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The Youth Suicide Intervention and Prevention Plan (YSIPP) 2021-2025 was published on December 9. We recognize the contribution and commitment of many dedicated and passionate Oregonians from all corners of our state in creating and now implementing the plan.
In many ways, Oregon is leading the nation in youth suicide prevention work thanks to the 2019 legislative investment of $10 million to support the YSIPP goals, objectives and strategies.
Our strengths:
- Strong local suicide prevention leaders and regional suicide prevention coalitions across the state.
- A dedicated and effective Oregon Alliance to Prevent Suicide.
- A team of Oregon Health Authority (OHA) suicide prevention coordinators.
This collective effort shines a bright light toward hope, with many people from all walks of life who pour their heart into this work in big and small ways.
In 2016, the first YSIPP laid out a roadmap for coordinating a statewide effort to reduce youth suicide. In the past five years, we have gone from this vision to a whole menu of programs for suicide prevention, intervention and postvention, to strong and unique legislation, and to growing support for our youth and families across the state. We were able to pivot quickly to the unique needs in the COVID-19 pandemic because of the foundations in place from the work of the YSIPP.
Our work is far from over. Oregon’s rate started well above the national average for youth suicide, with numbers rising from 2011 to 2018. Oregon’s youth suicide rate decreased in both 2019 and 2020 but remains higher than the national average. The YSIPP 2021-2025 points the way for each Oregonian to join this work in their own way.
For previous annual reports about work from the first Youth Suicide Intervention and Prevention Plan please visit here.
Annual Children’s Intellectual / Developmental Disability (IDD) Mental Health Summit
Since 2013, the Children’s IDD Mental Health Summit has worked to address best practice and collaboration between the intellectual / developmental disability and mental health systems to break down barriers to accessing services.
The 9th Annual Children’s IDD Mental Health Summit: Putting Youth and Families First will be made up of a three-part webinar series. Each webinar runs from 1 to 2:30 p.m.
For more detailed information visit www.iddmhsummit.com.
Collaborative Problem Solving parent training: Request for Proposal
A Request for Proposal (RFP) to provide OHA-sponsored Collaborative Problem-Solving (CPS) parent training has been posted to OregonBuys and is ready to accept proposals. Here is the OregonBuys bid number for this solicitation: S-44300-00001277. The submission deadline has been extended to Jan. 20, 2022, at 3 p.m.
The purpose of this RFP is to increase access to CPS parent training for Oregon families using the most current Think: Kids recommendations. Participating caregivers will report reduced child challenging behavior, increased compliance, improved family relationships, and improved child self-regulation and other neurodevelopmental skills. The contractor awarded this grant will:
- Employ or subcontract with CPS Certified Trainers in Oregon to provide virtual and in-person parent training groups. Each group will consist of between 4 and 20 families.
- Provide Oregon-specific virtual CPS training monthly to parents, foster parents, and other caregivers. Marketing and recruitment activities will result in parent and other caregiver participation from all seven Oregon regions.
Please submit any questions directly to Larry Briggs LARRY.O.BRIGGS@dhsoha.state.or.us by Jan. 7, 2022.
Trauma-Focused Cognitive Behavioral Therapy Trainings in 2022
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a highly rated, evidence-based therapy designed to treat children ages 3 through 17 who have experienced trauma. TF-CBT treats children with an array of trauma histories, including children with multiple and complex traumas in their lives. This course will be provided virtually and is designed for Oregon master's level mental health professionals who work with children who have experienced trauma. It is an intermediate-level course.
This training is sponsored by OHA, is free to participants and includes up to 20 hours of virtual training and up to a year of consultation. Up to 13 Continuing Education Credits will be provided. Participants are responsible for pre-training expenses of approximately $75 and post training certification expenses.
- Jan. 20-21, 2022 (2 days), 8 a.m. to 4 p.m.
- March 17-18, 2022 (2 days), 8 a.m. to 4 p.m.
- May 12-13, 2022 (2 days), 8 a.m. to 4 p.m.
For more information or to register: http://www.tfcbtconsulting.com/registration/
Open clinical consultation with National Association of Dually Diagnosed
OHA is sponsoring quarterly open clinical consultation with experts from the National Association of Dually Diagnosed (NADD), which focuses on supporting youth and families of youth with an IDD and mental health condition. This is a great time for clinicians or other professionals working with this population to ask questions and get consultation around best practices.
Open clinical consultation dates: Thursday, Feb. 3, 2022: 2:30 to 4 p.m.
Question Persuade Refer (QPR): Suicide prevention and intervention trainings
Apply to become a QPR trainer: Trainings are offered online at no cost, from 9 a.m. to 4 p.m.
Choose from the following Quarter 1 2022 dates:
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Jan. 12, 2022: Open to all.
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March 16, 2022: Prioritizing Wasco, Wheeler, Sherman, Gilliam, Morrow, Umatilla, Union, Wallowa, Grant, Baker, Harney, Malheur counties.
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April 20, 2022: Open to all.
System of Care Learning Collaborative
Each second Tuesday of the month from 3 to 4:30 p.m., the Oregon Family Support Network, Youth ERA and OHA facilitate a time for anyone involved with System of Care work. Come with questions, a desire to learn and unlearn on topics such as how to develop skills that center youth and families, how to be culturally and linguistically responsive and how to ensure services and supports are community based.
Contact Nat Jacobs at nat.jacobs@dhsoha.state.or.us for more details.
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. Please note that we have a new Zoom link for 2022, accessible through the hyperlink.
A Time for Youth
This drop-in hour is in development.
Warmline
Reach Out Oregon, funded by OHA, is a part of the Oregon Family Support Network, has a warm line at 833-732-2467, a website, chat room for any family member needing support and a weekly virtual support group.
We are updating the Guidebook for parents while at the hospital emergency department to be more helpful for parents before they need to take their child to a hospital emergency department. If you are interested in participating, in the process or making comments after reviewing the document, please contact Frances Purdy, Family Partnership Specialist at frances.s.purdy@dhsoha.state.or.us or 503-957-9863.
In September 2020, the Child and Family Behavioral Health team received the results of the Secretary of State audit. The findings for improvements to our state system were far-reaching, and OHA has been addressing recommendations in our direct work, in legislative action, and in community partnerships. A formal update will be released soon, reviewing work focused on each of the five finding areas:
- Data shortfalls and a lack of performance measurement prevent OHA from monitoring mental health treatment capacity, community needs, and outcomes to identify service gaps and improve the system.
- Chronic workforce shortages throughout the mental health system increase system strain and trauma for vulnerable children and youth in residential treatment facilities.
- Weakness and limitations of state statutes have contributed to Oregon’s fragmented delivery of mental health services and de-prioritized funding for care.
- OHA does not adequately monitor General Fund dollars disbursed to counties for community mental health programs.
- A lack of consistent leadership, strategic vision, and governance leads to system disarray.
Thank you to everyone who continues to provide input and feedback to our anticipated Child and Family Behavioral Health Work Plan, including our OHA health equity and community engagement team. We expect to have the plan ready to share early in 2022.
The unit is in the process of creating system indicators and trackers.
Mobile Response and Stabilization Services $6.5 million
Planning and development are in progress in coordination with the development of the new 988 behavioral health crisis line. We have hired a new position on the Child and Family Behavioral Health Unit that will support this work and they will start mid-January.
Psychiatric Residential Treatment Services $7.525 million
Requests for Grant Propsals (RFGPs) are in development with language focusing on health equity, along with the enhancement and expansion of this much needed service in Oregon. Due to the focus on emergency COVID-19 response and staffing needs for our Psychiatric Residential Treatment Services providers the current anticipated release is likely to be February 2022.
An additional RFGP is being released for January 2022 for housing and infrastructure in Oregon. This will include expansion of levels of care including Subacute, Secure Inpatient Programs and Psychiatric Residential Treatment Services in Psychiatric Residential Treatment Facilities for children and youth. You can access this RFP on Oregon Buys once it is posted.
Young Adult Treatment Homes $9.2 million
The RFP developed in collaboration with the Intensive Services, Housing & Social Determinants of Health Unit with health equity as a core component is planned for release this month. You can access this RFP when it is released on Oregon Buys once it is posted.
Interdisciplinary Assessment Teams $5.7 million
We held a kickoff meeting in October with OHSU to begin development of this work while assessing need in the current climate of the COVID-19 pandemic. The work group will include members of the System of Care Advisory Council and Oregon Department of Human Services, and begin to recruit for youth, young adult and family ongoing involvement for the project.
The Oregon Early Childhood Diagnostic Crosswalk translates symptom clusters between systems to help families get the services they need.
Infants and young children experience significant emotional problems, especially in response to traumatic events and family stressors. They can experience anxiety, depression, posttraumatic stress disorder and other problems that also affect older children. While it is never too late to help, intervening early will improve lifelong mental and physical health and social emotional functioning. Trained clinicians can accurately identify which young children require intervention. “Wait and watch” is often not an appropriate strategy, as noted in this article by Harvard University's Center on the Developing Child.
Effective treatment is available for very young children. The Oregon Health Plan and many commercial insurance plans will reimburse for behavioral health treatment for children under age 3. Oregon is unique in that primary diagnosis codes are paired with reimbursable services to provide supports for children and their caregivers experiencing severe stressors. These stressors include parental substance use disorder, past sexual abuse of the child, exposure to domestic violence, parent-child relational problems, child behavioral problems, or other child maltreatment, before the child may develop a serious mental health disorder.
The Oregon Early Childhood Diagnostic Crosswalk was developed in 2015 by the Children’s System Advisory Council as a tool to assist providers in diagnosis, billing and reimbursement for early childhood mental health services. It is updated each year to remain aligned with the Oregon Prioritized List of Health Services.
Based on the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood (DC: 0-5), the Oregon Early Childhood Diagnostic Crosswalk translates diagnostic codes between the DC: O-5 and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and the International Statistical Classification of Diseases and Related Health Problems, tenth revision (ICD-10) to aid behavioral health providers with developmentally appropriate and Oregon Health Plan reimbursable diagnoses.
The crosswalk is useful to a wide range of providers:
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Mental health clinicians: Provides diagnostic and reimbursement clarity across classification systems. Assists in developmentally appropriate diagnosis. It is similar in organization to the DSM-5 for clinicians.
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Physicians: Provides guidance for physicians who feel comfortable diagnosing and is informational for physicians who are not comfortable with infant and early childhood mental health diagnosis to aid them in making appropriate referrals.
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Behavioral health clinics, integrated behavioral health providers and coordinated care organization administrative and financial departments: Informs policy and workforce development; guides customizing electronic health records systems to include all reimbursable diagnoses.
Substance use and the associated disorders are of concern for Oregon’s youth and young adults. In recognition, we have created a statewide collaborative to address this population’s needs, made up of representatives from agencies that serve youth and young adult substance use disorder (SUD) residential, outpatient, school-based prevention, recovery, and peer support services in both urban, rural and frontier locations in Oregon.This new solution-focused group, Oregon Youth and Young Adult Substance Use Disorder (YYASUD), is building on work started in late 2020 that was interrupted by COVID-19.
Purpose:
- To develop and support existing Oregon youth and young adult SUD treatment and prevention services, reduce youth and young adult substance use and address needs through policy and environmental change, treatment agency and community education/training, and collaboration.
- To empower treatment agencies, youth, young adults, and families.
Current focus:
- Bridge and coordinate efforts occurring across the state.
- Follow two research studies: The Behavioral Health Wage Study and the SUD Inventory Project/ Gap Analysis.
- Involve Measure 110 in developing related youth services.
- Participate and coordinate with the Alcohol and Drug Policy Commission.
To organize the work, a steering committee for the YYASUD has been created and is drafting a work plan for the collaborative. The work plan will address current issues in youth treatment.
The next full YYASUD Collaborative meeting will be held Feb. 11, 2022, from 2 to 3:30 p.m.
This work is being facilitated by our new Youth SUD Program & Policy Coordinator, Bernardino De La Torre. He can be reached for more information at bernardino.delatorre@dhsoha.state.or.us.
Bernardino De La Torre
OHA is piloting Honoring Children, Making Relatives, the culturally specific enhancement of Parent Child Interaction Therapy (PCIT) for American Indian/Alaskan Native (AI/AN) families. The year-long training will be provided by Dr. Delores BigFoot, the developer of this adaptation of PCIT. Dr. BigFoot is a member of the Caddo Tribe in Oklahoma. She is the Director of Project Making Medicine and the Indian Country Child Trauma Center. You can learn more about Dr. BigFoot and the Honoring Children series of culturally specific interventions here: https://psbcbt.ouhsc.edu/Training-Team/Dolores-BigFoot
Honoring Children, Making Relatives incorporates AI/AN teachings, parenting practices, rituals, traditions, and cultural orientation to effect positive change within families, while maintaining the guiding principles and theory of PCIT.
This OHA pilot is to train providers in Tribal clinics to implement Honoring Children, Making Relatives. It also offsets some the additional costs associated with providing this highly effective intervention. Honoring Children, Making Relatives is a well-researched family therapy model and therefore may be reimbursed by Medicaid or commercial insurance.
PCIT is a well-supported, evidence-based intervention for children ages 2 through 6 years experiencing social, emotional or behavioral problems, as well as their caregiver(s). Some Oregon PCIT providers have been trained in the adaptation called PCIT-Toddler to serve children ages 12-24 months. Oregon has more than 60 PCIT programs. You can learn more about PCIT at: www.pcit.org
If you are part of a Tribal organization who is interested in participating in this OHA pilot of Honoring Children, Making Relatives, please contact Laurie Theodorou, LCSW at laurie.l.theodorou@dhsoha.state.or.us.
For feedback and suggestions for our newsletter and information: kids.team@dhsoha.state.or.us
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