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Aug. 1, 2024
In this issue...
Reflections from Oregon Health Authority's (OHA's) Child and Family Behavioral Health (CFBH) Director, Chelsea Holcomb
July started with two weeks away from work for me. Current science backing up self-care tells us that taking at least five days off in a row is vital to well-being, resilience building and health.
I agree, as I have returned with fresh eyes and renewed energy. As we rush through our work lives it’s important to plan in these breaks and take that breath!
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While summer comes to an end and our young people return to their classrooms, I want to recognize that this is “Don’t Be a Bully Month.” We need to think about the impact that bullying has on children and young people. I hope you will take a moment to learn about what you can do to take action and stand up for those who find themselves in an unsafe environment that fosters bullying.
What is bullying? Sadly, we all recognize this: It is unwanted, aggressive behavior among school-aged children that involves a real or perceived power imbalance. Different types include verbal, social, and physical bullying. As a parent you can help your child recognize the signs of bullying, provide support and encouragement, and let children know that they are not alone. If your child is the one exhibiting bully behavior, know that bullying is a learned behavior. It can be unlearned and replaced with more positive behaviors.
All of us can create environments for children that are safe, foster kindness and empathy, and aim to build resilience. I know that I will be making sure to take a few moments to talk this through with my son in the coming weeks as he prepares to enter fourth grade.
Next month I look forward to reporting on the National Association of State Mental Health Program Directors annual meeting. It is always grounding to have opportunity to connect with peers and understand what is happening in other states.
I hope your summer is busy and productive and that you find time for a little self-care.
If you and your family participated in the Wraparound process, we want to hear about your experiences. Please join us for an open discussion about what went well, what you would change, and any other feedback you and your family have for our team. After registering, you will receive a confirmation email with information about joining the meeting.
Session for Youth and Young Adults
When: Wednesday, August 7, 11 a.m. to 1 p.m.
Session for Family Members and Caregivers
When: Thursday, August 8, 5 to 7 p.m.
Session for Everyone
When: Tuesday, August 27, 5 to 7 p.m.
For people who speak or use a language other than English, people with disabilities or people who need additional support, we can provide free help to participate in this meeting. Please email kidsteam@oha.oregon.gov.
Section 5 of Senate Bill (SB) 1557 (2024) requires that organizations and licensed practitioners not deny children or youth under the age of 21 access to mental health assessment, treatment or services on the basis of their intellectual or developmental disability.
Please take time to review this memo. It specifically references access for intellectual and developmental disability in SB 1557. The memo includes details on the scope of the law, what organizations and providers need to do, and our next steps.
We will host a listening session with Medicaid and Behavioral Health leadership to hear from community on feedback, participation and support needed to implement this law.
- Date: Friday, August 9
- Time: 12:30 to 1:30 p.m.
- Meeting ID: 160 648 7077
- Passcode: 316754
- Phone: 669 254 5252
Section 4 of SB 1557 (2024) requires OHA to report on youth and family access to home and community-based support, how it has helped youth avoid higher levels of care such as the hospital, and recommendations for ensuring access to this support for youth and families with behavioral health needs. OHA must submit the report to the legislature by Oct. 1, 2024.
Some may be familiar with what is called the Community First Choice Option or “K Plan” in the intellectual and developmental disability world. OHA is working to apply the same idea to mental health support. This report will help inform OHA’s efforts.
OHA seeks youth and family recommendations and experiences related to access to home and community-based supports. If youth and families cannot, or do not want to, share feedback at an online meeting, we will send a survey for written feedback once we draft recommendations for the report.
Feedback opportunities in English and Spanish:
August 13, noon to 1:30 p.m.
- Meeting ID: 160 152 2773
- Passcode: 682297
- Dial by your location: 1 669 254 5252
16 de agosto, 1 a 2:30 p.m.
- ID de reunión: 161 342 3834
- Código de acceso: 091313
- Número de teléfono: +16692545252
Please note this is a space for youth and families only. OHA will seek feedback from other community and partners at another place and time.
We look forward to seeing many of you at this year’s summit later this month in Corvallis. Pediatric occupational therapist Greg Santucci is this year’s keynote speaker. He will focus on reframing behavior: embracing advances in neuroscience and using the power of connection and collaboration to help people thrive. Oregon Senator Sara Gelser Blouin, an enthusiastic intellectual and developmental disability (IDD) advocate, will join the event on Tuesday afternoon for a conversation about IDD and mental health.
Why attend?
- Attend sessions designed to facilitate building connections with other attendees who serve youth with IDD and mental health diagnoses.
- Discover new resources, collaborate with colleagues, and contribute your expertise to our shared goal of supporting youth with dual diagnoses.
- Learn about latest research, best practices, and techniques.
OHA received American Rescue Plan Act (ARPA) funds to improve access to services for children and families. OHA will use some of this funding to expand Wraparound care coordination in Oregon. A Request for Grant Application (RFGA) is now open on Oregon Buys.
The goal of this grant is to provide programs with funds to support Fidelity Wraparound Expansion (FWE) primarily for fee-for-service (FFS, or “open card”) Oregon Health Plan (OHP) members. Applicants may apply for grants to support one or more of the following allowable program activities:
- Goal 1: Expand FFS Wraparound care coordination
- Goal 2: Expand culturally responsive Wraparound care coordination
- Goal 3: Expand Wraparound care coordination to young adults in transition
OHA anticipates awarding up to five FWE grant agreements. The maximum combined total of all awards under this RFGA will be approximately $500,000. OHA reserves the right, in its sole discretion, to determine the amount of each award from this RFGA.
Five Oregon residential providers are breaking new ground with their participation in the Building Bridges Initiative (BBI) Principles to Outcomes-Driven Practice (“P2ODP”) demonstration project:
The P2ODP project kicked off in February 2024. The project is a two-year collaboration designed and led by BBI and sponsored by Oregon Department of Human Services. It is a partnership between BBI, the University of Kentucky Center for Innovation in Population Health, the Oregon Department of Human Services, The Child and Family Center for Excellence, and OHA. It offers Oregon’s five participating providers an unprecedented opportunity for no-cost technical assistance and consultation from an array of national experts in children’s residential intervention. The project is designed to test the application of the BBI Theory of Change for Residential Interventions, a framework for evidence-based practice and quality improvement in residential programs. Participating organizations recently completed the organizational self-assessment tool and are now in the design phase.
During the six-month design phase, the five residential providers will use the Theory of Change framework to identify and design one or two initiatives (such as family engagement, aftercare, youth guided care, diversity, equity and inclusion practices and trauma-informed care) for implementation and related outcome measurements. For the next 12 months they will implement, monitor, and measure project activities and results with regular guidance and coaching from BBI experts. Each provider has frequent calls with their consultation team consisting of a BBI program family peer and youth peer consultant. There are also separate meetings with evaluation consultants from University of Kentucky, along with virtual webinars to support implementation efforts.
Following the year-long implementation phase, the P2ODP project will spend the final six months gathering, analyzing, and making meaning of the data generated by each provider’s project activities. BBI anticipates the publication of multiple peer-reviewed articles as well as a book compilation that will feature each of these pioneering Oregon agencies and share their learning with the national and international community of children’s therapeutic residential care professionals. We are proud of the five agencies who have dedicated staff and resources to the P2ODP and appreciate them for helping to raise the bar of high-quality residential treatment higher for Oregon.
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