OJJDP TRIBAL JUVENILE DETENTION & REENTRY MEETING April 6 & 7, 2011 Choctaw, Mississippi

Mission Statement: Strengthening Individuals, Families, and Communities SOUTHERN PLAINS BEHAVIORAL HEALTH SERVICES

Southern Plains MISSION OFFICE

Serving South Central South Dakota Gregory, Mellette, Todd, Tripp Counties Including a Safe Schools Healthy Students Partnership with Todd County School & Community Partners

WHO WE ARE…  Community Mental Health Center  Comprehensive Outpatient behavioral health care  Serve individuals/families/communities with issues related to stress/relationships/PTSD/trauma

CHARACTERISTICS OF SPBHS  Private non-profit  Locally governed  Authorized by the CMHC Act of 1963  Regulated under the provisions of ARSD 46:20  Contract with SDDSS to serve target populations  Accredited by DHS  Multi-disciplinary practices  Provide 24/7 on-call crisis services

WHAT WE DO…………  Adult mental health services SMI  Children’s services SED  Outpatient  Psychiatric care  Group counseling  Individual counseling  Family Counseling  Aggression Management  Common Sense Parenting  Systems of Care for Children/Families  Community Education & Awareness  24-hour Emergency Services  Co-occurring Services

ADULT SERVICES  Outpatient  Emergency/crisis intervention  Psychiatric/Medication Management  Continuous Assistance, Rehabilitation and Education Program (CARE)  Programs of Assertive Community Treatment (IMPACT)  Residential/Transitional  Co-occurring

CHILDREN’S MENTAL HEALTH SERVICES  In-home, individual therapy  In-home family education/support/therapy  Out of home therapy  Crisis intervention  Case management  Assessment and evaluation  Psychological evaluation  Group therapy

OUT OF HOME THERAPY Southern Plains Caseworker and Client

CO-OCCURRING SERVICES  Substance Abuse/Addiction Services  Screening/assessment  Prevention  Early Intervention  Outpatient/intensive outpatient  Continuing care  Case management/referral  Lo-intensity residential/referral  Intensive inpatient/referral

PSYCHIATRIC SERVICES History Registered Nurse Aftercare Telemedicine Pilot Safe Schools Healthy Student Grant Child Psychiatry Increase in psychiatry

PSYCHIATRIST

SYSTEMS OF CARE PROCESS  Children-earlier intervention  Child/Adolescent and Family Formation of child/family team  Team commitment to UNCONDITIONAL treatment  Team develops individualized plan  Services are comprehensive, community-based, culturally-competent

JUVENILE DEPARTMENT OF CORRECTIONS

SYSTEMS OF CARE CORE VALUES  Child/Family Focused  Strength Based  Needs Dictate Services  Cultural Sensitivity  Evidence-based Practice  Community Based  Natural Environment

SYSTEMS OF CARE TREATMENT RECOVERY PLAN Driven by child/family NEEDS Based on child/family STRENGTHS Focuses on BASIC HUMAN NEEDS Addresses needs in 3 or more LIFE DOMAIN areas Identifies OUTCOME measures

CITY OF MISSION

SINTE GLESKA UNIVERSITY

SYSTEMS OF CARE BLENDED SERVICES Address physical, emotional, social, vocational, family, spiritual Agencies collaborate for planning, developing & coordinating services Individualized services Early identification & intervention Families involved in all aspects of planning and delivery Services provided sensitive to cultural differences & special needs Transition to adult service as children reach maturity Provide in least restrictive environment Advocacy for children/youth rights Multiple services delivered in therapeutic manner

PLANNING AND IMPLEMENTATION OF TELE-PSYCHIATRY WITH SAFE SCHOOLS HEALTHY STUDENT PROJECT  Collaborate with Safe Schools Healthy Partners  Todd County School, Children’s Court & Juvenile Justice, Rosebud Sioux Tribe Law Enforcement, Sinte Gleska University Reclaiming Futures  Identify needs/Conduct Community Needs Assessment  Prioritize needs identified in Needs Assessment  Identify community partners, resources and services  Develop infrastructure to promote efficiency and create collaborative process to support and utilize programs currently in place

SAFE SCHOOLS HEALTHY STUDENT Coordinator/Med Management Judy Bartels RN

TODD COUNTY SCHOOLS SouthElementarySouthElementary HighSchoolHighSchool School Security

TELE-PSYCHIATRY  Trials and assessment of system reliability  Child and family involvement  RN medication management & Case management  Evaluation of process  Make changes as necessary

TELE-MED DIONE RNJUDY RN

ACHIEVEMENTS  Positive outcomes & challenges  Number of families served  Increase in staff  Update tele-medicine system  Increase in & strengthening of partnerships/teams in the communities & state

ACHIEVMENTS  Reduction in gaps in services/less duplication of services  Stronger partnerships result in better outcomes for everyone-children/families/programs/professionals  Decrease in number of suicides and attempts  Increase in services plus increase in collaboration and networking of partners  State commitment to fund services following completion of Safe Schools Healthy Student Project  Flex funding

Mission Bike Giveaway

PARTNERS  Todd County School Administration, staff, counselors & alternative education  Rosebud Sioux Tribe Education  Rosebud Sioux Tribe JDC & Courts  Rosebud Sioux Tribe Law Enforcement  Sinte Gleska University  Rosebud Indian Health Services ER, Mental Health & other health care  Co-occurring partners Rosebud Sioux Tribe Drug and Alcohol Program/ Main Gate  Cultural partners-Sweats, prayer ceremonies, Lakota language,  Rosebud Sioux Tribe and State Social Services

STRESS AND A GLASS OF WATER  How heavy is a glass of water  Hold it for a minute  Hold it for an hour  Hold it for a day