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Enhancing Existing Collaborations to Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Promote a Shared Agenda for Children's Mental Health: Mental Health: Ohio's Experience Ohio's Experience Carl Paternite and Kay Rietz - Mental Health Terre Garner - Families Mike Armstrong and Greg Mathews - Education Presentation at the 2nd National IDEA Summit Arlington, Virginia June 19th, 2003

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Page 1: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Enhancing Existing Collaborations to Promote a Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Shared Agenda for Children's Mental Health:

Ohio's ExperienceOhio's Experience

Carl Paternite and Kay Rietz - Mental HealthTerre Garner - Families

Mike Armstrong and Greg Mathews - Education

Presentation at the 2nd National IDEA SummitArlington, Virginia

June 19th, 2003

Page 2: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National

Association of State Mental Health Program Directors (NASMHPD)

Concept PaperMental Health, Schools and Families Working

Together for All Children and Youth:Toward A Shared Agenda (2002)

Page 3: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

“Encourage state and local family and youth organizations, mental health organizations, education entities and schools across the nation to enter new relationships to achieve positive social, emotional and educational outcomes for every child.”

Purpose of the Concept Paper

Page 4: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The aim is to align systems and ensure the promise of a comprehensive, highly effective systemic collaboration to coordinate and integrate programs and services for children and youth and their families.

Page 5: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

A vision for a shared education and mental health agenda ensures that:

Page 6: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

1. All children and youth have an equal opportunity to develop their fullest cognitive, social and emotional capacities; and

Page 7: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

2. The needs of those who experience psychosocial problems and emotional and behavioral disabilities are effectively addressed.

Page 8: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The framework encompasses a continuum of interventions, including:

Page 9: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

1. Positive development of children, youth, families and communities and prevention of problems;

Page 10: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

2. Early identification —interventions for children and youth at risk or shortly after the onset of problems; and

Page 11: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

3. Intensive interventions—with a focus on integrated approaches.

Page 12: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Additional copies of the concept paper are available from

NASDSE at:(703) 519-3800 x 312

Page 13: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The concept paper is available online at:

www.nasdse.org/sharedagenda.pdf

www.ideapolicy.org/sharedagenda.pdf

www.nasmhpd.org

Page 14: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National

Association of State Mental Health Program Directors (NASMHPD)

Shared Agenda Seed Grant Awards to Six States:

Missouri, Ohio, Oregon,South Carolina, Texas, and Vermont

Page 15: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Additional Funding for Ohio’s Shared Agenda Initiative

Ohio Department of Mental HealthOhio Department of Education

Ohio Department of Healthand

Numerous Additional State-level and Regional Organizations

Page 16: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Infrastructure for Ohio’s SharedAgenda Initiative

Hearing on Mental Health and School Success (February 8, 2001)

Presided over by Ohio’s First Lady Hope Taft and convened by:Ohio Department of Mental Health (ODMH)

Center for Learning ExcellenceOhio Department of Education (ODE)

Governor’s Office

Page 17: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Infrastructure for Ohio’s SharedAgenda Initiative

Publication of Mental Health and SchoolSuccess: Hearing Summary and Resource

Guide (Spring, 2001)

Testimony summary

Facts, resources, and ideas highlighting the inter-dependency of good mental health and success in school

Page 18: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Infrastructure for Ohio’s SharedAgenda Initiative

Follow-up Publication ofMental Health and School Success: What

We are Learning (Spring, 2003)

Chronicles the growing success ofmental health — education —family partnerships

Highlights innovative school-based mental health programs and services

Resource guide

Page 19: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Infrastructure for Ohio’s SharedAgenda Initiative

Formation in 2001 of the Ohio Mental Health Network for School Success

(OMHNSS)

Action Networks spearheaded by affiliate

organizations in six regions of the State

Page 20: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The Ohio Mental Health Network forSchool Success

Mission

To help Ohio’s school districts, community-based agencies, and families work together to achieve improved educational and developmental outcomes for all children — especially those at emotional or behavioral risk and those with mental health problems, including pupils participating in alternative education programs.

Page 21: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The Ohio Mental Health Network forSchool Success

Action Agenda Create awareness about the gap between children’s mental health

needs and “treatment” resources, and encourage improved and expanded services.

Encourage mental health agencies and school districts to adopt mission statements that address the importance of partnerships.

Conduct surveys of mental health agencies and school districts to better define the mental health needs of children and to gather information about promising practices.

Page 22: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

The Ohio Mental Health Network forSchool Success

Action Agenda (continued) Provide technical assistance to mental health agencies and school

districts, to support adoption of evidence-based and promising practices, including improvement and expansion of school-based mental health services.

Develop a guide for education and mental health professionals and families, for the development of productive partnerships.

Assist in identification of sources of financial support for school-based mental health initiatives.

Assist university-based professional preparation programs in psychology, social work, public health, and education, in developing inter-professional strategies and practices for addressing the mental health needs of school-age children.

Page 23: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health
Page 24: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health
Page 25: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Infrastructure for Ohio’s SharedAgenda Initiative

The Shared Agenda seed grant is being implemented in Ohio within the

collaborative infrastructure of the Mental Health Network

Page 26: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Three Phases of Ohio’s SharedAgenda Initiative

Phase 1—Statewide forum for leaders of mental health, education, and family policymaking organizations and child-serving systems (March 3, 2003)

Phase 2—Six regional forums for policy implementers and consumer stakeholders (April-May, 2003)

Phase 3—Legislative forum involving key leadership of relevant house and senate committees (Fall, 2003)

Page 27: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Phase 1 and Phase 2Shared Agenda Forums

Columbus, OH — Statewide Forum, March 3, 2002

Athens, OH—Southeast Wooster, OH—North Central April 15, 2003 April 28, 2003

Columbus, OH—Central Bowling Green, OH—Northwest

April 29, 2003 April 29, 2003

Cleveland, OH—Northeast Hamilton, OH—Southwest May 5, 2003 May 5, 2003

Logo Here

Page 28: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Strategies and Features of Various Shared Agenda Forums

Keynote presentations by national and state experts:

• Mark Weist, Center for School MH Assistance, U. of Maryland

• Steve Adelsheim, New Mexico School MH Initiative

• Howard Adelman & Linda Taylor, UCLA School MH Project

• Kimberly Hoagwood, Columbia University

• Howie Knoff, Project Achieve

• Joseph Johnson, Ohio Department of Education

• Eric Fingerhut, Ohio State Senator

Page 29: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Strategies and Features of Various Shared Agenda Forums

Promising work in Ohio showcased

Youth and parent testimony

Cross-stakeholder panel discussions

Facilitated discussion structured to create a collectivevision, build a sense of mutual responsibility for reachingthe vision, instill hope that systemic change is possible,and problem-solve regarding implementation issues

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Page 30: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Mental Health, Schools and Families Working Together for Ohio’s Children: Shared Agenda Policymakers’ Forum

Columbus, Ohio - March 3, 2003

First jointly convened ODMH/ODE Forum

125 policymakers

Keynote presentations by Mark Weist (Center for School Mental Health Assistance at University of Maryland) and Steve Adelsheim (New Mexico School Mental Health Initiative

Promising work in Ohio showcased

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, and instill hope that systemic change is possible

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Page 31: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Southeast Ohio Forum—Finding NewWays to Collaborate:Breaking Down the

Barriers to LearningAthens, Ohio

April 15, 2003

75 policy implementers and stakeholders

Keynote presentation by Howie Knoff (Project Achieve)

Cross-stakeholder panel discussion

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Page 32: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

North Central Ohio Forum—AddressingBarriers to Learning: Frameworks for

Schools & Communities Working Togetherto Close the Achievement Gap

Wooster, OhioApril 28, 2003

117 policy implementers and stakeholders

Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project)

Individual county break-out sessions to explore potential collaborations

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Page 33: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Central Ohio Forum—The Child We Have in Common: Families, Schools

and Mental HealthColumbus, OhioApril 29, 2003

65 policy implementers and stakeholders

Keynote presentations by Howard Adelman and Linda Taylor (UCLA School Mental Health Project)

Individual county break-out sessions to explore potential collaborations

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Page 34: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Northwest Ohio Forum—Strengthening the Partnership: Mental Health and Education Helping Kids Succeed in

SchoolsBowling Green, Ohio

April 29, 2003

80 policy implementers and stakeholders

Keynote presentation by Mark Weist (Center for School Mental Health Assistance at University of Maryland)

Cross-stakeholder panel discussions

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Logo Here

Page 35: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Northeast Ohio Forum—Mental Health, Schools and Families Working

Together for All Children & Youth Toward a Shared Agenda

Cleveland, OhioMay 5, 2003

120 policy implementers and stakeholders

Keynote presentation by Eric Fingerhut (Ohio State Senator)

Local collaboration showcased

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

Logo Here

Page 36: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Southwest Ohio Forum—Mental Health, Schools & Families Working Together for All Children & Youth: Toward a Shared Agenda

Hamilton, OhioMay 5, 2003

140 policy implementers and stakeholders

Keynote presentations by Kimberly Hoagwood (Columbia University) and Joseph Johnson (Ohio Department of Education)

Youth panel and testimony

Parent panel and testimony

Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues

Logo Here

Page 37: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Outcomes and Recommendationsfrom Phases 1 and 2 of Ohio’s

Shared Agenda Initiative

Approximately 725 participants

Report being compiled that will inform the Fall, 2003 Shared Agenda Legislative Forum

Through Legislative Forum raise public awareness and build advocacy for policy and fiscal support for better alignment for education and mental health in the next biennial budget process

Website created to track and publicize Ohio’s Shared Agenda initiative (http://www.units.muohio.edu/csbmhp/sharedagenda.html)

Page 38: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Selected Participant EvaluationFindings (mean/modal ratings) from Statewide and Regional

Forums

Logo Here

How positive was the forum?(scale: 1=poor; 2=needs to improve; 3=ok; 4=good; 5=very good; 6=great)

Statewide 4.8/5Southeast 4.6/5North Central 4.2/5Central 4.4/5Northwest 4.6/5Northeast 4.8/5Southwest 4.8/5

Page 39: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Participant Perspective (mean/modal ratings) on Extent of Barriers to Implementing a Mental Health,

Schools, Families Shared Agenda

What is the extent of barriers?(scale: 1=none; 2=a few barriers; 3=some barriers; 4=many barriers; 5=very difficult; 6=not possible)

Statewide 3.8/4Southeast 3.4/4North Central 3.7/4Central 4.0/4Northwest 3.8/4Northeast 3.9/4Southwest not rated

Page 40: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Selected Participant EvaluationFindings (mean/modal ratings)

from Statewide andRegional Forums

How much will the forum help collaboration efforts?(scale: 1=no help; 2=very little help; 3=a little help; 4=some help; 5=pretty good; 6=great)

Statewide 4.4/5Southeast 4.5/5North Central 4.1/4Central 4.4/4Northwest 4.4/4Northeast 4.5/4Southwest 4.4/5

Log Here

Page 41: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Ten Emerging Recommendationsfrom Phases 1 and 2 of Ohio’s

Shared Agenda Initiative

1. Promote EFFECTIVE mental health and educational practices in schools

2. Increase family and community involvement in school mental health and educational programs

3. Actively solicit and appreciate student input in program planning and operation

4. Reduce stigma for children who need mental healthservices

Logo Here

Page 42: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Ten Emerging Recommendations from Phases 1 and 2 of Ohio’s

Shared Agenda Initiative (cont’d)

5. Maintain focus on all children, not just students in special education

6. Promote a better understanding of children’s mental health needs in schools

7. Expand cross-discipline training (preservice and inservice) for mental health/family-serving providers, educators and parents

Logo Here

Page 43: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Ten Emerging Recommendations from Phases 1 and 2 of Ohio’s

Shared Agenda Initiative (cont’d)

8. Work more effectively to reduce “turf issues” that interfere with children’s mental health service delivery and with mental health-education collaboration

9. Coordinate more effectively between state-level and regional/local efforts in the area of school mental health and in promotion of mental health and school success

10. Develop organizational structures (e.g., 501C3) that will promote strong coalitions and facilitate funding

Logo Here

Page 44: Enhancing Existing Collaborations to Promote a Shared Agenda for Children's Mental Health: Ohio's Experience Carl Paternite and Kay Rietz - Mental Health

Given the complexity of the issues and the multiple themes that are pertinent to promoting a shared agenda, how can we best distill a single, powerful message to the state legislature — that is, “speak with one voice”?

Please Help Us Prepare For Our Legislative Forum:A Discussion Question