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DRAFT

Learn more about special tracks offered during the conference

Monday, March 5, 2018, 3:30 pm - 5:00 pm

Session 12 yya

3:30 pm - 5:00 pm
Bayshore 5 ~ (90-minute Symposium)

Examining Family Involvement in Early Intervention in Psychosis: Three Unique Intervention and Evaluation Approaches from Texas, Illinois, and Vermont
Symposium Chair: Deborah Cohen, PhD, School of Social Work Texas Institute for Excellence in Mental Health, The University of Texas at Austin, Austin, TX; Discussant: Vanessa Klodnick, PhD, Youth & Young Adult Services Research & Evaluation, Thresholds, Chicago, IL

This symposium highlights the complexity of measuring and boosting family involvement through examining community-based CSC program evaluation efforts and applied research in three states: Texas, California, and Illinois. Findings suggest that there a variety of ways that CSC teams involve family, including through adapting family education and by adding “Family Partners.” However, there is much to be done in understanding the dynamic nature and need for family involvement as young people progress through CSC.

Session 13ebp

3:30 pm - 5:00 pm
Bayshore 6 ~ (90-minute Symposium) 

A Tale of Two States: Outcomes from Two State-Wide Demonstration Projects to Expand Evidence-Based Psychotherapies for Traumatized Youth
Symposium Chair: Suzanne Kerns, PhD, Graduate School of Social Work, University of Denver, Denver, CO

Evidence-based psychotherapies for PTSD in children are highly efficacious in controlled trials, yet applying these models into community settings is incredibly challenging. This symposium examines the implementation and clinical outcomes of two multi-year, state-wide efforts to implement evidence-based psychotherapies into community settings for traumatized children involved in the child welfare systems. Clinician drop-out was considerable. However, for the children who did complete treatment, clinical outcomes were similar to those in highly controlled trials.

Session 14cw

3:30 pm - 4:00 pm
Bayshore 7 ~ (30-minute Paper) 

Supporting the Caregiving System: the Missing Ingredient
L. Michelle Codington, MS, LMFT, Where Kids Thrive, Haddonfield, NJ


4:00 pm - 4:30 pm
Bayshore 7 ~ (30-minute Paper) 

Evaluating Child Welfare Practice Model Fidelity and Supporting Practice and System Change Through Assessment: Pennsylvania's Waiver Experience with the CANS, FAST, and SPANS
Mary Elizabeth Rauktis, PhD, The University of Pittsburgh School of Social Work, Child Welfare Education and Research Programs, Pittsburgh, PA; Laura Packard Tucker, Chapin Hall at the University of Chicago, Chicago, IL

This presentation will present findings on the targeting of the CANS and FAST within the Pennsylvania IV-E Waiver demonstration. These findings explore how initial assessments were targeted to children along with their child welfare trajectory from before an initial substantiated allegation to after placement and how that does or does not correspond (or, doesn't) to each demonstration county's stated target population. This is done to better understand what impact can be expected to see from the administration of these assessments.

4:30 pm - 5:00 pm
Bayshore 7 ~ (30-minute Paper) 

Benchmarks' Partnering for Excellence: Improving Outcomes for Families by Aligning the Child Welfare and Mental Health Systems
Jenny Cooper, Benchmarks, Charlotte, NC

Benchmarks’ Partnering for Excellence (PFE) redesigns the local child welfare/behavioral health system, changing the way child welfare, Medicaid managed care, local mental health providers, and the wider community understand the need for accessible, appropriate mental health services for youth and families who have experienced potentially traumatic events. PFE bridges the cultural and financial divides between social services and managed care by aligning processes around a common clinical assessment and shared responsibility around treatment decisions and outcomes.

Session 15

3:30 pm - 4:00 pm 
Esplanade 1 ~ (30-minute Paper)

Identifying and Comparing Profiles of Treatment Need for Youth in School-based and Community-based Programs at a Large Mental Health Agency
Sarah Accomazzo, MSW, PhD; Jesh Harbaugh; Leticia Galyean, LCSW, Data, Evaluation, and Strategic Initiatives, Seneca Family of Agencies, Oakland, CA

In order to use data to make decisions and provide higher quality care, youth mental health organizations need analytic strategies tailored to large administrative datasets. This study used recursive partitioning methods to identify specific assessment items, and combinations of items, associated with higher overall treatment need. Analyses yielded differing need profiles for youth receiving services in school-based or community-based programs. Implications for practice and considerations for those interested in replicating this analysis will be discussed.

4:00 pm - 5:00 pm 
Esplanade 1 ~ (60-minute Discussion)

Custody Relinquishment to Obtain Children's Behavioral Health Services: Current Findings and Strategies to Address the Practice
Beth Stroul, MEd, Management & Training Innovations and TA Network for Children's Behavioral Health, McLean, VA; Elizabeth Manley, MSW, The Institute for Innovation and Implementation, University of Maryland School of Social Work, Baltimore, MD 

This session will focus on the issue of families having to relinquish custody of their children to obtain needed behavioral health services. The Technical Assistance Network for Children’s Behavioral Health conducted a project to provide current information on the practice nationwide and to identify effective strategies to address it. The results of a national scan of state agencies, family organizations, and tribes will be presented, followed by a discussion of the implications. The strategies used by New Jersey to eliminate custody relinquishment for treatment will be highlighted as an example.

Session 16

3:30 pm - 4:00 pm
Esplanade 2 ~ (30-minute Paper)

Utilizing Medicaid Claims Data to Identify and Refer Youth and Young Adults to First Episode Psychosis Specialty Care
Christopher Bory, PsyD; Robert Plant, PhD, Beacon Health Options, Rocky Hill, CT; Tim Marshall, LCSW, Connecticut Department of Children and Families, Hartford, CT

There is a growing body of evidence supporting the effectiveness of early identification, referral, and treatment for emerging adults experiencing first episode psychosis (FEP). This presentation will include a description of the identification methodology using Medicaid claims data, preliminary results, and the process in which a statewide Intensive Care Management Program refers emerging adults to specialty FEP programs or other appropriate treatment. Implications for research, policy, and practice will be discussed.

4:00 pm - 4:30 pm
Esplanade 2 ~ (30-minute Paper)

Barriers, Challenges, and Solutions in Assisting Young Persons with Early Psychosis in Long-Term Career Planning
Jennifer Humensky, PhD, Psychiatry, Columbia University, New York State Psychiatric Institute, New York, NY

Barriers and challenges to achieving vocational goals among individuals receiving treatment for early psychosis were examined. Interviews were conducted with 19 clients at two programs and with 48 program staff at 26 programs. Of the clients interviewed, 20% of clients interviewed had no career plans and another 20% wanted glamorous careers that they were not working towards. Program staff described processes of helping clients identify intermediate steps to guide them in the process of identifying and achieving long-term goals.

4:30 pm - 5:00 pm
Esplanade 2 ~ (30-minute Paper)

Stakeholders’ Perception of Feasibility and Acceptability on Implementing an Evidence-Based Child Mental Health Intervention to Reduce Behavioral Difficulties in Child Welfare Setting
Kerry-Ann Lee, MSW; Geetha Gopalan, PhD; Taiwanna Lucienne, MSW, School of Social Work, University of Maryland, Baltimore, MD

This study explores the acceptability and feasibility perception of child welfare (CW) staff and caregivers of children with behavioral difficulties who participated in the implementation of the modified 4R2Ss Evidence-Based Practice (EBP) in a child welfare setting. In-depth interviews, focus groups and surveys were used in data collection. CW staff and caregivers indicated that the implementation of the modified EBP was mostly feasible and acceptable despite challenges.

Session 17wa

3:30 pm - 4:00 pm 
Esplanade 3 ~ (30-minute Paper)

Technology, Waivers, and Wraparound: How to Build a Successful CSoC Program within a Medicaid Framework and an Evolving Healthcare Market
Wendy Bowlin, MS, LPC, MBA, Louisiana's Coordinated System of Care, Magellan Health in Louisiana, Baton Rouge, LA

In 2012, Magellan Health in Louisiana partnered with Louisiana’s Department of Health to implement the Coordinated System of Care (CSoC) based on the Wraparound framework and principles for youth and families with the most complex behavioral health needs. This presentation will look at the evolution Louisiana’s CSoC program and sustaining a waiver-based program in a continually changing healthcare market, including integration of behavioral health management into MCOs and carving out CSoC as children’s specialty program.

4:00 pm - 4:30 pm 
Esplanade 3 ~ (30-minute Paper)

Partnering to Achieve Outcomes for Youth in the Juvenile Justice System through Wraparound
David Sikes, MS, Louisiana, Choices Coordinated Care Solutions, Inc., Shreveport, LA; Shannon Choate, LCSW, Region 6, Choices Coordinated Care Solutions, Inc., Lake Charles, LA; Elizabeth Oyer, PhD, Applied Research and Evaluation, Choices Coordinated Care Solutions, Inc., Indianapolis, IN

Choices’ partnerships within the juvenile justice system include relationships with both prosecutors and defense attorneys in Louisiana’s Calcasieu Parish. Using the wraparound process, juvenile court judges now have an additional option for improving outcomes for youth and the community. MANOVA and case history results demonstrate positive outcomes in risk behavior and emotional and behavioral health. Establishing good partnerships changes the trajectory of the outcomes for these youth with complex needs.

4:30 pm - 5:00 pm 
Esplanade 3 ~ (30-minute Paper)

OPEN


Session 18yya

3:30 pm - 4:00 pm 
Palma Ceia 1 ~ (30-minute Paper)

Can You Hear Me Now? Strategies, Tools & Resources to Enhance Young Adult Voice in Research
Kathleen Biebel, PhD; 
Amanda Costa, BA, Transitions Research and Training Center, University of Massachusetts Medical School, Worcester, MA

Engaging young adults in the co-production of research is critical to developing and implementing policies and services that meet their unique needs. Participatory Action Research is a strategy that ensures integration of meaningful young adult voice into research. Presenters will propose a framework of meaningful young adult involvement in research, and provide real-world tools and strategies to support researchers and organizations to prioritize, plan, and be purposeful about engaging young adults in their work.

4:00 pm - 4:30 pm 
Palma Ceia 1 ~ (30-minute Paper)

Vocational Rehabilitation Leaders' Perceptions of Collaboration with Child and Adult Mental Health for Successful Employment Outcomes in Transition-Age Youth
Maryann Davis, PhD; Raphael Mizrahi, BA,
Transitions Research & Training Center, Department of Psychiatry, University of Massachusetts Medical School, Worcester, MA

Helping transition-age youth with serious mental health conditions successfully navigate their adult work lives requires state vocational rehabilitation systems (VR) to work with child and adult mental health systems serving these youth. Qualitative interviews were conducted with local leaders of VR in communities that had received grants to improve services for this population. Interviews probed factors that impede or facilitate collaboration with mental health systems and revealed numerous contributing factors in this uniquely challenging collaboration.

4:30 pm - 5:00 pm 
Palma Ceia 1 ~ (30-minute Paper)

The Quarterlife Crisis: Supporting Young Adult Mental Health and Wellbeing During the College-to-Career Transition
Laura Golden, BA,
 University of Massachusetts Medical School, Shrewsbury, MA; John MacPhee; Victor Schwartz, MD; Jenna Scott, PsyD, The Jed Foundation, New York, NY; Kathleen Biebel, PhD, University of Massachusetts Medical School, Worcester, MA

The college-to-career transition is a crucial developmental period; however, limited attention has been paid to the mental health of college seniors and recent graduates as they transition into the workplace. Results from a national survey of college seniors, recent graduates, and employers (n=1,929) highlight young adults’ mental health experiences as they enter the labor market and employer-based strategies to support the mental health and wellness of their young adult employees. 

Session 19yya

3:30 pm - 4:00 pm 
Palma Ceia 2 ~ (30-minute Paper)

Support Network Assessment and Enhancement Among Young People Transitioning from Foster Care: Youth-Identified Support Strategies and Implications for Intervention Development
Jennifer Blakeslee, PhD, MSW; Shannon Turner, LCSW, Research and Training Center on Pathways to Positive Futures, Portland State University, Portland, OR

Transition-age young people in foster care often lack adequate social support from formal and informal sources, which may impact long-term social development and help-seeking behaviors. Interviews were conducted to explore youth perceptions of their networks and how such support might be assessed and enhanced. Findings inform intervention development to enhance the availability and utilization of support as youth age out of foster care.

4:00 pm - 4:30 pm 
Palma Ceia 2 ~ (30-minute Paper)

The Dialectics of Transition Age Youth Engagement and Practice: Introducing the Theory of Balance
Vanessa Klodnick, PhD, Youth & Young Adult Services Research & Evaluation, Thresholds, Chicago, IL

Transition-age youth (TAY) team-based mental health service engagement is a complex and dynamic process that is inherently embedded within each young person’s developmental, social, and individual narrative. This paper leverages in-depth interviews with TAY clients (n=22); provider staff (n=12); and young person-identified social supports (n=10) to unpack the complexity of service engagement. A theory of balance is proposed that is composed of seven practice dimensions. Implications for a multidimensional model of TAY engagement are discussed.

4:30 pm - 5:00 pm 
Palma Ceia 2 ~ (30-minute Paper)

Barriers to Psychotherapy Retention: How Do We Keep Young Adults Engaged?
Emma Pici-D'Ottavio, BA; Maryann Davis, PhD, Transitions Research and Training Center, University of Massachusetts Medical School, Shrewsbury, MA

Young adults (YA) are more likely to drop out of psychotherapy and attend fewer sessions than adults, leading to poorer outcomes. Although retention strategies exist for adults, their efficacy for YA is unknown. The current study investigated factors that impact psychotherapy retention in YA, including the targets of established adult strategies. Other factors that may be unique to this population were explored. Implications for retention interventions geared towards YA will be discussed.

Session 20

3:30 pm - 4:00 pm 
Palma Ceia 3 ~ (30-minute Paper)

Producing Results for Youth in the Juvenile Justice with Systems of Care: Key Strategies and Lessons Learned
Jennifer Tackitt-Dorfmeyer, LCSW, CYC-P; Elizabeth Oyer, PhD, Choices Coordinated Care Solutions, Indianapolis, IN

The goal for work with youth with juvenile justice involvement is to increase positive outcomes by stabilizing both the youth and family in the community. This session focuses on strategies for achieving outcomes for these youth. Discussion will include review of quantitative analyses of repeated measures multivariate analysis of variance and walks through effective strategies and complications presented by a case history of one youth.

4:00 pm - 5:00 pm 
Palma Ceia 3 ~ (60-minute Symposium)

Initial Findings from the Children's Mental Health Initiative National Evaluation: Perspectives on Service and Supports
Symposium Chair: Abram Rosenblatt, PhD, Westat, Rockville, MD; Discussant: Kris Painter, PhD, LCSW, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville, MD

This symposium encompasses three presentations from the SAMHSA-funded Child Mental Health Initiative National Evaluation. The presentations feature qualitative, quantitative, and finance-based findings regarding the services and supports provided by local grantees funded in 2015 and 2016. These grantees are implementing system of care based infrastructures, services, and supports with the goal of expanding and sustaining these systems to reach more children, youth, young adults and families. Overall results will be integrated and discussed.

  • Children's Mental Health Initiative (CMHI) National Evaluation: Quantitative Perspectives on Services and Supports
    Abram Rosenblatt, PhD, Westat, Rockville, MD; Emily Lichvar, PhD; Kris Painter, PhD LCSW, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville, MD; Preethy George, PhD, Westat, Rockville, MD

    Initial Findings from the System of Care Expansion and Sustainability Survey (SOC-ESS) completed by CMHI grantees across agency program administrators and youth and family representatives will be presented. Findings include ratings of the availability of out-of-home, community-based, and evidence-based services. Additional quantitative results relevant to services and supports will be presented and discussed.

  • Children's Mental Health Initiative National Evaluation: Qualitative Perspectives on Services and Supports
    Mary Anne Myers, PhD, Westat, Rockville, MD; Lynda Gargan, PhD, National Federation of Families for Children's Mental Health, Rockville, MD; Brie Masselli, Youth MOVE National, Portland, ME; Chandria Jones, PhD, Westat, Rockville, MD

    This presentation offers initial findings from Key Partner Interviews conducted with system of care grantee program administrators, and youth and family representatives. Analyses focus on the implementation of services and supports, with a focus on the implementation and delivery of evidence-based services. Findings indicate that grantees use a broad range of approaches to promoting effective services.

  • Children's Mental Health Initiative National Evaluation: Financing Services and Supports
    Wendy Holt; Dana Roth, DMA Health Strategies, Lexington, KY; Kris Painter, PhD, LCSW, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville; Abram Rosenblatt, PhD, Westat, Rockville, MD

    Sources used to fund children's mental health services vary. This presentation summarizes the results of interviews from 2015 SAMHSA Child Mental Health Initiative grantees to map their funding sources for service delivery. This presentation describes the primary funding sources states and tribes use for Wraparound Planning, Intensive Care Coordination, Flexible Funding, and Family and Youth Peer Services. Strategies for sustainable funding, and barriers and facilitators to achieving sustainability are also summarized.

Session 21

3:30 pm - 4:00 pm 
Palma Ceia 4 ~ (30-minute Paper) 

Partnering to Promote Evidence-Based Practice Innovation in Child Welfare: Challenges and Ingredients for Success
Elisabeth Cannata, PhD, Community-Based Family Services & Practice Innovation, Wheeler Clinic, Plainville, CT; Cynthia Weaver, PhD, Annie E. Casey Foundation, Baltimore, MD; Tina Jefferson, LMSW, Connecticut Department of Children and Families, New Britain, CT; Cynthia Cupit-Swenson, PhD, Medical University of South Carolina, Charleston, SC; Cynthia Schaeffer, PhD, University of Maryland, Baltimore, Baltimore, MD

While EBPs have proliferated in behavioral health, this is less so in child welfare, in part because of the challenges of introducing change within a context of risk-aversion. This presentation will describe an ongoing partnership between model developers, child welfare leadership, and a trusted provider, that has allowed for the successful adaptation of an EBP to address multiple child welfare intervention needs. The paper will provide each partner’s perspective about the ingredients for success.

4:00 pm - 5:00 pm 
Palma Ceia 4 ~ (60-minute Symposium) 

Ecological Influences on Child Welfare Caseworker Decisions: What Do We Know, What Are We Learning, and How Do We Use What We Have Learned?
Symposium Chair: John Fluke, PhD, Department of Pediatrics, University of Colorado School of Medicine, Kempe Center for the Prevention and Treatment of Child Abuse & Neglect, Aurora, CO 

Decision making in child welfare is increasingly acknowledged as a key component of child welfare research. This symposium will include two presentations that incorporate aspects of the Decision Making Ecology (DME): 1) the role of staff and organizational characteristics in connection with referral decisions to family group conferences, placement, and permanency; and 2) factors influencing decisions with implications for child welfare workforce including hiring, training, organizational role, supervision, and retention.

  • DME at Present: Current and Ongoing Explorations of Decision Making
    Mindy Vanderloo, PhD, Social Research Institute, University of Utah, Salt Lake City, UT; Dustin Currie, MPH, Pediatrics, University of Colorado School of Medicine, Kempe Center for the Prevention and Treatment of Child Abuse & Neglect, Aurora, CO

    This presentation reviews results from three studies in different jurisdictions that employed a General Staff Survey (GSS) and linked results to administrative data. The first study examined associations between staff and agency characteristics and whether referrals to family conferences were made. The second study investigated how caseworker variables were related removal decisions and outcomes. The third study included repeated administration of the GSS and examination the relationship between caseworker characteristics and investigation and assessment decisions.

  • DME's Future: Implications for Agency Culture, Workforce Competencies, and Other Considerations
    Dana Hollinshead, PhD, Pediatrics, University of Colorado School of Medicine, Kempe Center for the Prevention and Treatment of Child Abuse & Neglect, Aurora, CO      

    Ecological child welfare research has important implications for implementation science and child welfare administration including the analysis of agency and decision-maker characteristics in relation to implementation, assessments, decisions, outcomes, and continuous quality improvement. This presentation will discuss how such results from this research might inform hiring, training, assignment, supervision, and retention, with the goal of identifying practical and ethical considerations, as well as insights into where else ecological research might improve outcomes.

Session 22itr

3:30 pm - 4:15 pm
Garrison Suite ~ (45-minute Symposium) 

Adolescent Behavioral Health in the Community
Symposium Chair: Donna L. Burton, PhD, Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL

Community-based adolescent behavioral health providers face challenges that affect the ways in which services are developed and delivered. This panel will address strategies for meeting these challenges. Topics include the following: 1) improving quality of care for adolescents in community-based settings, 2) broadening the parameters of EBPs through community-defined evidence, and 3) developing and evaluating adolescent treatment models that meet the needs of adolescents and their communities.

4:15 pm - 5:00 pm
Garrison Suite ~ (45-minute Symposium) 

Multi-cultural Factors and Trends in Adolescent Substance Abuse
Symposium Chair: Julie A. Baldwin, PhD, Center for Health Equity Research, College of Health and Human Services, Northern Arizona University, Flagstaff, AZ

This panel will focus on the national and local trends in adolescent drug abuse, with particular emphasis on alcohol, marijuana, and opioid use. Specific examples from tribal drug abuse prevention programs, as well as marijuana citation and opioid treatment programs will be featured. Researchers and service providers will share their insights on cultural and contextual factors which must be considered in developing and implementing drug abuse prevention programs to address the current needs among adolescents.

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