (Columbus)
Presentation at the NASDSE 66th Annual
ConferenceLouisville, Kentucky November 11th,
2003
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In OhioOctober
9, 2003
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In OhioOctober
9, 2003
To view the the feature about the forum broadcast
on the Ohio News Network (10/9/03) go
to http//www.units.muohio.edu/csbmhp/sharedagend
alegforum.html
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In OhioOctober
9, 2003
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Infrastructure for Ohios Shared Agenda
Initiative
Hearing on Mental Health and School Success
(February 8, 2001) Presided over by Ohios First
Lady Hope Taft and convened by Ohio Department
of Mental Health (ODMH) Center for Learning
Excellence Ohio Department of Education
(ODE) Governors Office
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Infrastructure for Ohios 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

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Infrastructure for Ohios 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

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Infrastructure for Ohios 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

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The Ohio Mental Health Network for School Success
Mission To help Ohios 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.
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The Ohio Mental Health Network for School Success

• Action Agenda
• Create awareness about the gap between childrens
  mental health needs and treatment resources,
  and encourage improved and expanded services
  (including new anti-stigma campaign).
• Partner with regional action networks to enhance
  within-region implementation of the action
  agenda, actively soliciting student and family
  input. Also, contribute to statewide efforts
  (e.g., training institutes, workshops, research,
  etc.).
• Conduct surveys of mental health agencies,
  families, and school districts to better define
  the mental health needs of children and to gather
  information about promising practices.

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The Ohio Mental Health Network for School Success

• Action Agenda (continued)
• Provide training and 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.

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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.

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Report of Presidents New Freedom Commission on
Mental Healthhttp//www.mentalhealthcommission.go
v

• the mental health delivery system is fragmented
  and in disarrayleading to unnecessary and costly
  disability, homelessness, school failure and
  incarceration.
• Unmet needs and barriers to care include (among
• others)
• Fragmentation and gaps in care for children.
• Lack of national priority for mental health and
  suicide prevention.
• July, 2003

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Report of Presidents New Freedom Commission on
Mental Health Six Goals for a Transformed System

• Americans understand that mental health is
  essential to overall health.
• Mental health care is consumer and family driven.
• Disparities in mental health services are
  eliminated.
• Early mental health screening, assessment, and
  referral to services are common practice.
• Excellent mental health care is delivered and
  research is accelerated.
• Technology is used to access mental health care
  and information. July,
  2003

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Four Recommendations Supporting Goal 4 Early
Mental Health Screening, Assessment, and Referral
to Services are Common Practice

• Promote the mental health of young children.
• Improve and expand school mental health programs.
• Screen for co-occurring mental and substance use
  disorders and link with integrated treatment
  strategies.
• Screen for mental disorders in primary health
  care, across the lifespan, and connect to
  treatment and supports.
• July, 2003

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Ohios Shared Agenda Initiative
Mental Health, Schools and Families Working
Together for All Children and Youth
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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)
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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.
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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.
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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.

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The Framework

• The framework encompasses a continuum of
  interventions,
• including
• Positive development of child, youth, families
  and communities and prevention of problems
• Early identificationinterventions for children
  and youth at risk or shortly after the onset of
  problems and
• Intensive interventionswith a focus on
  integrated approaches.

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The concept paper is available online
atwww.nasdse.org/sharedagenda.pdfwww.ideapoli
cy.org/sharedagenda.pdfwww.nasmhpd.org
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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 Missouri,
Ohio, Oregon, South Carolina, Texas, and
Vermont With Ongoing Across-State
Networking Facilitated by PMP/NASDSE
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Additional Funding for Ohios Shared Agenda
Initiative
Ohio Department of Mental Health Ohio Department
of Education Ohio Department of
Health and Numerous Additional State-level and
Regional Organizations
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Infrastructure for Ohios Shared Agenda
Initiative
The Shared Agenda seed grant is being implemented
in Ohio within the collaborative infrastructure
of the Mental Health Network
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Three Phases of Ohios Shared Agenda Initiative
Phase 1Statewide forum for leaders of mental
health, education, and family policymaking
organizations and child-serving systems (March 3,
2003) Phase 2Six regional forums for policy
implementers and consumer stakeholders
(April-May, 2003) Phase 3Legislative forum
involving key leadership of relevant house and
senate committees (October 9, 2003)
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In OhioRachels
TestimonyOctober 9, 2003
You can listen to Rachels Legislative Forum
verbatim testimony at http//www.units.muohio.ed
u/csbmhp/sharedagendalegforum.html
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Phase 1 and Phase 2Shared Agenda Forums
Logo Here
Columbus, OH Statewide Forum, March 3,
2003 Athens, OHSoutheast Wooster, OHNorth
Central April 15, 2003 April 28,
2003 Columbus, OHCentral Bowling Green,
OHNorthwest April 29, 2003 April
29, 2003 Cleveland, OHNortheast Hamilton,
OHSouthwest May 5, 2003 May 5, 2003
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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

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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

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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 Ohios
  Shared Agenda initiative
• (http//www.units.muohio.edu/csbmhp/sharedagen
  da.html)

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Selected Participant EvaluationFindings
(mean/modal ratings) from Statewide and Regional
Forums
Logo Here
How positive was the forum? (scale 1poor
2needs to improve 3ok 4good 5very good
6great) Statewide 4.8/5 Southeast 4.6/5
North Central 4.2/5 Central 4.4/5 North
west 4.6/5 Northeast 4.8/5 Southwest 4.8/5
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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 1none
2a few barriers 3some barriers 4many
barriers 5very difficult 6not
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
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Selected Participant EvaluationFindings
(mean/modal ratings) from Statewide andRegional
Forums
Log Here
How much will the forum help collaboration
efforts? (scale 1no help 2very little help
3a little help 4some help 5pretty good
6great) 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
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In OhioTovas
TestimonyOctober 9, 2003
You can listen to Tovas Legislative Forum
verbatim testimony at http//www.units.muohio.ed
u/csbmhp/sharedagendalegforum.html
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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

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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

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Written Material Provided to Participating
Legislators October 9, 2003

• Detailed agenda
• Executive summary of The Presidents New
  Freedom Commission on Mental
• Health Final Report
• Shared agenda fact sheet and recommendations
• Overview of Ohios 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.ht
  ml, except New Freedom Commission Report which is
  available at www.mentalhealthcommission.gov

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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)

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Pre-Forum Dinner and CelebrationOctober 8, 2003
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Pre-Forum Dinner and CelebrationOctober 8, 2003
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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
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Legislative Forum On Mental Health and School
SuccessCreating A Shared Agenda In
OhioKristins TestimonyOctober 9, 2003
You can listen to Kristins Legislative Forum
verbatim testimony at http//www.units.muohio.ed
u/csbmhp/sharedagendalegforum.html
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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 dont 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
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Four Next Steps for Ohios Shared Agenda
Initiative

• 1. ODMH and ODE jointly formed three workgroups
  to address action steps related to the Shared
  Agenda Recommendations
• Public Awareness and Advocacy
• Professional Development/Training and Service
  Delivery
• Policy and Funding

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Four Next Steps for Ohios Shared Agenda
Initiative
A first joint meeting of the three workgroups
was held on November 4, 2003 Participants are
being asked for a 1 year commitment, with
quarterly meetings to report progress
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Four Next Steps for Ohios Shared Agenda
Initiative
2. 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.
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Four Next Steps for Ohios Shared Agenda
Initiative

• ODMH is leading Ohios EBI effort, focusing on
  the school age population. Contact strategies
  being considered include
• Youth speaker panel/bureau
• School resource kit

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Four Next Steps for Ohios Shared Agenda
Initiative

• 3. Expansion of Ohios Positive Behavior Support
  Initiative will continue through collaborative
  efforts of
• Special Education Regional Resource Centers
• The Ohio Association of Elementary School
  Administrators
• The Ohio Association of Secondary School
  Administrators

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Four Immediate Next Steps for Ohios Shared
Agenda Initiative
There currently are over 700 building teams and
10,000 educational staff trained in Positive
Behavior Supports
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Four Next Steps for Ohios Shared Agenda
Initiative
4. Ongoing work of the Ohio Mental Health Network
for School Success will continue through
implementation of the action agenda and through
special targeted efforts.
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This PowerPoint Presentation is posted on Ohios
Shared Agenda website http//www.units.muohio.edu
/csbmhp/sharedagenda.html