1. City of Philadelphia Mental Health First Aid Initiative H. Jean Wright II, Psy.D. Senior Advisor to Commissioner Jean.wright@phila.gov Christina M. Finello, J.D., Ph.D. Philadelphia Dept. of Behavioral Health and Intellectual disAbility Services cfinello@pmhcc.org Arthur C. Evans, Ph.D. Commissioner

2. Overview DBHIDS mission How MHFA fits into the Mayor’s goals for a Healthy Philadelphia? What is MHFA? Philadelphia’s MHFA Initiative ▫What’s the plan? ▫How is it going? Next steps + Summary

3. What is DBHIDS? DBHIDS supports people in an environment of recovery, with a focus on prevention, resilience, wellness and self-determination in order to attain the highest quality of life possible.  Responsible for administering a broad array of treatment, intervention and prevention programs for:  Children, adults, and families impacted by mental health, substance use and intellectual disabilities  More than 120,000 people are served each year through a $1 billion annual budget  Network of over 200 providers offering full continuum of services  Single payer for Medicaid, Federal, State and Local Grant dollars (Medicaid managed by City)

4. Office of Mental Health Office of Addiction Services BEHAVIORAL HEALTH SYSTEM Community Behavioral Health Office of Mental Health Office of Addiction Services IDS SYSTEM Community Behavioral Health Intellectual disAbility Services

5. Mayor Nutter’s Goals for the City of Philadelphia  Philadelphia becomes one the safest cities in America.  The individual well-being of Philadelphians improves.  Philadelphia is a place of choice.  Philadelphia becomes the greenest and most sustainable city in America.  Philadelphia government works efficiently and effectively, with integrity and responsiveness.

6. Our Population/Public Health Approach to Improving Health  Philadelphia’s Behavioral Health Services Transformation  Vision of Recovery, Resilience, & Self-Determination  Focus on:  1) Public Education and Training  Partnerships with the general public, faith community, indigenous community leaders, and city agencies  2) Early Intervention  Partnerships with first responders trained in Crisis Intervention, Community Response Teams, etc.  3) Effective, Specialized Treatment  Community-based network of care providers 6

7. 7 Community & Cross Systems Collaboration Optimize Treatment Services Recovery Support Services Fiscal & Administrative Policy & Procedure Alignment Four Building Blocks of a Recovery & Resilience-Oriented System

8. Our Population-Based, City Wide Approach to Mental Health First Aid  Train representatives from as many community and public safety organizations as possible as MHFA Instructors Emphasis on collaborative course instruction  Train as many Philadelphians as possible to be Mental Health First Aiders Public and private sector 8

9. What Is Mental Health First Aid? The help provided to a person developing a mental health problem or experiencing a crisis until professional treatment is received or the crisis resolves.

10. Spectrum of Mental Health Interventions 13

11. Overview of training Overview of mental health problems ▫ Depressive/Mood disorders ▫ Anxiety disorders ▫ Disorders in which psychosis occurs ▫ Substance use disorders ▫ Eating disorders Mental Health First Aid for crisis situations Mental Health First Aid for non-crisis situations

12. What is covered… 5 step MHFA Action Plan How to show respectful concern and how to offer assistance Role of First Aiders When to call for emergency help Sources of appropriate professional help and self-help strategies

13. MHFA Versions General 12-hour MHFA curriculum 8 hour Public Safety Pilot curriculum ▫Public Safety version does not include Eating Disorders but does include some specific info related to state and local regulations and the relative roles of first responders and First Aiders Youth MHFA is in development but not yet available in Philadelphia

14. Goals  Reduce stigma  Increase mental health awareness  Strengthen community and cross-system capacity  Support recovery and resilience  Increase early intervention and access to behavioral health services

15. Potential Audiences ▫Hospitals and health centers ▫Law enforcement/first responders/Criminal Justice ▫Employers ▫Faith communities ▫Schools/universities ▫Nursing home staff ▫Individuals who have experienced behavioral health challenges ▫Family members ▫Service providers and support staff ▫Neighborhood organizations ▫Concerned citizens

16. MHFA Strategy 3 x 5-day Train the Instructor per year National Council for Community Behavioral Healthcare Trainers 8- or 12-hour MHFA Course* (30 participants max) 8- or 12-hour MHFA Course* (30 participants max) 8- or 12-hour MHFA Course* (30 participants max) *MHFA Certification lasts for 3 years. Instructors required to teach at least 3 courses per year Public Safety & Community MHFA Instructors

17. Our Process --- Year 1 of 3 Years Public-Safety MHFA Community MHFA Criminal Justice Advisory Board Meetings Jan. 26 Kick-Off & Orientation Meeting with City Leadership Jan. 27 8-hour Public Safety MHFA Demo 5-day Public Safety MHFA Train the Instructor (Feb) Two 5-day Community MHFA Train the Instructor (March, May)

18. Promoting Our MHFA Efforts  Kick-off for Philadelphia’s MHFA Initiative  Meeting with city leadership including Mayor Michael Nutter  Orientation for a larger audience, open to the public – 300+ attended  Demonstration of 8-hour Public Safety Mental Health First Aid course  On-line promotion: http://www.dbhids.org/dbhids-launches-mental-health- first-aid and http://www.facebook.com/DBHIDShttp://www.dbhids.org/dbhids-launches-mental-health- first-aidhttp://www.facebook.com/DBHIDS

19. Publicity Our initiative has been covered by the following news outlets: –The Inquirer, 1/27/12 –CBS Philly, 1/28/12 –Examiner, 1/26/12 –The Philadelphia Tribune, 1/27/12 –WHYY News, 1/26/12

20. Interest expressed in MHFA  72% would like to attend a MHFA 12-hour training  14% would like to attend an 8-hour MHFA public safety-oriented training  56% expressed interest in becoming an instructor  61% want to be put on email list to be notified of upcoming trainings *166 responses to our internet survey since the Kickoff Respondents were from the following groups (could select more than one group): Human Services (45%) Public Safety (10%) Medical/Health Care (40%) Culture/Ethnicity- based Orgs (12%) Faith-based Communities (27%) Courts/Legal (8%) Youth Services (15%) LGBT Community (9%) Neighborhood Organizations (18%) Business (3%) Educational System (20%) Others: Parks & Rec., Unions, Public Works, Employment & Housing Services

21. Public Safety Pilot – MHFA Train the Instructor

22. Public Safety Pilot – MHFA Train the Instructor Course Representatives from the following organizations trained in February 2012: Adult Probation & Parole Dept. (2) Probation/Parole OfficersFamily Training & Advocacy Center (1) Director of Training Behavioral Health Training & Education Network (2) Projects Coord.; Behavioral Health Training Specialist First Judicial District Court (3) Project Dawn Coord.; Philadelphia Treatment Court Coord.; Pretrial Services Certified Forensic Peer Specialists (2) Mayor’s Office of Re- Integration Services for Ex-Offenders (2) Training Administrator; Manager of Re-Integration Services for Ex-Offenders Court of Common Pleas, Trial Div. (1) Mental Health Court Coord.Philadelphia Fire Dept. (2) Lieutenant; Firefighter Dept. of Behavioral Health and Intellectual disAbility Services (6) Policy & Criminal Court Coord.; Post-Arrest Crisis Specialist; Senior Consultant for Forensic Services; Senior Advisor & Criminal Justice Coord.; Veterans Jail Diversion Coord.; CIT Coord. Philadelphia Police Dept. (3) Philadelphia Prison System (1) Sergeant; Police Officer; Police Officer Psychologist Defender’s Assoc. (2)Social Service AdvocatesPublic Health Management Corp. (1) Director of Case Management & Program Standards District Atty’s Office (1) Asst. District AttySheriff’s Office (1)Deputy Sheriff/Inspector

23. How is it going so far? 1 st year = 31 in Public Safety pilot **6 dually certified Instructors work in teams About ½ of Instructors currently active. Obstacles include: ▫ Organizational buy-in and support for training activity ▫ Scheduling and availability issues for Instructors and trainees 15 Public Safety trainings have been delivered 220 First Aiders in Public Safety pilot have received training

24. Classes Class size: Range 6-30 people Trainees include: ▫ New police recruits ▫ Forensic Services case managers and evaluators ▫ Probation and Parole staff and supervisors ▫ Pretrial Services intake interviewers ▫ Staff from Mayor's Office of Reintegration Services for Ex-offenders (RISE) ▫ Public Defender legal staff and social services advocates

25. Next Steps DBHIDS is working with the Scattergood Foundation to explore ways to support and expand MHFA in Philadelphia Continue to provide Public Safety training Continue to train city/agency staff Outreach to public and private entities with public safety component

26. Summary  MHFA is a main pillar of our overall approach to promoting individual and community wellness and cross-system collaboration  Will include a systematic evaluation of impact  Will continue to promote public education and early intervention through additional efforts, including widespread on-line and in-person mental health screening  For more information about MHFA trainings in Philadelphia,  contact Karen Escovitz, Project Coordinator, at kescovitz@pmhcc.orgkescovitz@pmhcc.org  Go to www.dbhids.orgwww.dbhids.org  For more information about MHFA in general,  Go to www.mentalhealthfirstaid.orgwww.mentalhealthfirstaid.org