Wraparound Tools for System Leadership | Updated September 2020
The following are recent additions to the WraparoundOhio resources for all individuals involved in recovery in the areas of mental health, substance use, behavioral health, judicial justice, and trauma. The materials range from research articles on systems of care to intervention and sustainability tools designed for youth, their parents and families, their clinicians and communities, supervisors and system leaders, advocates and funders.
Health Policy Brief: Health Impact of Adverse Childhood Experiences (ACEs) in Ohio
There are many organizations working to improve child well-being in Ohio at the state and local levels. Across these entities, the impact of adverse childhood experiences (ACEs) has surfaced as a common challenge that must be addressed. Exposure to ACEs is a pervasive problem affecting many children in Ohio and across the country. National data and analysis provide clear evidence that ACEs exposure is linked to poor health and well-being through adulthood, including disrupted neurodevelopment, social problems, disease, disability and premature death.1 In addition, ACEs exposure has severe long-term cost implications at the individual and societal levels, including increased medical, child welfare, criminal justice and special education expenditures, as well as productivity losses.2This brief:• Summarizes current research on how ACEs impact health and well-being• Provides new data and analysis on the prevalence of ACEs in Ohio and the impact of ACEs on the health of OhioansMore specifically, this brief expands on what we know from national research by exploring these questions:• To what extent could Ohio’s health outcomes be improved by preventing ACEs?• Which ACEs have the most significant impact on the health of Ohioans? Download PDF of Brief
Advancing Trauma-informed Care Within and Across Child-Serving Systems
New Guide for a Coordinated Response to Child Trauma
With the American Institutes for Research, Chapin Hall formed the Multi-System Trauma Informed Collaborative (MSTIC), an effort supported by the U.S. Department of Justice’s Office of Juvenile Justice and Delinquency Prevention (OJJDP). The collaborative provided training and technical assistance (TTA) to state-level leaders of child-serving agencies from Illinois, Connecticut, and Washington. It guided state teams through a comprehensive planning process to develop strategic plans to improve screening, assessment, and treatment of youth, and to maximize opportunities to leverage state and federal funds. To address these factors, Chapin Hall developed a guide to assist state and local policymakers, public agency administrators, trauma experts, provider partners, and other stakeholders who seek to advance trauma-informed care within and across their child-serving systems. Although focused on state systems involving child-serving agencies, the guide can help those looking to support within-systems transformational change or those enacting reforms at the local of community level. Visit Site to Learn More
Telehealth for Families and Youth –What’s Their Take? | Parent’s Professional Advocacy League (PPAL)
When COVID-19 cases began accelerating in the spring of 2020 and stay at home orders were put into place, families had little time to prepare. Although most were unfamiliar with telehealth, they made rapid adjustments in order to access care, including mental health care,for their children. While telehealth was not developed to meet mental health needs during a pandemic, it became a lifeline, sometimes an imperfect one for families, youth and young adults.In mid-May 2020, Parent/Professional Advocacy League sent out two short surveys, one to parents and another to youth/young adults to hear about their recent experiences with telehealth. Each survey consisted of 21 structured questions and one open ended question. 202 families responded and 151 had used telehealth at least once. 30 young people, ages 13 to 30, responded to the second survey. Download Executive Summary PDF
Trainings Preseented by Ideas@TheInstitute | The University of Maryland School of Social Work
Ideas@TheInstitute is a dynamic and interactive online learning hub built to support experts and leaders in children’s services, including youth, young adults, and families. Ideas includes 40,000 online users and over 1,000 hours of online learning content. The National Technical Assistance Network for Children hosts several online learning communities to address the latest policy, practice, and research about children’s services including child welfare, juvenile justice, public health, physical health, mental health, substance use, education, early childhood, and transition age. Each learning community is designed for individuals to connect nationally with peers and collaborate on strategies for the field. Join one or several of the learning communities described below for virtual learning events, and multiple ways to connect, ask questions, and learn. Visit Site
COVID-19 Telehealth Program
The COVID Telehealth Program, administered by the Federal Communications Commission (FCC), is offering funding to community mental health centers, teaching hospitals, medical schools, and other eligible nonprofit health systems seeking to adopt and integrate telehealth technology into their practices. The $200 million program, funded by the Coronavirus Aid, Relief, and Economic Security (CARES) Act, is designed to help eligible practices, hospitals, and other organizations provide and maintain telemedicine/telepsychiatry services so they can continue to provide care during the COVID-19 pandemic, while many states are still enforcing stay-at-home orders. Details about the program are posted in an FAQ on the FCC website. Visit site
Supporting Youth During the COVID-19 Pandemic | youth.gov Newsletter
These can be difficult times for young people and those who work with them. Learn more about the respiratory illness coronavirus COVID-19 here. Below are resources on topics affecting youth and how supportive adults can help. Click on the arrows to find resources on each topic. youth.gov is the U.S. government website that helps you create, maintain, and strengthen effective youth programs. Included are youth facts, funding information, and tools to help you assess community assets, generate maps of local and federal resources, search for evidence-based youth programs, and keep up-to-date on the latest, youth-related news. Download PDF
Children’s Mental Health Awareness | A Focus on Resilience and Well-Being
This one-page PDF provides a nice at-a-glance reference guide for clinicians and caregivers seeking to cultivate resilience and well-being in their young clients. Significant contributors to building resilience include healthy connections and relationships to supportive adults.4»Resilience describes a child’s ability to do well, despite experiencing adversity. In 2018, an estimated 40% of U.S. children (0-17) experienced at least one adverse childhood experience. Early experiences of ACEs and toxic stress can have impacts in childhood, adolescence, and beyond. Youth who experience early childhood adversity are disproportionately represented in the justice system, where more than 50% have experienced 4 or more ACEs. An estimated 45% of childhood mental health conditions may be related to childhood adversity. Resilience, which can be built, helps children mitigate or lessen these negative impacts. Download PDF
National Wraparound Implementation Center Special Guidance Report: Managing and Responding to Coronavirus (COVID-19)
The National Wraparound Initiative (NWI) and the National Wraparound Implementation Center (NWIC) understand that events related to coronavirus (COVID-19) are moving quickly and acknowledge that some of the guidance provided in this document may not be applicable as new developments unfold. We therefore advise you to adhere, first and foremost, to guidance provided by your federal, state, and local governments as well as by your employing organization. The purpose of this document is to review key elements of the Wraparound process practice model and potential modifications that may be necessary to effectively support young people and families participating in Wraparound during COVID-19, while also adhering to public health and safety standards. At the end of this document, we also summarize several federal measures designed to facilitate access to virtual care that may be helpful. Download PDF
Strategies to Support the Administration of Direct Service Provision During the COVID-19 Pandemic
Children, youth, and families living in under-resourced communities nationwide are especially vulnerable to the immediate and long-term impact of the COVID-19 pandemic, and may need different and/or more robust provision of services. At the same time, community-based direct service providers may struggle to know how best to support families while adhering to social distancing mandates. This tip sheet, based on promising practices implemented by South Ward Promise Neighborhood Partner agencies, offers strategies to help administrators and supervisors support front-line staff who work with clients remotely, specifically regarding three key areas where administrators are likely to experience the greatest challenges: logistics, policies and procedures, and communication. Download PDF
Multi-System Youth Funding Offers Lifeline to Ohio Families | The Center for Community Solutions
The state’s current operating budget, approved in July 2019, included dedicated funding of $18 million, across two years, to address the needs of multi-system youth (MSY). MSY are children and teenagers with complex developmental and behavioral health needs that cannot be met by a single state or local agency. The primary goal of this funding was to eliminate the practice of voluntary custody relinquishment, meaning that while no abuse or neglect is occurring, the only way families can access the services their children need is to give up custody of their children. Visit the Center for Community Solutions website here.
Ohio’s Adolescent and Transitional Aged Youth Treatment Implementation (YT-I) SAMHSA Grant
Ohio has been awarded a four (4) year grant (FFY 2018-2021) from the Substance Abuse and Mental Health Services Administration for Adolescent and Transitional Age Youth Treatment Implementation (YT-I). Expanding upon the work of Ohio’s (2016-2017) State Youth Treatment Planning Grant, the population of focus for Ohio’s YT-I is adolescents and transition-aged youth ages 12-25 with substance use disorders (SUD) or co-occurring SUD and mental health disorders. The purpose of Ohio’s YT-I project is to increase the availability and access of SUD and co-occurring SUD and mental health evidence-based assessments, treatment models and recovery services in Ohio with a focus on the disparities in rural and Appalachian counties for this population. Download Ohio’s Adolescent and Transitional Aged Youth Treatment Implementation (YT-I) SAMHSA Grant summary here
The Ohio Healthy Transitions Overview and Referral Form
The Ohio Healthy Transitions Project (OHTP) is a SAMHSA funded initiative to improve access to treatment and support services for youth and young adults ages 16-25 with a serious emotional disturbance (SED) or a serious mental illness (SMI). Through a five-year grant awarded to the Ohio Department of Mental Health and Addiction Services, OHTP is partnering with Wingspan Care Group, the nonprofit parent company of Bellefaire JCB, Applewood Centers Inc. and Lifeworks, to develop a culturally competent service continuum to bridge the gap between the youth and adult systems in Cuyahoga and Lorain counties. OHTP has helped: Create increased awareness that Transition Age Youth are a unique sub-population requiring a system of their own to bridge the gap between youth and adult services; foster service coordination and collaboration between youth and adult systems; support psycho-social maturation in Transitional Aged Youth with SMI/SED; and achieve greater positive outcomes in young adults aging out of the youth system. Download Ohio Healthy Transitions Overview and Referral Form as a Word document Here
Learn more about the OHTP initiative with a short five-minute video produced for a live Facebook event and presented in partnership with the Young Adult Program View Video
Download Ohio’s Adolescent and Transitional Aged Youth Treatment Implementation (YT-I) SAMHSA Grant Here
The Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances Program: 2017 Report to Congress | Publications and Digital Products
The Substance Abuse and Mental Health Services Administration (SAMHSA) is pleased to present the 2017 Report to Congress for the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances Program. This program, also known as the Children’s Mental Health Initiative (CMHI), was authorized by Public Law 102–3211 to provide funds to government entities to deliver comprehensive community-based mental health services to children, youth, and young adults2 who have a serious emotional disturbance (SED), and their families. CMHI is based on the Systems of Care (SOC)3 framework, defned as a comprehensive spectrum of mental health and other necessary support services organized into a coordinated network to meet the multiple and changing needs of children, youth, and young adults with SED and their families/caregivers. This Report to Congress provides the most up-to-date findings from the national evaluation of the 91 CMHI expansion and sustainability grantees funded between 2013 and 2017. Since it’s inception in 1993, CMHI has provided services to more than 140,000 children, youth, and families.
Learn More and Download Report Here
Strong Families, Safe Communities Project
The State of Ohio is committed to improving care coordination and providing support for families with children in crisis who present a risk to themselves, their families or others because of mental illness or a developmental disability. Since 2013, the Strong Families, Safe Communities project has been engaging local systems to identify community-driven solutions that highlight collaboration across agencies to develop the best possible outcomes for these families. This initiative is funded by the Ohio departments of Developmental Disabilities (DODD) and Mental Health and Addiction Services (OhioMHAS). Many children who are at risk are not engaged in treatment programs and may not be known to the community until a crisis unfolds. Care coordination and crisis intervention services can quickly stabilize a child’s health. Support for these families will reduce risk of harm and help the family remain together. Learn More and Visit Site Here
Mental Illness Developmental Disabilities Coordinating Center of Excellence (MIID CCOE)
The MI/ID CCOE is jointly funded by the Ohio Department of Mental Health and Addiction Services and Department of Developmental Disabilities. The mission of the MI/ID CCOE is to make life better for people with dual diagnoses of mental illness and a developmental disability. We create access to expert assessments and recommendations; train and educate professionals, paraprofessionals and future professionals to address needs in both mental health and developmental disabilities; support Mental Health and Developmental Disabilities coordinating and working together; and help communities build their knowledge and resources for serving this population. Our philosophy is that the Mental Health system can serve individuals who also have developmental disabilities, and the Developmental Disabilities system can serve individuals with a mental illness. In most cases, these professionals have the tools and need only some specific resources and modifications. In both systems, the way to begin working with people with dual diagnoses is by using the universal precaution of Tauma-Informed Care: making sure each individual feels safe and in control. To address the gaps in what each system can do, we must work together. Learn More and Visit Site Here
University of Maryland School of Social Work
Over the past two weeks we have held a number of conversations to support your work during COVID-19. Each conversation—crisis communications, in-home behavioral health, supporting families, residential care, infant and early childhood mental health, and mobile response and stabilization—has had a large turnout and active online participation. Access the recordings here. We continue to plan new conversations to address the challenges of today and to create forward-looking solutions for a brighter tomorrow. And we are working on new resources based on your questions. Please visit Conversations & Resources on COVID-19 and sign up for our new dedicated email list.
The PDF of this webinar is designed for providers needing clarification about policies that are specific to a particular payer (e.g., Medicaid), a complex area. Telehealth policy changes occurring within the COVID-19 environment have been rapidly developing on almost a daily basis. The Center for Connected Health Policy (CCHP) is committed to keeping you updated on these important changes both federally and on the state level. Watch our latest COVID-19 policy update videos. For questions related to changes to OhioMHAS interactive video conferencing policy as well as questions related to clinical and technical implementation of telehealth, e-mail COVID19BHTelehealth@mha.ohio.gov. – For questions about the Medicaid coverage, billing, and reimbursement under the new policy can be submitted to BH-Enroll@medicaid.ohio.gov. View and Download PDF Here.
Guidance for In-Home Visitation and Screening of Youth and Visitors to Offices, Facilities and Programs
Today, COVID-19, also known as the Coronavirus, presents a major challenge to our ability to provide optimal services to adults, children and families with behavioral health needs in the State of Ohio. The purpose of this memorandum is to make sure you know we are committed to ensure the community and our workforce is protected at all times. As we continue to monitor the evolution of this major pandemic in our country, we realize the need to make major adjustments to our behavioral health practice so that we keep our workforce, adults, children, and families safe. Of particular concern are those frontline workers charged with the responsibility of providing in-home services to families. Our overall message to you is your safety matters to us.The guidance we are providing is based on the most up-to-date Centers for Disease Control and Prevention (CDC) and Ohio Department of Health (ODH) recommendations for preventing of the spread of COVID-19 and managing the people who may have had contact with infected individuals. We are also providing additional guidance for congregate care and non-congregate care programs licensed, funded or regulated by the Department. Please review this information, including the links below, with your program’s leadership and staff and make any necessary adjustments to your program’s policies and protocols. This guidance is not intended to address every potential scenario that may arise as this event evolves throughout our state and country.
Read and Download PDF Here