Enhancing Collaborations to Promote a Mental Health

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Enhancing Collaborations to Promote a Mental
HealthSchoolsFamilies Shared Agenda for
Childrens 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
Childrens 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
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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
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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).
• 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.

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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.

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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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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 Six
States Missouri, Ohio, Oregon, South Carolina,
Texas, and Vermont
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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 for School Success
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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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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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Mental Health, Schools and Families Working
Together for Ohios Children Shared Agenda
Policymakers Forum Columbus, 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

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Southeast Ohio ForumFinding NewWays to
CollaborateBreaking 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

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North Central Ohio ForumAddressingBarriers 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

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Central Ohio ForumThe 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

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Northwest Ohio ForumStrengthening the
Partnership Mental Health and Education Helping
Kids Succeed in SchoolsBowling Green, OhioApril
29, 2003
Logo Here

• 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

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Northeast Ohio ForumMental Health, Schools and
Families Working Together for All Children
Youth Toward a Shared AgendaCleveland, OhioMay
5, 2003
Logo Here

• 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

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Southwest Ohio ForumMental Health, Schools
Families Working Together for All Children
Youth Toward a Shared Agenda Hamilton, OhioMay
5, 2003
Logo Here

• 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

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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 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
• Shared agenda 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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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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Immediate Next Steps for Ohios 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
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Immediate Next Steps for Ohios 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 Ohios 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

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Immediate Next Steps for Ohios 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.
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This PowerPoint Presentation will be posted on
Ohios Shared Agenda website and the Center for
School-Based Mental Health Programs
website http//www.units.muohio.edu/csbmhp/shared
agenda.html http//www.units.muohio.edu/csbmhp