Legislative Forum Mental Health and School Success Creating a Shared Agenda in Ohio

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Legislative ForumMental Health and School
SuccessCreating a Shared Agenda in Ohio

• Dr. Mike Hogan
• Director, ODMH
• Chair, Presidents Commission
  on Mental Health

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What is Mental Health and School Success?

• A fact the two are linked for children and
  schools
• An Ohio collaboration
• School and mental health personnel, parents and
  students, ODMH and ODE, University staff and
  faculty
• Diverse efforts in many but not all communities
  to work together
• A commitment, not a program.

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President George W. Bush Announcing
the New Freedom Commission Albuquerque,
New Mexico April 29 2002

• Consider this example -- a 14-year-old boy who
  started experimenting with drugs to ease his
  severe depression. This former honor student
  became a drug addict. He dropped out of school,
  was incarcerated six times in 16 years. Only two
  years ago, when he was 30 years old, did the
  doctors finally diagnose his condition as bipolar
  disorder, and he began a successful program, a
  successful long-term treatment program.

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• The Commissions goal shall be to recommend
  improvements to enable adults with serious mental
  illness and children with severe emotional
  disturbance to live, work, learn, and participate
  fully in their communities.
  Presidents Executive Order, April 2002

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Data from the Presidents Commission Seriousness
of the Problem
Prevalence of Serious Emotional Disturbance (SED)
5-9 Youth with SED very serious problems in
home or at school 9-13 Youth with SED some
problems at home, school 20 Youth with any
diagnosable disorder
5-9
9-13
20
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Most Children in Need are Not Getting Help
Unmet Need for Mental Health Services
Unserved
Calculations based on data from the National
Health Interview Study, Sturm et.al, 2000
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Surgeon General on Suicide Data -1997

• For young people 15-24, suicide is third leading
  cause of death
• Rate for ages 10-14 - 1.6 /100,000
• 15-19 - 9.7 /100,000
• 20-24 - 14.5 /100,000
• In 1996, more youth and young adults died from
  suicide than cancer, heart disease, AIDS, stroke,
  pneumonia, birth defects COMBINED

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Presidents New Freedom Commission on Mental
Health
...The Commission proposes a combination of
goals and recommendations that together
represent a strong plan for action. No single
goal or recommendation alone can achieve the
needed changes.
Commission Report
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National Goals To Transform Mental Health Care

• Establish Mental Health as Essential to Health
• Provide Consumer and Family Centered Care
• Eliminate Disparities in Mental Healthcare
• Early Mental Health Screening and Treatment
  Across the Lifespan
• Provide The Best Care Science can Discover and
  Offer
• Capitalize on Technology

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National Goals with RecommendationsTo
Transform Mental Health Care

• Establish Mental Health as Essential to Health
• Provide Consumer and Family Centered Care
• Eliminate Disparities in Mental Healthcare
• Early Mental Health Screening and Treatment
  Across the Lifespan
• Improve and Expand School Mental Health Programs
• Provide The Best Care Science can Discover and
  Offer
• Capitalize on Technology

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Why Mental Health Services in Schools?

• Its where the students are!
• Mental illness/emotional disturbance a major
  cause of school failure
• Families more comfortable in community setting
• Minimize stigma
• Teachers and all students benefit from a
  supportive learning environment
• Ability to collaborate and advocate directly for
  education needs of students
• Greater ability to reach kids with internalizing
  disorders

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Mental Health Contributes to School
Success!Results from Fairless Schools and Care
Team

• Graduation rate up 26 points to 92
• ACT scores up 13 to 21
• Proficiency scores Up
• Reading 95 (28)
• Writing 96 (45)
• Math 85 (117)
• Citizenship 88 (48)
• Science 85 (73)
• Severe discipline down 79

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Legislative Forum Recommendations

• Share knowledge about the link between mental
  health and school successand the importance of
  school-based mental health services
• Schools and mental health must change the status
  quo
• ID and serve children early not late. Consider
  school based screening
• Improve training of educators and MH staff
• Encourage schools to incorporate awareness of
  mental health into the K-12 curriculum
• Improve availability of and access to school
  based MH services

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Ohio Department of Mental Health Budgetas a
Percent of State Budget (GRF and Total)
3.8
of GRF of Total
3.6
3.4
3.2
3.0
2.8
2.6
2.4
2.2
2.0
1.8
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Legislative Forum Recommendations

• Educators, MH professionals and families should
  work together to shape approaches that address
  childrens well-being
• Increase family involvement at all levels
• Support/empower parents in their involvement
  with schools and mental health providers
• Actively support parent and student input
• Improve collaboration between SBMH and community
  based services

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Thank You For Your Concern And Your Support