Transcript Preventive Services Improvement Initiative

Mental Health Program
Evaluation Template
MHPET ONLINE
Objectives
Participant will be able to…
 Determine whether the on-line MHPET
is an appropriate tool for your setting.
 Determine what needs to be in place in
order to use the on-line MHPET
 Learn the steps for using the on-line
Mental Health Planning and Evaluation
Template.
MHPET Purpose
 Enhance
the evaluation of mental
health services in the SBHC and/or
in any school setting
 Improve mental health practices in
the SBHC and/or in any school
setting
 Collect data for school mental
health advocacy and technical
assistance efforts at NASBHC
Need for Quality Improvement in
Mental Health in SBHCs
Increased recognition that objective
measures are needed for SBHC quality
of care, especially in mental health
 Such a measure needs to recognize:

– Many disciplines involved in providing MH
services
– Wide range of interventions
– Limited translational research around best
practice in schools
Qualifiers and Caveats
Quality Improvement for mental health
services in schools is new and
unfamiliar territory
 Consider where your program is
developmentally
 This is not about judgment i.e. good or
bad, right or wrong
 Should not be tied to staff performance
appraisal or funding

MHPET
Development


In January 2004 NASBHC convened a
workgroup to develop an evaluation tool
Adapted the School Mental Health Quality
Assessment Questionnaire (MH-QAQ)
developed by Mark Weist et al. at the Center
for School Mental Health
– Broadened questions from clinician to program
level
– Expanded questions to be inclusive of school staff
and non-mental health providers
– Shortened, fewer dimensions and indicators
MHPET web-based tool
www.nasbhc.org
Beta testing ’07-’08
 April ’08 went online

– Set up to be completed by teams
– Individuals complete tool independently
– Computer generates average score for
team.
– Teams go back 3-6 months later to
complete a second time
– Computer generates second set scores
with comparison to first set.
Using the Web-Based
MHPET
Principles for SBHCs







Supports the school
Responds to the community
Focuses on the student
Delivers comprehensive care
Advances health promotion activities
Implements effective systems
Provides leadership in adolescent and
child health
http://www.nasbhc.org/site/c.jsJPKWPFJrH/b.2743459/k.9519/
NASBHC_Principles_and_Goals_for_SBHCs.htm
Laura Hurwitz
Laura Hurwitz
Laura Hurwitz
James A Davis Middle School
1224 Clarendon Ave.
Bessamer, AL
2
3
James A Davis Middle School
1224 Clarendon Ave.
Bessamer, AL
3
Set Two Survey will be available
after…
Set Two Survey will be available after July 25, 2008
3
0
Using Results for Quality
Improvement
Indicators with scores of 3 or less are
automatically flagged as potential
areas for improvement
 Place the MHPET results in the context
of other data.
 Raters select targeted areas for
improvement
(dimensions and/or indicators with
averages that are low relative to
others)

Using MHPET to identify
improvement targets

Parallel to goal setting with a student/client:
–
–
–
–

What are the strengths?
What areas are in need of improvement?
Realistic?
Obtainable?
Examine the lowest rated indicators first.
– Which of these can you impact in the next 6
months?

“Halo effect”
– By focusing on 2-3 indicators is there potential to
positively impact others?
Continuous Quality
Improvement: PDSA
Identify areas for improving quality and
resources for improving target areas
(PLAN)
 Develop and implement improvement
plan (DO)
 Compare scores 3-6 months later and
assess progress (STUDY)
 Revise plan (ACT)

3
3
MHPET Next Steps
Develop compendium of quality
improvement resources for each
indicator
 MHPET will have on-line link to
resource for each indicator
 Develop training module on quality
improvement (School Mental Health
Capacity Building Partnership)
 Collect and analyze national data from
MHPET

NASBHC Resources for Quality
Improvement: www.nasbhc.org

Paper version currently available
http://www.nasbhc.org/atf/cf/{CD9949F2-276142FB-BC7A-CEE165C701D9}/MHPET.pdf

General mental health resources
http://www.nasbhc.org/site/c.jsJPKWPFJrH/b.2
642293/k.85AC/mental_health.htm
Resource for Quality Improvement:
The School Mental Health Connection
www.schoolmentalhealth.org
In association with University of
Maryland Center for School Mental
Health
(CSMH) www.csmh.umaryland.edu
 40 indicators of quality in school
mental health services
 PowerPoints provide background
information, a menu of suggested
activities, helpful hints, web resources,
and references

Other Resources for Quality
Improvement




Center for Health & Health Care in Schools
www.healthinschools.org
UCLA Center for Mental Health in Schools
www.smhp.psych.ucla.edu
National Technical Assistance Center for
Children's Mental Health at Georgetown
University Center for Child and Human
Development
www.gucchd.georgetown.edu
IDEA Partnership www.sharedwork.org
Contact Information
Laura Hurwitz, LCSW
Director, School Mental Health Programs
[email protected]
202-638-5872, x 205
Deirdre Taylor
Administrative Manager
[email protected]
202-638-5872, x 204