BLACK HILLS MENTAL HEALTH SUBSTANCE ABUSE SYSTEMS CHANGE COLLABORATIVE MISSION : Build a sustainable model in which a broad and diverse range of stakeholders, including funders, take ownership of problems and work collaboratively to influence change.

HISTORY OF THE COLLABORATIVE : In 2008, JTVF prioritized mental health & substance abuse concerns based on findings from the 2007 Black Hills Community Needs Assessment that indicated serious gaps in access to mental health and substance abuse services. Black Hills Mental Health Substance Abuse Collaborative

HISTORY OF THE COLLABORATIVE : The 2007 Black Hills Community Needs Assessment as well as systems changes underway through the SD Department of Human Services spurred a number of uncoordinated community initiatives. Black Hills Mental Health Substance Abuse Collaborative

HISTORY OF THE COLLABORATIVE : JTVF Board agreed in order to achieve the greatest impact on our investment: Coordinate expertise of key leaders and resources Facilitate a planning process   included over 40 diverse organizations   developed a Community Plan in 2009 Black Hills Mental Health Substance Abuse Collaborative

FUNDING OF THE COLLABORATIVE: Bush Foundation funds leadership and coordination of some committees and activities, community needs assessment, training and best practice research, community engagement and community education plan. John T. Vucurevich Foundation funds various components of service gaps and provides staff time in leading the Steering Committee. The various organizations participating in the implementation of the plan are providing in-kind staff time to participate in various coordination meetings. Black Hills Mental Health Substance Abuse Collaborative

ACTION STATEMENTS FROM INFRASTRUCTURE AND SERVICE COORDINATION COMMITTEES: Take action to develop a responsive mental health/substance abuse system that will sustain and promote resources for prevention and service collaboration to strengthen and empower individuals and families in Rapid City. Ensure collaboration, coordination and integration of sustainable partnerships in providing easily accessible mental health/substance abuse services to empower and strengthen families and individuals in Rapid City to achieve their highest potential. Black Hills Mental Health Substance Abuse Collaborative

GOALS AND OBJECTIVES 1. Provide the community with options for a person in crisis other than involuntary admission to inpatient psychiatric care, detoxification services or incarceration. a. a.Develop a fully operational 24/7 Crisis Center 2. Improve access to after-crisis follow-up and mental health and substance abuse treatment. a. Implement community case management b. Provide intermittent professional care until provider availability. c. Provide easily accessible mental health/substance abuse services. Black Hills Mental Health Substance Abuse Collaborative

GOALS AND OBJECTIVES 3. Improve service integration and coordination among agencies and providers to help patients better navigate complex systems. a. Develop integrated demographic and client needs assessment and care plans. b. Conduct regular networking meetings among service providers. Black Hills Mental Health Substance Abuse Collaborative

GOALS AND OBJECTIVES 4. Improve awareness about and access to services to assist people in entering the health care system for mental health and substance abuse services prior to the crisis state. a. Evaluate access to services. b. Implement Community Education Plan. c. Develop Public Policy Plan to better align regulatory and funding policy. d. Identify training needs for agencies to implement systems change. Black Hills Mental Health Substance Abuse Collaborative

COLLABORATIVE STEERING COMMITTEE Steve Allender, Rapid City Police Chief Rita Haxton, Vice President Patient Care Rapid City Regional Hospital Don Holloway, Pennington County Commissioner Karen Romey, Administrator Pennington County Health and Human Services Alan Solano, CEO Behavior Management Systems Lisa Swallow, Executive Director Cornerstone Rescue Mission Kevin Thom, Pennington County Sheriff Tim Trithart, CEO Community Health of the Black Hills Sandy Diegel, Executive Director of John T. Vucurevich Foundation; Facilitator Black Hills Mental Health Substance Abuse Collaborative

ACTION STATEMENT FROM FAMILY ADVOCACY COMMITTEE PARENTS4PARENTS: Provide support and education to individuals and families giving them a voice in the access and delivery of behavioral health services leading to positive outcomes both personally and systemically. Black Hills Mental Health Substance Abuse Collaborative

GOALS FOR FAMILY ADVOCACY COMMITTEE PARENTS4PARENTS: Goals: Serve as a resource for individuals and families looking for education, information, services and support Increase public awareness of the Parent Support Group (Parents4Parents) and resources available Identify and train advocates in specialty areas to assist in a peer support system Help families be part of decision making at all levels by being the point of contact for a collective voice and a feedback loop to providers Advocate for systemic, legislative and/or funding changes to benefit families. Black Hills Mental Health Substance Abuse Collaborative

PARENTS4PARENTS COMMITTEE MEMBERSHIP Martha Anderson, Parent Representative/Advocate Stephanie Schweitzer Dixon, Executive Director Front Porch Coalition Burke Eilers, Director of Counseling Center for Youth and Family Services Audrey Lang, NAMI Megan Larson, Black Hills Coordinator, SD Voices for Children Dianna Marshall, SD Advocacy Jessica Miller, Court Services Officer for UJS Monica Sewell, Parent Representative/Advocate Sheila Snyder, Operation Military Kids Alys Ratigan, Collaborative Coordinator John T. Vucurevich Foundation; Facilitator Black Hills Mental Health Substance Abuse Collaborative

ACTION STATEMENT FROM PREVENTION COMMITTEE: Support intentional unified community efforts through a comprehensive and collaborative prevention and wellness framework that empowers and strengthens families in Rapid City: “ONE VOICE” in Prevention. Black Hills Mental Health Substance Abuse Collaborative

GOALS FOR PREVENTION ACTIVITIES: Goals: Improve knowledge and collaboration of prevention resources and issues among prevention providers, other agencies and the general public Identify, prioritize and educate current high need issues and the risk and protective factors to focus prevention and wellness efforts Improve screening and early detection of suicide risk factors Improve early intervention rates and have crisis options available Ensure follow-up processes are established and implemented. Black Hills Mental Health Substance Abuse Collaborative

IMPROVE AWARENESS ABOUT AND ACCESS TO SERVICES Needs Assessment: The Collaborative contracted with the Chiesman Center to develop two surveys to determine awareness of services and identify gaps.   Consumers of services and the general public   Providers and referral sources A focused community education campaign resulting from the feedback obtained from the needs assessment surveys will be completed in Black Hills Mental Health Substance Abuse Collaborative

IMPROVE AWARENESS ABOUT AND ACCESS TO SERVICES Resource Development:   Black Hills Mental Health Resource Guide   Helping Hand Emergency Resource brochure. The resources are also included on various websites such as   Crisis Care Center Brochure   Website ( and information cards for Parents4Parents. Black Hills Mental Health Substance Abuse Collaborative

IMPROVE AWARENESS ABOUT AND ACCESS TO SERVICES Law Enforcement Engagement Over 40 individuals from city police, county sheriff or highway patrol from Butte, Custer, Meade, Lawrence, Shannon, Perkins, Pennington counties; Belle Fourche, Summerset, Rapid City, Spearfish, Sturgis, Martin, Box Elder, Pine Ridge, Philip, Kadoka cities, Rosebud and Oglala Sioux Tribe police and a highway patrol officer attended a convening to learn how to make referrals to the Crisis Care Center. Black Hills Mental Health Substance Abuse Collaborative

IMPROVE AWARENESS ABOUT AND ACCESS TO SERVICES Public Policy Plan Develop a sustainable funding mechanism for the systemic changes occurring as a result of the Collaborative such as:   Operation of the Crisis Care Center,   Community case management and related flexible funds needed to assist people in accessing basic human needs such as housing, food and transportation,   Affordable tiered housing,   Direct services for people with no means to pay. Black Hills Mental Health Substance Abuse Collaborative

TODAY AT MAIN STREET SQUARE Mental Health Awareness & Suicide Prevention Day Sponsored by:

TRAINING Feedback from voting from immediate response remotes at the August 17 convening identified the following training priorities on broad based systemic issues such as: adult and youth CIT training for law enforcement: adult training to 25% of officers mental health first aid: 4 trainings completed in December and March understanding poverty: VOA hosted a Ruby Payne training Black Hills Mental Health Substance Abuse Collaborative

TRAINING Feedback from voting from immediate response remotes at the two convenings of Parents4Parents identified the following training priorities for parents: child/adolescent mental health topics: Planned by Parents4Parents for fall 2012 Juvenile justice issues: Planned by Parents4Parents spring 2013 how to effectively advocate for their children; done twice in 2011 by Parents4Parents Black Hills Mental Health Substance Abuse Collaborative

TRAINING A provider group convened in October 2011 identified the following training priorities for providers/professionals: times/dates to be determined collaborations, partnerships and maximizing resources among agencies, cross training between mental health and substance abuse providers on their related diagnosis and treatment protocols community case management models. Black Hills Mental Health Substance Abuse Collaborative

COLLABORATIVE’S NEXT PRIORITIES FOR 2012 AND BEYOND Consider replicating more shelter/housing concepts from San Antonio’s Haven of Hope Develop a Youth Crisis System Expand outreach of the Collaborative outside of Pennington County/Rapid City Develop a Public Policy Plan for sustainable funding Expand Community Case Management Continue focus on CIT training for law enforcement Sustain suicide prevention efforts Community engagement in Parents4Parents Continue training needed for systemic change Black Hills Mental Health Substance Abuse Collaborative

COLLABORATIVE’S NEXT PRIORITIES FOR 2012 AND BEYOND Community engagement in substance abuse prevention coalitions Develop Community Education Plan Recommit Collaborative partners through a Memorandum of Understanding Continue semi-annual convening to keep stakeholders informed and involved Black Hills Mental Health Substance Abuse Collaborative

HOW CAN YOU GET INVOLVED? The Collaborative is open to anyone interested in our mission, especially providers and consumers of mental health/substance abuse services; personnel from medical, judicial, Indian Health Service, VA, Social Services, advocacy groups, homeless coalition/organizations; and elected officials. SIGN UP SHEET IN YOUR PACKET Black Hills Mental Health Substance Abuse Collaborative