Concurrent Sessions 56 – 66


March 15-18, 2020

Tuesday, March 17, 2020
1:30 PM – 2:30 PM

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

Session 56 Y&YA

1:30 PM – 2:30 PM
Bayshore 5 ~ 60-Minute Symposium
Collaboration Between State Vocational Rehabilitation and Mental Health Agencies for Transition-Age Youth With Serious Mental Health Conditions
Symposium Chair: Kathryn Sabella, PhD, Transitions to Adulthood Center for Research, Department of Psychiatry, University of Massachusetts Medical School, Shrewsbury, MA; Discussant: Diane Sondheimer, MSN, MPH, CPNP, Center for Mental Health Services, Child, Adolescent and Family Branch, Substance Abuse and Mental Health Services Administration, Rockville, MD

This symposium presents mixed-methods findings of relationships between mental health (MH) and vocational rehabilitation (VR) systems concerning the vocational goals of transition-age youth with serious MH conditions. We conducted qualitative interviews and web surveys in regions that received Now Is The  Time – Healthy  Transitions grants from SAMHSA. Interviews focused on collaboration between mental health systems (child and adult MH systems) and VR systems. Web surveys that queried collaborative behaviors and program characteristics associated with collaborative behavior in the literature were completed by representatives of 118 programs in these systems. Lastly, service patterns were compared in youth with mental health-based disabilities and youth with other disabilities using the national administrative database of state VR systems (RSA911) from 2015-2017. Results highlight the value of knowledge about each others’ systems, and some challenges youth with MH disabilities encounter in VR systems.

Perspectives of Mental Health and State Vocational Rehabilitation Agency Leadership on Collaboration
Nancy Koroloff, PhD, School of Social Work, Pathways to Positive Futures RTC, Portland, OR; Anwyn Gatesy-Davis, Psychiatry, Transitions to Adulthood Center for Research, Shrewsbury, MA

Now is the  Time – Healthy Transitions grants were funded in the community to implement innovative approaches to address the needs of transition-age youth with or at risk of serious mental health conditions. We conducted interviews in these communities with leadership from child mental health (MH), adult MH, and state vocational rehabilitation (VR) systems.  Two major themes emerged: knowledge of each other’s systems impacted collaboration, and there was little relationship between child MH and  VR systems.

What Encourages Collaboration Between Mental Health and Vocational Rehabilitation Programs Serving Transition-Age Youth With Serious Mental Health Conditions?
Maryann Davis, PhD, Raphael Mizrahi, BS, Transitions to Adulthood Center for Research, Department of Psychiatry, University of MA Medical School, Shrewsbury, MA

Key informants from programs serving transition-age youth in Now is the Time – Healthy Transitions grantee communities completed web surveys about program collaborative behaviors and program characteristics. Responses from vocational rehabilitation (VR) and mental health (MH) programs serving 1) children, 2) transition-age youth, and 3) adults were analyzed (N=118). Results reveal differences in VR collaboration patterns with MH programs of different ages. Depth of knowledge about each others’ programs correlated with collaboration.

Similarities and Differences in Youth With Mental Health Conditions and Youth With Other Disabilities Served by State Vocational Rehabilitation Agencies
Maryann Davis, PhD, Transitions to Adulthood Center for Research, Department of Psychiatry, University of MA Medical School, Shrewsbury, MA

Federal policy requires state vocational rehabilitation agencies (VRA) to provide extensive employment supports to youth (ages 14-24) with disabilities. We will present analyses of the national administrative database from 2015-2017 that records characteristics, services, and outcomes of individuals served by VRA.  Of the total sample of youth (N=531,096), 15.1% were youth with a mental health disability. Fewer of them (64.74%) received an Individual Plan of Employment than youth with other disabilities (72.65%).

Session 57 EBP

1:30 PM – 2:30 PM
Bayshore 6 ~ 60-Minute Symposium
Disseminating Trauma-Focused Treatments for Young Children Across a Statewide System of Care
Symposium Chair: Jason Lang, PhD, Child Health and Development Institute (CHDI), Farmington, CT; Discussant: Tim Marshall, LCSW, Connecticut Department of Children and Families, Hartford, CT

This symposium describes the process, initial results, and lessons learned from an ongoing five-year statewide initiative to disseminate trauma-focused EBTs across a statewide system of care for young children (age seven and under). Part one will describe the approach to disseminating two trauma-focused EBTs for young children while also educating the broader early childhood workforce in childhood trauma. Part two will describe the initial outcomes of the project. Clinicians reported improvements in both their agency and individual trauma practices after participation. Children and caregivers completing treatment showed significant reductions in trauma-related and behavioral health symptoms. The discussion will focus on implications of project findings with a focus on the intersection of EBT dissemination, trauma-informed care, and early childhood settings, including the roles of state agencies, systems, and other partners. We will discuss challenges, lessons learned, and recommendations for advancing the field.

Building Statewide Capacity to Support Young Children Exposed to Trauma
Kellie Randall, PhD, Child Health and Development Institute (CHDI), Farmington, CT

This presentation describes the process of disseminating two trauma-informed, evidence-based treatments for young children: Attachment, Self-regulation and Competency, and Child-Parent Psychotherapy. Outpatient agencies across the state participated in Learning Collaboratives to train in the models. We will discuss agency selection processes, implementation barriers, and improvement strategies. We will also highlight the outreach and training undertaken to engage the early childhood workforce and build connections between systems to ensure children receive appropriate services.

Provider and Child Outcomes of Attachment, Regulation, and Competency (ARC) Dissemination in a Statewide Implementation
Christian Connell, PhD, Human Development and Family Studies, Penn State University, University Park, PA

This session will present results of ARC dissemination efforts, including evaluation of participant perceptions of agency and individual-level trauma-related practices and child and family behavioral health outcomes following receipt of ARC. Clinicians involved in learning collaboratives reported significant improvements in agency and individual trauma practices following participation. Children and caregivers completing ARC treatment showed significant improvements in behavioral health symptoms. Results support the effective dissemination of trauma-focused EBTs to address the needs of young children and their families.

Session 58 CW

1:30 PM – 2:30 PM
Bayshore 7 ~ 60-Minute Symposium
Getting to Best Practice Prescribing: Using QI to Ensure Appropriate Psychiatric Medications for Youth
Symposium Chair and Discussant: Christopher Bellonci, MD, Judge Baker Children’s Center, Harvard University, Boston, MA

Through two presentations and an expert critical analysis, we aim for participants to understand the rates and concerns surrounding high-risk psychotropic medications and vulnerable children and to guide leaders in their efforts to change these practices. The presenters will describe the national context surrounding the issue, followed by highlights from two research teams (Dartmouth, University of Louisville) aiming to institute oversight and deprescribing initiatives. National reports and findings from the presenters’ research demonstrate a clear need for oversight. Using administrative data, surveys, and qualitative methods, the presenters highlight multiple viewpoints surrounding the barriers and facilitators as they relate to potential quality improvement initiatives. Most participants in our studies recognized the problem in the context of complex reasons behind over-prescribing. Findings point to mixed levels of readiness for oversight practices and policies, and a strong need for resources and infrastructure to support quality improvement initiatives.

Psychotropic Medication Utilization in Children: The Kentucky Experience
David Lohr, MD, Child & Adolescent Psychiatry and Pediatrics, University of Louisville School of Medicine, Louisville, KY

Using a state-university contract, our research team has used Medicaid claims data to study the rates of psychotropic medications in children. Descriptive and predictive models have identified preschool-aged children and children in foster care as populations vulnerable to high utilization and quality concerns such as the use of antipsychotics and polypharmacy. The presenter will review results from a qualitative interview with providers, and suggest interventions to improve the oversight of psychotropics.

Deprescribing High-Risk Psychotropic Medications in Children
Erin Barnett, PhD, Psychiatry and Health Policy and Clinical Practice, Dartmouth Hitchcock, Dartmouth Trauma Interventions Research Center, Lebanon, NH,

To propose deprescribing initiatives within community settings, leaders need to understand the perspectives of many stakeholders. We aimed to characterize the perspectives of pediatric primary care clinicians and mental health specialists (n=24 qualitative interviews), parents of children receiving antipsychotics and polypharmacy in community clinics (n=50 surveys), and youth receiving psychotropics (6 studies). Clinicians, parents, and youth recognized the problem of over-prescribing. They identified needs for clinical supports, resources, and policies to facilitate deprescribing.

Session 59

1:30 PM – 2:30 PM
Esplanade 1 ~ 60-Minute Discussion
Multifaceted Approach Used to Inform System of Care Efforts Which Extends Far Beyond Required Data Collection of the SOC Expansion and Sustainability Grant
Bernie Hascall, MS, Heather Wood, MS, Division of Behavioral Health, Nebraska Department of Health and Human Services, Lincoln, NE

This session describes how a multifaceted approach informs system of care efforts. The discussion will extend beyond required data collection to including youth data, the annual assessment survey, and outcome data results obtained through memorandums of understanding and data sharing agreements. This partnership between Behavioral Health, Medicaid, Probation, Developmental Disabilities, and Child  Welfare can track youth expenditures, service utilization, and outcomes for youth served in one, multiple, or even all partnering agencies.

Session 60

1:30 PM – 2:30 PM
Esplanade 2 ~ 60-Minute Discussion
What Do Families and Their Organizations Want From Managed Care?
Pat Hunt, Family Run Executive Director Leadership Association, Turner, ME

Managed care concepts, language, and operations can be confusing and intimidating for family-run organizations experiencing new shifts in service management for children, youth, and families. Whether managed care is in the planning stages, a new model is being implemented, or a new vendor has taken on the role, family organizations, and the families they serve need to be prepared. What do they want/need to know?

Session 61 WA

1:30 PM – 2:30 PM
Esplanade 3 ~ 60-Minute Discussion
Successful Implementation and Scaling of High-Fidelity Wraparound: The Florida Statewide Approach
Julie Radlauer-Doerfler, LMHC, The Ronik-Radlauer Group, Inc., Lighthouse Point, FL; Beth Piecora, BA, CRPS, Central Florida Behavioral Health Network, Tampa, FL; Samantha Lawson, MA, Lutheran Services Florida, Jacksonville, FL; Mary Armstrong, PhD, Child & Family Studies, College of Behavioral & Community Sciences, University of South Florida, Tampa, FL; Neiko Shea, LCSW, Sunshine Health, Broward, FL; Shari Thomas, LCSW, Henderson Behavioral Health, Fort Lauderdale, FL

Florida has successfully implemented and scaled High Fidelity Wraparound across the state. The session provides an overview of Florida’s statewide implementation and scaling of Wraparound and share resources, tools, materials, and practices for communities, regions, and states interested in planning their implementation and scaling. The session will include a panel of experts to discuss their perspectives about what was successful and what barriers existed.

Session 62 Y&YA

1:30 PM – 2:30 PM
Palma Ceia 1 ~ 60-Minute Symposium
Listening to Young Parents:  The Multi-Generational Making of Mental Health
Symposium Chair: Nia West-Bey, PhD, Youth Policy, Center for Law and Social Policy (CLASP), Washington, DC; Discussant: Isha Weerasinghe, Youth Policy, Center for Law and Social Policy (CLASP), Washington, DC

The impact of parental mental health on children’s development and outcomes is well-documented, but these impacts are rarely considered while centering young parents’ experiences. We have also rarely considered the unique experiences of young parents of color, and the role of inter-generational trauma in shaping families’ relationship to mental health. “Listening to Young Parents: The Multi-Generational Making of Mental Health” brings together two presentations that draw on qualitative reports from young parents to offer practice, program, and policy solutions to address their mental health needs. This symposium will focus on listening to and learning from the lived experience of young parents.

Looking at Life Different: Equitable Mental Health Supports for Young Adult Parents
Nia West-Bey, PhD, Youth Policy, Center for Law and Social Policy (CLASP), Washington, DC

Young parents look at life differently. Understanding this difference is an opportunity, a challenge, and key to meeting their needs in an equitable, developmentally appropriate way. This presentation will explore who young parents are, their unique strengths and challenges, critical supports, and how policy and practice can support their mental health needs. We will draw on conversations we held in 2017 and 2018 with rural and urban African American, Native, and Latina young parents.

Youth Stepping Forward: Breaking Cycles of Inter-Generational Trauma Among Families of Color
Clelie Choute, Raw Uncut Woman, Detroit, MI

One of Raw Uncut Woman’s objectives is to bring insight into how parents’ mental health impacts youth. We created three focus groups in different cities recognized for having a significant number of teens experiencing depression, where we collected qualitative data from youth that highlight the many factors that families are facing concerning inter-generational trauma. This presentation will share findings and possible solutions to these disparities, including our local workshop model.

Session 63

1:30 PM – 2:30 PM
Palma Ceia 2 ~ 60-Minute Discussion
Trauma-Informed Approaches: Connecting Research, Policy, and Practice
Alayna Schreier, PhD, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, DC; Kelly Jedd McKenzie, PhD, Administration for Children & Families, U.S. Department of Health and Human Services, Washington, DC; Pamala Trivedi, PhD, Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, DC; Erin Ingoldsby, PhD, James Bell Associates, Arlington, VA

Communities, programs, and organizations are increasingly turning toward trauma-informed approaches to mitigate and prevent the effects of childhood trauma. This discussion will review findings from a recent evaluation of existing trauma-informed initiatives funded by the Office of the Assistant Secretary for Planning and Evaluation. Participants and presenters will discuss concrete strategies and future directions for continuing to build infrastructure and facilitate opportunities for collaboration, cross-sector learning, and evaluation capacity building in trauma-informed care.

Session 64

1:30 PM – 2:30 PM
Palma Ceia 3 ~ 60-Minute Discussion
A Community Organizing Approach to Developing Systems of Care: Data and Lessons from the Field
Jessica Biggs, EdM, Southwest Organizing Project, Chicago, IL; Amy Starin, PhD, MSW, Illinois Children’s Healthcare Foundation, Oak Brook, IL

The Illinois Children’s Healthcare Foundation (ILCHF) engaged the Southwest Organizing Project (SWOP) to revitalize a failed system of care project on the southwest side of Chicago. SWOP used a unique community organizing approach to lead this effort. The strategy behind community organizing, as well as the early evaluation findings, will be discussed. Participants will be engaged in community organizing exercises and asked to consider the possible benefit to their work of taking a relational approach.

Session 65

1:30 PM – 2:30 PM
Palma Ceia 4 ~ 60-Minute Discussion
Career Pathways for the Young Adult Workforce – Lessons from Stakeholders
Kristin Thorp, MPP,  Youth MOVE National, Portland, OR; Alice Topaloff, Youth MOVE National, Decorah, IA

Organizations benefit when they integrate lived experience into their operations and services. Many organizations continue to struggle with creating a career pathway for youth leaders. Youth MOVE National’s Youth Best Practice Committee reviewed the data from a national youth workforce survey to discuss findings, paths for improving the field, and improving future iterations of this study. These results will be discussed during this session.

Session 66 ITRE

1:30 PM – 2:00 PM
Garrison Suite ~ 30-Minute Paper
Program Evaluation of Hillsborough County Anti-Drug Alliance’s Youth Tobacco Awareness Class (Y-TAC)
Natasha Kurji, MPH, CPH, Thomas Koza, Kathleen Moore, PhD, Alexandra Albizu-Jacob, MPH, University of South Florida, Tampa, FL; Cindy Grant, Hillsborough County Anti-Drug Alliance, Tampa, FL

School-age youth in Hillsborough County cited for possession of nicotine products are mandated to attend the Youth Tobacco Awareness Course to combat issues of drug use among youth and prevent arrest and imprisonment for non-violent crimes. Classroom observation, parent focus groups, key stakeholder interviews, and quantitative data analysis were conducted to assess the effectiveness of the program. The results of this mixed-methods evaluation led to recommendations for improvement.

2:00 PM – 2:30 PM
Garrison Suite ~ 30-Minute Paper
Evaluating the Web-Based Implementation Resource Tool of a School-Based Substance Use Prevention Program
James-Angelo Suarez, MPH, Edlin Garcia Colato, BA, Enya Vroom, MS, Donna Burton, PhD, University of South Florida, Tampa, FL; Kimberly Menendez, MS, Charles Mendez, III, Mendez Foundation, Inc., Tampa, FL

The Too Good (TG) programs are evidence-based education curriculums, developed by the Mendez Foundation, Inc., aimed to prevent risky behaviors among youth by promoting social-emotional learning skills. The Mendez Foundation developed an online implementation resource tool that adheres to the National Implementation Research Network (NIRN) Implementation Stages to assist TG facilitators with program implementation. This formative evaluation measures the acceptability and value of the online resource tool from current and past facilitators of the program.