Transcript ON CARE FULL STAKEHOLDER MEETING

ON CARE
FULL STAKEHOLDER MEETING
April 2, 2012
BLOOM
Massachusetts
Mental Health Center
www.1856.org/bloom/setting.html
Therapy Room
Patients’ Waiting Room
Child Psychiatry Unit
UPDATES
1. National LGBT Health Awareness Week
2. Updates on new programs
3. Monroe County presentation to Educational Success
Work Group
4. Summer Opportunities
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Lourdes Camp
Learning Disabilities Association: SAIL (Summer Adventure in
Learning)
Say Yes Summer Enrichment Program
5. World Autism Awareness Day
World Autism Awareness Day 2012
CENTERS FOR DISEASE CONTROL AND
PREVENTION (CDC)
NEW UPDATE OF AUTISM PREVALENCE
1 in 88 children
1 in 54 boys
1 in 252 girls
More children than are affected by
diabetes, AIDS, cancer, cerebral palsy,
cystic fibrosis, muscular dystrophy or
Down syndrome – combined.
UPCOMING EVENTS
CHILDREN WITH SOCIAL, EMOTIONAL AND BEHAVIORAL
CHALLENGES, INCLUDING AUTISM SPECTRUM DISORDERS: THE
COLLABORATIVE PROBLEM SOLVING APPROACH (Conference)
 April 26, 9:30 am - 5:00 pm
 Location: Sheraton Syracuse University Hotel and Conference
Center Address: 801 University Avenue, Syracuse, NY 13210
 More information at autismsyracuse.com
WALK NOW FOR AUTISM SPEAKS
 May 20
 Long Branch Park Liverpool, NY
 Register at www.walknowforautismspeaks.org
Project to Reduce Disproportionate Minority Contact (DMC)
Summary of Findings and Recommendations
Presented by
Emily Napier, CCA
Andrew Sicherman, Probation Department
Reduction in Admissions to Secure Detention,
Onondaga County, 2004-2010
450
Number of Young People
400
22
350
300
250
200
JO
397
150
JD
23
20
100
138
50
103
0
2004
2006
2010
Population Group
AFRICAN AMERICAN YOUTH AS A PERCENTAGE
OF POPULATION GROUPS
IN ONONDAGA COUNTY AND SYRACUSE, NY
Onondaga County
Youth
15
Syracuse Youth
38
Admissions to
Hillbrook
73
0
10
20
30
40
50
Percentage
60
70
80
SECURE DETENTION ADMISSIONS,
BY OFFENSE AND RACE, 2010
(N=103)
Black
White
36
Latino
22
Other/Unknown
V
U
nk
no
w
n
FS
O
C
-T
O
P
7
2
2
3
W
ar
ra
nt
al
O
ffe
ns
e
V
O
P
M
7
1
1
2
-N
ew
is
de
m
ea
no
r
6
ec
hn
ic
5
Fe
lo
ny
50
45
40
35
30
25
20
15
10
5
0
TOP 5 CRIMINAL OFFENSES
FOR SECURE DETENTION ADMISSIONS, BY RACE, 2010
(N=88)
Number of Youth Detained
18
17
16
14
Black
12
10
White
Latino
9
8
Native American
Other
6
6
5
4
4
2
1
0
0
0
0
0
Burglary 2
Criminal
Possession
of a Weapon
4
Criminal
Possession
of a Weapon
2
Offense
Burglary 3
Petit Larceny
DMC FOCUS GROUP RESULTS
1. Parent and youth feel they are not “heard” by the
system
2. Lack of transparency in the juvenile justice system
3. Confusion about the titles and roles of various system
stakeholders
4. Concerns that youth in the City of Syracuse, esp youth
of color, are being over-policed, compared to youth in
suburbs
5. Lack of activities and opportunities for youth in the
City of Syracuse
6. Feel the juvenile justice system is designed to punish
youth, not redirect youth
RECOMMENDATIONS
1. Continue to monitor DMC through the
collection and analysis of quantitative data.
2. Fully implement the new Risk Assessment
Instrument (RAI) with integrity.
3. Continue to build system and community
partnerships.
4. Ensure that DMC reduction is integral to
juvenile justice reform.
ACCESS TEAM CQI
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Started taking calls in March 2011
Began taking PINS calls in August 2011
203 calls in February (previous high was 176)
73 new intakes (previous high was 44)
 Consistent “thirds” (one third intake, one third
PINS, one third Information and Referral)
ACCESS SURVEY
 Phone survey with 31 families in November/
December (full results are in packet)
 Overall, feedback was positive
Areas for continued improvement:
Timely follow-up with families
Length of time to receive right services
Follow-up on family’s satisfaction with service
they were referred to
RESIDENTIAL TREATMENT
 Next to psychiatric hospitalization, it is the most
restrictive and most costly intervention
 More effective with PTSD and emotional
disorders than ADHD and behavioral disorders
 Intensive exposure to other struggling peers may
result in increased antisocial behavior
 Most gains are made in the first 6 months
 Gains are often not sustained or generalized postdischarge
Perspectives on Residential and Community-Based Treatment for Youth and Families
available on the Building Bridges website
BEST PRACTICES IN RESIDENTIAL TREATMENT
1. Meaningful family involvement
2. Focus on issues that led to admission (not on
curing all symptoms)
3. Continual focus on discharge from Day 1:
what does youth need to be successful postdischarge?
4. Community services and community
involvement and while youth is in treatment
RESIDENTIAL REDESIGN
 System of Care grant gives us a unique opportunity
to reshape how we use residential to improve
long-term outcomes
 The entire continuum of services will need to adapt,
not just the residential providers
 Shift treatment/outcome focus from “success during
placement” to success in home, school and
community post-discharge
 Use residential as a strategic, time-limited
intervention to achieve specific goals
NATIONAL BUILDING BRIDGES INITIATIVE
 Strengthen integration of residential and
community-based services
 Agreed upon set of Core Values
 Shared responsibility for long-term outcomes
of children
 Provides a framework and tools to redesign
our system re: use of residential
SMALL GROUP DISCUSSION QUESTIONS
1. What drives the decision to use residential
services?
2. What do we want/expect from residential
(services and outcomes) that we can’t
currently achieve using home/communitybased services?
Please select a note taker for each group.
GOT ART? 2012
 In recognition of National Children’s Mental
Health Awareness Day
 Art by children, youth and young adults (ages 521). All types of art are welcome—visual, audio,
3-D, performance.
 Exhibit and Celebration Event: Tuesday, May
15 from 4-6 p.m. at the MOST
GOT ART? 2012
Theme: Heroes of Hope
 Who helps you get through tough times?
 Who helps you reach for your dreams?
Information and applications are available
at www.oncaresoc.org
NEW THIS YEAR
Workshops with Local Artists
 7 workshops in March and April
 Give children and youth an opportunity to
experiment with new art forms and prepare art
for the exhibit
 Participate in any or all
RSVP to Bruce Brumfield at 422-5638 x 257 or
[email protected]
GOT ART? WORKSHOPS
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Poetry
Drawing and Sketching (two sessions)
Collage Making
Hip Hop Dance
Beading/Jewelry Making
Paint It, Tear It, Create It
WRAP UP
 Family Tapestry Heroes of Hope Walk: May 5 at the
Inner Harbor
 Families Together in NYS: Annual Conference, May 6-7
(New Strategies for Navigating a Changing System)
 No May Stakeholders meeting—come to Got Art? on
May 15 from 4-6—bring your family and friends!
THANK YOU FOR COMING!