Adams County Children’s Mental Health Partnership SIU Quincy Family Practice (Lead Agency) Transitions of Western Illinois (TWI) Adams County Special Education Association Timeline Fall 2009 Convened community group Spring 2010 submitted application Summer 2010 grant awarded August 2010 began hiring staff: Sharon, Cindy and Diane Planning 15 months 2 workgroups: Early identification and intervention/Complex cases Funded for implementation: began September 2011

Illinois Children’s Healthcare Foundation Collaborative Integration of Primary Care and Mental Health Evidence-based Capacity to prevent, identify and treat Culturally sensitive services Reduce stigma Comprehensive plan to educate the community While SIU is the lead agent, the grant was awarded to Adams county. Strength is the collaborative nature of the community and providers Each of the three pc practices has created a model of integrated mental health services that includes primary care screening, engaging in brief interventions and referral to services with a care coordinator and mental health professionals on site • Incorporates community-based networks of services using evidenced-based structures, programs and services. In Adams Co. follows the RTI/PBIS tiered model. • Demonstrates that existing organizations and services are pulling together networks in developing a collaborative approach to develop a more responsive, seamless system of care for children and adolescents. • The system has the capacity to prevent, identify and treat children’s mental health and psychiatric issues.

Community System of Care Primary Care School Mental Health Social Services Natural Supports Children are identified and referred through a systematic, coordinated community process Child and Family centered, with the opportunity to be identified/engaged at any point in the system. Stigma addressed by getting sx at the same location as other health services Community education to inform and destigmatize

Mental Health Having the skills necessary to cope with life’s challenges. Not just the absence of mental illness. Living up to ones full potential. IT’S JUST HEALTH: EVERYBODY HAS IT Definition of Mental Health: Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community. In this positive sense, mental health is the foundation for an individual’s health and success. Further, it embraces the idea that with proper identification and treatment people with mental illness/disabilities can be healthy and successful. EXAMPLE: a diabetic who can be healthy and productive by controling diet, exercise and/or using medications and taking preventive measures. Some define health by the prevention of disorders and the early intervention/ control of disorders A state of emotional and psychological well-being in which an individual is able to use his or her cognitive and emotional capabilities, function in society, and meet the ordinary demands of everyday life. 2. A branch of medicine that deals with the achievement and maintenance of psychological well-being. 3. A person's overall emotional and psychological condition: Since witnessing the accident, his mental health has been poor. well-being and the effective functioning of a community.

Why Screen? Hearing Vision Academic Social Emotional To identify students at-risk of developing social emotional problems. Offers several advantages: Cost-efficient Proactive: Identify children BEFORE a disorder develops Symptoms up to 4 years b/f dx Reach students who are often overlooked Children who benefit from extra supports Children at high risk of having poor outcomes: academic failure, isolation, suicide, at risk behaviors such as drugs, premature sexual activity, juvenile crime, victimization Objective Help address disproportionality

How We Screen Parent and/or Youth Complete: Teachers Complete: ASQ 3 and ASQ se (Birth to 5 ½) Pediatric Symptom Checklist (Kindergarten -age 18) Teachers Complete: Teacher Nomination Process (School age) Parent perspective and choice: ASQ 3 and ASQ SE for ages 0-5.5 administered in primary care at well child , administered in community settings such as health dept, Early intervention and daycares PSC administered during school physicals in primary care and during registration and health classes in school setting

Next Steps: Coordination with family, providers and school Match needs/preference with community resources Integrated Mental Health Services Anticipatory Guidance Brief Interventions PBIS Tiered Interventions Assessment Intervention Trials All 3 PC sites have mental health and care coordinator on site. Providers support signed an MOU to provided at a minimum, annual screenings PBIS implementation includes the use of universal screening to systematically identify and match an appropriate level of support to children. We are choosing to use the same screening tool that is required for the cross-site evaluation. PSC can be used at no cost. School screening will be embedded into school registration process and into health course curriculum at the secondary level in Quincy’s public and parochial schools. Teacher nomination process (PBIS recommended) will be implemented as a supplemental gated process as buildings move forward with PBIS implementation.

School Interventions Tier 1-Universal SPARCS/ST Health Curriculum-Chaddock School MH Collaboration Grant-TWI Tier 2- Small Groups SPARCS/ST and therapy- Chaddock Tier 3 Individual Therapy-TWI, Cornerstone SASS(Crisis) -TWI (Optional: ADD this slide to emphasis SCHOOL)

Comprehensive Services Accessible QMG Assessment Center Child Consultation Group Consultation/Services for 0-5 Extended learning opportunities Recruit/retain specialty providers Technology for access Increased number of children will be identified. Interventions may include: brief interventions and anticipatory guidance performed in the primary care site by the physician or mental health staff, increased referrals to MH providers, Tier 2/3 interventions in the school setting by school staff and/or referrals/coordination with outside providers.

Engage Family and Community Supports Faith Community Training Mental Health First Aid Community based PBIS Parent Support/Play groups etc Social Marketing to reduce stigma Families have needs for support 24/7 and beyond the scope of the service delivery system. Training within the natural support systems will increase informal supports and reduce stigma. MH First Aid-2 day training for non-MH. PBIS training: Teen Reach and Quincy Park District after school staff. Focus groups with faith based orgs to determine the level of interest.

Sustainability Community Collaborates Providers prepared Less duplication Creative use of resources PBIS in schools Providers prepared Primary care=brief interventions, integrated care Mental health=Increased skills This grant is one that is designed with the intention of going away! STRESS Community and System CHANGE!

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