PA SS/HS State ProgramKick-off MeetingHarrisburg, PA
December 11, 2013
Safe Schools/Healthy Students State Program
Objectives
• About SAMHSA and it’s Mission• Overview of SS/HS History• Lessons learned • SS/HS State Program• National perspectives• Expectations• Resources Available
SS/HS Federal Team for Pennsylvania
Joyce Sebian- Lead Federal Project [email protected]
Margie Weiser- Federal Project [email protected]
SAMHSA, Division of Prevention, Traumatic Stress, and Special ProgramsMental Health Promotion Branch1 Choke Cherry RoadRockville, Maryland 20857
Frank Rider; Resource [email protected]
Resource Center- American InstitutesFor Research (AIR)
Mental Health Promotion Branch Overview
• Grant Programs:• Safe Schools / Healthy
Students Initiative • Project LAUNCH• Prevention Practices in
Schools• Community Resilience and
Recovery Initiative• Other initiatives:
• National Forum on Youth Violence
• Strong Cities Strong Communities
• State Prevention Policy Academy
• Stopbullying.gov
• Contracts/Cooperative Agreements:• National Center for Mental Health
Promotion and Youth Violence Prevention
• TA for SSHS• TA for Project LAUNCH• TA for PPS
• National Evaluations• Cross-site evaluation of SSHS• Cross-site evaluation of Project
LAUNCH with six special studies• Consolidated State TA Contract –
collaboration among CMHS,CSAT,CSAP
• Safe and Supportive Schools TA contract – IAA w ED
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SAMHSA’S MISSION
To reduce the impact of substance abuse and mental illness on America’s communities.
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SAMHSA’s Strategic Initiatives
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Daily Disaster of Unprevented and Untreated Mental Illness and Substance
Abuse Disorders
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Adverse Childhood Experience Study (ACE)
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An Ounce of Prevention
If we are able to: Savings
Prevent a child from becoming dependent on alcohol we can save approximately:
$ 700,000
Help a child graduate from high school who would otherwise have dropped out, we can save as much as:
$ 388,000
Identify and prevent child abuse and neglect we can save about:
$ 250,000 to $ 285,000
Help a high-risk youth avoid substance abuse and prevent them from becoming a “career criminal” we can save between:
$ 2.6 to $ 4.4 million
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• Well-designed prevention interventions REALLY WORK!
• Prevention and wellness interventions can have multiple benefits that extend beyond a single disorder.
• Key is to identify risks that may increase a child’s risk of Mental, Emotional and Behavioral Health (MEB) disorders. —biological, psychological, and
social factors—
Key Message: Focus on Prevention and Wellness
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Core Concepts of Prevention
1. Prevention requires a paradigm shift
2. Mental health and physical health are inseparable
3. Successful prevention is inherently interdisciplinary
4. Mental, emotional, and behavioral (MEB) disorders are developmental
5. Coordinated community level systems are needed to support young people
6. Developmental perspective is key
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Prevention Window (2009 IOM)
http://www.iom.edu/Reports/2009/Preventing-Mental-Emotional-and-Behavioral-Disorders-Among-Young-People-Progress-and-Possibilities.aspx
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Preventive Intervention OpportunitiesSubstance Abuse and Mental Illness
Project LaunchGBGSafe Schools/Healthy Students
Garrett Lee Smith
The 2009 Institute of Medicine report, “Preventing Mental, Emotional and Behavioral Health Disorders Among Young People,” emphasized the need for a public health approach and the need for development of prevention infrastructure in states and communities.
•State and local communities should become familiar with, adopt, and implement a framework that will guide their work. •In most widely recognized public health models, a series of action steps are necessary
Institute of Medicine Report
http://www.iom.edu/Reports/2009/Preventing-Mental-Emotional-and-Behavioral-Disorders-Among-Young-People-Progress-and-Possibilities.aspx
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Behavioral Health Outcome Logic Model
Adapted from IOM Report: Toward Quality Measures for Population Health and the Leading Health Indicators, Released: July 9, 2013
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A Paradigm Shift
• Beyond the “One child at a time” Approach
• Population approach
• Informed by the growing body of prevention science
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Behavioral Health Outcome Logic Model
It’s not just about the goldfish… it’s also about the water.
From Assistant Secretary Howard Koh MD, US DHHS.
What is the SS/HS State Program?
PURPOSE
• To create safe and supportive schools and communities by bringing the SS/HS model to scale at the state/tribe level by building partnerships among educational, behavioral health and criminal/juvenile justice systems.
EXPECTATIONS
• Increase the number of children and youth who have access to behavioral health services;
• Decrease the number of students who abuse substances;
• Increase supports for early childhood development
• Improve school climate
• Reduce the number of students who are exposed to violence.
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SS/HS Core Concepts
Core Concepts of Prevention
Core Concepts in SS/HS
Prevention requires a paradigm shift
Approaches youth violence prevention through a theory of change that requires stakeholders to take ownership of the change process from conceptualization through sustainability
Mental and physical health are inseparable
Connects the prevention of youth violence and substance abuse to the promotion of good mental, emotional and behavioral health from early childhood through high school
Inherently interdisciplinary
Addresses school climate; mental, emotional and behavioral health; alcohol, tobacco and substance abuse prevention; and early childhood development through universal and selective evidence base practices
Coordinated community-level systems
Collaboration between school districts, law enforcement, juvenile justice and mental health and substance abuse services at the local level
Developmental perspective
Delivers effective evidence based interventions from early childhood though adolescence
History of SS/HS
• Since 1999, the U.S. Departments of Education, Health and Human Services, and Justice have collaborated on the Safe Schools/Healthy Students (SS/HS) Initiative.
• The SS/HS Initiative provides students, schools, and communities with federal funding to implement an enhanced, coordinated, comprehensive plan of activities, programs, and services that focus on while promoting healthy childhood development while minimizing• the risk of school violence • the use of alcohol, tobacco, and other drugs
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Reach of Safe Schools/Healthy Students
Over 365 Grantees Since 1999
Element 1: Safe school environments and violence prevention activities.
Element 2: Alcohol, tobacco, and other drug prevention activities.
Element 3: Student behavioral, social, and emotional supports.
Element 4: Mental health services.
Element 5: Early childhood social and emotional learning programs.
SS/HS Five Elements
Problem in Brief
• Bullying: More than one in Three students ages 12 to 18 were bullied at school in 2007
• Physical fights: Nearly one in three high school students took part in a physical fight in 2009
• Underage drinking: Nearly one in three adolescents ages 12 to 17 drank alcohol in 2008
• Serious in-school crime: Students today are more likely to experience crimes such as theft, assault, and rape in school than outside school.
• A students mental health is seriously impacted when exposed to disruptive behaviors, aggression, and violence in schools
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Selected Findings
cThere was a dramatic 263 percent increase in the number of students who received school-based mental health services, and an astounding 519 percent increase in those receiving community-based services.
More than 98 percent of grantees established processes to identify and link students to needed services.
The partnership formed for this project was deeper and more meaningful than anything that has come before it in our county --- school district representative
As a Result of This Initiative, Schools and Communities
• Became safer, and fewer students were exposed to violence.
• Fewer students reported that they had experienced violence (7 percent decrease since grant award).
• Fewer students reported that they had witnessed violence (4 percent decrease).
• Fully 96 percent of school staff said Safe Schools/Healthy Students had improved school safety.
• More than 90 percent of school staff said Safe Schools/Healthy Students resulted in less violence on their campus.
• Nearly 80 percent of school staff said Safe Schools/Healthy Students had reduced violence in their community.
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Features of SS/HS that Make a Difference
• Partnerships between School Districts, Mental Health and Juvenile Justice, and law enforcement
• Enhanced through the development/implementation of comprehensive plan and by implementing evidence based programs that make a positive difference
• Enhanced by engagement of other strategic partnerships- examples-faith organizations, out of school time (YMCA, Boys/Girls Clubs, Universities, Cooperative Extension, Parks, Foundations, Business and employers, City/County Governments, Health care/hospitals etc.
SS/HS Framework
Guiding Principles 5 SS/HS Elements Strategic Approaches
Cultural and Linguistic Competency
Promoting Early Childhood Social Emotional Learning and Development
Policy Change and Development
Serving Vulnerable and At-Risk Populations
Promoting Mental, Emotional and Behavioral Health
Capacity Building
Developmentally Appropriate
Connecting Families, Schools and Communities
Systemic Change and Integration
Sustainability Preventing and Reducing Alcohol, Tobacco and Other Drug Use
Collaboration and Partnership
Evidence Based Interventions
Creating Safe and Violence Free Schools
Technology
Resource Leveraging
What’s the Difference?
SS/HS 1999-2012
• Local level leadership through Core Management Team (CMT)
• Funds went to local school district
• Focused on systems change and direct services provision
• Collaboration with key partners at the local level
• Administered through the U.S. Department of Education as a grant.
SS/HS 2013• State/tribe & local level leadership • Funds go to State Education or
Mental Health Agency• State will select three local
education agencies within three communities.
• Focus on infrastructure development, systems change and local level direct services provision
• Administered through SAMHSA as a cooperative agreement.
SS/HS State Program Grantees
• CT – Department of Mental Health and Addiction Services
• MO – Department of Education• WI – Department of Public Instruction• MV – Mental Health and Developmental
Services Agency• NH – Department of Education• OH – Department of Mental Health• PA – Office of Mental Health
Program Overview
State Activities
• Leadership and oversight
• Infrastructure development; needs assessment, environmental scan
• Collaboration with State Education, Behavioral health and Criminal/Juvenile Justice Agencies = State Management Team
• Selection of 3 local education agencies
• Develop comprehensive plan
• Project evaluation
Program Overview
Local Education/Local Community Activities
• Infrastructure development• Leadership and coordination• Collaboration with mental health, law enforcement and
juvenile justice• Core Management Team• Implementation of direct services (evidence based
practices) • Support development of comprehensive plan
Safe Schools/Healthy Students State Grant Phase 1
Phase 2: SS/HS Framework
The SS/HS framework assists states in developing a comprehensive plan that reflects their application, environmental scan, and needs assessment and provides for a process of continuous quality improvement that leads to sustainability and wide spread adoption of the SS/HS model.
Phase 3: Development of the Comprehensive Plan
State and community partners will work with their local evaluators to develop a comprehensive plan and an evaluation plan that align.
Phase 4: Implementation
State and community partners will continue to focus on building a strong partnership and using data-informed decision making to guide implementation years 2-4 of the grant.
Phase 5: State Expansion and Sustainability
State and community partners will collaboratively decide which strategies, policies, EBPs, and best practices should be adopted widely across the state and identify mechanisms to ensure sustainability.
TimelineTask Due Date
Identify members of the State Management Team
December 1, 2013
Identify members of the LEA/Community Core Management Team
January 1, 2014
Identify two state Project Coordinators - one full time and other part-time. Together, both must represent state Mental Health and Education
January 1, 2014
Identify a Project Manager for each of the three LEAs
January 1, 2014
Complete the environmental scan and needs assessment process
March 1, 2014
Complete development of a Memorandum of Agreement between the required project partners and other agencies
April 1, 2014
Timeline
Task Due Date
Complete development of a process for selecting evidence-based programs
May 1, 2014
Complete development of the SS/HS State Program comprehensive plan
June 1, 2014
Complete development of a project evaluation planJune 1, 2014
Begin implementation of the SS/HS State Program comprehensive plan
September 1, 2014
Collect and report all baseline data for all performance measures
September 1, 2014
Public Health Wheel
http://www.health.gov/phfunctions/public.htm
3 CORE Functions
And10 Essential Elements
A Conceptual Framework for a
Public Health Approach to Children’s Mental Health
Also applies to Behavioral health
http://gucchdtacenter.georgetown.edu/public_health.html
Considering Contextual Factors for the SS/HS State Program
http://www.uvm.edu/extension/community/nnco/collab/framework.html#contextual”
Six contextual factors identified as important to successful and sustained collaborations
• Connectedness
• History of Working Together/Customs
• Political Climate
• Policies/Laws/Regulations
• Resources
• Catalysts
Behavioral Health Disparities and the Enhanced National CLAS Standard
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National CLAS Standards
Affordable Care Act & Prevention
Preventing diseases and promoting wellness is major theme in the ACA
Targeted prevention activities funded through commercial insurance, Medicare, and Medicaid
Community prevention activities funded through a variety of grant programs:• Prevention and Public Health Trust Fund *• Community Transformation Grants• Others
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NATIONAL PREVENTION STRATEGY
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National Prevention Strategy = working together to improve the health and quality of life for individuals, families, and communities by moving the nation from a focus on sickness and disease to one based on prevention and wellness. One of the seven priorities is mental and emotional well-being.
National Prevention Strategy- links to grant opportunities and info
http://www.surgeongeneral.gov/initiatives/prevention/strategy/report.pdf http://www.surgeongeneral.gov/initiatives/prevention/strategy/index.html
www.Mentalhealth.gov
http://store.samhsa.gov/product/Community-Conversations-About-Mental-Health-Information-Brief/SMA13-4763
Now is the Time
White House initiative following the Sandy Hook Elementary School tragedy and other recent violent incidents:
Includes: •Making schools safer; and •Increasing access to mental health services
Bullying Prevention
• StopBullying.gov provides information from various government agencies on• what bullying is, • what cyberbullying is, • who is at risk, and • how you can prevent and respond to bullying
http://www.stopbullying.gov
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“The potential for lasting, positive impact on this generation of children is phenomenal”
Law enforcement partner (SS/HS)