august 25, 2015 orange county youth mental health implementation team final report

August 25, 2015August 25, 2015

Orange County Youth Mental Health Implementation Team

Final Report

Presentation Outline

• Commission Purpose & Objectives

• Committee Recommendations

• Initiated Recommendations

• Next Steps

• 1 in 5 children ages 13-18 have, or will have a serious mental illness

• The average delay between onset of symptoms and intervention is 8-10 years

• Suicide is the 3rd leading cause of death in youth ages 10 to 24

• Approximately 50% of all lifetime cases of mental illness begin by age 14 and 75% by age 24.

NATIONAL STATISTICS*

Commission Purpose & Objectives

*National Alliance on Mental Illness; www.nami.org and National Institute of Mental Health; www.nimh.hin.gov

• 2,283 psychiatric hospitalizations ages 0-17

• 15,273 school suspensions and 27 students expelled

• 1,148 children in child welfare out-of-home care

• 20 suicides ages 11-24 (2014)

• 8% of children reported thoughts of suicide

• 7,520 arrests for children under 17 y/o

• 2,250 felony arrests

• 84 children were less than 10 y/o

ORANGE COUNTY DATA (2013 to Present)


• Current system is fragmented and disjointed

• Difficult to navigate for parents and young adults

• Mental health problems often co-exist with other social factors such as poverty and substance abuse

• Data collection is fragmented making incidence, prevalence and outcomes hard to measure



Service Intensity Matches Needs

FRAMEWORK FOR SYSTEM OF CARE (SOC)SEAMLESS AND COORDINATED

Culturally Competent

YouthGuided

Natural Supports

Individualized

Services

Community-Based

FamilyDriven

ORIGINAL COMMISSION OBJECTIVES:

•Determine state of mental health system for children and youth and families

•Develop effective strategies and initiatives to improve the mental health of children and young adults in Orange County

•Identify financial sustainability options for an optimized system of care

•Identify attitudes towards youth mental health

Orange County Youth Mental HealthCommission Established on August 26, 2013

Implementation Team – April 2014

Orange County Youth Mental HealthCommission Established on August 26, 2013

Implementation Team – April 2014

IMPLEMENTATION TEAM OBJECTIVES:

•To determine how to implement the Commission’s recommendations within Orange CountyIMPLEMENTATION TEAM CHAIRS:Richard Morrison – Florida HospitalWilliam Sublette – Orange County School Board

Implementation Team MembersImplementation Team Members

• Maria Bledsoe (Central Florida Cares)

• Sara Brady (Sara Brady Public Relations) – Chair of Public Education Committee

• Glen Casel (Community Based Care of Central Florida)

• William D’Aiuto (Florida Department of Children & Families)

• Muriel Jones (Federation of Families of Central Florida)

• Cathy Lake (Florida Department of Juvenile Justice)

• Dr. Mike Muszynski (Florida State University)

• Dr. Michael Frumkin (University of Central Florida) – Chair of Systems Design Committee

• Dr. Vickie Cartwright (Orange County Public Schools)

• Ray Larsen (Heart of Florida United Way)

• Dr. Ron Piccolo (Rollins College) – Chair of Finance Committee

• Barbara Meeks (Nemours Hospital for Children)

• Dr. Ana Leon (University of Central Florida)

• Honorable Frederick Lauten (Chief Judge, Ninth Judicial Circuit Court)

• Beth Nunnally (Centene Corporation)

• Linda Sutherland (Healthy Start Coalition)

• Dr. Alicia Homrich (Rollins College)

• Maria Bledsoe (Central Florida Cares)

• Sara Brady (Sara Brady Public Relations) – Chair of Public Education Committee

• Glen Casel (Community Based Care of Central Florida)

• William D’Aiuto (Florida Department of Children & Families)

• Muriel Jones (Federation of Families of Central Florida)

• Cathy Lake (Florida Department of Juvenile Justice)

• Dr. Mike Muszynski (Florida State University)

• Dr. Michael Frumkin (University of Central Florida) – Chair of Systems Design Committee

• Dr. Vickie Cartwright (Orange County Public Schools)

• Ray Larsen (Heart of Florida United Way)

• Dr. Ron Piccolo (Rollins College) – Chair of Finance Committee

• Barbara Meeks (Nemours Hospital for Children)

• Dr. Ana Leon (University of Central Florida)

• Honorable Frederick Lauten (Chief Judge, Ninth Judicial Circuit Court)

• Beth Nunnally (Centene Corporation)

• Linda Sutherland (Healthy Start Coalition)

• Dr. Alicia Homrich (Rollins College)




• Next Steps


COMMITTEES:

•Systems Design/Finance and Sustainability

•Public Awareness and Community Education

Committee Recommendations


SYSTEMS DESIGN COMMITTEE RECOMMENDATIONS


FINANCE & SUSTAINABILITY COMMITTEE RECOMMENDATIONS

MANAGEMENT NETWORK STRUCTURE

• Create a “Dr. Oz” expert on youth mental illness:– Host major event to announce campaign - Keynote speaker

• Design “road show” pushing awareness campaign throughout the community– Orange County–led Community Conversation with area news media

executive leadership

– PSAs

– Bloggers

– Incorporate “real families” of youth mental illness as “storytellers”


PUBLIC AWARENESS & COMMUNITY EDUCATION COMMITTEE RECOMMENDATIONS




• Next Steps


Initiated Recommendations

WRAPAROUND EXPANSION •Awarded Department of Children and Families Reinvestment Grant expands target population to 13 and 14 year olds

•Awarded $4 Million Substance Abuse and Mental Health Expansion Grant to extend services to age 21

•Sustaining current Wraparound Orange efforts with County GR

LAW ENFORCEMENT TRAINING•Crisis Intervention Team – Youth Training

•Trained over 200 officers, including 110 school resource officers August, 2014 to current

•Focused on increasing use of civil citation and reducing arrests

Initiated Recommendations

COMMUNITY ACTION TEAM (CAT) – LEGISLATIVE ACTION•Awarded to Aspire Health Partners – serving adolescents ages 11-21

COMMUNITY NAVIGATION SYSTEM•Robust Data Base – Procurement in process

•Creates a virtual central point of access for families

•Referrals and access to service system in real time

MOBILE CRISIS TEAM•24/7 Crisis Response for youth and families – began August 17, 2015.

•Diversion from out of home placement



• Financial Considerations

• Next Steps


Next Steps

The new system of care be developed and implemented in phases:

Phase 1: Developing the system design and implementation using current resources.

Phase 2: Further development of the system with new resources.

Phase 3: Full implementation of the system envisioned by the Commission with full resources needed.

RECOMMENDATIONS

Next Steps

RECOMMENDATIONSPublic

Awareness

StigmaReduction

August 25, 2015August 25, 2015

Orange County Youth Mental Health Implementation Team

Final Report

august 25, 2015 orange county youth mental health implementation team final report

Documents

mental health of children

children ages

state of mental health

youth ages

yo orange county data

implementation team

system of care socseamless

national alliance