Mental Health Promotion and Prevention
OHA continues to support 19 mental health promotion and prevention programs that are data-driven and community-designed and that use best practices or evidence-based practices. The purpose of these funds is to reduce the negative effects of mental health disorders through health promotion strategies that improve health and wellness and decrease risk factors associated with negative mental health and adverse childhood experiences.
Oregon Psychiatric Access Lines (OPAL)
OHA contracts with Oregon Health & Science University to provide psychiatric consultation services for children (called OPAL K), and adults ages 18 and over (OPAL A). The CFBH unit administers this contract. The program assists community physicians with complex case management when other resources are not immediately available.
Collaborative Problem Solving
OHA has an intergovernmental agreement with OHSU to provide the Collaborative Problem Solving (CPS) Coordination and Training Hub for the state of Oregon. The CPS model teaches parents and providers how to effectively build skills and solve problems with children and youth in a relational and collaborative process. The CPS Hub connects parents and providers interested in learning the model to trainings and resources across the state. Online CPS classes for parents, and Intensive CPS Workshops and consultation for providers are provided. For more information go to www.ohsu.edu/cps.
Trauma Informed Oregon/Trauma Informed OHA
OHA implemented a Trauma Services Policy for behavioral health providers in 2015. That same year, a trauma initiative was funded that made Trauma Informed Oregon (TIO), housed at the Portland State University Regional Research Institute, a reality. TIO provides a robust webpage, online training, regional forums, consultative services to a range of social service and other agencies, and is assisting OHA in creating an inward-facing policy for a trauma-informed approach by OHA staff, volunteers and interns. TIO has a national presence as well, participating in advising national boards and legislation.
Child Parent Psychotherapy (CPP)
CPP is an evidence-based dyadic therapy for children ages birth through 6 and their caregivers, who have experienced trauma such as maltreatment, sexual abuse, sudden loss of a loved one, or exposure to domestic violence. Ten clinicians from seven agencies are completing their 18 months of CPP training this month. The next training cohort will start March 18. Due to the funding from OHA, CPP is available in 27 agencies across Oregon.
Parent-Child Interaction Therapy (PCIT) Expansion
PCIT is an evidence-based dyadic therapy for children ages 1-7 with disruptive behavior, hyperactivity, anxiety, depression or those who have experienced chronic abuse or neglect. Of Oregon families who engage in PCIT 85 percent report improvement. This biennium, OHA funded 12 additional agencies to develop PCIT programs, resulting in PCIT now being available in 67 locations in 22 counties.
Generation Parent Management Pilot
Oregon GenPMTO is a family-based intervention with more than 50 years of research demonstrating its effectiveness for families with children ages 2-17 who are experiencing problems such as depression, non-compliance, substance use, out-of-home placement and delinquency. With OHA funding, the first training cohort in Oregon began in January 2020 with 18 clinicians from seven counties. The next training cohort will begin in fall 2020.
Infant Toddler Mental Health Graduate Certificate scholarship program
OHA contracts with Portland State University to build workforce expertise on providing behavioral health services to children ages 0-5. This academic year, eight students, two of whom are bilingual/bicultural, received OHA scholarships and are on track to complete the program.
Parent Warmline
OHA contracts with Oregon Family Support Network and its other funding partners to provide statewide telephone and chat access for parents and caregivers. ReachOut Oregon (833-932-2467 or 833-REACHOR) enables parents and caregivers to receive support and information about parenting concerns regarding their child or children who experience emotional/behavioral health, physical health, intellectual/developmental disabilities, or educational issues. The service is staffed by certified family support specialists, specially trained individuals with personal experience in parenting children with emotional, developmental or physical health concerns.
Family Peer Support Services
Parents whose children (including youth and emerging adults) experience physical or behavioral health issues often feel alone and at “wit’s end” about where to turn and often feel:
- Shame and isolation because “my child has a problem that I can’t fix.”
- Blame by others who suggest or say parents did something to cause the problem.
- Fear about asking for help or not knowing where to get help.
Parents can get help from another parent trained as a family support specialist to increase:
- Knowledge about services.
- Skill to advocate for their family’s needs.
- Confidence as parents to really know what their child needs.
- Ability to partner with providers and community supports.
- Connection with other families.
Oregon Health Plan and some commercial insurance policies pay for family support services. A parent can request the service through their CCO or insurance company.
Family Workforce Development
Family Partnership Specialist Frances Purdy says, “I needed help to guide me through the maze of health and behavioral health services my child needed. I thought I could do it alone since I had worked as a family art therapist and an attorney. Like most every other parent, I needed someone who had “been there and done that.” This person is called a family support specialist.
The first goal of finding a workforce for family support is to recruit parents who have experience navigating child-serving systems (behavioral health, physical health, education, child welfare, juvenile justice) and navigating insurance limitations. The System of Care and payment for that care are not easy to understand, but family support specialists can help.
Another goal is to help parents with lived experience in the system reach out so that every parent can have the support and guidance of a family support specialist. There are over 200 in Oregon and more are needed. The need is for parents who understand how systems work and are willing to support another parent’s emotional highs and lows, in getting the right services for their child. OHA recruits parents for the weeklong classroom training and follow-up coaching to become a family support specialist, which is paid work in every Oregon community. Contact Frances.S.Purdy@state.or.us for more information.
Youth Peer Support Services
With funding from OHA, Youth ERA conducts four trainings annually for young adult peers ages 14 to 25 who may become certified as traditional health workers. Trained peers are integrated into all our transition-aged youth programs and services.
Youth Hubs
OHA provides funding, promotion and oversight of four HUB pilot programs, designed to engage marginalized and disconnected young adults through accessible, holistic, non-stigmatizing and developmentally appropriate services. Goals of the pilot programs are to close gaps in service for transitional aged youth populations and provide effective supports for independent living.
SUD Mapping and Visioning
The Youth and Young Adult Substance Use Disorder Collaborative, a group of professionals spanning DHS, OHA and community providers, has identified the need to map the system to establish direction for SUD adolescent services in Oregon. OHA mappers are developing a map of the continuum of care, focusing on youth and beginning with indicated interventions. OHA will be hosting two mapping input session with voices from the community, including inpatient and outpatient providers, consumers and state agencies. The information gathered from these sessions will be used by OHA at the Youth and Young Adult Substance Use Disorder Collaborative to begin prioritizing, problem solving, and setting policy direction.
SUD Summit
A summit titled Connecting the Dots will be held May 1-2 at the University of Oregon in Eugene, with the first day for providers and the second day for students. The goal of the summit is to better connect providers of mental health services and substance use/abuse services to co-occurring clients, with a focus on service provision integration.
First Episode Psychosis/EASA
OHA offers funding, promotion and oversight for the Early Assessment and Support Alliance (EASA). This is a network of programs in 35 counties across Oregon providing rapid identification, support, assessment and treatment services for youth ages 15 to 25 who are experiencing a first episode or the early signs of psychosis. OHA also provides funding, organization and oversight of young adult leadership councils (YALC), which are composed of young adults with lived experience from EASA, to enhance their consumer voice in policy- and decision-making processes.
Clinical High-Risk Psychosis grant
This is a four-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA) grant that has been implemented in Lane County. The program offers targeted community outreach and education, as well as coordinated specialty care to young adults through age 24, who meet criteria for clinical high risk for psychosis and who reside in Lane County. This program integrates expanded clinical high-risk services into the existing Young Adult in Transition Coordinated Specialty Care team and expands community education, outreach, and manualized treatment for individuals who are clinically high risk for psychosis.
Healthy Transitions grant (OR-HT)
This is a five-year SAMHSA grant that has been implemented in Douglas and Lane counties. The purpose of this grant is to improve access to treatment and support services for youth and young adults, ages 16-25, who have a serious emotional disturbance (SED) or a serious mental illness (SMI). OR-HT seeks to expand outreach to underserved individuals in Douglas and Lane counties using a variety of strategies with a focus on social media and mobile and web-based applications. OR-HT also expands the use of three “core” evidence based practices – Wraparound, Coordinated Specialty Care for First Episode Psychosis, and Individualized Placement and Support.
Expansion of PRTS capacity
Oregon’s Psychiatric Residential Treatment Services (PRTS) capacity-building for children and youth was identified as the highest priority initiative in the unit following an initial analysis of needs by joint committee. At the end of 2019 two psychiatric residential programs were identified and committed to expansion. Kairos New Beginnings in southern Oregon will open a unit with seven additional beds in mid-March.
OHA is working with a provider in eastern Oregon to develop additional PRTS services for youth 12 and younger. This program is slated for opening sometime in 2020 to have capacity to serve nine children and their families. With the newly available beds at Kairos and the planned new program, the total psychiatric residential capacity will be increased by 16.
Technical assistance via webinar with Transformation Center for CCO 2.0
In collaboration with OHA’s Transformation Center, webinars are being presented regarding CCO 2.0 children’s behavioral health contract expectations on the following topics: the importance of early childhood mental health services, evidence based dyadic therapies, assessment, developmentally appropriate behavioral health diagnosis, billing and reimbursement issues for young children, trauma informed care and approaches, and Wraparound.
IDD/MH
2020 will mark the eighth annual Children’s I/DD Mental Health Summit, put together with various stakeholders including OHA, Office of Developmental Disability Services, Department of Human Services (DHS), CCOs, county mental health programs, and I/DD providers, among others. OHA provides staffing and monetary sponsorship to assist in the planning and implementation of the yearly summit.
Juvenile Fitness to Proceed
Also known as Juvenile Aid and Assist or Restorative Services, this program provides court ordered services to youth who have been charged through the juvenile justice system and are found to be “not fit” or “not competent” to stand trial. The goal of these services is to assist youth to restore or gain fitness for them to move through the court process.
Juvenile Psychiatric Security Review Board (JPSRB)
The JPSRB provides oversight and monitoring to youth that have been found through the juvenile court to be Responsible Except for Insanity. OHA provides funding for monitoring, security, and supervision for youth under JPSRB jurisdiction.
Young Adults in Transition Residential Treatment Homes (YAT RTH)
Young Adults in Transition (YAT) Residential Treatment Homes (RTH) are for young adults (ages 17.5 to 25 years) who experience complex behavioral health challenges. YAT RTH’s provide 24-hour supervision and support, focusing on helping residents develop the skills needed to manage their mental health symptoms and transition into adulthood through a variety of services and supports including but not limited to: therapy and medication management, case management, skill development, and recreational and social activities.
Intensive Services
This program funds and oversees key programs that comprise the children’s mental health continuum, with a blend of Medicaid and general funds. The Secure Adolescent Inpatient Program and the Secure Children’s Inpatient Program (SAIP and SCIP) are the children’s system counterpart to Oregon State Hospital. These community-based facilities are operated by Trillium Family Services at two locations, in Portland and Corvallis.
The Acute Care Line is a bed registry service operated by Lines for Life working with emergency departments throughout the state to help expedite referrals to higher levels of care such as psychiatric inpatient.
OHA contracts with Youth Villages to provide high level in-home mental health supports to youth in Child Welfare custody at risk of temporary lodging (living in a hotel) with child welfare staff. The Youth Villages services are available in the Portland Metro Region, Marion County, and Deschutes County.
OHA CFBH staff, complex care and intensive services program leadership and community stakeholders will be engaging in a visioning project for the evolution of these vital levels of care in our system. The initial visioning gathering is slated for March and will lay the groundwork for the next phase of growth and development of this part of the system of care.
Complex Care Coordination
CFBH staff collaborates with system partners on intensive mental health services in Child Welfare custody, advocating with CCOs and private agencies for youth to get the appropriate care to meet their needs. High-profile situations are prioritized, such as youth in or at risk of temporary lodging and youth coming back to Oregon from out-of-state facilities. OHA staff also helps Child Welfare staff navigate the complex CCO and mental health systems.
Commercially Sexually Exploited Children program (CSEC)
This program through Morrison Family Services provides long-term stabilization for survivors of commercial sexual exploitation (CSEC), with high level mental health, medical, and substance use services on site. The program, called SAGE, helps youth ages 11-16.5 at time of intake experience Support, Achieve their goals, Grow, and become Empowered. The SAGE program recently opened four additional beds, increasing the bed capacity to 16. The additional beds increase access to the community for youth in order to facilitate transitions out of their program.
Expansion of Family Search and Engagement Program - Catholic Community Services
An additional position was added to this program that assists youth in finding family who were previously lost to them, aiding in support and potential for reconnection.
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