ON CARE FULL STAKEHOLDER MEETING

April 2, 2012

Therapy Room

BLOOM Massachusetts

Mental Health Center

www.1856.org/bloom/setting.html

Patients’ Waiting Room

Child Psychiatry Unit

UPDATES

1. National LGBT Health Awareness Week2. Updates on new programs3. Monroe County presentation to Educational Success

Work Group4. Summer Opportunities

Lourdes Camp Learning Disabilities Association: SAIL (Summer Adventure in

Learning) Say Yes Summer Enrichment Program

5. World Autism Awareness Day

World Autism Awareness Day 2012

More children than are affected by diabetes, AIDS, cancer, cerebral palsy, cystic fibrosis, muscular dystrophy or Down syndrome – combined.

CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)

NEW UPDATE OF AUTISM PREVALENCE

1 in 88 children1 in 54 boys1 in 252 girls

UPCOMING EVENTS

CHILDREN WITH SOCIAL, EMOTIONAL AND BEHAVIORAL CHALLENGES, INCLUDING AUTISM SPECTRUM DISORDERS: THE COLLABORATIVE PROBLEM SOLVING APPROACH (Conference) April 26, 9:30 am - 5:00 pm Location: Sheraton Syracuse University Hotel and Conference

Center Address: 801 University Avenue, Syracuse, NY 13210 More information at autismsyracuse.com

WALK NOW FOR AUTISM SPEAKS May 20 Long Branch Park Liverpool, NY Register at www.walknowforautismspeaks.org

Project to Reduce Disproportionate Minority Contact (DMC)Summary of Findings and Recommendations

Presented byEmily Napier, CCA

Andrew Sicherman, Probation Department

397

138103

22

2320

0

50

100

150

200

250

300

350

400

450

2004 2006 2010

Num

ber o

f You

ng P

eopl

e

JO

JD

Reduction in Admissions to Secure Detention, Onondaga County, 2004-2010

73

38

15

0 10 20 30 40 50 60 70 80

Admissions toHillbrook

Syracuse Youth

Onondaga CountyYouth

Po

pu

lati

on

Gro

up

Percentage

AFRICAN AMERICAN YOUTH AS A PERCENTAGE OF POPULATION GROUPS

IN ONONDAGA COUNTY AND SYRACUSE, NY

56 2 1 3 2

36

22

1 7 2 705

101520253035404550

Black

White

Latino

Other/Unknown

SECURE DETENTION ADMISSIONS, BY OFFENSE AND RACE, 2010

(N=103)

17

9

6

1

5

0 0 0

4

00

2

4

6

8

10

12

14

16

18

Burglary 2 CriminalPossessionof a Weapon

4

CriminalPossessionof a Weapon

2

Burglary 3 Petit Larceny

Offense

Nu

mb

er

of

Yo

uth

De

tain

ed

Black

White

Latino

Native American

Other

TOP 5 CRIMINAL OFFENSES FOR SECURE DETENTION ADMISSIONS, BY RACE, 2010

(N=88)

DMC FOCUS GROUP RESULTS

1. Parent and youth feel they are not “heard” by the system

2. Lack of transparency in the juvenile justice system3. Confusion about the titles and roles of various system

stakeholders4. Concerns that youth in the City of Syracuse, esp youth

of color, are being over-policed, compared to youth in suburbs

5. Lack of activities and opportunities for youth in the City of Syracuse

6. Feel the juvenile justice system is designed to punish youth, not redirect youth

RECOMMENDATIONS

1. Continue to monitor DMC through the collection and analysis of quantitative data.

2. Fully implement the new Risk Assessment Instrument (RAI) with integrity.

3. Continue to build system and community partnerships.

4. Ensure that DMC reduction is integral to juvenile justice reform.

ACCESS TEAM CQI

Started taking calls in March 2011 Began taking PINS calls in August 2011 203 calls in February (previous high was 176) 73 new intakes (previous high was 44)

Consistent “thirds” (one third intake, one third PINS, one third Information and Referral)

ACCESS SURVEY Phone survey with 31 families in November/

December (full results are in packet) Overall, feedback was positive

Areas for continued improvement:Timely follow-up with familiesLength of time to receive right servicesFollow-up on family’s satisfaction with service

they were referred to

RESIDENTIAL TREATMENT Next to psychiatric hospitalization, it is the most

restrictive and most costly intervention More effective with PTSD and emotional

disorders than ADHD and behavioral disorders Intensive exposure to other struggling peers may

result in increased antisocial behavior Most gains are made in the first 6 months Gains are often not sustained or generalized post-

discharge

Perspectives on Residential and Community-Based Treatment for Youth and Familiesavailable on the Building Bridges website

BEST PRACTICES IN RESIDENTIAL TREATMENT

1. Meaningful family involvement2. Focus on issues that led to admission (not on

curing all symptoms)3. Continual focus on discharge from Day 1:

what does youth need to be successful post-discharge?

4. Community services and community involvement and while youth is in treatment

RESIDENTIAL REDESIGN

System of Care grant gives us a unique opportunity to reshape how we use residential to improve long-term outcomes

The entire continuum of services will need to adapt, not just the residential providers

Shift treatment/outcome focus from “success during placement” to success in home, school and community post-discharge

Use residential as a strategic, time-limited intervention to achieve specific goals

NATIONAL BUILDING BRIDGES INITIATIVE

Strengthen integration of residential and community-based services

Agreed upon set of Core Values Shared responsibility for long-term outcomes

of children Provides a framework and tools to redesign

our system re: use of residential

SMALL GROUP DISCUSSION QUESTIONS

1. What drives the decision to use residential services?

2. What do we want/expect from residential (services and outcomes) that we can’t currently achieve using home/community-based services?

Please select a note taker for each group.

GOT ART? 2012

In recognition of National Children’s Mental Health Awareness Day

Art by children, youth and young adults (ages 5-21). All types of art are welcome—visual, audio, 3-D, performance.

Exhibit and Celebration Event: Tuesday, May 15 from 4-6 p.m. at the MOST

GOT ART? 2012Theme: Heroes of Hope

Who helps you get through tough times? Who helps you reach for your dreams?

Information and applications are available at www.oncaresoc.org

NEW THIS YEARWorkshops with Local Artists

7 workshops in March and April Give children and youth an opportunity to

experiment with new art forms and prepare art for the exhibit

Participate in any or all

RSVP to Bruce Brumfield at 422-5638 x 257 or bbrumfield@communityalternatives.org

GOT ART? WORKSHOPS

Poetry Drawing and Sketching (two sessions) Collage Making Hip Hop Dance Beading/Jewelry Making Paint It, Tear It, Create It

WRAP UP

Family Tapestry Heroes of Hope Walk: May 5 at the Inner Harbor

Families Together in NYS: Annual Conference, May 6-7

(New Strategies for Navigating a Changing System)

No May Stakeholders meeting—come to Got Art? on May 15 from 4-6—bring your family and friends!

THANK YOU FOR COMING!