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

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

3. Southern Plains MISSION OFFICE

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

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

6. 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

7. 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

8. 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

9. 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

10. OUT OF HOME THERAPY Southern Plains Caseworker and Client

11. 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

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

13. PSYCHIATRIST

14. 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

15. JUVENILE DEPARTMENT OF CORRECTIONS

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

17. 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

18. CITY OF MISSION

19. SINTE GLESKA UNIVERSITY

20. 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

21. 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

22. SAFE SCHOOLS HEALTHY STUDENT Coordinator/Med Management Judy Bartels RN

23. TODD COUNTY SCHOOLS SouthElementarySouthElementary HighSchoolHighSchool School Security

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

25. TELE-MED DIONE RNJUDY RN

26. 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

27. 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

28. Mission Bike Giveaway

29. 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

30. 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