Mental Health Approaches to (I/DD) --Train the Trainer Event
In Sept. 2021, OHA sponsored a Mental Health Approaches to I/DD Train the Trainer event. Nine clinicians from Oregon’s child and adolescent system participated in this training. In exchange for this training, each of these individuals will provide at least four trainings on this material during the next year. More details will be available soon on the Children’s Behavioral Health Other Treatment Supports web page.
Clinical Consultation
OHA is sponsoring quarterly Open Clinical Consultations with experts from the National Association of Dually Diagnosed (NADD), which focuses on supporting youth and families dually diagnosed with an I/DD and behavioral health condition. This is a great time for clinicians or other professionals working with this population to ask questions and receive information on best practice for supporting dually diagnosed youth and their families.
Open Clinical Consultation Dates:
Thursday, Nov. 4, 2021 – 2:30- 4 p.m.
Thursday, Feb. 3, 2022 – 2:30 – 4 p.m.
Thursday, May 5, 2022 – 2:30 – 4 p.m.
Thursday, Aug. 4, 2022 – 2:30 – 4 p.m.
Annual Children’s I/DD Mental Health Summit
Since 2013, the Children’s I/DD Mental Health Summit has worked to adopt best practices and increase collaboration between the I/DD and behavioral health systems in Oregon to break down barriers to access. The ongoing mission of this event is to effect change on children’s I/DD and mental health collaboration by blending systems via cross training, communication and relationship building. OHA and ODHS continue to be proud sponsors of this annual event.
Following COVID-19 restrictions and to ensure the strongest participation, the 9th Annual Children’s IDD Mental Health Summit, Putting Youth and Families First, is planned for a three-part webinar series on Jan. 13, 20, and 27, 2022.
For previous summit information and updates for 2022, please go to www.iddmhsummit.com, or look for further updates in future newsletters. For questions on ID/D programs, contact Jessica Stout, OHA’s Juvenile Justice Policy and Program Coordinator, at Jessica.Stout@dhsoha.state.or.us or call 503-757-4722.
Trauma Focused – Cognitive Behavioral Therapy (TF-CBT) Training
Trainer: Alicia Meyer, Ph.D.; Nationally Certified TF-CBT Trainer
Trauma Focused-Cognitive Behavioral Therapy (TF-CBT) is a highly rated, evidence-based therapy designed to treat children ages 3-17 who have experienced trauma. TF-CBT treats children with an array of trauma histories, including multiple and complex traumas. This is an intermediate level course designed for Oregon mental health professionals who work with children who have experienced trauma.
Registration is free and includes up to 20 hours of virtual training and up to a year of consultation, a $600 value. (Participants are responsible for required pre-training expenses of approximately $75, and post-training certification expenses for licensed therapists, approximately $250.)
Trainings are via Zoom and registration is available at www.tfcbtconsulting.com (scroll down to the OHA registration section).
Additional training cohorts are being planned for 2022-2023.
QPR Training for Trainers
Question Persuade Refer (QPR) is an evidence-based suicide prevention training that can be offered in multiple settings. The next QPR training for trainers is Nov. 15, 9 a.m. – 4 p.m. online. OHA covers the $395 fee for trainers as a part of its suicide prevention strategy.
Information on how to sign up for this training and view other free QPR trainings can be found at https://www.linesforlife.org/training/qpr/
A Time for Families
A Time for Families is a weekly drop-in discussion hour for parents and family members hosted by Chelsea Holcomb and OHA’s Family Partnership Specialist, Frances Purdy.
A Time for Youth
This drop-in hour is in development.
Warmline
Reach Out Oregon, a part of the Oregon Family Support Network funded by OHA, has a "warm line" at 833-732-2467, as well as a website and a chat room for any family member needing support.
Wraparound Rules update
The Wraparound Oregon Administrative Rules (OARs) have been renumbered. The changes are outlined in this document: https://www.oregon.gov/oha/HSD/HSDRules/019-changes-101421.pdf
The Child and Family Behavioral Health Unit is in the process of transforming its policy vision paper into a five-year plan to support OHA’s goal toward Health Equity. We continue to appreciate our community conversations that are helping to shape this work. Opportunities below to engage:
Mobile Response and Stabilization Services (MRSS) $6.5 million
Planning and development are in progress in coordination with the development of the new 988 behavioral health crisis line. Opportunities to get involved:
Psychiatric Residential Treatment Services $ 7.525 million
Request for Grants (RFG) and Proposal (RFP) are in development.
Young Adult Treatment Homes $9.2 million
The RFP is in development to expand this service for young adults.
Interdisciplinary Assessment Teams $5.7 million
A kickoff meeting was held in October between OHA and Oregon Health & Science University (OHSU) to begin development of this work. Recruitment is in process for the OHA Program Analyst to support this work.
CATS is a short-term, community-based outpatient program for youth in mental health crisis. It provides intensive stabilization support and serves as a bridge from emergency department discharge to connection with long-term outpatient supports.
Core program elements
- Rapid response to children and families in emergency departments or crisis centers
- Risk assessment, safety planning and lethal means counseling
- Connection to 24/7 crisis support and frequent check-ins after discharge
- Clinical services, including individual and family therapy, access to psychiatric assessment and treatment, and care coordination for an average of 40 days
- Peer-delivered services, including a Family Support Specialist who uses their lived experience to support the adult caregivers for an average of 70 days
- Assessment of needs and connection to long-term supports via a “warm” handoff
Since data collection began in 2018, 1,953 youth and families have been enrolled in CATS. CATS is accessible to youth regardless of their insurance status: 52% of youth enrolled in CATS have Oregon Health Plan (OHP) coverage, 42% have commercial insurance, and 6% are uninsured.
![CATS Service Volume](https://content.govdelivery.com/attachments/fancy_images/ORDHS/2021/11/5127471/service-volume_original.png) Program outcomes:
- The average age of youth served in CATS is 14 years old, with most being 12-17 years old
- 5% of youth served in CATS identify as transgender or gender-nonconforming and an estimated 15% identify as LGBTQ+
- 62% of youth served have a trauma history
- 28% of youth served have at least one previous mental health Emergency Department (ED) visit
- 27% of youth served have at least one previous suicide attempt
- 65% of youth served present at intake with suicidal ideation or immediately following a suicide attempt
- 78% of youth served are diverted from the emergency department within 24 hours, and 92% of youth served, within 48 hours
Innovation that works
OHSU surveys parents/caregivers two months after their child complete the CATS program.
More than 500 families have provided feedback about their experience.
- 75% of families rate their experience with clinical services as an 8 or better (on a scale of 1-10)
- 68% rate their experience with peer-delivered services as an 8 or better
- 76% of youth are still connected with a therapist and 67% with a psychiatric provider
- 92% are confident about what to do in case of another crisis
- 85% report that their child’s current care is meeting their needs
![CATS Youth and Family Outcomes](https://content.govdelivery.com/attachments/fancy_images/ORDHS/2021/11/5127674/youth-family-outcomes_original.png) Parents’ report
“The people at CATS genuinely cared about our family and needs. They were respectful and gave information to help us through these rough times.”
“CATS showed up at the hospital. They were kind, non-judgmental, and followed up on a regular basis. The provider texted and called me to make sure my youth was okay. They provided a lockbox. CATS worked tirelessly to find someone who can work with my insurance. They even got me connected to another parent for support.”
“CATS was absolutely fantastic. They came out whenever we needed, when we had a crisis, and were available by phone day or night. CATS was awesome.”
Partnerships and funding
The CATS program was first piloted in 2014 in four locations and has grown to 12 sites across 11 counties in Oregon. In 2019, the Oregon legislature awarded $3 million in General Funds to expand services, which resulted in the addition of three new CATS sites in 2020. Programs are a collaborative partnership between county mental health programs, community-based clinical and peer services agencies, and referring hospitals and crisis centers.
To find out more contact Beth Holliman, LPC, Intensive Community Based Services Coordinator, Beth.Holliman@dhsoha.state.or.us or call 503-820-1197.
The October System of Care Learning Collaborative focused on one of the three core values of the System of Care philosophy: cultural and linguistic responsiveness. As OHA moves toward the collective goal of eliminating health disparities by 2030, it is important to dismantle harmful power structures and practices, and to develop and implement strategies to reduce disparities and improve cultural and linguistic responsiveness across the continuum.
The learning collaborative reviewed and discussed the importance of accurate demographic data, Culturally and Linguistically Appropriate Services (CLAS) Standards, and heard a presentation from a behavioral health equity specialist on strategies to support the work Texas is doing within their System of Care Substance Abuse and Mental Health Services Administration grant.
For feedback and suggestions for our newsletter and information: kids.team@dhsoha.state.or.us
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