mental health advocacy: a team approach
DESCRIPTION
Mental Health Advocacy: A Team Approach. Leticia Perez, M.S.W. Candidate Maire Mullaly, J.D., MPP Kevin Jervik, Ph.D. Foster Youth Mental Health Initiative. Background Proposal to the California Endowment. Foster Youth Mental Health Initiative. Objective 1 - PowerPoint PPT PresentationTRANSCRIPT
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Mental Health Advocacy:A Team Approach
Leticia Perez, M.S.W. Candidate
Maire Mullaly, J.D., MPP
Kevin Jervik, Ph.D
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Foster Youth Mental Health Initiative
• Background
• Proposal to the California Endowment
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Foster Youth Mental Health Initiative
• Objective 1– Produce a mental health summit report to be
disseminated.• Participants of the Summit
• Local and State Key Stakeholders
– http://www.clcla.org/Mental_Health_Summit_Report_011707.pdf
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Foster Youth Mental Health Initiative
• Objective 2– Develop a minimum of three workgroups to
implement policy recommendations.• Capacity Building Workgroup
• Psychotropic Medication Workgroup
• Systemic Reform Policy Workgroup
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Foster Youth Mental Health Initiative
• Objective 3– Attorney support
• Develop a multi-disciplinary team to consult with CLC attorneys on mental health needs.
• Develop training materials that enhance staff’s ability to identify mental health problems.
• Advocate for evidence-based services to clients.
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Original MHAT Model
• Program Director
• Clinician
• Mental Health Specialist
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Expected Outcomes
• Improved coordination of mental health services for foster youth.
• Increased access to timely and appropriate mental health services.
• Improved training of staff to better identify needs.
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Lessons Learned
• Introduction of Attorney Liaison
• Understanding attorney’s knowledge base and supporting their needs
• A team approach
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Current MHAT Model
• Attorney Liaisons
• Psychologist
• Mental Health Specialist
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Lessons Learned
• Myths regarding mental illness– Not a life sentence– Diagnosis in context of whole person– Axis II diagnosis– Process of change
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Lessons Learned
• Privilege and Confidentiality– Secrecy surrounding mental illness– Balancing privacy with “need to know”
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Lessons Learned
• Mental Health Services– Alternatives to residential care– Individual counseling is not the only effective
intervention.– Therapists are people too.– If residential care is used, view it as treatment,
not placement.
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Lessons Learned
• Independent Assessments– Medi-care requires documentation of medical
necessity.– Request existing assessments and treatment
plans.– Expectations and Outcomes
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Lessons Learned
• Legal Counsel and Advocacy– Attorneys have a duty to counsel their clients,
as well as advocate for them.– Don’t be afraid to talk about mental health
issues with clients.– Importance of client buy-in for own treatment
plan
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Trends in mental health advocacy
• Evidence-based practice– What is evidence based practice?– Current state of evidence-based practice– Information about evidence-based practice
• http://www.nrepp.samhsa.gov/
• http://www.ffta.org/publications/EBPguideFinalWeb.pdf
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Trends in mental-health advocacy
• Transitional-Age Youth with Mental Health Problems.– Development does not end at age 18.– Challenges faced by TAY youth with mental
health needs• Service Silos
• Service Chasms
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Trends in mental health advocacy
• Special needs of TAY with mental health issues.– Continued mental health support/treatment– Vocational/Educational Development– Possible need of benefits (SSI, Medicaid)– Focus on strengths and individual needs– Integrated Care (e.g. ACT, SOC, TIP)
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Trends in mental health advocacy
• Resources regarding TAY with mental health needs.– http://www.ncwd-youth.info/information-brief-
23– http://www.cimh.org/Services/Transition-Age-
Youth.aspx– http://cjjr.georgetown.edu/pdfs/
TransitionPaperFinal.pdf
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Trends in Mental Health Advocacy
• Dual Diagnosis Clients (Developmental Delay/Mental Health Needs)– Tendency toward either/or view– “Diagnostic Overshadowing”– Service Silos
• Intervention Services
• Education/Training
– Evidence-based practice
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Trends in Mental Health Advocacy
• Dual Diagnosis Clients– Resources
• http://www.thenadd.org/index.shtml
• http://www.bckidsmentalhealth.org/docs/Dual_Diagnosis_Guide.pdf
• http://www.nasddds.org/Resources/index.shtml
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Overall trends in Mental Health Advocacy
• Early identification, prevention, and treatment
• Reducing risk factors and increasing protective factors
• Increasing client say and “buy-in”
• “Whole child” strength based attitude
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Thank you for your time.
• Maire Mullaly, Attorney Liaison [email protected]
• Leticia Perez, Mental Health Specialist, [email protected]
• Kevin Jervik, Mental Health Clinician, [email protected]