ta network orientation webinar

The Technical Assistance Network

for Childrens Behavioral Health (TA Network)

[email protected] January 9, 2014

Accountability Solutions, LLC

HSC Human Service Collaborative

Comprehensive Community Mental Health

Services for Children and Their Families Program: Program Partners

The Technical Assistance Network for Childrens Behavioral Health The TA Network (The Institute for Innovation & Implementation at the University of Maryland, School of Social Work, [i.e. The Institute])

National Technical Assistance Center for Childrens Mental Health at Georgetown University (Georgetown National TA Center)

National Indian Child Welfare Association (NICWA)

ICF International (ICF Macro)

Westat

Caring for Every Childs Mental Health Campaign Technical Assistance Team (Vanguard and NASMHPD)

The Research and Training Center for Pathways to Positive Futures: Supporting Successful Transitions for Youth and Young Adults with Serious Mental Health Conditions

The Learning and Working During the Transition to Adulthood Research and Training Center

The TA Networks mission is to develop effective service systems and establish a skilled and well-

prepared workforce that can expand and sustain community-based systems of care

across the United States to benefit all children and youth with behavioral health needs and

their families.

Introducing the TA Network

The Institute is the lead entity on a contract from the Substance Abuse and Mental Health Services Administration (SAMHSA) to establish and maintain the Technical Assistance Network for Childrens Behavioral Health, or The TA Network

Partnership among University of Maryland Baltimore, School of

Social Work (UMB SSW) and 10 other universities and organizations The TA Network provides technical assistance to the Child,

Adolescent, and Families Branch (CAFB) of SAMHSA and Childrens Mental Health Initiative (CMHI) grantees across the nation

TA Network Core Partners Accountability Solutions, LLC., led by Kelly Hyde; The Center for Community Learning, Inc., led by Myriam Monsalve Serna, Catalina

Booth, and colleagues; The Center for Health Care Strategies, Inc., including Kamala Allen, Dayana Simons, and

colleagues; The Family-Run Executive Director Leadership Association (FREDLA); Human Service Collaborative, including Sheila Pires, Ira Lourie, and Cliff Davis; The National Federation of Families for Childrens Mental Health, led by Sandra

Spencer; Portland State University, including Janet Walker, Nancy Koroloff, and Susan Richardson,

which co-hosts the National Wraparound Initiative (NWI), the Research and Training Center for Pathways to Positive Futures, and Reclaiming Futures programs;

The University of South Florida, College of Community and Behavioral Sciences, Department of Child and Family Studies, led by Mario Hernandez and Kathy Lazear, along with their colleagues, including Mary Armstrong, and others;

The University of Washington, including Eric Bruns, which co-hosts NWI and hosts the Wraparound Evaluation & Research Team; and

Youth M.O.V.E. (Motivating Others through Voices of Experience) National, led by Lacy Kendrick Burk

Key Staffing Roles

Project DirectorMichelle Zabel ([email protected])

Co-Deputy Project DirectorsMarlene Matarese ([email protected]) and Denise Sulzbach ([email protected])

TA Support Coordinators/Policy Analysts

Becky Bertell Lieman ([email protected])

Therese Hackford ([email protected])

Ryan Shanahan ([email protected])

Business LeadsEmily Goldman, Administrative Manager ([email protected]) and Andrew Lee, Accounting Analyst ([email protected])

Multi-media DirectorMeredith Waudby ([email protected])

Events & Communications Jennifer Floam ([email protected]) and Adam McGrath ([email protected])

Institute Coordinator Stephanie Foster ([email protected])

The TA Tuesday Telegram & Quarterly TA Network Newsletter [email protected]

Main phone number at The Institute: 410-706-8300

Key Staffing Roles: Defined

Technical Assistance Support Coordinator (TASC)The role of the TASC is to support both grantees and TA providers, serving as the administrative liaisons for each grantee state or community. Grantees will also have access to our Rapid Response TA System through which grantees can pose questions and seek help via e-mail or telephonically. TASCs are one point of contact through which Rapid Response TA requests will be triaged to the appropriate TA Network partner or consultant for the most up-to-date response.

Systems Coach (SC)The role of the SC is to provide site-driven TA and assist grantees in developing TA Plans and tapping into specific content expertise from our TA Network partners and Consulting Pool Clearinghouse as well as peer-to-peer opportunities. The SCs are assigned based on their experience and expertise and may shift over time as new needs arise. The SCs will ensure that the TA process is determined by the grantees and will consistently assist the sites in identifying areas of need to support scaling up and building capacity. For example, if a grantee requests monthly coaching calls, then the SC will coordinate and lead these calls. The SC will be available primarily for virtual consultation but may also be involved in on-site TA provision.


Content Expert (CE)The role of the CE is to serve as an expert in a specific area of focus. CEs will function in two primary roles. Grantees who do not choose to have a Systems Coach will be assigned to a CE as their primary contact around content specific TA requests. The CE will be available as needed and will also draw on additional CEs as needed depending on the grantee TA needs. CEs will also be utilized from the Consultant Pool Clearinghouse and may join coaching calls, participate in on-site consultation and/or respond to content specific rapid response requests. In some cases, we are drawing on CEs who have an existing relationship with a grantee to ensure coordination and maximize resources.


Our Consultant Pool

The TA Network has an expert consulting pool of roughly 150 individuals, and the number continues to grow.

Consultants have experience in a wide variety of topic areas and have practiced in all parts of the country and surrounding territories.

Our Experts By the Numbers

Specialty Area Number of Experts

Cultural and Linguistic Competence 33

Behavioral Health: Mental Health, Substance Abuse & Co-Occurring Disorders 39

Child Welfare 20

Juvenile Justice 13

Education 9

Primary Care 5

Youth Driven Care, Youth Organization Development and Sustainability 17

Family Driven Care, Family Organization Development and Sustainability 20

Policy, Systems Design, Financing & Sustainability 39

Evidence-Based Practices 30

Program Development 22

Transition Aged Youth 8

Health Care Reform/ Managed Care 22

Workforce 30

Data Link/ Health Information Technology 10

Trauma 7

Early Childhood 6

Continuous Quality Improvement & Data 25

Military 3

Developmental and Intellectual Disabilities 4

Rural Communities 6

Faith-Based 2

Technology Enhanced Technical Assistance

Website

The Technical Assistance Reporting System (TARS)

Online TA Plan

Video Repository

Online Training Center

Interactive Map of Behavioral Health Best Practices

Consultant Pool Repository

Searchable Resource Library

Social Media/iTunes University/YouTube Channel

Online Newsletter

Online Learning Communities (Beginning with a focus on CLC)

Video Coaching Platform

CQI online survey, including needs assessment and IOTTA

Technology and Online

Resources

Staff a centralized website that will allow grantees to access dynamic, individualized training, and technical assistance

Develop a web-based platform to house the array of existing resources, featuring a robust search function to help users filter by keyword, topic area, organization, etc. to easily find relevant tools and resources

Assess existing relevant training and technical assistance resources across child-serving systems

Create additional field driven online curriculum, train the trainer curriculum, and certifications

Research federal legislation and regulatory activities and national trends, and identify relevant information to include on the website

Generate state snapshots that detail the current state and regional landscape related to children's behavioral health issues, accessible via an interactive map

Provide information detailing current federal landscape related to childrens behavioral health issues

Overall Strategic Approach & Products

State and Community Information Exchange (SCIE)

Purpose: To assist the TA Providers funded by SAMHSA CAFB to be responsive to grantees needs and to provide States and Communities with the most efficient use of technical assistance resources

1st SCIE was sent out 11/8/13 (due 11/22) and was designed to support the grantees ability to reflect on and identify priority areas of focus and TA needs over the next 4-6 months

Responses will help the TA Network identify:

Work that is currently underway

Key priorities in the short-term

Type of technical assistance grantees anticipate needing

SCIE will be re-issued every 4-6 months to continually adjust TA to meet unique needs of each State and Community

Results from the Fall 2013 Survey

Total Number of completed survey responses: 64

Number of grantees represented: 67 (91%)

Number of grantee states/territories represented: 37 (95%)

SCIE Data

Figure One: Graph of Mean Ranks of Preferred TA Methods (1 = Least Preferred, 9 =Most Preferred)

SCIE Data

1

2

3

4

5

6

7

8

Access to onlineresources,

webinars andtrainings

Access to specifictechnical expertise

(throughconsultant pool) as

needed

Assignment of acoach with specificcontent expertise

Assignment of apoint person to

contact withrequests for TA(not a coach)

Monthly scheduledTA Planning Calls

Online discussionforums on

particular topics

On-Site TA andconsultation

Rapid response (viaemail) to specific

TA needs withlinkage to

resources andconsultants to

contact directly

Peer-to-PeerLearning

Opportunities

Re

spo

nd

en

ts

TA Preference

CMHI

Implementation

Planning

All Grants

*Note: Multiple grantees within a state may have cited the same TA need.

SCIE Data

TA Need CMHI Planning Implementation Total

Respondents

States

Represented*

Sustainability 28 (93%) 0 2 (10%) 30 (47%) CA, DE, FL, ID, IL,

GU, MA, MD, MI,

MS, NC, NM, NY,

TN, TX, VT, WA

Financing 11 (39%) 0 5 (25%) 16 (26%) DC, DE, FL, IL, KY,

MI, NC, NY, OH, TN,

TX, WA

Youth & Family

Engagement

9 (32%) 0 3 (15%) 12 (19%) CA, DE, FL, NC, NY,

OH, PR, TX, VA

Wraparound

Implementation/Expansion

7 (23%) 0 2 (10%) 9 (13%) CO, FL, ID, MD, NM,

OK, PR, VA, WA

Family Support

Organizations/Peer

Support Capacity

5 (17%) 0 3 (15%) 8 (12%) CO, DC, DE, GU, KY,

NY, PA , VA

Table Two: Top Five TA Needs Cited in Response to the Question: What are your priority areas of focus over the next four to six months where you anticipate needing technical assistance?

SCIE Data

TA Requested from Partners at the Childrens Campaign

Total number of respondents requesting TA: 37 (58%)

Types of TA requested included: Access to resources/materials/toolkits (35%)

Access to general social marketing TA (32%)

Sharing successes and activities across communities (13.5%)

Early dissemination of National Campaign theme and content (8%)

Expanding audiences (5%)

Areas of Focus

Cultural and Linguistic Competence

Youth Organizations & Leadership

Family Organizations & Leadership

Wraparound Care Coordination

Systems and Finance

Juvenile Justice

Child Welfare

Cultural and Linguistic

Competence (CLC)

Center for Community Learning

and University of South Florida


Provide technical assistance and training to system of care grantees based on the needs of the Branch, system of care communities, TA network partners, coaches and subject matter experts.

Provide meeting facilitation and training to the CAFB (e.g., Project Officers) and broader SAMHSA communities to enhance staff development.

Provide networking opportunities to system of care grantees, Branch staff and partners, TA Network staff, coaches and subject matter experts, and others on- and off- site (with technology emphasis).

Cultural and Linguistic Competence (CLC)

Deliverables

Work closely with the CLC Coordinators and representatives from the

SOC State Expansion and Community grantee sites.

Provide resources centered around CLC such as:

CLC Primer,

Online CLC certificate course,

CLC-focused web events,

24/7 web-based CLC resources and FAQ topical library developed

and maintained through a structured review process, and peer-to-

peer technical assistance exchange.

Cultural and Linguistic Competence (CLC)

Deliverables

Work closely with Andy Hunt to plan and coordinate activities (e.g., every other month following Branch staff meeting, every other month forum open to SAMHSA partners, e.g., Knowledge Cafs, Brown Bag Lunches).

Work closely with national partners (e.g., NICWA conference, LGBTQI2-S National Workgroup, Georgetown University TA Center, Vanguard Communications, ICF Macro and Westat, ACF, etc.).

Complete major initiatives such as the development of a process for and implementation of peer-to-peer exchange, content specific serial learning communities and discussion times, and Office Hours with facilitated topical discussions.

Cultural and Linguistic

Competence (CLC)


Youth M.O.V.E. National


Develop an Online Learning Community, email distribution list, Social Media tools i.e. Facebook, Facebook group, Twitter, Tumblr, YouTube, podcasts, and the Youth M.O.V.E. National website.

Promote peer learning opportunities for youth chapters and youth groups with similar interests and purpose by connecting these groups and creating chances for them to learn from each other.

Provide guidance and models for statewide and local youth leadership group structures to ensure expanding capacity within the state for youth organizations.

Provide guidance on Chapter Purpose Areas to guide development of visions missions, and strategic plans.

Host quarterly chapter calls and discussions. Develop resources and disseminate resources including Chapter Development

Toolkits. Participate as a partner in the White House Dialogue for Childrens Mental

Health.


Family Driven Care Organizations and Leadership

Provide TA to SOC grantees around issues of family involvement and operationalizing family-driven care

Provide TA and resource development in the following areas:

Identifying the strengths and needs in area of family engagement

Identifying strengths and needs in the area of family voice and family-driven care

Implementing family-driven practices and developing assessment tools to help grantees determine where they are on the continuum of a family-driven care

Family involvement in child welfare and juvenile justice populations

Provide TA, including online training opportunities, on the use of Parent Support Providers including:

Developing and sustaining a core group of Parent Support Providers using the National Parent Support Provider Certification process

Core domains and competencies of Certified Parent Support Providers

How the Affordable Care Act can aid in the sustainability of Certified Parent Support Providers

Provide support and TA on the use of social media for awareness and sustainability activities

Develop and manage a listserv and monthly calls with Lead Family Contacts to offer general TA and support

Conduct an initial survey of family-run organizations, conduct data analysis and develop a skills matrix to identify a) areas of expertise, b) materials and products, c) identify gaps and needs

Assess the needs of family leaders and family-run organizations looking at varying stages of maturity for organization readiness to empower family-driven care

Provide TA to SOC grantees on family-run organizations models of family organizations, financing, business practices, organizational development

Compile a resource bank of materials and developing new materials and training to support family leaders and build the capacity of family-run organizations

Develop a leadership training, including a boot camp for new Executive Directors of family-run organizations

Develop assessment tools, including self-assessment, to measure key family-run organizations performance indicators with focus on capacity and sustainability

Strengthen the ability of family-run organizations to provide peer support through recognized certification, licensing and accreditation bodies

Compile pertinent child welfare and juvenile justice resources and identify subject matter experts within the family-run organizations community to develop family partnership within and across child-serving systems

Implement a communication process for sharing information across family-run organizations

Wraparound Care Coordination:

National Wraparound Initiative (NWI) Portland State University,

University of Washington (UW),

Accountability Solutions, LLC., and

University of Maryland Baltimore

Accountability Solutions, LLC

Support grantee efforts to implement high-quality wraparound. Inform grantees about and provide access to NWIs large, multimedia library

of resources Produce webinars and newsletters. Provide TA about NWIs fidelity and accountability tools for wraparound.

An announcement regarding the process for grants to get this TA is forthcoming

Connect grantees to in-depth TA on wraparound when this need is identified. Create needed products, such as

Wraparound remote video coaching, An external fidelity and implementation review process, and A handbook summarizing state implementation and fiscal models.

National Wraparound Initiative (NWI)


The NWI website:

www.nwi.pdx.edu

Systems and Finance

Center for Health Care Strategies,

Human Service Collaborative, and

University of Maryland Baltimore


Provide TA on the organization and financing of delivery systems and on sustainability and expansion

Provide Rapid Response to questions related to financing, Medicaid, Title IV-E, block grants and funding structures like single payer systems, braided funding

Hold periodic Office Hours on topics related to the organization and financing of systems

Conduct webinars and develop issue briefs

Develop a toolkit on Social Return on Investment (ROI): o How to analyze Medicaid data

o How financing is organized in States (e.g. role of Medicaid vs. Mental Health Authority);

o How to do and use a ROI analysis

o How to develop case rates

o How to establish systems to link Big Data - state administrative data across systems

Systems and Finance


Systems and Finance

Develop a series of resources related to Psychotropic Medication Monitoring based on 8/24/2012 CMS Informational Bulletin on Collaborative Efforts and Technical Assistance Resources to Strengthen the Management of Psychotropic Medications for Vulnerable Populations and 11/21/11 State Medicaid Directors Tri-Agency Letter on Appropriate Use of Psychotropic Medications among Children, specifically:

o Why is this important, what should we monitor (identification of

indicators agreed to by 6 state national quality collaborative) and how

do we define the quality indicators

o Consultation models & how to finance them

o Red flag systems & informed consent structures


Create a series of resources on customizing care coordination using wraparound based on the 5/7/13 Joint CMS and SAMHSA Informational Bulletin on Coverage of Behavioral Health Services for Children, Youth and Young Adults with Significant Mental Health Conditions, including:

o Descriptions of states/counties using CMEs or wrap teams

within supportive organizations and systems,

o Care coordination ratios,

o Rate methodologies and financing structures, and

o Fidelity and outcomes.

Systems and Finance


Portland State University Reclaiming Futures

Juvenile Justice Reclaiming

Futures

Juvenile Justice Reclaiming

Futures

Reclaiming Futures model convenes cohorts of local teams to work on systems integration and responding more effectively to needs of youth in juvenile justice with MH conditions and substance abuse. Work includes:

Working directly with a cohort of assigned communities using adapted Reclaiming Futures model

Major focus on systems collaboration, use of effective approaches/interventions, youth and family voice

Providing coaching and link grantees to more in-depth TA as needed

Creating needed products based on community needs including development of products to help jurisdictions identify effective strategies for establishing linkages between the juvenile justice and mental health systems

Providing technical assistance that includes youth and parent participation initiatives that expand and enhance family involvement in the development and delivery of these mental health services


Child Welfare

University of Maryland Baltimore,

University of South Florida, and

Human Service Collaborative


Discussion & Questions

ta network orientation webinar

Documents