1. 1 Mental Health as a Public Health Issue Daniel Reimer, MPH, Principal Investigator Sherwin Daryani, MPH, Project Director

2. 2 Vision: To be the healthiest community in Texas Mission: To promote and protect the health of our diverse population

3. 3 The Purpose of Public Health Prevent epidemics and the spread of disease Protect against environmental hazards Prevent injuries Promote and encourage healthy behaviors Respond to disasters and assist in recovery Assure the quality and accessibility of health services Reduce the disparities in health conditions among different population groups

4. 4 Public Health Process ASSESSMENT ASSURANCE POLICY DEVELOPMENT

5. 5 Core elements of a Public Health Approach Conducting surveillance (Assessment) Selecting and implementing the appropriate evidence-based program (Policy Development) Monitoring and evaluating both the process and outcomes of the program (Assurance) Educating professionals and the general public (Clauss-Ehlers, C. & Weist, M, Resilience-Building Prevention Programs that Work, p.2)

6. 6 Promoting protective factors Good intellectual functioning (Individual) Close relationships with caring adults (Family) Attendance at effective schools (Community)

7. 7 Organizational Intervention Project Director to Management Team Epidemiology provided Assessment Data Outreach connected program to community Entire Staff trained in Cultural Competence Project Director Aided Strategic Planning Collaborated with Mental Health and Primary Care Center

8. 8 Community Solutions and the Mental Health Connection A Partnership: Mental Health and Public Health

9. 9 Fort Worth Independent School District Student Community Resource Coordination Group (CRCG) Community Solutions Clinical Director Public Health Dept Family Resource Center Site Coordinator Contracted Wraparound Facilitator Community Agencies Contact w/ Family Tarrant County Juvenile Services Community Solutions System of Care

10. 10 System Level Goals Systems Integration MIS, Web Resource Database No Wrong Door Training Interagency Collaboration Wraparound contracts Mental Health Connection Services Integration Wraparound Process Training and Infusion Sustainability plan Family Driven Case Review Process Barrier tracking/removal Fidelity

11. 11 Service Level Goals Wraparound Fidelity Family Driven Culturally Competent Cost/Benefit Analysis Informal/Formal Resource Pool Flexible Funding

12. 12 Child Level Goals No out of home placement Function in the least restrictive educational setting Recovery, not just maintenance