Hamilton County Mental Health and Recovery Services Board

Provider Meeting

Transforming the Hamilton County System of Care and Community for

Transitional Age Youth

Journey to Successful Living (JOURNEY)

October 22, 2009

SAMHSA Funding/Child Mental Health Initiative (CMHI)

The purpose of SAMHSA funding is

to support the development of

programs and community-based

services and supports for children

and youth with serious emotional

disturbances and their families by

encouraging the development and

expansion of effective and enduring

systems of care.

System of Care

A “system of care” is an organized philosophy and framework that involves collaboration across agencies, families, and youth for the purpose of improving access and expanding the array of coordinated community-based, culturally and linguistically competent services and supports for children and youth with a serious emotional disturbance and their families.

Transformation

The SAMHSA grant provides the opportunity for venture capital to transform the Hamilton County system to assist youth to transition into adulthood.

Population

JOURNEY will have as its target population transitional age youth (TAY), with a serious emotional disturbance, age 14-21, and their families.

Need to Serve Youth

Table 1. Persons ages 14-21 served in FY 2008

554

257

172214

284

524

584582

0

100

200

300

400

500

600

700

Age 1

4

Age 1

5

Age 1

6

Age 1

7

Age 1

8

Age 1

9

Age 2

0

Age 2

1

13% of the youth were in juvenile detention or jail

13% were in residential treatment facilities; 3% were in group homes

15% were in therapeutic foster care and another 13% in non-therapeutic foster care

Ohio Youth Scales Data Mart, 2008

Partners

Mental health and substance abuse system, child welfare system, juvenile justice system, and/or mental retardation and developmental disability system.

JOURNEY will strategically build upon the existing above partnership by adding youth and families, as well as partners from schools, the social services and business community.

Purpose

With CMHI funding, Hamilton County Mental Health and Recovery Services Board will strengthen the system of care (SOC) in Hamilton County, making improvements for youth/young adults, ages 14-21, and their families, by creating a broad based, sustainable systemic change, inclusive of policy reform and infrastructure development, that can be maintained after federal funding has ended.

JOURNEY

JOURNEY will have a year of planning and then five years of implementation.

There are mandatory activities and positions required by SAMHSA, such as Youth Coordinator Technical Assistance/Social Marketing Coordinator Cultural and Linguistic Competence Coordinator Lead Family Contact (2) Evaluators State local liaison

Planning

Example of planning activity:

develop and implement a comprehensive cultural competency plan; with sensitivity to the overrepresentation of African American youth

Planning

Example of planning activity:

establish an infrastructure with policies, protocols and tools that facilitate comprehensive service planning designed to address: behavioral health, education, employment, social, housing, financial, health insurance and physical health needs of TAY

as they move into adulthood.

Implementation

Example of Implementation Activities:

increase workforce competency and youth and family understanding relative to TAY and evidence based practices

implement a comprehensive evaluation plan to improve the infrastructure, quality of the project and sustainability of JOURNEY.

JOURNEY: Incorporation of Evidence Based Practices

Transition into Independence Process (TIP)

Assertive Community Treatment (ACT)

Cognitive Behavioral Therapy (CBT)

Trauma Informed Treatment.

JOURNEY

Will serve over 200 youth a year and about 500 youth and families over the length of the grant.

The Board will operate as the fiscal agent and will identify the appropriate entities for operationalizing the grant.

ACTUAL AWARD

At this time, the total anticipated award amount is $9 million with

up to $1 million in Year one, 1.5 million in year two, 2 million in year three and four, and 1.5 million in year five, 1 million in year six.

Goals

Journey will establish a sustainable system of care that:

1) will be youth-focused, family driven and culturally and linguistically competent, with particular sensitivity to the African American population;

2) transforms the current infrastructure serving youth/young adults transitioning to the adult service system;

3) ensures the best, most efficacious treatment practices are available through expansion of non traditional services and use of evidence-based and promising practices;

4) increases workforce competency through comprehensive training and technical assistance;

Goals Cont.’

5) allows for a cross system management information system to better inform planning and practice; and

6) incorporates a comprehensive evaluation, which will facilitate the infrastructure, quality and sustainability of JOURNEY.

Goals Cont.’

Great Opportunity

For Hamilton County transitional age youth and families by strengthening and transforming the system of care through expansion of community services and supports, workforce development, financing strategies and technical assistance.