Partnering with Political Leaders to Evaluate Recommendations for State-Level Mental Health Policy Change: The Role of Responsive, Participatory Evaluation.

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Partnering with Political Leaders to Evaluate Recommendations for State-Level Mental Health Policy Change: The Role of Responsive, Participatory Evaluation in Planning for Policy Change Sarah Beu, BSW; Addie Weaver, PhD; & Joe Himle, PhD BACKGROUND Given the collaborative nature of the MHWC, the evaluation was designed to be responsive to the needs of the client. This included being flexible with timelines and continuously reporting findings back to the client as available, often on a weekly basis. Evaluation methods employed included: Review of literature on national models and programs identified via MHWC recommendations Retrospective analyses of state databases Strengths, Weaknesses, Opportunity, Threats (SWOT) analysis of current programs RESPONSIVE, PARTICIPATORY APPROACH The MHWC would provide the evaluation team with in each area of interest. The following is an example of a question in the area of education within mental health service system : What is the total amount of money being spent on special education in Michigan? What percentage of special education is paid for with State allocated dollars and what percentages comes from a local millage? CASE EXAMPLE EXAMPLE RESULTS Source of Funding for Special Education in Michigan Percentage of costTotal cost Mandated State aid28.6% 1 $879 million (FY2010) 2 IDEA Federal Government funding (Part B) Can go up to 40%, but historically stayed ~10% In 2010, due to available one-time federal stimulus funds, this amount doubled to 22% 1 $755 million (FY2010) 3 $349 million(FY 2013) 2 Local funding from millages~19% 3 $655 million (FY2010) 3 District’s general fund~25% 1 $655 million (FY2010) 3 1. Systemic Inequities and Cross-subsidization Special Education Grant Award Notification, State of Michigan Financing Special Education: Analyses In February 2013, Michigan Governor Rick Snyder signed an Executive Order establishing the Mental Health and Wellness Commission (MHWC). The MHWC was charged with identifying the gaps in delivery of mental health services in the state of Michigan and offering recommendations to address those gaps. The MHWC was intentionally bipartisan, composed of State Senators, Representatives, the Lt. Governor and the Department of Community Health Director. One Senator on the MHWC sought services from the Curtis Center Program Evaluation Group to evaluate the state of mental health services in Michigan, with emphasis on the following areas: Veterans, Employment, Education EVALUATION WITH POLITICAL LEADERS: LESSONS LEARNED 1.Accessing state-level data: The evaluation team had to work with the Senator’s staff to request access to state-level data that was not publicly available. Working on tight timelines made it difficult to obtain restricted data when needed. Therefore, the evaluation team primarily relied on publicly available data, which often did not contain all variables of interest. As a result, our ability to address some evaluation questions was limited. 2.Having flexible and quick turn around times: The Senator’s evaluation needs changed based on discussion at regular, bimonthly MHWC meetings. The evaluation team needed to be prepared to finish prior tasks and/or change tasks as the MHWC’s priorities changed and was in constant communication with the Senator’s office regarding updates on the current status of the recommendations and new evaluation needs. 3.The use of tables and spreadsheets: To facilitate data interpretation and key takeaways from evaluation findings, we intentionally and strategically used tables, and other data visualization tools when reporting results. This was especially important given the number of documents MHWC members are expected to read and retain on a daily basis. 4.Communicating information back : Due to the State Senator’s political agenda, the team made extra efforts to remain objective and communicated information back to the Senator in a unbiased and comprehensive manner. MHWC REPORT Final results summarizing the evaluation of recommendations related to mental health services within the key areas of veterans, employment, and education. The team presented the final report to the MHWC in December The evaluation directly informed the MHWC’s final recommendations, submitted to Gov. Snyder on December 31,