The Baton Rouge Area Foundation Mental Health Response

At Risk Populations Family of victims; Injured persons Family of victims; Injured persons Highly exposed survivors Highly exposed survivors Rescue/Recovery and First Responders (including health and mental health staffs) Rescue/Recovery and First Responders (including health and mental health staffs) People with pre-existing mental health problems/substance abuse People with pre-existing mental health problems/substance abuse People with no social supports People with no social supports People in a low socioeconomic status-no real resources to help themselves People in a low socioeconomic status-no real resources to help themselves People of a minority status People of a minority status And women…especially single parents…. And women…especially single parents….

Estimated Target Population Hurricane survivors reported by the Capital Region Planning Committee (Henry Duga) -high estimate 117,711 survivors Hurricane survivors reported by the Capital Region Planning Committee (Henry Duga) -high estimate 117,711 survivors 6/6/06 census report-estimated increase in the population between 41,302 and 90,000 in the Greater Baton Rouge area 6/6/06 census report-estimated increase in the population between 41,302 and 90,000 in the Greater Baton Rouge area Range 90, ,711 in the 5 parishes Range 90, ,711 in the 5 parishes This translates into a targeted population of 5- 16,000 people (Norris, 2005) potentially in need of mental health services of some kind in the Greater Baton Rouge Area This translates into a targeted population of 5- 16,000 people (Norris, 2005) potentially in need of mental health services of some kind in the Greater Baton Rouge Area

Cognitive Behavioral Therapy for Postdisaster Distress Intermediate service for sub clinical clients Intermediate service for sub clinical clients Designed to address a range of problems Designed to address a range of problems 10 sessions-systematic and flexible 10 sessions-systematic and flexible 3 main sections: psychoeducation, coping skills and cognitive restructuring 3 main sections: psychoeducation, coping skills and cognitive restructuring Drawn from empirically validated CBT Drawn from empirically validated CBT Used in NY and FL Used in NY and FL

Evaluation and Training Use of assessment/referral tool Use of assessment/referral tool Data Collection Data Collection Program Evaluation Program Evaluation Training 100 private practitioners Training 100 private practitioners Training 200 public sector providers Training 200 public sector providers Training trainers Training trainers Gate keeper training Gate keeper training

Enhanced Service Objectives To create an intervention that is: 1. consistent with the crisis counseling guidelines 2. evidence-informed and appropriate for a range of symptoms following a disaster 3. able to be delivered by non-expert trauma therapists

Collaboration and Partnering Baton Rouge Crisis Intervention Center Baton Rouge Crisis Intervention Center Capital Area Human Services Capital Area Human Services Louisiana State University School of Social Work Louisiana State University School of Social Work Louisiana Chapter-National Association of Social Workers/APA Louisiana Chapter-National Association of Social Workers/APA Louisiana Family Recovery Corp Louisiana Family Recovery Corp Southern University Southern University Louisiana Office of Mental Health – LA Spirit Louisiana Office of Mental Health – LA Spirit Red Cross * Red Cross *

Health Care Centers in Schools Schools are organized into clusters based on geography, feeder schools, and numbers of children with mental health needs Schools are organized into clusters based on geography, feeder schools, and numbers of children with mental health needs Social workers will have less numbers of schools and work more closely with families to provide intense family services when needed Social workers will have less numbers of schools and work more closely with families to provide intense family services when needed Common assessment and treatment protocols allows the development of a quality improvement model that benchmarks outcomes Common assessment and treatment protocols allows the development of a quality improvement model that benchmarks outcomes Model is fluid in that social workers can detect trends in neighborhoods and adjust service delivery and staffing as needed Model is fluid in that social workers can detect trends in neighborhoods and adjust service delivery and staffing as needed Each school cluster(s) will have an identified crises team in place and on call 24/7/365 that will stabilize a family or school if needed Each school cluster(s) will have an identified crises team in place and on call 24/7/365 that will stabilize a family or school if needed All mental health staff have access to a psychiatrist for services one day each week for consultation and diagnosis through tele-medicine All mental health staff have access to a psychiatrist for services one day each week for consultation and diagnosis through tele-medicine

Proposed Model Schools are organized into clusters based on geography, feeder schools, and numbers of children with mental health needs Schools are organized into clusters based on geography, feeder schools, and numbers of children with mental health needs Social workers will have less numbers of schools and work more closely with families to provide intense family services when needed Social workers will have less numbers of schools and work more closely with families to provide intense family services when needed Common assessment and treatment protocols allows the development of a quality improvement model that benchmarks outcomes Common assessment and treatment protocols allows the development of a quality improvement model that benchmarks outcomes Model is fluid in that social workers can detect trends in neighborhoods and adjust service delivery and staffing as needed Model is fluid in that social workers can detect trends in neighborhoods and adjust service delivery and staffing as needed Each school cluster(s) will have an identified crises team in place and on call 24/7/365 that will stabilize a family or school if needed Each school cluster(s) will have an identified crises team in place and on call 24/7/365 that will stabilize a family or school if needed All mental health staff have access to a psychiatrist for services one day each week for consultation and diagnosis through tele-medicine All mental health staff have access to a psychiatrist for services one day each week for consultation and diagnosis through tele-medicine

Benefits of the proposed model Eliminates duplication of services Eliminates duplication of services Maximizes staff time and expertise Maximizes staff time and expertise Establishes standardized protocols for assessment and treatment regardless of funding stream Establishes standardized protocols for assessment and treatment regardless of funding stream Families with multiple mental health needs have a primary social worker who works with the whole family Families with multiple mental health needs have a primary social worker who works with the whole family Total integration of medical and mental health services for children and youth through electronic medical / mental health records Total integration of medical and mental health services for children and youth through electronic medical / mental health records Data driven decision-making Data driven decision-making

Resources needed Five social workers hired (one is supervisor of the project) Five social workers hired (one is supervisor of the project) Attract master’s level social work interns through $ 3,000 stipends to extend the work of social workers Attract master’s level social work interns through $ 3,000 stipends to extend the work of social workers On call crisis teams throughout the city On call crisis teams throughout the city Cell phones and computers with access to the EMR through the web Cell phones and computers with access to the EMR through the web Travel dollars for movement from school to school Travel dollars for movement from school to school Materials and training dollars to strengthen staff competency Materials and training dollars to strengthen staff competency Operational, administrative, and clerical support for system Operational, administrative, and clerical support for system Estimate of $ 250,000 per year for three years to implement model and secure sustaining funding Estimate of $ 250,000 per year for three years to implement model and secure sustaining funding