Concurrent Sessions 45 – 55

Date

March 15-18, 2020

Draft Agenda

Tuesday, March 17, 2020
10:00 AM – 11:30 AM

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

Session 45 Y&YA

10:00 AM – 10:30 AM
Bayshore 5 ~ 30-Minute Paper
Interventions for Youth Aging out of Foster Care: A State of the Science Review
Johanna Greeson, PhD, MSS, MLSP, Antonio Garcia, School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA; Fei Tan, Tufts University, Medford, MA; Alexi Chacon, University of Oxford, Oxford, UK; AJ Ortiz, University of Pennsylvania, Philadelphia, PA

Since 1999, child welfare has been improving outcomes of youth who age out of care. We consider the state of the science of these program and policy interventions (PPIs) using the CEBC’s Child Welfare Scientific Rating Scale. We assess to what extent PPIs and related research include vulnerable populations. We discuss research recommendations for how we can move forward with promoting improved wellbeing of youth in care as they transition to adulthood.

10:30 AM – 11:00 AM
Bayshore 5 ~ 30-Minute Paper
Perspectives of College Students with Foster Care Histories on Mental Health Challenges and Campus-Based Supports
Rebecca Miller, M.Ed, Jennifer Blakeslee, PhD, MSW, Regional Research Institute, School of Social Work, Portland State University, Portland, OR

Students with foster care histories experience challenges to postsecondary success, including mental health issues, which are a known barrier to success. This study reports the perspectives of college students with foster care histories and mental health challenges (N=18). Study participants share experiences balancing mental health and academics. Students provided suggestions for improving mental health and other support services, which would likely benefit both students and college campuses interested in increasing the retention of underrepresented populations.

11:00 AM – 11:30 AM
Bayshore 5 ~ 30-Minute Paper
Effectiveness of a Near-Peer Coaching Intervention for College Students with Mental Health Challenges and Foster Care Backgrounds
Jennifer Blakeslee, PhD, MSW, Becky Miller, MEd, Mathew Uretsky, PhD, School of Social Work, Portland State University, Portland, OR

We will present effectiveness findings from Project FUTURES (N=66), a self-determination coaching intervention for college students with foster care histories and mental health challenges. Intervention participants were coached by “near-peers” with shared lived experience of mental health concerns and, or, foster care. We tested whether intervention participants differed from the control group on measures of self-determination, self-efficacy, well-being, and academic outcomes. Findings demonstrate intervention effectiveness for measures of post-secondary self-efficacy and mental health empowerment.

Session 46 EBP

10:00 AM – 10:30 AM
Bayshore 6 ~ 30-Minute Paper
Development and Testing of an Efficient, Research-Based, and Scalable School Mental Health Strategy: The Brief Intervention for School Clinicians (BRISC)
Eric Bruns, PhD, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA

School mental health services are a critical component of systems of care but are often not based on evidence, efficient, or well-integrated into schools. The Brief Intervention Strategy for School Clinicians (BRISC) provides an efficient, flexible, four session, engagement, assessment, brief intervention, and triage approach. Results of a controlled efficacy study that randomly assigned 52 schools (N=458 students) to BRISC or SMH as usual found BRISC promoted greater engagement, efficiency, and student mental health functioning.

10:30 AM – 11:30 AM
Bayshore 6 ~ 60-Minute Symposium
Adaptations to EBTs in Research and Practice
Symposium Chair: Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Discussant: Rochelle Hanson, PhD, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC

Evidence-Based Treatments (EBTs) are frequently adapted and modified in various ways and for many reasons. This symposium describes two approaches to examining EBT adaptations. First, results of a systematic review of adaptations to EBTs for children suffering from traumatic stress will be described, including the reasons EBTs were adapted, the processes of making adaptations, what was adapted, and whether adaptations affect outcomes. Second, data from 46,000 children receiving behavioral health treatment will show the frequency and effects of EBTs provided to children with an adjustment disorder.  Adjustment disorder is among the most frequently diagnosed conditions in children, yet no EBTs were developed to treat it, so adaptations of other EBTs may be used in practice. We will provide research and practice recommendations about adapting EBTs.

Adaptations of Evidence-Based Interventions to Address Traumatic Events Among Children and Adolescents: A Systematic Review
Brittany Lange, DPhil, MPH, Ashley Nelson, BA, Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Shannon Wiltsey-Stirman, PhD, Department of Psychiatry and Behavioral Sciences, Stanford University, Menlo Park, CA

Given the high prevalence of traumatic events experienced by children, evidence-based treatments (EBTs) have been developed. EBTs are often adapted, though information on these adaptations has yet to be synthesized. As such, this systematic review will synthesize information on the reasons for adapting EBTs for child trauma survivors, the process used to make adaptations, what components are adapted, and how these elements affect intervention outcomes. Based on these findings, recommendations for practitioners will be made.

Commonly Diagnosed but Not Commonly Researched: Adjustment Disorders and Evidence-Based Treatments in Outpatient Child Behavioral Health Clinics
Phyllis Lee, PhD, Department of Psychological Science, Eastern Connecticut State University, Willimantic, CT; Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Tim Marshall, LCSW, Connecticut Department of Children and Families, Hartford, CT

Adjustment disorder is one of the most common diagnoses for children, yet there are no EBTs developed to treat it. This study examines 46,000 children receiving treatment to determine the frequency of EBT use/adaptations and outcomes for children with adjustment disorder. Nearly one-third of children were diagnosed with adjustment disorder. Children with adjustment disorders were less likely to receive EBTs in general but showed more significant improvements when they received EBTs intended for other conditions.

Session 47 CW

10:00 AM – 10:30 AM
Bayshore 7 ~ 30-Minute Paper
A National Study of Informed Consent Procedures for Psychotropic Medication Use among Youth in Foster Care: A Typology and Implications for Policy and Practice
Thomas Mackie, PhD, MPH, John Palatucci, MPA, Ana Cotroneo, MPH, Department of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, NJ; Laurel Leslie, MD, MPH, American Board of Pediatrics, Chapel Hill, NC

Medicaid-insured youth in foster care are prescribed psychotropic medications at four-fold the rate of Medicaid-insured children. Given the elevated use and the responsibility of child welfare agencies to act “in place of the parents,” this paper examines how states’ policies and protocols vary in the provisions covered within these policies and the designation of the individual charged for providing consent for youth in foster care.

10:30 AM – 11:00 AM
Bayshore 7 ~ 30-Minute Paper
Families and Communities Together: A Program Evaluation of Family Resource Centers Using Geographic-Based Comparison Groups
Peter Pecora, School of Social Work, University of Washington, Seattle, Washington; Catherine Roller White, CRW Consulting, Seattle, Washington; Paul Bonfanti, MPA, Charitable Ventures, Santa Ana, CA; Jorge Cabrera, MSW, San Diego Field Office and Strategic Consulting, Casey Family Programs, San Diego, CA; Toni Rozanski, MSW, Casey Family Programs, Seattle, Washington

Families and Communities Together (FaCT) is a collective impact initiative dedicated to strengthening prevention and intervention services to reduce child abuse and neglect in Orange County, California. The FaCT evaluation describes the characteristics of neighborhoods served by FaCT family resource centers (FRCs) and examines whether the neighborhood-level CPS outcomes (first referral, substantiated referral, and subsequent referral) are different in neighborhoods served by FaCT FRCs compared to similar neighborhoods that are not served by FRCs.

11:00 AM – 11:30 AM
Bayshore 7 ~ 30-Minute Paper
Improving Child Welfare Outcomes by Serving Parents and Caregivers Affected by Substance Use Disorders: Findings from a National Multi-Site Evaluation
Angela D’Angelo, PhD, Mathematica, Chicago, IL; Debra Strong, MA, MPh, Mathematica, Princeton, NJ

A key reason for recent increases in foster care placements is the documented association between parental substance use and child welfare caseloads. A national cross-site evaluation found that grants supporting child welfare and substance abuse treatment collaboration were able to improve child welfare outcomes despite focusing mainly on services for parents, in families with adults at risk of substance use issues and children in or at risk of out of home placements.

Session 48 BHE

10:00 AM – 11:00 AM
Esplanade 1 ~ 60-Minute Discussion
Behavioral Health Service and Support for Reservation, Urban, and Frontier Native American Youth
Greg Donovan, MPA, Santee Sioux Nation, Lincoln, NE; Anitra Warrior, PhD, Morningstar Counseling and Consultation, PC, Lincoln, NE; Lucinda Mesteth, Santee Sioux Nation, Lincoln, NE; Juan-Paulo Ramirez, PhD, GIS and Human Dimensions, LLC, Lincoln, NE

Learn about advances and plans in uniting evidence-based-practices and practice-based-evidence to deliver care to diverse Native American populations from a successful and growing initiative. The Santee Sioux Nation Society of Care (SOC) is an inter-tribal initiative dedicated to partnering with young Native Americans, their caregivers, and stakeholders throughout Nebraska to enhance the behavioral health and quality of life for youth, families, and communities.

11:00 AM – 11:30 AM
Esplanade 1 ~ 30-Minute Paper
Examining Behavioral Health Equity and Recovery Within Systems of Care
Chandria Jones, Westat, Rockville, MD

Inequities in service delivery impact youth with behavioral health needs. Services may not be culturally competent nor consider how other demographic factors affect access and utilization of services. Westat’s model provides a framework for understanding how communities can address the inequities that create disparities. Using data from the CMHI National Evaluation, we are beginning to understand what strategies are effective in leading towards behavioral health equity and recovery within systems of care.

Session 49 FE

10:00 AM – 11:00 AM
Esplanade 2 ~ 60-Minute Discussion
NIMH Funding Opportunities for Child and Adolescent Mental Health Researchers and Implementation Scientists Addressing Family Engagement and Evidence-based Practices in Systems of Care
Denise Pintello, PhD, MSW, Division of Services and Intervention Research, National Institute of Mental Health, Bethesda, MD

Recent events at the National Institute of Mental Health (NIMH) have provided new opportunities for scientists in the child and adolescent field to become re-acquainted with NIMH’s research priorities. The discussion hour will provide information regarding currently funded research addressing family engagement, evidence-based practices in systems of care, the experimental therapeutics paradigm, and identify strategies and upcoming training opportunities that can enhance the likelihood of obtaining successful NIMH funding in these research areas.

11:00 AM – 11:30 AM
Esplanade 2 ~ 30 Minute Discussion
Family Involvement with Youth Who are Transitioning to Young Adults – A Delicate Balance
Jane Walker, MSW, FREDLA, Ellicott City, MD

FREDLA has been exploring the issue of family involvement with youth transitioning to young adults for two years. We’ve listened to families and youth, looked at the data, and identified promising approaches for providers and policymakers to promote appropriate family involvement within a young adult-driven context. Join the discussion and add your thoughts and research to help develop guidelines for the field.

Session 50 WA

10:00 AM – 10:30 AM
Esplanade 3 ~ 30-Minute Paper
Watch Me Rise in Wraparound:  Results from a Formative Evaluation Focused on Homeless Young Adults Who Have a Child Welfare History
Robin Lindquist-Grantz, PhD, LISW-S, Institute for Policy Research, University of Cincinnati, Cincinnati, OH; Cherie Houchin, MSOL, Rebecca Dickerscheid, LISW-S, , Lighthouse Youth & Family Services, Cincinnati, OH; Kimberly Downing, PhD, Institute for Policy Research, University of Cincinnati, Cincinnati, OH

Youth who have a child welfare history are at high risk of homelessness, as their transition to adulthood often includes unstable housing and limited supportive connections. Participants will learn how High Fidelity Wraparound was implemented with homeless young adults (ages 18-24) with a child welfare history in order to prevent recurring homelessness. This presentation will include process and outcome findings from the four-year project and the next steps for a summative evaluation.

10:30 AM – 11:00 AM
Esplanade 3 ~ 30-Minute Paper
Exploration of Factors Associated with Time to First Child and Family Team Meeting
Thomas LaPorte, PhD, Margaret Gullick, PhD, Jennifer Ciccone, MA, Center for Human Services Research, Albany, NY

High Fidelity Wraparound (HFW) recommends rapid engagement and plan development to provide stabilization, empowerment, and team cohesion in the HFW process. Recent research shows high variability in the time families take to complete these phases, however, and the reasons for this variability have not yet been explored. This presentation describes the results of a mixed-methods study to identify the family, program, and contextual factors associated with time to families’ first child and family team meeting.

11:00 AM – 11:30 AM
Esplanade 3 ~ 30 Minute Discussion
Engaging Stakeholders in the Implementation of the WFI-EZ and the TOM 2.0, Validated HFW Fidelity Assessment Tools in Erie County, NY
Jessica Tufte, MPH, John Rooney, MS, Sandra Sheppard, PhD, Evaluation and Analytics, CCNY, Inc, Buffalo, NY

By engaging HFW stakeholders, CCNY completed a practical and reflective evaluation of the fidelity with which HFW was implemented by the designated Care Coordination Agencies in Erie County, New York. From here, quality improvement recommendations were made and followed-through by way of developing quality improvement plans that included booster trainings and Care Coordination Agency coaching sessions. The subsequent implementation of fidelity assessments in spring 2020 will evaluate the effectiveness of the quality improvement plans.

Session 51 Y&YA

10:00 AM – 10:30 AM
Palma Ceia 1 ~ 30 Minute Discussion
Challenges, Resilience and Success, Oh My! Florida Healthy Transitions’ Year 5 Review
Tonicia Freeman-Foster, Ed.D., Network Development & Clinical Services, Central Florida Behavioral Health Network, Tampa, FL; Barbara Morrison-Rodriguez, PhD, BMR Consulting, LLC, Lutz, FL; John B. Mayo, MA, LMHC, Success 4 Kids & Families, Tampa, FL

By employing young adults as practitioners, Florida Healthy Transitions developed a peer-to-peer service delivery model to address the holistic needs of transition-aged youth and young adults. The model has been effective in the engagement, retention, and inclusion of young people in behavioral health services. Join us to learn more about our five-year journey of challenges, triumphs, dedicated teamwork, and lessons learned.

10:30 AM – 11:00 AM
Palma Ceia 1 ~ 30-Minute Paper
Improving Outcomes for Transition-Aged Youth: How Wisconsin’s Youth Empowered Solutions (YES!) Initiative Measured and Defined Participant Outcomes
Janae Goodrich, MA, Robin Lecoanet, JD, University of Wisconsin-Madison Population Health Institute, Madison, WI

Defining and monitoring participant outcomes for the transition-aged youth population can be challenging, especially when using the required tools with defined measures and definitions of “positive outcomes.” This discussion will review Wisconsin’s Youth Empowered Solutions (YES!) strategy to measure and re-define participant outcomes, and participant outcomes at discharge will be presented for participants served during YES! implementation.

11:00 AM – 11:30 AM
Palma Ceia 1 ~ 30-Minute Paper
Wraparound Philosophy to Program Application: Looking Through the OYEAH Lens… an Example of the Application of System and Service Fidelity and Outcome Measures
Pnina Goldfarb, PhD, Wraparound Milwaukee, Milwaukee, WI

This presentation reviews the OYEAH’s developmental connection with the Wraparound philosophy that is operationalized through identifying the values and connecting them to the evaluation process. Building a culture of scientific mindedness applies standards of feasibility, propriety, accuracy, and utility. The decision process that is used to determine what data, why it is crucial to collect, and how it will be collected is reviewed by using the process, outcome, and summative evaluation data yielded by OYEAH.

Session 52 MB

10:00 AM – 10:30 AM
Palma Ceia 2 ~ 30-Minute Paper
Strategies That Promote Male Engagement in Community-Based Programs
Roxann McNeish, Jennifer Delva, Alexandra Albizu-Jacob, University of South Florida, Tampa, FL

Male engagement in community-based prevention efforts is vital to enhancing mental health and wellbeing among vulnerable male populations. To identify engagement strategies, qualitative methods were used to analyze data collected from a national initiative focused on improving the mental health and wellbeing among men and boys. Cross-site results identified similar strategies found to be effective in engaging males regardless of the differences between geographic location, community conditions, and race/ethnicity/culture of the program participants.

10:30 AM – 11:30 AM
Palma Ceia 2 ~ 60-Minute Discussion
Shifting Conversations: Communication Strategy Insights from the Making Connections for Mental Health and Wellbeing Among Men and Boys Initiative’s National Integrated Media Analysis Assessments
Shannon Walsh, MBA, Vanguard Communications, Washington, DC

Mental health issues are covered extensively in the media. How media portray mental health – especially regarding men and boys of color – can promote understanding or perpetuate stigma. This session will explore key findings from four years of Making Connections’ National Integrated Media Analysis Assessment reports. The presenter will provide communications strategies for shifting conversations in communities about the mental health and wellbeing of men and boys of color to support prevention and intervention efforts.

Session 53

10:00 AM – 11:30 AM
Palma Ceia 3 ~ 90 Minute Symposium
Advancing the Use of “Core Components” Approaches to Evidence-Based Practice in Youth Programs
Symposium Chair: Cheri Hoffman, PhD, Assistant Secretary for Planning and Evaluation, Department of Health and Human Services, Washington DC

Much research and evaluation focuses on identifying “model programs” that could promote positive youth outcomes if broadly adopted with supports such as program materials, training, and coaching. However, complex behavioral health settings are particularly challenging environments to implement whole programs with fidelity. This symposium presents an innovative “core components approach” to support evidence-based practice that is more adaptable across complex environments. “Core components” are parts, features, attributes or characteristics of effective programs that research shows influence their success, such as a particular way staff and youth interact, key features of the relationships or environment a program creates, a particular program activity, how the program is delivered, or “dosage” of a particular activity. Through three papers with distinct methodologies, this symposium introduces the approach, gives an example of research moving this approach toward implementation, and presents innovative strategies for how research and evaluation can generate better information about “core components.”

Advancing the Use of Core Components of Effective Programs
Thaddeus Ferber, Alex Sileo, Mary Ellen Wiggins, PhD, Forum for Youth Investment, Washington, DC

The presenters will describe the benefits of a core components approach, identify key steps involved, and provide examples from behavioral health settings. After a systematic review of the literature and researchers, policymakers, and practitioners, the presenters found that examples of the core components approach in afterschool, juvenile justice, and adolescent mental health spaces illustrate its innovativeness for research and evaluation efforts.

Core Components of Effective Prevention Programs for At-Risk Youth
Sandra Wilson, PhD, Chris Weiss, PhD, Abt Associates, Rockville, MD

In this session, the presenters will present practice guidelines from meta-analysis of programs targeting externalizing behavior problems and social skills. The authors found general effectiveness factors, such as provider training and supervision, and effectiveness factors for specific program types. This innovative application of core components can inform researchers, evaluators, and policymakers interested in youth programs.

Improving Data Collection and Reporting to Identify and Test Core Components of Effective Youth Programs
Allison Dymnicki, Phd, American Institutes for Research, Washington, DC; Lisa Trivits, PhD, Assistant Secretary for Planning and Evaluation, HHS, Washington, DC

Practitioners and evaluators often do not know what data to collect and report on for meta-analyses to produce valuable information about core components of effective programs.   A multi-phased, data-driven approach was used to develop strategies to improve data collection and reporting. Strategies identified focused on setting, participant, program, and implementation characteristics. More information about core components can advance research and evaluation to understand how programs promote positive outcomes for challenged youth.

Session 54

10:00 AM – 11:30 AM
Palma Ceia 4 ~ 90 Minute Symposium
Implementing the Pediatric Mental Health Care Access Program: From Policy to Practice
Symposium Chair: David Keller, MD, Pediatrics, University of Colorado School of Medicine, Aurora, CO; Discussant: John Straus, MD, Massachusetts Behavioral Health Partnership, Boston, MA

In 2004, Massachusetts initiated the Massachusetts Child Psychiatry Access Project to address the lack of access to pediatric mental health care.  The project created a peer-to-peer consultation network between primary care providers and child psychiatrists throughout the state, enabling PCPs to manage more complex behavioral problems in primary care without subspecialty referral.  Over the next 15 years, many states initiated similar programs using a variety of models.  In 2016, the 21st Century CURES Act was enacted, appropriating $9 million to the Health Resources and Services Administration (HRSA) to support increasing access to pediatric mental health care.  In 2018 and 2019, HRSA funded 21 states to develop or expand programs through the Pediatric Mental Health Care Access (PMHCA) program.  This symposium will address the history and evidence currently supporting the model, the process of developing and implementing the model in different states, and the plan for evaluation of the PMHCA program.

Overview of the Pediatric Mental Health Care Access Programs
Madhavi Reddy, MSPH, Division of MCH Workforce Development, Maternal and Child Health Bureau, Health Resources Services Administration, Rockville, MD

In 2018-2019, HRSA awarded multi-year cooperative agreements to 21 states to develop or expand Pediatric Mental Health Care Access (PMHCA) programs. PMHCA promotes behavioral health integration in pediatric primary care by providing teleconsultation, training, technical assistance, and care coordination for pediatric primary care providers to screen, assess, diagnose, treat and refer children with behavioral health conditions. This presentation addresses the background of the program, and plans for the national evaluation.

CoPPCAP (Colorado Pediatric Psychiatry Consultation & Access Program): Building on Lessons Learned
Sandra Fritsch, MD, MSEd, DFAACAP, Psychiatry, University of Colorado School of Medicine, Aurora, CO

In a 2018 “The State of Mental Health in America” report, Colorado ranked 33rd in the US for overall youth mental health. Suicide is the leading cause of death for ages 10 -24 in Colorado. Workforce shortages for child and adolescent psychiatrists (CAP) is striking with 49/64 counties in Colorado having no practicing CAP, and the remaining counties not having enough.  This presentation will describe the development of CoPPCAP, Colorado’s PMHCA, and current data.

Implementing PMHCA in Alabama
Susan Griffin, LICSW, CHCQM, Behavioral Health Ireland Center, Children’s Hospital of Alabama, Birmingham, AL

Alabama ranks last in mental health workforce availability.  Given the increased occurrence of behavioral health conditions and shortage of providers, the PMHCA model presented an opportunity to improve access for behavioral health services in underserved areas of a very rural state. Alabama is training rural pediatricians via Project ECHO, using peer-to-peer consultation and telemedicine to help pediatricians become a vital part of the solution to tremendous workforce shortages in behavioral health care for children.

Session 55 ITRE

10:00 AM – 10:30 AM
Garrison Suite ~ 30-Minute Paper
Evaluating the Effectiveness of an Evidence-Based Art Program for Indigenous Youth
Shaylynne Shuler, MA, Vesna Pepic, BS, Heather J. Williamson, DrPH, Julie Baldwin, PhD, Northern Arizona University, Flagstaff, AZ; Aaron Secakuku, Native Americans for Community Action (NACA), Flagstaff, AZ

Indigenous youth face extensive mental and medical health disparities when compared to their non-indigenous counterparts. This study examines how an after-school, culturally-based art therapy program for at-risk indigenous youth is related to perceived stress, mental health, mood, and resilience. This study also provides further insight into the benefits experienced by youth who participate in the Pathways Program at NACA, as well as the use of art-based programming for at-risk youth.

10:30 AM – 11:00 AM
Garrison Suite ~ 30-Minute Paper
Resources for Rural Disadvantaged Communities: Community Asset Mapping Through Focus Groups with Key Stakeholders
Michelle Beekman, BA, Angela Garza, MSW, University of South Florida, Tampa, FL; Margarita Romo, Honor Doctorate, Farmworkers Self-Help, Inc., Tampa; Oliver Massey, PhD, Lacey Tucker, MSW, MPH, CPH, University of South Florida, Tampa, FL

Florida’s rural communities are often comprised of impoverished farm-workers and disadvantaged minorities who experience a higher incidence of poverty and health disparities, which adversely affect behavioral health outcomes for families and youth. This mixed-method community-based study supported the development of a community asset map (CAM) to enhance social capital and improve behavioral, social, and health service access for rural families.

11:00 AM – 11:30 AM
Garrison Suite ~ 30-Minute Paper
Assessing Clinical Competence of Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Treatment Needs in a Community-based Mental Health Setting
Amanda Weston, MA, Terrell Jackson, BA, John “JJ” Jackson, MA, University of South Florida, Tampa, FL; Josh Nadeau, PhD, Rogers Behavioral Health-Tampa Bay, Tampa, FL; Alexandra Albizu-Jacob, MPH, University of South Florida, Tampa, FL

Youth with sexual and gender divergent identities necessitate mental health treatments that are culturally responsive and affirming. This mixed-methods evaluation assessed the clinical competency of staff working with LGBTQ youth at Rogers Behavioral Health-Tampa Bay, utilizing the LGBT-DOCSS assessment. Semi-structured interviews with clinical and non-clinical staff were conducted to understand the barriers to working with LGBTQ youth and issues with implementing culturally competent interventions. Recommendations for solutions to barriers and future clinical training will be provided.