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Office of Children’s Mental Health
WCHSA Conference
May 14, 2015
SHIFT Your Perspective
• From illness to adaptation• From primarily a clinical approach to a public
health approach• From a programs approach to a systems
approach• From families as receivers to families as
leaders
Shift Our Perspectivefrom Mental Illness to Adaptation
Shift Our Perspectivefrom Mental Illness to Adaptation
“Early experiences are biologically embedded in the development of the brain and other organ systems leaving a lifelong impact on learning, behavior and both physical and mental health.”
Harvard Center on the Developing Child
Shift Our Perspectivefrom a primarily Clinical Approach to a Public Health Approach
Shift Our Perspectivefrom a primarily Clinical Approach to a Public Health Approach
Shift Our Perspectivefrom Programs to Systems Thinking
Shift Our Perspectivefrom Programs to Systems Thinking
Common Agenda
Shared Measurement Systems
Mutually Reinforcing Activities
Continuous Communication
Backbone Support Organization
Concerns: Psychotropic Drug Patterns among Children / Youth on Medicaid
7 out of 10 young people prescribed a psychotropic drug in 2013 had no therapy
Especially noticeable for youngest children (ages 0-5)
Concerns: Hospitalizations
7
Mental health as the leading reason for children to be hospitalized (except for newborns)
Concerns: Hospitalizations
9About half of these costs are due to hospitalizations and meds.
Concern: High Youth Suicide Rates
Concern: Pronounced Racial Disparities Across Systems
• Mental Health• Child Protective
Services• Schools• Corrections
Disparities: Suicide Risk
12
• Wisconsin’s Black youth suicide attempt rate is 82% higher than the national average.
• LGBT, Hispanic, and Black youth are at the highest risk of attempting suicide
Disparities: Out-of-Home Placement
American Indian children are at the highest risk of being placed in foster care (25 per 1,000 children) and are almost seven times more likely to be in out-of-home care than their White peers
Disparities: School Discipline
•Approximately 1 in 5 Black students were suspended in 2013 (21%) - more than 9 times the rate of White students
•American Indian students were suspended at over 3 times the rate of White students
•Hispanic/Latino students were twice as likely as their White peers to be suspended
WI has the worst juvenile incarceration disparities in the nation 15
Disparities: Juvenile Justice
Shift Our Perspectivefrom Families as Receivers to Families as Leaders
Shift Our Perspectivefrom Families as Receivers to Families as Leaders
Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities
Parent Peer Specialists in Wisconsin
Role of a Certified Parent Peer Specialist:
• Provide information and resources• Support parents in navigating complex
systems• Deliver peer support • Encourage self-reliance, resilience, and
recovery.
.
Current Initiatives
• Collective Impact Workgroups:– Increasing Access– Trauma-Informed Systems– Building Resilience
• Addressing Youth Emergency Detentions• Addressing Disparities• Building an Infrastructure for Family
Engagement
Opportunities for County Input and Collaboration
Sources• The Johnson Foundation at Wingspread, “Top of Mind: Children’s Mental Health in
Racine”, June 2012• SAMHSA, “Behavioral Health Barometer Wisconsin” • WI Health Information Organization (WHIO) dataset• DPI WiseDash online data dashboard• Children’s Defense Fund, “Mental Health Fact Sheet” • “Wisconsin ACE Brief: 2011 and 2012 Data”, • Annie E. Casey Kids Count • DOC, Division of Juvenile Corrections 2013 Report• Juvenile Secure Detention Registry• Individual Student Enrollment System (ISES)• Office of Detention Facilities 2013 Annual Report• DCF, “Wisconsin Children in Out-of-Home Care” 2012 Annual Report• SAMHSA’s 2012 URS tables• DPI, “Youth Risk Behavior Survey Executive Summary 2013”• Mental Health America, Parity or Disparity: The State of Mental Health in America
2015
