Concurrent Sessions 12 – 22


March 15-18, 2020

Monday, March 16, 2020

1:00 PM – 2:30 PM

Learn more about special tracks (identified in red) offered during the conference

Session 12

1:00 PM – 1:30 PM
Bayshore 5 ~ 30-Minute Paper
Exploring the Impact of Cultural Values on Filipino American Youths’ Mental Health and Help-Seeking Behaviors
Gayle Gabriel, PhD, Public Policy Research Institute, Bryan, TX  

Improving the mental health of Filipino American young adults requires centralizing their identity and investigating the cultural values that influence help seeking behaviors. Study participants described how the value of harmony (kapwa) manifested itself in their mental health and help-seeking behavior. Results indicate that maintaining kapwa among their family and the fear of shame (hiya) were influential in participant’s mental health decisions that sometimes resulted in fear and isolation (utang na loob).

Session 13 EBP

1:00 PM – 1:30 PM
Bayshore 6 ~ 30-Minute Paper
Do Implementation Contexts Improve Child and Parental Well-Being? Findings From the Pep-2 Child Welfare Study
Antonio Garcia, PhD, College of Social Work, University of Kentucky, Lexington, KY; Minseop Kim, PhD, The Chinese University of Hong Kong, Hong Kong; Christina Myers, University of Illinois at Chicago, Chicago, IL; Xuan Trinh, MSW, University of Pennsylvania, Philadelphia, PA

While previous studies offer insight into which evidence-based practices (EBPs) promote safety and well-being, the underlying contextual implementation conditions that influence these outcomes are less understood. This presentation relies on survey data collected from workers, supervisors, and parents to discuss how devoting attention to increasing research evidence use and appeal to EBPs may improve parental and family well-being. We will also discuss the negative implications of creating a culture of “mandating” EBPs.

1:30 PM – 2:00 PM
Bayshore 6 ~ 30-Minute Paper
Implementation of an Evidence-Based Early Childhood Home Visiting Intervention Across Diverse Community-Based Service Contexts
Patricia Sattler, MSW, Amy Mendenhall, PhD, Social Welfare, University of Kansas, Lawrence, KS; Kaela Byers, PhD, Chapin Hall, The University of Chicago, Chicago, IL; Zoë Mulkey, Social Welfare, University of Kansas, Lawrence, KS

This paper reflects the results of a mixed-methods implementation evaluation for an evidence-based early childhood home visiting intervention delivered across diverse community-based contexts in one Midwestern state. Through the application of the Consolidated Framework for Implementation Research, we identify multiple facilitators that support and challenges that constrain the successful delivery and implementation of this intervention with at-risk children and families. Findings from this study are informative for community service providers and funders as scale-up is considered.

2:00 PM – 2:30 PM
Bayshore 6 ~ 30-Minute Paper
A Change Would Do You Good: Assessing Change Over Time to Support Implementation of Evidence-Based Practices
Rachel Kim, PhD, Daniel Cheron, PhD, Robert Franks, PhD, Heather Halko, PhD, Amy Doyle, MPH, MSW, Judge Baker Children’s Center, Boston, MA

This presentation will describe the development of a more comprehensive “Change Toolkit,” which combines a) the Change Package, b) a formal assessment of implementation progress objectives and core components included in the Change Package, and c) an Implementation Planning Guide. This toolkit is used to drive collaborative consultation between expert faculty and site-based implementation teams to support the adoption of the Modular Approach to Therapy for Children (MATCH), an evidence-based psychosocial treatment for children and adolescents.

Session 14

1:00 PM – 1:30 PM
Bayshore 7 ~ 30-Minute Discussion
Better Outcomes for Youth and Young Adults Involved in Cross-Systems
Reina Batrony Cine, MA, Evidence Based Community of Programs, The New York Foundling, New York, NY; Ashli Sheidow, PhD, Oregon Social Learning Center, Science to Practice (S2P) Group, Eugene, OR

Raise the Age (RTA) is a common-sense reform that will curb crime, save taxpayer dollars, treat families fairly, and get better outcomes for vulnerable young people. The aims of this presentation are to 1) share how the Implementation Support Center (ISC) at the New York Foundling uses a unique approach to implementation support of evidence-based models to get proven outcomes for emerging adults; 2) to share about the implementation of MST-EA.

1:30 PM – 2:30 PM
Bayshore 7 ~ 60-Minute Discussion
Evaluation of a Transition System of Care for Improving the Outcomes of Youth With Serious Emotional Disorder (SED) and Involvement in the Juvenile Justice System
Kelly France, LMSW, Transition Age Services, Healthwest, Muskegon, MI; Sandra Vanderhyde, Muskegon County Family Court, Muskegon, MI

MYalliance System of Care (SOC) shows promising practices for improving outcomes for youth with SED and involvement in the juvenile justice system. The SOC implemented the Transition to Independence Process (TIP) Model with other practices relevant to engaging and intervening with youth in juvenile justice. The findings show substantial improvements in engagement in education/employment, housing, functioning, and wellbeing. The discussion will focus on lessons learned and the involvement of parents and youth with lived experience.

Session 15

1:00 PM – 1:30 PM
Esplanade 1 ~ 30-Minute Paper
Racism, Trauma, and Resilience: Transforming Systems and Practice
Audrey Smolkin, MPP, Child and Family Policy, University of Massachusetts Medical School, Shrewsbury, MA

What approaches work to reduce trauma for children and families? What policies support reducing trauma and promoting resilience? How should training programs address the impact of structural racism in the promotion of trauma? This session will discuss two interventions on trauma and resilience with a focus on racial equity and include a discussion of implications for future research and policy change to reduce trauma and promote resilience, particularly for youth of color.

1:30 PM – 2:00 PM
Esplanade 1 ~ 30-Minute Paper
Developing Program and Practice Standards for Intensive In-Home Behavioral Health Treatment (IIBHT) Part II
Philip Benjamin, MA, Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA; Richard Shepler, PhD, Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western University, Cleveland, OH; Eric Bruns, PhD, Marianne Kellogg, Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA

Intensive In-Home Behavioral Health Treatment (IIBHT) is utilized widely for youth with serious behavioral health needs and their families. Yet, the field has lacked broadly accepted quality standards. This paper presents results from a project to define program and practice standards for IIBHT drawing upon expert interviews, literature review, and a Decision Delphi consensus rating process.  Standards will ultimately inform efforts such as learning/quality collaboratives, workforce development, quality improvement initiatives, and research.

2:00 PM – 2:30 PM
Esplanade 1 ~ 30-Minute Paper
Child Welfare and Juvenile Justice Workers’ Perceptions of Screening Children and Adolescents for Trauma
Brittany Lange, DPhil, MPH, Jason Lang, PhD, Child Health and Development Institute of Connecticut, Inc., Farmington, CT; Christian Connell, PhD, Penn State University, Child Maltreatment Solutions Network, University Park, PA

Debate exists regarding screening children for traumatic events. This study assessed the perceptions of juvenile justice and child welfare workers who administered the Child Trauma Screen (CTS), which obtains youth and caregiver reports of traumatic events and associated symptoms. Overall, the CTS was found to be feasible to administer, worthwhile to practice, and did not result in significant discomfort. Given these findings, practitioners may benefit from incorporating trauma screening into their current practice.

Session 16

1:00 PM – 1:30 PM
Esplanade 2 ~ 30 Minutes Paper
Youth and Family Voice: What Does the Data Really Say?
Chandria Jones, PhD, Westat, Rockville, MD; David McClung, PhD, ACCEPT Texas, Austin, TX; Kristin Thorp, MPP, Youth MOVE National, Portland, OR

This presentation will provide an in-depth look at family and youth involvement in system of care expansion efforts. Analytical findings will highlight key planning and implementation activities that family and youth members were involved with as part of the 2015 cohort, assess strategies that resulted in higher involvement, and the impact of youth and family involvement on other domains. Our findings suggest the need for improvement in the extent to which youth are involved in system of care activities.

1:30 PM – 2:30 PM

Esplanade 2 ~ 60-Minute Symposium
Children’s Mental Health Initiative (CMHI) System of Care Expansion and Sustainability Survey (SOCESS) Analysis: Innovative Methods, Findings, and Future Recommendations
Symposium Chair: Chandria Jones, PhD, MPH, Westat, Rockville, MD; Discussant: Abram Rosenblatt, PhD, Westat, Rockville, MD

SAMHSA’s Children’s Mental Health Initiative (CMHI) provides federal support for the development of systems/supports for children and youth with serious emotional disturbances and their families based on the system of care (SOC) approach. The CMHI National Evaluation focuses on assessing expansion and implementation of SOC on five analytic domains: (1) policies, (2) services/supports, (3) financing, (4) training/workforce, and (5) strategic communications. One of the key instruments, The System of Care Expansion and Sustainability Survey (SOCESS), a self-administered online survey, is designed to capture self-reported grantee-level data on all of the five analytic domains. This symposium features three presentations describing analytical methods, findings, and next steps based on SOCESS data collected from 2015- and 2016-funded CMHI grantees.

Children’s Mental Health Initiative (CMHI) National System of Care Expansion Evaluation: The Quantitative Assessment of Expansion and Sustainability From Five Analytic Domains Perspective
Sandeep Kasat, MPH, Westat, Rockville, MD

This presentation will provide an overview of the System of Care Expansion and Sustainability Survey (SOCESS), methods used for analyzing SOCESS data, and key findings from all five analytic domains (policies, services/support, financing, training/workforce, and strategic communications). Findings include overall domain and sub-domain means and correlations within and across domains to identify domains, sub-domains, or items that are associated with effective implementation of system of care expansion and sustainability efforts.

Children’s Mental Health Initiative National System of Care Expansion Evaluation: Family and Youth Involvement in Planning and Implementation of System of Care Expansion
May Yamate, MS, Nataly Johanson Tello, BS, Westat, Rockville, MD

This presentation will provide an in-depth look at family and youth members’ or organizations’ involvement in planning and implementation activities for system of care (SOC) expansion. Analytical findings highlight essential planning and implementation activities, assess specific actions/strategies that resulted in higher youth and family involvement, and the impact of youth and family involvement in other domains and sub-domains.

Children’s Mental Health Initiative National System of Care Expansion Evaluation: Assessing Services and Evidence-Based Practices
Zhiqun Tang, PhD, Westat, Rockville, MD

This presentation provides an overview of the availability and use of services and evidence-based practices (EBPs), presents findings from analyses to identify EBPs associated with perceived effectiveness, discusses implications of results, and highlights key limitations and challenges of our approach. Additional discussion will focus on our analytical approach to address data challenges and key evaluation questions.

Session 17

1:00 PM – 1:30 PM
Esplanade 3 ~ 30-Minute Paper
Beyond Building Blocks: Supporting Social Emotional Learning Across Ontario’s Three to Six Year Old Children
Purnima Sundar, PhD, The Ontario Centre of Excellence for Child and Youth Mental Health, Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada; Chaya Kulkarni, EdD, Infant Mental Health Promotion, The Hospital For Sick Children, Toronto, ON, Canada; Nicole Summers, MA, The Ontario Centre of Excellence for Child and Youth Mental Health, Children’s Hospital of Eastern Ontario, Ottawa, ON, Canada; Kathy Short, PhD, School Mental Health Ontario, Hamilton Wentworth District School Board, Hamilton, ON, Canada

There is general agreement between researchers, experts, and direct service providers that promoting mental health across the lifespan and acting early to prevent mental illness leads to a stronger society and economy. With the introduction of structured early learning/kindergarten, social, and emotional learning may be compromised in some children. Together, we are partnering across relevant sectors to implement evidence-based, integrated approaches to supporting early childhood mental health.

1:30 PM – 2:30 PM
Esplanade 3 ~ 60-Minute Discussion
Community-Based Policy Approaches Addressing Substance Use/Dual Diagnosis Services: Learning From the Past; Influencing the Future
Doreen Cavanaugh, PhD, The Cavanaugh Group, Chevy Chase, MD

Newer substance use prevention professionals often have no organized way to identify and synthesize learning from past prevention efforts. Thus the Legal Action Center commissioned a report on 20 of adolescent prevention policy and implementation. This discussion will present major themes and use the report to facilitate thoughtful reflection on national efforts as well as implications for developing policy approaches to the prevention of adolescent substance use.

Session 18

1:00 PM – 1:30 PM
Palma Ceia 1 ~ 30-Minute Paper
Race Matters: The Link Between Psychiatric Service Utilization and Youth’s Attitudes Toward Mental Health Services
Amy Youngbloom, MPH, Liz Schoenfeld, PhD, Research & Evaluation, LifeWorks Austin, Austin, TX

Surveys were administered to youth enrolled in a community-based psychiatry program and their peers who were not receiving services. The effect of service utilization on youth’s attitudes toward seeking psychiatric help was significant for white youth and non-significant for black youth. These racial disparities indicate a need for services that better serve youth who have historically been underserved by mental health systems.

1:30 PM – 2:00 PM
Palma Ceia 1 ~ 30-Minute Paper
What Do You Need to Know That For? How to Build Trusting Relationships to Enhance the Collection and Utilization of Data
Carter Pratt, MPH, University of Massachusetts Medical School, Shrewsbury, MA; Kristine Rodriguez, Impact Center, Gandara, Springfield, MA; Eden Shaveet, BA, CPS, Zia Young Adult Access Center, Worcester, MA

The Transition Age Youth and Young Adults System of Care Access Initiative (TSAI) is a SAMHSA-funded project creating access centers to address the mental health challenges of young adults in Massachusetts. Data is both a requirement and an essential part of the story about how the centers serve their communities. However, data collection can be in contrast with the model. We discuss the strategies employed to address this: developing trust between evaluation, state, and center staff; and how each center engaged members in data collection.

2:00 PM – 2:30 PM
Palma Ceia 1 ~ 30-Minute Paper
Strategies to Engage Youth and Young Adults in Drop-In Centers
Chithra Adams, PhD, Human Development Institute, Lexington, KY; Discussant: Kate Tilton, Kentucky Partnership for Families and Children, Frankfort, KY; William McPheeters, Brooke Price, TAYLRD Centerstone, Louisville, KY; Christian Waggoner, Garry Rose, Sarah Trover, Four Rivers Behavioral Health, Paducah, KY; Abby Calhoun, Andrea D. Sheroan, Wanda Graham, Eulas Barnes, Communicare Inc, Elizabethtown, KY  

This paper focuses on strategies that have been used by youth and adult staff members in drop-in centers to enhance the engagement of transition-age youth and their support networks. This presentation will detail the context, challenges encountered, and successes observed when implementing these strategies.

Session 19

1:00 PM – 1:30 PM
Palma Ceia 2 ~ 30 Minutes Paper
The Visiting Nurse Service of New York Children’s Services: Integrating Care Coordination Into a Continuum of Care to Meet the Needs of Children and Families
Devon Bandison, MPA, Community Mental Health, The Devon Bandison Company, BRONX, New York, NY; Manisha Vijayaraghavan, LMHC, LPC, CRC, Neil Pessin, PhD, Community Mental Health, Visiting Nurse Service of NY, New York, NY

This presentation will examine the implementation and lessons learned of Children’s Health Home in New York City. We will also take a look at the unique opportunity to integrate Health Home Care Coordination into a continuum of care that can best serve the children and families in the South Bronx and beyond.

1:30 PM – 2:00 PM
Palma Ceia 2 ~ 30-Minute Discussion
From Outreach to Graduation: The Thread of Wraparound Values Through the System of Care

Leanne Delsart, Jenna Kreuzer, Children’s Community Services and Wraparound Milwaukee, Milwaukee, WI

This presentation explores real connections between stages of service delivery. From a values-based perspective,  Wraparound Milwaukee links every aspect of care to build toward positive outcomes and high fidelity sequentially. Outreach, options counseling/intake, enrollment, Child and Family Team facilitation, and outcome measurements are strategically linked to support service delivery that enhances the family’s experience. Structures are in place to ensure fidelity, including an integrated service delivery model, training/coaching tools, data collection, and performance measures.

Session 20

1:00 PM – 1:30 PM
Palma Ceia 3 ~ 30-Minute Discussion
Calricaraq System of Care: Treating Behavioral Health Disorders With Indigenous Healing Methods
Rose Domnick, BA, Behavioral Health Preventative Services, Yukon Kuskokwim Health Corporation, Bethel, AK

Calricaraq is our Indigenous wellness program serving the 58 tribal communities in the Yukon Kuskokwim Delta of Southwest Alaska. Calricaraq was developed with our Yup’ik, Cup’ik, and Athabaskan Elders knowledge and direction, engaging communities through gatherings, talking circles, and workshops using a curriculum developed by our Elders and staff. Calricaraq has created an awakening of our cultural teachings, promoting healing from trauma and intergenerational trauma, and points the individual towards leading a life of wellness.

1:30 PM – 2:30 PM
Palma Ceia 3 ~ 60-Minute Discussion
Strategic Framing: Shifting the Narrative in Social Marketing and Health Equity
Vicki Waytowich, EdD, The Partnership for Child Health, Jacksonville, FL; Jill Storey, AA, RLS Group, Jacksonville, FL; Selena Webster-Bass, MPH, Voices Institute, Jacksonville, FL

Between 2011 and 2014, the FrameWorks Institute conducted a series of evidence-based studies with the Partnership for Child Health and the Jacksonville System of Care Initiative to develop communications strategies, tools, and techniques that would build public and provider understanding in supporting child well-being and behavioral health equity. The overall goals were to engage the community in conversations about children’s well-being and to apply strategic framing within child-serving organizations, nonprofit, and public sectors. The resulting, research-based strategy involved a set of “frame elements,” or themes that made communications more effective. This presentation will describe strategies for using explanatory metaphors, chains, and values, with a common language for explaining complex issues like child mental health, behavioral health equity, and childhood adversity within child-serving organizations and systems.

Session 21

1:00 PM – 1:30 PM
Palma Ceia 4 ~ 30-Minute Paper

Developing Post-Residential Discharge Measurement Capacity
Robert Lieberman, MA, LPC, Lieberman Group, Inc., Grants Pass, OR; Christopher Bellonci, MD, Judge Baker Children’s Center, Boston, MA

This presentation will provide an overview of a measurement framework for residential interventions developed by the Building Bridges Initiative Outcomes Workgroup in partnership with Chapin Hall at the University of Chicago and the University of Maryland, Baltimore. This framework includes a self-assessment tool for evaluating specific practices that implement system of care practices in residential interventions, a post-discharge functional status survey, and a tool for assessing organizational readiness for measuring post-residential discharge outcomes.

1:30 PM – 2:00 PM
Palma Ceia 4 ~ 30-Minute Paper
Variation of Patterns in Cross-Sector Collaboration in 31 Systems of Care From the Children’s Mental Health Initiative
Grace C. Huang, PhD, MPH, Public Health & Epidemiology, Westat, Rockville, MD; Jiating Kristin Chen, MS, Statistics and Evaluation Sciences Unit, Westat, Rockville, MD; Preethy George, PhD, Sushama Rajapaksa, MA, Abram Rosenblatt, PhD, Behavioral Health & Health Policy, Westat, Rockville, MD

Systems of care (SOC) models emphasize innovative organizational approaches to improve the coordination of support and services for young people with behavioral health conditions and their families. We used network analysis methods to identify organizations in critical positions to foster collaboration across several key activities. We describe how we use statistical models to assess the patterns of collaboration among the service sectors represented across 31 SOC grantees funded FY2013-FY2014 by SAMHSA’s Children’s Mental Health Initiative.

2:00 PM – 2:30 PM
Palma Ceia 4 ~ 30-Minute Paper
Assessing Youth Mental Health Support Networks and Outcomes in Mental Health Systems of Care
Preethy George, PhD, Behavioral Health & Health Policy, Westat, Rockville, MD; Grace C. Huang, PhD, MPH, Public Health & Epidemiology, Westat, Rockville, MD; Sushama Rajapaksa, MA, Chandria Jones, PhD, MPH, Abram Rosenblatt, PhD, Behavioral Health & Health Policy, Westat, Rockville, MD

The National Evaluation developed an egocentric network survey designed to assess the relationships between youth/young adults and members of their support team within the system of care. Findings suggest notable variations in the composition, roles, and types of supports received across the caregiver, youth, and young adult respondents. Specific network characteristics (i.e., frequency of interaction, levels of instrumental support, and overall levels of social support), were found to be associated with mental health outcomes.

Session 22 ITRE

1:00 PM – 2:30 PM
Garrison Suite ~ 90 Minutes Discussion
The Science and Practice of Implementation
Tom Massey, PhD, Enya Vroom, MS, University of South Florida, Tampa, FL; Aaron Lyon, PhD, University of Washington, Seattle, WA; Kenneth Martinez, Psy.D, University of New Mexico, Albuquerque, NM; Michael Dennis, PhD, Chestnut Health Systems, Bloomington, IL

Often, we are engrossed in the notion of implementation “science” (IS) and striving for the next significant IS framework/theory. Consequently, the “practice” of implementation takes less precedence. To bridge the gap between research and practice in child/adolescent behavioral health, we must establish the importance of implementation “practice” in community settings. This session invites an open dialogue with IS experts on how to engage, inform, and empower community stakeholders in the science and practice of implementation.