Jennifer Johnston, MPH Melissa Glenn, LMHC Behavioral health and equity: culturally responsive campus and workforce Jennifer Johnston, MPH Melissa Glenn, LMHC

presenters Jennifer Johnston, MPH Healthcare Workforce Transitions Program Manager, Highline College jjohnston@highline.edu Melissa Glenn, LMHC, CMHS Director of Education and Training, Northwest Regional Primary Care Association mglenn@nwrpca.org Each introduce themselves

Introductions cont. Who is in the room? Why are you interested in this presentation topic? What do you hope to learn during this session? JENNIFER Poster to keep track of “hopes”

Presentation goals Explore the prevalence of mental illness Review recommendations for creating culturally responsive campuses and workforce Identify learning concepts Share current strategies and resources that promote equity and equip the workforce JENNIFER

Mental health facts JENNIFER Mental Health: is a level of psychological well-being, or an absence of mental illness. It is the "psychological state of someone who is functioning at a satisfactory level of emotional and behavioral adjustment". Mental Illness: disorders generally characterized by dysregulation of mood, thought, and/or behavior, as recognized by the Diagnostic and Statistical Manual (DSM). Serious Mental Illness: persons who, as the result of a mental disorder, exhibit emotional, cognitive, or behavioral functioning which is so impaired as to interfere substantially with their capacity to remain in the community without supportive treatment or services of a long-term or indefinite duration. In these persons, mental disability is severe and persistent resulting in a long term limitation in their functional capacities for primary activities of daily living such as interpersonal relationships, self-care, homemaking, employment, and recreation. National Alliance on Mental Health (NAMI) https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

Mental health facts cont. JENNIFER National Alliance on Mental Health (NAMI) https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

Mental health facts cont. JENNIFER National Alliance on Mental Health (NAMI) https://www.nami.org/Learn-More/Mental-Health-By-the-Numbers

Mental health on campus *Anxiety, Depression, Suicide, Self-Injury, Eating Disorder JENNIFER Wisconsin Hope Lab/U. of Michigan/Community Colleges: study at 10 community colleges across the nation reveals that half of the more than 4,000 community college students surveyed are experiencing a current or recent mental health condition. 50% of community college students are experiencing a current or recent mental health condition. Less than 50% of those impacted are receiving mental health treatment Does this information align with your experience/observation? What implications does this information have for community college campuses? Wisconsin Hope Lab. Too Distressed to Learn? Mental Health Among Community College Students. March 2016

How is mental health an equity issue? Mental health & equity How is mental health an equity issue? Mental illness impacts academic success and quality of life Information & Education can impact: Campus resources Staff and faculty training Policy and process Service delivery and learning models Academic and workforce programming JENNIFER Ask audience before displaying bullet points

responsive campus Recommendations: Train faculty, staff, and students in Mental Health First Aid Train faculty and staff in Trauma-Informed Care Incorporate Behavioral Health Basics in Workforce Education Review additional resources MELISSA Based upon capacity/resources/commitment – decide what is feasible to implement at your campus Recommended topics and resources on handout

Mental health first aid Mental Health First Aid is a national program that teaches people how to respond to the signs of mental illness and substance use. Risk factors and warning signs How to help someone in crisis Where to turn for help Mental Illness basics Depression & Mood Disorders Anxiety Disorders Psychosis Trauma Substance Use Disorders MELISSA Example of how MHFA was offered as part of BHB at Highline - 45 participants Variety of participants (students, medical staff, security/library/ELL faculty) Train the trainer www.MentalHealthFirstAid.org

What participants are saying “Now that I have a better understanding of mental illness, I will be more patient and aware of all the possibilities a person may be going through. I now have tools to remain calm and confident while trying to point that person to the help they need.” MELISSA Heidi’s story: ER nurse who only saw MDD patients in crisis and didn’t know sustained recovery was possible until taking class. Info impacted how she discharge plans and connects patients to resources.

Trauma-informed care  A treatment framework that involves understanding, recognizing, and responding to the effects of all types of trauma. Goals: Promote trauma awareness Avoid re-traumatization Acknowledge “problem” behaviors as understandable ways to cope Give the survivor choice and control View trauma in the context of an individual’s environment Create a safe and hopeful environment Focus on strengths to promote resilience MELISSA Applies to staff/consumers in all settings (faculty/students, nurses/patients, counselors/clients, barista/customer) Builds empathy because it considers the impact of trauma on people’s ways of interacting/communicating/functioning Understanding this promotes equity

What faculty are saying “Now that I’ve taken this training, I will try to be more mindful of my own state of mind when working with students.” “Learning about signs of trauma, like anxiety, fight/flight/freeze, fear, and guilt will directly apply to my work at the college.” MELISSA Seattle Central College included TIC seminar in PDD for staff across disciplines (student asst, finance, instructors, admin, disciplinary). Elaine’s story: Asst. living nurse/college & practicum instructor took workplace assessment and had never considered impact of vicarious trauma. Will now incorporate TIC in class room instruction and practicum supervision.

Tools & Resources What is your school community currently doing to promote equity for students and staff? How are you preparing the workforce to respond to mental illness? MELISSA

Highlighted Resources Mental Health First Aid www.mentalhealthfirstaid.org Trauma-Informed Care www.samhsa.gov Wisconsin Hope Lab www.wihopelab.com National Alliance on Mental Health www.NAMI.org Equity in Mental Health Framework www.equityinmentalhealth.org MELISSA Substance Abuse and Mental Health Services Administration WI Hope Lab: Basic needs, MI, financial stress, poverty impact college students Equity in MH Framework: project to help colleges enhance MH support for students of color

questions Thank you!

presenters Jennifer Johnston, MPH Healthcare Workforce Transitions Program Manager, Highline College jjohnston@highline.edu Melissa Glenn, LMHC, CMHS Director of Education and Training, Northwest Regional Primary Care Association mglenn@nwrpca.org Each introduce themselves