Background Sheboygan County COMMUNITY CONVERSATION ABOUT MENTAL HEALTH AND
Sheboygan County COMMUNITY CONVERSATION ABOUT MENTAL HEALTH AND ALCOHOL & DRUG ABUSE MARCH 21, 2014 (Prepared by Lilly Irvine-Vitela, Facilitator and edited by The Planning Committee) Background On March 21, 2014 over 300 community stakeholders attended a Community Conversation about Mental Health and Alcohol and Drug Abuse at the Blue Harbor Resort in Sheboygan Wisconsin. The objectives of the day were as follows: To identify 3-5 community priorities to improve mental health and alcohol and drug abuse systems in Sheboygan County. To encourage community involvement through recruitment of action team members to move priorities forward. Move in a direction to create good mental health in our community. Educate the community regarding the services available in Sheboygan County. The planning committee was made up of the following participants: Kate Baer, Mental Health America in Sheboygan County Kristin Blanchard, Lakeshore Community Health Center Amy Culver, Sheboygan County Health and Human Services Department Abby Dahmer, The Salvation Army Jon Doll, United Way of Sheboygan County Jean McMurray, Aurora Health Care Mary Paluchniak, St. Nicholas Hospital Emily Rendall-Araujo, United Way of Sheboygan County Laura Roenitz, Safe Harbor Shelley Saunders, Sheboygan County Detention Center Norm Shanks, Aurora Health Care Corrie Skubal, The Salvation Army James Veeser, Sheboygan County Service Providers Ann Wondergem, United Way of Sheboygan County The sponsors included: Aurora Health Care, Healthy Sheboygan County 2020, Lakeshore Community Health Center, Mental Health America in Sheboygan County, Safe Harbor, Sheboygan County Health and Human Services Department, Sheboygan County Service Providers, St. Nicholas Hospital/Prevea Health, The Salvation Army, United Community for Youth- Drug Free Community Grant, and United Way of Sheboygan County 1 Special thanks to: Blue Harbor Resort, Sargento Foods, Rhiannon Bakker – Volunteer Coordinator at Aurora Health Care Overview of the Day: Participants introduced themselves to others at their table, learned more about the planning committee and the objectives for the day. Information about the prevalence of adults with mental illness and substance use disorders with local data and resources were shared. Kenya Bright, Section Chief of the Integrated Services Section, Wisconsin Department of Health Services, provided updates about resources for mental health and alcohol and other drug abuse (AODA) services, policy changes, and program options. Members of the community affected by mental illness and the journey for well-being provided journeys. Once a common ground was established, the groups broke into small group table discussions to address the following key questions: Why is good mental health important to our community? What is currently working within our community for mental health and alcohol/drug abuse support? What are the barriers that prevent people from accessing services? What is missing/gaps in the services available in our community? How do we build on what is working and the strengths? After all of the questions were discussed, participants at each table were encouraged to identify the top three priorities for action ranging from service development, policy change to systems issues. The choices were then displayed and nominal group technique/dot voting was used to poll participants for priorities. Each table of participants was then given an opportunity to create preliminary action plans to address next steps for priority areas. Next Steps: At the close of the day, participants were encouraged to complete a Call to Action card to stay involved in addressing the top priorities identified. Information provided on completed Call to Action cards will also be used to provide follow up information to participants. Members of the Planning Committee committed to supporting the effort in moving the priorities forward through community action teams (utilizing current committees with similar focuses on priorities being addresses or creating new committees to focus on the identified concerns). Furthermore, Aurora Health Care committed to providing a .5 FTE to support project management for the planning committees. 2 The following section provides the list of cumulative responses to the five key questions discussed by the over 300 participants in their small group conversations. These lists were categorized by the facilitator to make the summary more readable but are in no particular order and some may be included under more than one category. Why is good mental health important to our community? Economic Development A focus on good mental health and prevention allows for cost savings and resources to be reallocated A proactive/preventative approach is an investment in the community Allows resources for public housing needs Are able to access better insurance rates Eases use of community resources Employers are more satisfied and apt to hire Good mental health improves employers’ ability to train and retain our workforce Good mental health influences the business community and employment and productivity in the workplace Good mental health leads to more productive businesses because there are fewer days off due to mental health Greater response to crisis in business Mental health impacts the cost of individual and community health care Promotes commerce Promotes a healthier workplace Stable mental health allows for more discretionary money for other priorities/programs We prosper When needs are met there are better educational and career outcomes Educational Achievement Children are our future leaders Greater educational achievement and ability to use skills and training Helps improve behaviors in schools and keep focus on learning Higher graduation rates People can be more focused and driven to succeed General Greater balance Improves childhood outcomes Less stress Mental health impacts all systems, things are interconnected Mental health is part of and touches everyone in the population 3 People are able to feel comfort seeking services People who are mentally healthy are more productive at home and work Prioritizing mental health now increases the stability of coming generations Promotes the dignity of each person Relationships thrive Unmet mental health needs are the root cause of other social/family issues Until mental health is commonly promoted and mental illness is properly treated by addressing the whole person, the individual, family, and community will suffer There is a legal and moral obligation to meet mental health needs There is more positive risk taking (creativity, innovation) We’re more supportive to each other We need to talk more honestly about mental health and reduce stigma and the idea of people being “crazy” Health Affects all aspects of individual’s functioning (physical, emotional, spiritual, mental) Children are less exposed to trauma and less likely to suffer the mental and physical consequences of exposure Good mental health helps community members connect and deal with each other Coping skills are better and people have healthier lifestyles Creates positive energy for self and others Good mental health is contagious Healthy relationships If we support good mental health, we support the whole person. Increases life span Increases positive attitude Increases trust Less self-mediation Less tragic deaths Mental health touches every aspect of life - health, social, economic, education, family, etc. More happiness and contentment More intensive and expensive levels of care are reduced People are less likely to cope with illicit drugs and alcohol when their needs are met Promotes well-being Reduces stigma and increases well-being There is better continuity of services when we focus on mental health and AODA issues We need to increase access to treatment and medication When mental health is strong, it is easier to identify and solve issues. When needs are met there are less incidents of substance abuse Where the mind goes, the body follows; we need a holistic approach to health and wellness 4 Livable Community Allows people to live up to their potential and this makes community stronger A stronger sense of community - “better together” Current level of awareness and knowledge doesn’t match the number of people affected Community involvement/more engaged Fosters a greater community image - community has a good reputation Good mental health is important to the future of the community Good mental health is part of personal and community values Good mental health makes the community more attractive Improves quality of life Increases creativity and fosters a solution focus Increases the connectedness among people and relationships Increases the number of people who are able to participate in the electoral process because mental health is not criminalized Less destructive conflict Mental health impacts boundaries set by social norms and laws More productive people means more positive growth in Sheboygan People what to remain in a community that promotes good mental health Reduces homelessness The community is more stable and less reactionary There is greater cohesion in neighborhoods, workplaces, and community-at-large There is greater personal and community stability There’s less community distress There is a greater willingness to support people with disabilities Untreated mental health needs deteriorates the quality of life of the individual and community Public Safety Greater awareness decreases fear and safety Increase safety and decrease crime and violence If there is greater understanding the responses are less punitive and can lead to rehabilitative services Less victimization of people with mental illness Prevents/reduces crime Promotes security Safety - work together in a better fashion When healthcare needs are met, the crime rate decreases and there is less criminal justice involvement and incarceration Strong Families Better birth outcomes Better outcomes for our children and our future 5 Children can be raised in a more healthy environment Can be a good role model for family Children’s well-being is prioritized Enhances family life and family well-being Families are more stable Families can be more supported and remain intact Improves healthy and effective parenting Less dysfunction Mental health affects families and all community systems Poor mental health can lead to break-down of the family unit Promotes connectedness Reduces and prevents child abuse and violence What is currently working within our community for mental health and alcohol/drug abuse support? Corporate Support and Partnership Awareness of wellness programs as a way to promote productivity and curb health care costs Corporate generosity Corporate shift and focus on caring Corporations taking ownership of mental health and substance abuse issues and participating on boards of organizations focused on solutions Incentives offered for positive and healthy behaviors within the corporate environment Effective Providers/Service Delivery ACUITY support Administered medication program Adult Care Consultants After Care Aging and Disability Resource Center Available mental health services at zero cost for those without insurance Bilingual Services (but need more) Birth to 3 Program Bridgeway Program Comprehensive Community Services (CCS) is in the community- peer training classes add credibility Caring Clinicians Celebrate Recovery Cognitive Behavioral Therapy Community Care (CC) - and CC Consultants Coordinated Service Team approach 6 County providing mentoring program County Caregiver Coalition Crisis Center/ Crisis Line-County Wide 24/7 Crisis Intervention Program Dialectical Behavior Therapy Division of Vocational Rehabilitation Early Childhood programs Early Intervention and school involvement Emergency Room (ER) doctors are more aware because of technology like EPIC (electronic medical records) Employee Assistance Programs Family Care Family Resource Center Genesis - inpatient services and voluntary AODA services Good success when people work together (example Corporation Counsel and social workers) Group homes Healthy Sheboygan County 2020 Mental Health Priorities Helping Hands Hospice and Home Health Care 1-K unit Inpatient Facility Insurance coverage Intensive Outpatient Program Kidship and Teenship within Sheboygan Area School District (SASD) Lakeshore Community Health Center Lakeshore Technical College Students asking for services and there is less stigma Libertas - AODA outpatient for adolescents and adults Local colleges- counseling staff Lutheran Social Services: runaway and youth services in-school setting with mentoring and family mediation (formerly Project Youth) Medication Monitoring Methadone Clinic Mindfulness-based Stress Reduction (mediation, yoga, martial arts, exercise, etc.) Mobile Crisis Unit Northshore- new therapist available for early childhood mental health Open Door Center Partial hospitalization with Aurora Prevention Policy Board Providing home-based treatment Psychiatric unit at hospital 7 Rainbow Kids/ Compassionate Parents Recovery, Certified Peer Involvement) Referrals Residential Alcohol and Other Drug Program Respite Rocky Knoll Safe Harbor Salvation Army Shelter Seasonal Affective Disorder- awareness Seeing the connection between AODA and mental health Severe Mental Illness resources Suicide awareness and prevention walk Shore Haven Strengthening Families (10-14 year track record) Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Transitional Living, Celebrate Strong Start Subsidized Housing Suicide Hotline Transitional Living Programs Turning Point Transportation Veterans Counselor/Services/Supports Volunteer Center Wellness initiatives increasing Woodland and Vista Workforce of trained professionals and good networking among professionals Wrap-around models/relational models for care Faith Community Churches Family support Holistic approach - Catholic Charities mental health and case management Love Inc. Pastoral counseling Parish nurses Praise Fellowship Recovery supports Religious and spiritual support Sheboygan County Interfaith Organization (SCIO) Southside Alliance Youth groups and youth pastors General Access to care 8 Affordable health care Agencies working together All levels of mental health care available in Sheboygan County including inpatient care and services Anti-heroin groups pulling together TheFlyEffect.com Awareness about how trauma impacts mental health and substance use disorders Awareness building efforts, seminars, networking Building One-on-One relationships with consumers in various areas (home health, social work, mentoring, etc.) Caring Community Child-centered programs Communication in health care with drug availability and manufacturers of drugs Coordination with agencies (churches, county services, hospitals, police, non-profit, schools, funders) Data base compilation regarding mental health and policy Education to health care providers Flexible spending/Health Savings Accounts (HSA) Good collaboration and communication across sectors Good school system Growing awareness of prescription drug misuse Health and Human Services and hospitals collaborate High levels of awareness about mental health and substance misuse and abuse in the community Identifying problems Improved education on mental health in schools Medical community is aware of the issues Neighborhood Associations Options for services Outreach and education - educational resources available such as directory and flyers and brochures Passionate people who want change People are mobilized to do something Referrals Resources Revitalized leadership in the community Strong understanding in schools This event - intentional community conversations about mental health and substance use disorders that are inclusive of many ages, perspectives Wisconsin Department of Health Services Law Enforcement/Criminal Justice Alternatives to incarceration Canine search crews 9 Changing philosophy and focus on the root causes of behavior Community Intervention Teams (CIT)- Sheboygan County Sheriff Diverting people from criminal justice to treatment/care Good Drugs Gone Bad Seminars Sheboygan Service Providers (Heroin initiative - knowledge and awareness rising and done in partnership with community) Improved connections between law enforcement and Human Services Jail contracts mental health counselor 8 years ago and revamped approach Law enforcement and court systems who care about people and mental health and substance abuse issues Neighborhood policing and neighborhood based solutions Police awareness and involvement Prescription/drug drop-off boxes at police station Probation and Parole know more about mental health and substance use disorders Schools - in the school setting families are more willing to accept support and work toward solutions School District - breakfast Stronger penalties for drug dealers Using resources other than jail Training of law enforcement and corrections to understand mental health and substance abuse disorders Veterans Court Non-profit organizations/Initiatives Alzheimer’s Association Big Brothers and Big Sisters Emphasis on trauma informed care Head Start - Sheboygan Human Rights Mental Health America in Sheboygan County (MHA) - updated resources, supports, awareness Neighbors Against Drugs Non-profits that provide free therapy Samaritans Hands Strengthening Families program Strong support United Way Philanthropic Support Community Generosity United Way Schools School counselors School social workers School system monitoring students 10 Support Groups Alcoholics Anonymous groups Al-Anon/ Narcotic Anonymous Dementia Care Family Support Mental Health America in Sheboygan County (MHA) NAMI, National Alliance on Mental Illness Peer support What are the barriers that prevent people from accessing services? Continuum of Care Ability to make appointments - big picture and next step thinking may be impaired Alternative treatment beyond medications Availability of support groups Broken systems that impact the county’s ability to deliver full-range of services Case management support Client-centered services Coordination of care and services Daily living support Disability associated with the disease itself as well as blind, deaf, and limited mobility Disconnected services Difficult to get help unless in immediate danger to self and others Eligibility Evening services and resources Facilities may not be accessible for physical disabilities Fear of restriction Fine line between team approach and feeling “passed around” to various providers Free or low cost services (more) Group homes and safe places to go (need more) Help navigating services-advocate for person in need Lack of addictionologist in area Lack of planning Limited weekend and afternoon hours Local treatment and support in home No coordinated community-wide continuum of care Peer support programs Poor understanding of levels of care 11 Psychiatric unit needed in the community Relationships with schools and coordination of resources could improve Referral steps are complicated Referral system not consistently supportive-gaps in knowledge Residential beds (not enough) Services in supportive culture and appropriate language Timing - availability vs. need, group reports 4 month wait list Waiting for appointments and local services if need specialty care Cultural Norms Belief that medication will create a “quick fix” Culture of alcohol tolerance, social acceptance of alcohol miss-use Cultural attitudes Co-morbidity - recognize and treat Denial Entitlement attitude Family dynamic- children’s mental health or substance use disorder may not be addressed if a parents needs aren’t being met Family dysfunction Fear of Diagnosis embarrassment about the need for support feeling weak getting stuck legal or employment repercussions for seeking help losing a coping mechanism (drugs) reporting to law enforcement use of restraints Follow-up isn’t as comprehensive as it needs to be Helping the mentally ill is less tangible than “feeding the hungry” Individualism and belief that it can be handled alone Intolerance Lack of faith in ourselves and others Lack of trust in government agencies Low understanding of how to break a negative family cycle Long-term care resources not adequate Narrow interpretation of the bible related to sexual orientation and inadequate supports Older generations may not be as educated about AODA and mental health issues People are aware of labels Pride Self-medication 12 Shame, fear, myths to the individual and families with mental health issues or substance abuse disorders Stigma still exists, people feel judged Technology may be misused and contribute to disconnectedness Terrible confusion Under age drinking is common Value privacy and appearances above wellness Financing Barriers based on insurance provider Care expensive even with insurance Co-pays are costly Cost to employers high Economic opportunities impacted if substance abuse of mental health disorders Insurance-consider regulations and policies and restrictions Lack of resources for people that are not from Sheboygan Low reimbursement rates for providers Managed care and legal restrictions Medicine is expensive Resources are costly Standard of living impacts outcomes General Children are left on their own more and may not have enough boundaries and supervision Community has changed and people may not know each other or feel a sense of responsibility Community is impacted by a ripple effect Dislike and discomfort with side-effects make managing illness through medication difficult Face-to-face conversations and communication is limited Improve how people are treated upon entrance into treatment Lack of socialization Low empathy More mobile community People are suffering People feel judged People feel pushed around Perception that where you come from may impact the services you receive discrimination Religion and culture may be a barrier for accessing services Mental Health/Alcohol and Other Drug Abuse Workforce Correctly diagnosing people is time-consuming Inadequate training for the continuum of needs 13 Issues seen as behavioral rather than mental health and minimized Lacks of checks and balances Lack of psychotherapy follow-up with the chronically mentally ill Language competence for non-English speakers is low, not enough bilingual staff or translators Hmong and Spanish-speaking Sign-language Other Lack of cultural understanding Low awareness in general public about resources other than the Emergency Room Low use of evidence-based interventions Medication compliance for school-age kids is poor Misunderstanding and miscommunication More training for teachers Need more education and public awareness about services Not enough physicians Not enough providers that take Medicaid/BadgerCare Prevention and early intervention require more focus Promote continuity and continuation of services rather than waiting for crisis Pushed to break laws because people need to be “sick enough” to receive care/ red tape Qualifications may be limited to a specific program, Secondary trauma Shortage of board certified psychiatrists in general and child psychiatrists in particular Shortage of experienced mental health and AODA providers Stigma Transportation Understanding of how to treat addiction and mental health at the same time is low Volunteers need training and background checks Wait list for low-income or underinsured people Public Awareness Education about coping mechanisms First responder education to address problems early Greater education Internet access low, access to information resources low Judges need to be educated on mental health and medications Knowledge of resources is insufficient Medically side-effects poorly understood by professionals and general public Misconceptions about the importance of issues related to mental health and substance misuse/abuse Parents may have limited knowledge about mental health or they hit a wall in the system 14 Partner more with clergy to increase awareness of services Volunteer opportunities for people who want to make a difference Websites and information is hard to navigate Willingness to speak out on issues Public Policy Confidentiality Consequences of being arrested Crisis intervention for police department Fear of mandatory reporting Funding for programs is unstable and results in reduction in services Immigration status Improvements in health may result in lack of ability to re-qualify for services Legal restrictions may make it difficult to personalize/individualize services to meet the specific needs of someone Medication distribution in jail is poor Need policies No minimal universal standards for MTL/ADOA services (insurance plans all vary) Overemphasis on reacting to unmet needs rather than preventing growing unmet needs People caught in the middle - making too much money to be eligible for services but cannot afford additional supports Policy makers that understand issues exist but aren’t the majority Prior reauthorization can make intake difficult Privacy and transparency needs are often at odds Qualifying for services Requirements for forced treatment Sufficient time to evaluate Social Security Insurance is suspended while someone is in jail Wisconsin law, 14 year-olds can refuse services What is missing/gaps in the services available in our community? Advocacy 24/7 answers! Consumer voice not heard Peer training Providers ombudsman Role models, celebrity role models Youth services rather than juvenile justice Community Communication across service providers 15 Directory - lack of information on the therapy skills, qualifications, and genders of providers including professional bios and educational/training Fund prevention Mental health literacy of general public to know how to talk about needs with others Promote what good mental health is Sober and dry activities Translate the services provided for/ to target the new generations i.e. (google, IPad, etc.) Financing Adequate reimbursement for mental health Enough providers who will take Medicare/Medicaid Funding - for those with no insurance/ under insured/ out of pocket expenses Medication funding Health Care Capacity Behavioral health integration with primary care physicians Lack of communication between hospitals regarding ability to admit Hospitals - “this person is dangerous we can't accept them” Mental illness – training for help with aggression etc. Lack of providers at hospital over extended especially when providers are on vacation Methadone delivery system is questionable No suboxone clinic/prescriber in the county Missing/Insufficient Services Age-appropriate services not adequate Kids with ADHD Infant mental health expertise is limited Child Psychiatrists and child psychologists Limited clinicians for very young children and adolescents Care for elders limited AODA coordinator in the county Bi-lingual services Discharge services need to improve and follow-up care Detox center Drug court Extended time to meet with health care providers (psychiatrist, therapists, etc.) Facility that providers mental support and medical detox monitoring for addiction Family support groups limited Gender specific outpatient Lack of communication/ Collaboration between services Lack of detox/inpatient facilities Lack of marriage and family therapists Lack of mental health services in schools Lack of providers who will provide/ write prescriptions for psych meds. 16 Lack of psychiatrists (no child psychiatrist in our DSS community) Lesbian, Bi-sexual, Gay, Transgender, Questioning specific services (LBGTQ community is disproportionately represented with poor mental health and AODA outcomes) Life skill courses - resiliency, coping Meditation and emotional coaching for younger kids More supervision of court ordered treatment More diversion programs for mental health instead of sending to jail Nar-Anon - like Al-Anon but for opiate addiction Peer services Prescription drug monitoring and follow-up Reduced school counselor/ therapists staffing in school Services to match personal fit/needs Support groups with trained leaders for “CIC” Transitional living services Warm line Warm house Professional Development/Workforce Issues Cultural competence needs of the providers Education Employee retention Networking opportunities for providers Salaries of mental health professionals, caseloads and working conditions Training for care givers Related Service Child care while receiving AODA and mental health services Diverse income levels are impacted by mental health and AODA issues but generational poverty makes access to services more difficult Domestic Violence shelters Employment opportunities Family therapy Homeless services inadequate supports to mental health and AODA, hard to establish residency Housing (affordable, safe, high quality)/long-term housing to stabilize on medication Insufficient family supports Mentorship Natural supports over utilized when systems of care aren’t coordinated Parenting Education Pediatric psychiatric services Positive activities - Open Door Positive reinforcement for managing mental health and substance use 17 Post crisis services Residential Services Resources to advertise services Support systems fragmented or non-existent Teen pregnancy prevention resources Transportation - distance and cost creates barriers for example the bus system doesn’t go to Plymouth, especially hard in more rural communities Treatment foster care Services for young adults School psychologists Some are not connected to internet/web and other technology to find resources Wrap around services Treatment for domestic violence How do we build on what is working and the strengths? Community Coalitions Communication - across stakeholders Continue connecting legal system to issues Develop coordination Develop system to document outcomes Forums like this with follow up Formal collaborative groups that focus on mental health – more focused (subcommittee) Getting non-medical, non-mental health provider services involved Improve community networking and expanding into the schools – psychiatrist, teacher training, counselors, wraparound programs Include more faith-based solutions Increase parent involvement Mental health provider fair Organizational buy-in Promote National Alliance for the Mentally Ill (NAMI) Provider networking Provide support and professional development to providers Public conversation & collaboration Put collected suggestions into action Raise awareness of community resources - “211” “Resource mapping” Spiritual health (mind-body-spirit) Strengthen connections coordinators Study other communities with successful programs Training for trainers 18 Comprehensive Mental Health and Alcohol and other Drug Abuse Services Add more to county services / medical Aging & Disability Resource Center (ADRC)/Aging/ACDA ADDA inpatient not only connected to religious affiliation Adolescent services in the summer support groups Advocacy counseling fee Affordable Care Act- increase understanding Arts – enriching, therapeutic Beds/facilities for patients Build on successes of client-centered services Build on social services Caseworker to help access services/ Caseworker for the working class to advocate & navigate like a hub – who do you call?/ (health care traditional med model) + support staff Centralized Intake Children’s resources/family resource center Continue medical care while people are incarcerated Educating consumer about their disease – what is disease, what meds they are on, how to deal with it Educating providers more on available resources Empower families Expand ability of parish Expanding NAMI & ALANON Grow nurse prescribers’ medication management Heroin detox facility Hire additional psychiatrist – child, adult, addition, public, private, Federally Qualified Health Center (FQHC) Home-based services Improve coordination/communication, drug seeking behavior, diverting, pharmacies, providers Increased education in judicial system In-patient facility in the county/mental health/AODA separate Jail system working with medical system Managing medications better More drug drop off opportunities (ER, etc.) Nurse role – referrals, community involvement One stop triage mental health Parent/family support group by an agency facilitator Peer consultation 19 Promote mental health services in addition to medication treatment Recruit and retain skilled mental health providers/clinicians Satellite offices out in county School behavioral specialists Services for men in community/anger management/abuse Support first time parents - provide parent education and role models—home visiting Support groups in needed areas Supportive Services - more access to transportation, child care, financial asst, other enabling services, pet care Tele-health counseling/psychiatry Funding Advocate for funding etc to continue and build and what is already working Better use of existing resources Continued fund raisers local collaborative Corporate funding partnerships Expand mental health resources through ADRC Grants - to support coordinated approach not just one agency or service Increase funding for prevention (primary secondary) Keep counselors/ school workers employed Keep funding programs that work More resources – specifically financial Reach out to volunteers and philanthropic opportunities to build awareness & support of mental health needs Public Education Advocate for mental health and AODA careers in the schools – encourage vocation & passion Community outreach/marketing resources Continue mock drunk driving modules Coordination between the obvious places people go to obtain information – coffee shops, churches, law enforcement, taverns, non-profits, healthcare, schools, major employers, governmental offices Create base level standard of communication Create the vehicle to which people can go to obtain info – book/ pamphlet, common website Education about issues in workplace & community Education of symptoms of illnesses Education for young parents/families and children and parents together Educate people on how to access services Educate youth about drugs First responder education about mental health, AODA issues, and trauma Healthy Sheboygan Facebook page 20 Information available in various media with all ages in mind Improve websites - ACCESS (incompatibility with phones) Marketing/awareness of current resources & issues Neighborhood mental health fairs/forums Post training video clips, etc., on Facebook, Youtube to be accessible to all Promote crisis services including all lines Public awareness initiatives – billboards (We’ve started, let’s continue. committee) Raise awareness in church communities, bulletins Required education (community) In schools – different topics In org issues Statewide resource book Use media (local radio/billboards/web/tv/phonebook) Use the arts to raise awareness through creating endeavors – theater is a great resource Utilize businesses to promote additional awareness Discuss in Public Policy Address prevention vs reaction to mental health Better citizen to government reps communication Holding community decision-makers accountable for improving mental health delivery system/addiction/prioritizing mental health/AODA issues Insurance reform, prior authorization, licensing & credentialing, MA Improve state legislation Listen to people who are using services More function from state & fed Measuring outcomes Support from state legislators Update legislators to make them informed on current issues We have to all be part of the solution Other Healthy food choices Medicine – Research & science Services in schools for more gifted children 21 Priorities Accessibility to Mental Health and AODA Services/Easier entry/Address language and cultural barriers that affect access and quality (378) Community education - information available, understandable, & audience appropriate to professionals & the consumers, marketing & awareness, use of social media, provider information fair, business raise awareness and resources part of solution (203) Follow up services (160) Coordination & clearing house - create a community health liaison to help coordinate services for people of all socio-economic classes to help navigate the mental health system (156) Increase options for treatment/the amount of therapists/counselors/psychiatrist/integrated care model (151) Prevention and early intervention (148) Changing societal perceptions, stigma reduction, cultural attitudes toward AODA and mental health, increase empathy (127) One Stop Shop, collaboration between agencies, fix communication gap (113) Children-focused services (infant mental health, child, adolescent health) (86) Warm lines (62) Political advocacy/climate, revise current status, making decision makers accountable to make mental health and drug treatment a priority, grassroots effort/align criminal justice policies with approach that recognizes mental health and substance use disorders (49) Insurance, payment source (35) Increase in money & funding/Improve reimbursements (34) Support for those struggling with addiction (individuals, peers, families, parents) (28) Better conditions/money for providers (20) Note: Using a nominal group process Community Conversation participants ranked the overarching themes resulting from the small group discussions. The numbers in ( ) indicate the result of the nominal group process. 22 Action Planning: Small group discussion tables were randomly assigned a priority area and given about ½ hour to brainstorm and propose some ideas for further action plan development. Participants struggled with the process of identifying tasks, steps, barriers, resources, and responsible parties based on the limited information and time available. The participants did feel the process was beneficial and that Community Action Teams may be able to incorporate some ideas from the brainstorming plans. Below are the draft brainstorm plans. Draft Action Plans Goal: Community Education- Increase Awareness Responsible Party : Board of Education, Head Start, Guidance Counselors, Boys& Girls Club, Family Resource Centers, Mental Health America Task/Step Date Barriers Increase Parental Awareness 3-6 months Coordination of those responsible, Parent not open to receive information. Closed mindedness, language, cultural differences clearing with board of education Increase Knowledge of Resources for Families 3-6 months Increase Professional Awareness 3-6 months Communication, coordination, turn-over Increase education about alcohol and other drug use Increase educational opportunities identify target populations make education available where population is found Clarify safe drinking limits Concentrate message on children and the importance of modeling Share consequences of unhealthy use Ongoing Resources Staff and families at community-based organizations Re-set the image of cool Substance free events Language, message, access People to focused communication method 23 Goal: Community Education-AODA Issues Responsible Party : Schools, Tavern league, law enforcement, consumers/ community Task/Step Increase education about alcohol and other drug use Emphasize positive community norms that don’t involve drug and alcohol misuse/abuse Date Barriers 2 years People like alcohol money social norm – it's okay to be intoxicated, funny people use to selfmedicate don’t know how to get help in other areas Too easy to access drugs and alcohol By Dec. 2014/January 2015 Resources Re-set the image of cool Substance free events Clarify safe drinking limits Concentrate message on children and the importance of modeling Share consequences of unhealthy use Help people find their passion Goal: Community Education- Awareness of Resources Responsible Party : Establish action team (Jennifer school system, Sara, Deb-bill board, Mental Health America, United Way, Law Enforcement) Task/Step Date Promote 211 Barriers 90 days Resources Agency Cooperation Community, education on services- January Assign people to develop media guide 2015 or template develop timeline, money to find project, coordinate who will update the guide Get MHA community resource guide 6 months out as many households as possible, find sponsors/ funding/ grants to help with costs of printing and distribution company to print, find volunteers/ service groups/ individuals to help distribute make accessible at school registration make accessible at various agencies and business Cost of resources Staff time Establishing lead Agency Use technology to develop a media guide to distribute all community resources Funding Mental Health America Doctors, teachers promote services of each agency Agency contacts Advocacy from experiences peers/ real life 24 Goal: Community Education- Reduce Stigma Responsible Party : Everyone, yourself and your family Task/Step Date Change the stigma of someone with mental illness seeking help Educating people about within the next 2 years – everyone will hear “how is your mental health?” in a doctor visit then ongoing Barriers Cultural differences age differences peer pressure ingrained culture Resources Mental health America Job center Signage Facebook/ social media Public service announcements mental illness, normalizing mental health issues and acceptance Goal: Community Education-Prevention and Early Intervention Responsible Party: The committee of a various/ diverse members in the community i.e. (doctors, counselors, therapists, etc.) Task/Step Date Educate the public on the signs and symptoms of mental illness and drug abuse and addiction in the community 1.Committee to write/ research signs and symptoms on MH and AODA 2. Organize materials 3. Distribute information Barriers Funding, finding the professional volunteers, Marketing Resources Grants, Private donations, fundraising, Community organizations 1 month 3-6 months Ongoing 25 Goal: Continuity of Care- Early Intervention/Prevention- Universal Access Responsible Party: The committee of a various/ diverse members in the community i.e. (doctors, counselors, therapists, etc.) Task/Step Address needs of children 0-4 Parents Children Teens Identify supports related to Education Parenting? Coping strategies? Healthy relationships Date 2 years 3-6 months Barriers Funding, finding the professional volunteers, Marketing Resources Grants, Private donations, fundraising, Community organizations May not have all skill Have some levels/specialization components that available in the community could be better coordinated, Head Start and Mental Health America Goal: Continuity of Care- Early Intervention/Prevention- First Time Parent Class Responsible Party: The committee of a various/ diverse members in the community i.e. (doctors, counselors, therapists, etc.) Task/Step Date Barriers Provide parent education on mental health services Fall 2014 transportation financial life skills limited child care needed timing day/ evening Promote existing resources for adults and children Support basic parenting skills Ongoing See above Ongoing See above Resources 1) form committee 2) include parents who have already “been there” 3) those already working with parents 4) Sources of funding – dept of social services grant writing Goal: Continuum of Care- Better structure continuum of care from prevention, early intervention, and treatment Responsible Party : Mental Health America, Sheboygan County, HSS, Community Stakeholders Task/Step Collaborative relationships between agencies to refer to best services and most appropriate provider Date Barriers March 2015 Changing service levels Resources Participants from community conversation 26 Goal: Continuity of Care-Transitional Living Responsible Party: The committee of a various/ diverse members in the community i.e. (doctors, counselors, therapists, etc.) Task/Step Date Educate the public on the signs and symptoms of mental illness and drug abuse and addiction in the community 1.Committee to write/ research signs and symptoms on MH and AODA 2. Organize materials 3. Distribute information Barriers Funding, finding the professional volunteers, Marketing Resources Grants, Private donations, fundraising, Community organizations 1 month 3-6 months Ongoing Goal: Help Line or On-line Clearing House to Improve System Navigation Responsible Party : Mental Health America, Sheboygan County, HSS, Community Stakeholders, Schools Task/Step Allocate/identify funding Date Barriers 12 months Funding Develop/ define referral system to 12 months create 24/7 Service Create a “hub” for people with mental health issues and families to go for resources, direction, advocacy and a plan of action, regardless of culture, ability to pay, language and social economic status Focus on working class and middle class who would not turn to a nonprofit for help because they are not low income stigma Having tech personnel Stigma associated with using services Coordinate Services Lack of proximity Ongoing Resources Consolidation of existing resources to avoid duplication of services and possibly free up funds Mental Health America help people navigate the “one-stop-shop” Look for comparable programs that may be expanded Existing directory MHA good name Area medical/ psych/ counselors – underwriting Physical space shared = access easier services / Lakeshore community health care clinic 27 Goal: Increase Access to Services- Comprehensive Responsible Party : Mental Health America, Sheboygan County, HSS, Community Stakeholders, Lakeshore Community Health (consumers), Schools, Aging and Disability Resource Center Task/Step Date Barriers Resources Increase access to providers Diverse language and cultural knowledge Hmong and Spanish Specialized providers in infant mental health Addictionologist Child Psychiatrist/Psychologist Individuals who receive services at any point based on mental health or AODA services would have access to follow up services - Identify what’s currently available increase options where there are gaps. Include alternative choices, Base options on client centered model, offer more local options for long term recovery 12 months Funding Identify all access issues- review feedback from session April 2014 Time Feedback from community conversation, surveys Prioritize Issues May 2014 Competing priorities Community involvement Ongoing Funding for staff and administration of additional services Consolidation of existing resources to avoid duplication of services and possibly free up funds Hospitals, non-profits Involve providers in panning June and July Time 2014 Involve a diverse range of consumers June and July Time, transportation 2014 Complete and refine an action plan August 2014 Provide transportation to services and medication pick-up Address educational barriers 3-6 months Funding Child Care 3-6 months Funding/availability Regulated child care during service delivery do providers family can focus on care and children are in a healthy environment, flexible hours Ongoing Mental Health America Research approaches that are working Community Access to information 28 Goal: Increase Access to Services- Child and Adolescent Services Responsible Party : Community, employer, provider, participant/ citizens/ family and schools, child and adolescent committee w/ school counselor and counselor education Task/Step Date Partnership among community, school personnel and families to implement early identification and treatment Inventory of service providers that specialize in children and adolescents Intensive outpatient services and continuum of services, increase and coordinate service providers that specialize with children and adolescents and improve access to these resources Program structured with coordinated services team Workforce development - encourage legislators to have incentives for people to be trained to work with this population and serve in high need areas Educate children / teens early to encourage awareness of entry in the field Education - Form committee to design a youth website linked to adult/ parent website, all known resources available support group availability, FAQ, Blog Links to face books, twitter, etc. Offer education mental illness, substance abuse interpersonal violence, peer pressure, bullying, safe sex PSA's at the schools Parental Involvement- create Parent/ caregiver as teachers” mentor program, Increase awareness of this program expand it to age 17 Barriers Staffing Funding Locations 3 months: Enough qualified need providers identification 6 months: Funding, recruitment w/ in 12 month: new programs ready Resources Tom Eggebrecht Sheboygan County Health & Human Services pupil services in schools parents Training school districts Hospitals Schools County board – government Fundraising local businesses community clinics family resource center 12 months funding Healthy Sheboygan County 2020 mental health committee school counselors college counselor 6 months Funding/staff time Mental Health America and support from United Way 1 month to Not enough marketing gather and funding for information Strengthening Families with assess current status UW-Extension Strengthening Families program/ Jane Jensen family service 29 continuity of parents as teachers program (ages birth 9 years) into Strengthening Program Referral process – who knows about it among other providers? of Strengthening Families Program providers, schools, juvenile justice as a team 30
© Copyright 2024