Concurrent Sessions 67-77


March 15-18, 2020

Tuesday, March 17, 2020
4:15 PM – 5:45 PM

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

Session 67 Y&YA

4:15 PM – 4:45 PM
Bayshore 5 ~ 30-Minute Paper
Infusing Youth and Family Engagement Throughout a System of Care: Putting Evaluation Findings Into Practice
Robin Lindquist-Grantz, PhD, LISW-S, Institute for Policy Research, University of Cincinnati, Cincinnati, OH; Donna Edwards, MEd, Stark County Mental Health & Addiction Recovery, Canton, OH; Kimberly Downing, PhD, Institute for Policy Research, University of Cincinnati, Cincinnati, OH; Beverly James, Stark County Family Council, Stark County Mental Health & Addiction Recovery, Canton, OH

Youth and family voice and choice are the cornerstone of high-quality behavioral health care. This presentation highlights a comprehensive strategy to improve youth and family engagement in behavioral health services, organizational leadership, and systems change. Participants will learn about the multi-phase mixed-methods study that incorporated participatory research approaches to identify opportunities for change within a county-wide system of care and how these changes are infused throughout the system.

4:45 PM – 5:15 PM
Bayshore 5 ~ 30-Minute Paper
Assessing Youth/Young Adult Voice on Committees and Councils: Results of a Pilot Test
Janet Walker, PhD, Portland State University Regional Research Institute, Portland, OR; Alice Topaloff, Youth MOVE National, Decorah, IA

This session will describe the development and pilot testing of the Assessment of Youth/Young Adult Voice on Committees and Councils (Y-VOC). This tool measures the extent to which young people are meaningfully supported and involved as members of councils, committees, commissions, and boards like those that advise and oversee the development of systems of care. The project is a collaborative effort between a youth/young adult advocacy organization and a university research center.

5:15 PM – 5:45 PM
Bayshore 5 ~ 30-Minute Discussion
Building Youth Engagement Best Practices Starts With Assessment
Alice Topaloff, MS, Youth MOVE National, Decorah, IA; Kippi Clausen, Unfolding Directions, LLC, Littleton, CO; Janet Walker, PhD, Portland State University, Portland, OR

This presentation will share how CoACT used a validated assessment tool, the Youth Voice at the Agency Level (Y-VAL), to set a baseline  measurement of the extent to which youth and young adults are meaningfully involved in advising and decision-making in agencies. Presenters will share how the tool was used for educating stakeholders about best practices regarding youth engagement and launching a statewide strategic planning process.

Session 68 EBP

4:15 PM – 4:45 PM
Bayshore 6 ~ 30-Minute Paper
Facilitative Implementation Strategies at Differing Stages of Readiness: How We Define Success
Robert P. Franks, PhD, Judge Baker Children’s Center, Harvard Medical School, Boston, MA

By observing trends across statewide initiatives, implementation practitioners can begin to understand better how to assess and predict EBP implementation outcomes and develop strategies to better facilitate success. Measuring continuous constructs of readiness across multiple domains is one way of developing tailored strategies that can help facilitate successful outcomes. Further, implementation trends can help inform how and when to make investments in systems change initiatives and better establish benchmarking and reasonable expectations for implementation outcomes.

4:45 PM – 5:15 PM
Bayshore 6 ~ 30-Minute Paper
Cultural Considerations of Evidence-Based Practice Implementation: Developing Organizational Culture Assessment Tools to Improve Adoption and Address the Science to Practice Gap
Peggy McElgunn, Juris Doctorate, Zachary McElgunn, BA, Proven Quality Practices, Midlothian, VA

Organizational “readiness” for EBP implementation pivots not only on the fulcrum of understanding research foundations but also on organizational participation in the implementation process. This presentation outlines the impact of organizational culture on implementation, discussing the development of organizational culture assessment tools to aid in the selection and implementation of EBPs best suited to organizational circumstances.

5:15 PM – 5:45 PM
Bayshore 6 ~ 30-Minute Discussion
Implementation Success: Taking the Hand of the Provider and Community for Successful Evidence-Based Model Implementation
John Burek, MSCJ, PLL Family Systems Treatment Model, Lakeland, FL

Implementation science continues to be challenged to find effective methods to integrate evidence-based programs into community settings. Using case examples from the Parenting with Love and Limits model, participants will learn how to engage stakeholders in the implementation process from the first stages of planning through ongoing fidelity reviews.

Session 69

4:15 PM – 5:45 PM
Bayshore 7 ~ 10 Minute Lightning Presentations

Canadian Adolescent’s Stress, Coping, and Socio-Linguistic Vitality
Cameron Montgomery, PhD, Education Quality and Accountability Office, Toronto, ON, Canada

Three hundred thirty-seven Canadian adolescents aged 15 to 18 years between grades ten to twelve participated in a self-report on socio-linguistic vitality, coping, and perceived stress. Adaptive coping strategies, such as positive reframing and humor, predicted lower levels of adolescents’ perceived stress. Maladaptive coping strategies such as self-blame and self-destructive behaviour predicted increased levels of adolescents’ perceived stress.

Moving Family Engagement to the Next Level: Developing Family Engagement Quality Standards
Evangeline Danseco, PhD, Ontario Centre of Excellence for Child and Youth Mental Health, CHEO (Children’s Hospital of Eastern Ontario), Ottawa, ON, Canada

Meaningfully engaging families in the child and youth mental health sector can have significant positive impacts on services and outcomes. Together with families, clinicians and researchers, the Ontario Centre of Excellence for Child and Youth Mental Health in partnership with and Parents for Children’s Mental Health co-developed a quality standard for family engagement that is central to ensuring that children, youth and families access and receive consistent, high-quality mental health services wherever they are.

Results of a Trauma-Sensitive Training Program for School-Based Professionals
Monica Fitzgerald, PhD, Institute of Behavioral Sciences, University of Colorado Boulder, Boulder, CO; Allison Dymnicki, PhD, American Institutes for Research, Washington, DC

The prevalence of trauma exposure in youth suggests that educators need knowledge and skills to support and teach these youth effectively. In a small study, we provided the Resilience in Schools and Educators program involving professional development, workshops, and coaching to 55 educators in eight schools. Pre- and post- measures indicate improvements in educator social-emotional competencies, resilience, burnout, and secondary traumatic stress. We plan to describe best practices for educators to prevent and alleviate trauma.

Improving Access to Screening, Brief Intervention, and Referral to Treatment in Primary Care for Adolescents: Implementation Considerations
Pamela Winkler Tew, MSS, Child Health Quality, Center for Health Care Strategies, Hamilton, NJ

Screening, Brief Intervention, and Referral to Treatment (SBIRT), an evidence-based strategy for addressing substance use, is underused with adolescents. The Center for Health Care Strategies will share considerations for integrating SBIRT in the primary care setting for adolescents, and information on CHCS’ new project that will look at how alternative payment models can influence the use of SBIRT for adolescents in health care settings.

Theory to Change in Sustainable Evidenced-Based Practice Implementation Through CDT: Case Study in Australia
Colleen Rogan, LCSW, Implementation Support Center, The New York Foundling, New York, NY

The New York Foundling Implementation Support Center (ISC) will discuss the effective and sustainable adoption of evidenced-based models through bridging the gap between implementation science and practice through the Community Development Team model. They will provide a case study to illustrate and facilitate this discussion.

The Impact of a Geospatially-Driven Monitoring and Evaluation Strategy to Improve the Implementation and Dissemination of Medicaid-Funded Behavioral Health Interventions in Louisiana
Sonita Singh, PhD, Behavioral and Community Health Sciences, LSUHSC Center for Evidence to Practice, New Orleans, LA

Using Medicaid claims data triangulated with several qualitative data sources, the Center for Evidence to Practice developed an evaluation strategy to 1) map and track increases in an expanding menu of EBP care, 2) measure the impact of the Center’s support for Provider Organizations on improving quality of care, and 3) produce a data-driven feedback loop identifying the sources of client, clinician, and agency attrition.

Development and Implementation of a Documentation-Based Quality Review Instrument for Wraparound With Intensive Services (WISE) in Washington State
Kari Samuel, MSPH, Tina Burrell, MA, Paul Davis, MS, Division of Behavioral Health and Recovery, Washington State Health Care Authority, Olympia, WA

This session will describe key elements of and lessons learned from the development of the Quality Improvement Review Tool (QIRT) for Wraparound with Intensive Services (WISe) in Washington State. We will also discuss preliminary findings from the initial statewide rollout of the QIRT, as well as challenges and opportunities for using detailed practice-level data for quality improvement of intensive, complex programs in the public behavioral health system

Session 70

4:15 PM – 5:45 PM
Esplanade 1 ~ 90 Minute Symposium

The Role of Family Engagement in Improving Outcomes for Children and Transition-Age Youth With Behavioral Health Needs
Symposium Chair and Discussant: Marsha Ellison, PhD, Department of Psychiatry, University of Massachusetts Medical School, Shrewsbury, MA

During this symposium, we will highlight the power of family engagement in the pursuit of improving outcomes for children and youth with behavioral health needs. We will showcase family involvement efforts through the perspective of current research findings, national family-run organization efforts, and a local family advisory board to harness the power of family engagement. Attendees will learn about current research at Portland State University. We will discuss the benefits and challenges of family involvement, examine the transfer from a child-oriented to the adult-oriented care system, and review the benefits of family involvement. FREDLA will share a national picture of how family-run organizations collaborate with systems to strengthen family engagement leading to positive outcomes for those they serve. Finally, Transitions to Adulthood Center for Research will share their experience of developing and sustaining a local family advisory board and their value in supporting relevant research and family-oriented products.

Supporting Independence and Relatedness: Involving Family Members and Other Supportive Adults During the Transition Process
Nancy Koroloff, PhD, Regional Research Institute for Human Services, School of Social Work, Portland State University, Portland, OR; Barbara Friesen, PhD, School of Social Work, Portland State University, Portland, OR

This paper reviews research that examines the benefits and barriers to family involvement during the transition of young adults with mental health challenges. Discussion includes the impact of HIPPA and ways of clarifying that policy and its use. We also make suggestions for increasing family involvement during the transition by providing training, information, and modifying policies within mental health systems and organizations.

Mission and Function of a National Organization on Family Involvement
Malisa Pearson, Family-Run Executive Director Leadership Association (FREDLA), Ellicott City, MD

It is widely recognized that family engagement positively impacts outcomes for children and youth/young adults with behavioral health needs. Child serving systems, however, often struggle to identify meaningful roles and implement effective supports that facilitate authentic engagement. FREDLA will share a national picture of collaboration between family-run organizations and mental health, education, juvenile justice, and child welfare systems to strengthen family engagement to improve outcomes for the systems and those they serve.

A Model for Family Involvement in Research
Marcela Hayes, BA, BS, Jean Wnuk, Psychiatry, Transitions to Adulthood Center for Research, University of Massachusetts Medical School, Shrewsbury, MA

During this presentation, we will share a local perspective on the importance of family involvement and input to support loved ones with mental health conditions. We will share our experience of developing and sustaining an active family advisory board, their value in supporting relevant research and developing family-oriented products. We will also share content from two national products developed by this stakeholder engagement group around the importance of self-care for caregivers.

Session 71 FE

4:15 PM – 5:15 PM
Esplanade 2 ~ 45 Minutes Discussion
Reflecting Parent/Family Peer Support Nationwide – How the Revised National Core Competencies Reflect the Evolving Field and the Work You Do
Lynda Gargan, PhD, Michelle Covington, MA, National Federation of Families for Children’s Mental Health, Rockville, MD,

This interactive session will review and discuss the newly implemented  National Core Competencies and how their broad definitions will allow for states to adapt and assign skills unique to their state’s needs, while still adhering to the national set of core competencies for Family Peer Support. Participants will assess skills used by Family Peer Support professionals and learn to critique and categorize them under these new, more broadly defined categories.

5:15 PM – 5:45 PM
Esplanade 2 ~ 45 Minutes Discussion
Family Run Organizations: Nationwide Services and Supports Summary Report  A Survey Conducted by the National Federation of Families for Children’s Mental Health
Lynda Gargan, PhD, National Federation of Families for Children’s Mental Health, Rockville, MD; Sue Smith, EdD, Georgia Parent Support Network, Atlanta, GA

As the needs of families and their children have evolved, this dynamic has been reflected in services and supports provided by family-run organizations (FROs). NFFCMH conducted a nationwide survey of FROs to learn more about this evolution. The data indicate that FROs have significantly expanded their supports to a much broader demographic of families and children and are navigating multiple child/family-serving systems. This discussion hour will review the survey results and discuss the implications.

Session 72 WA

4:15 PM – 4:45 PM
Esplanade 3 ~ 30 Minute Discussion
Impact of Motivational Interviewing on Fidelity: First Look
Barbara Dunn, MSW, Quality, Magellan Healthcare, Newtown, PA; Sharon Weber, BA, Wraparound, Magellan of Wyoming CME, Cheyenne, WY

Using MiiWrap, which combines HFWA and Motivational Interviewing (MI), demonstrated early success and high potential. Wraparound in Wyoming shows how implementing an early version of MiiWrap can improve fidelity in specific key elements and how it fared in a pre-post cohort study. We will review the long term outcomes using engagement, implementation, and graduation success rates in a provider scorecard model. We will also discuss the experience of model integration from a coach trainer perspective.

4:45 PM – 5:45 PM
Esplanade 3 ~ 60-Minute Symposium
Implementing Motivational Interviewing Informed Wraparound – an Overview and Three Studies
Symposium Chair: Jim Rast, PhD, Vroon VDB, Centennial, CO; Discussant: Steven Rosenberg, PhD, Psychiatry, Univeristy of Colorado at Denver, Aurora, CO

Wraparound provides an excellent structure for the provision of team-supported services for youth with SED and their families. Unfortunately, overall outcomes are limited by a lack of full engagement or sustained motivation. Motivational Interviewing (MI) addresses engagement and motivation by teaching and coaching staff to use communication skills and fostering a stronger collaborative partnership with the family. This symposium will provide an overview of enhancing Wraparound by integration with motivational interviewing. The first paper will provide the theoretical and practical reasons for improving Wraparound with motivational interviewing and the need to integrate and coach to them concurrently. The second presentation will present the results of a statewide comparison of Wraparound and MI enhanced Wraparound. The third presentation will present three studies using global measures to monitor not only fidelity to Wraparound (WFI WZ) but also an observation of the MI interactions between staff and youth and families and the effects of these differences on outcomes.

Enhancing Wraparound by Integrating It With Motivational Interviewing
David Duresky, MA, Training and Coaching, Florida Department of Social Studies, Ft. Lauderdale, FL

This paper will describe the theoretical and practical reasons for enhancing Wraparound with Motivational Interviewing and the need to integrate and coach them concurrently. Examples and data will show the challenge of full engagement and sustained motivation in current Wraparound programs, even in programs with above-average Wraparound fidelity (as measured by the WFI EZ). The presentation will provide an overview of MiiWrap and how it can address these challenges.

Statewide Study on the Impacts of Enhancing Wraparound With Motivational Interviewing
Sharon Weber, MS, Behavioral Health, Magellan Healthcare Inc, Cheyenne, WY

Magellan Healthcare expanded Wraparound statewide in 2015 with fidelity (WFI EZ) better than the national average but saw the continued need to improve engagement and motivation of families. To address this, MI and Wraparound were integrated for training and coaching.  An evaluation was implemented to compare Wraparound fidelity, youth and family engagement, and outcomes. This paper will present the initial fidelity findings and the follow-up fidelity and outcomes data at six and twelve months.

Coaching, Training, and Measuring Fidelity of MiiWrap
Jim Rast, PhD, Research, Vroon VDB, Centennial, CO

This paper will present three studies on training, coaching, and measuring fidelity of MiiWrap.  The first paper will compare the impact of providing Wraparound and MI training separately and providing them in an integrated fashion.  The second will compare various strategies for coaching the two processes. The third will review the process and compare the impact of measuring MI skills by staff as an indicator of fidelity. Each study will compare fidelity and outcome measures.

Session 73 Y&YA

4:15 PM – 4:45 PM
Palma Ceia 1 ~ 30-Minute Paper
Similarities and Differences in the Treatment Relationship: Youth and Provider Perspectives on Authenticity
Beth Sapiro, MSW, PhD, Department of Social Work and Child Advocacy, Montclair State University, Montclair, NJ

Authenticity is “the capacity to bring one’s real experience, feelings, and thoughts into relationship” (Jordan, 2009, p. 101).  This study explored how service providers and transition-age youth living with mental health conditions perceive the significance of authenticity, shared lived experience, and relating across both similarities and differences in the helping relationship. Youth and providers understood these concepts differently, with significant implications for clinicians providing behavioral health services to transition-age youth.

4:45 PM – 5:15 PM
Palma Ceia 1 ~ 30-Minute Paper

Balancing Risk With a Safety Net: How Transitional Living Programs Fare With Homeless Youth With Serious Mental Health Conditions
Rebecca P. Johnson, MA, LCPC, Vanessa V. Klodnick, PhD, LCSW, Marc A. Fagan, PsyD, Youth and Young Adult Services Innovation and Research, Thresholds, Chicago, IL; Youth and Young Adult Services, Thresholds, Chicago, IL

RISE, a transitional living program in Chicago, Illinois, was designed to prevent homelessness among 18-22-year-olds with serious mental health needs. This study sought to understand why youth completed RISE and why some did not. Findings reveal how engagement, employment, and education contribute to program completion. Also, how social network factors and violence together leads to non-completion. Future research must explore how motivation, mental health, and social network quality contribute to successful and unsuccessful exits.

5:15 PM – 5:45 PM
Palma Ceia 1 ~ 30 Minute Discussion
Improving Outcomes for Transition-Age Youth and Young Adults: A System or Culture Change
Ruth Ann Koss, Amy Wienand, Amy Hill, Aurelia Carter, Allegheny County Department of Human Services, Office of Behavioral Health, Pittsburgh, PA

Allegheny County, Department of Human Services, Office of Behavioral Health, has launched a strategic initiative focused on improving and expanding services for transition-age youth by 2020. The goal is to provide developmentally appropriate services and assist in the successful transition to adulthood. This system-wide change in policy and procedure will enhance services that improve skills and strengthens development that aid youth in the transition to a healthy, meaningful, independent adult life.

Session 74

4:15 PM – 4:45 PM
Palma Ceia 2 ~ 30-Minute Paper
Impact of Training Quality and Characteristics on Perception of Intervention Usability
Marianne Kellogg, BA, Hunter Pluckebaum, BA, Jonathan Olson, PhD, Eric Bruns, PhD, Kelcey Schmitz, MSEd, Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA

Training and consultation are critical mechanisms for developing an effective behavioral health workforce. This study examined what training factors predicted school mental health practitioners’ ratings of intervention usability. Results indicate that trainer organization is a significant predictor of perceived usability and impact. Aspects of training length, training format, and the number of participants were also analyzed for associations with intervention usability. Results hold promise for informing training delivery in children’s behavioral health.

4:45 PM – 5:15 PM
Palma Ceia 2 ~ 30-Minute Paper
Adopting a Framework to Better Define and Study Implementation Outcomes
Alisha Pollastri, PhD, Think:Kids, Massachusetts General Hospital, Boston, MA

Several implementation frameworks have emerged that guide purveyors and service agencies on improving implementation and research of evidence-based practices (EBPs). But how to choose, and is it worth it? We demystify the process of adopting an implementation framework and then using it in youth service agencies. We present an example that adopts the Active Implementation Frameworks (AIFs) to guide the site-wide implementation of Collaborative Problem Solving (CPS).

5:15 PM – 5:45 PM
Palma Ceia 2 ~ 30 Minute Discussion
Children’s Mental Health Initiative National System of Care Expansion Evaluation:  An Analysis of Grantees’ Strategic Financial Planning
Talia Hahn, MPH, DMA Health Strategies, Lexington, MA

SAMHSA’s Children’s Mental Health Initiative Expansion grants intend to help jurisdictions develop integrated home and community-based systems and supports for children and youth with serious emotional disturbances and their families as part of a system of care (SOC). As part of the National Evaluation team, DMA Health Strategies analyzed grantees’ strategic financial planning processes, their plans, and plan implementation. This session will discuss insights about financing strategies for SOC services and infrastructure.

Session 75

4:15 PM – 5:45 PM
Palma Ceia 3 ~ 90 Minute Symposium
Responding to the Crisis in Crisis Care: Developing and Advocating for Pediatric Behavioral Health Urgent Care to Decrease Emergency Department Utilization and to Increase Access
Symposium Chair: Danna Mauch, PhD, Massachusetts Association for Mental Health, Boston, MA

We will report on the background, model development, and advocacy efforts of the Children’s Mental Health Campaign to develop a consensus-driven pediatric behavioral health urgent care model in response to the growing demand for real-time access to children’s behavioral health care. We will report on a mixed-methods study that identified three groups of children/adolescents most in need of an urgent but non-emergency behavioral health intervention: those exhibiting acute changes in behavior and thinking, those with suicidal ideation, and those with social role dysfunction. We will also present a modified model for children with Autism Spectrum Disorders and, or, other Intellectual and Developmental Disorders (ASD/IDD) and a co-occurring mental health crisis. We describe advocacy efforts to engage policy-makers and providers in a three-pronged approach to organizational and policy change: enhancing core services capabilities, filling selective services gaps, and implementing legal, regulatory, financing, and practice transformation to facilitate uptake and broadscale adoption.

Behavioral Health Crises: Background, Context, and Opportunity for Improved Care
Kate Ginnis, MSW, MPH, MassHealth, Commonwealth of Massachusetts, Boston, MA

The CMHC’s ED Boarding Project demonstrated that 14% of youth initially assessed in the emergency room (ED) to require inpatient care stabilized and were discharged. The understanding that about half of pediatric ED mental health visits result in discharge home, driving the CMHC to consider Behavioral Health Urgent Care as an intervention. This work is predicated on the idea that timely access to care that includes crisis intervention can avoid unnecessary ED and inpatient stays.

A New Model of Care: Pediatric Behavioral Health Urgent Care
Danna Mauch, PhD, Massachusetts Association for Mental Health, Boston, MA

Pediatric behavioral health urgent care is not a place-based intervention. Mixed-methods research, including broad stakeholder interviews and site visits, led to a proposed model of change that includes building crisis capacity throughout the behavioral health system. This presentation will describe the components of the model and the policy changes necessary to support it, as well as specific solutions for youth with ASD/IDD in a behavioral health crisis.

Moving From Research to Policy Change: Using an Advocacy Coalition to Advance an Agenda
Nancy Allen Scannell, Massachusetts Society for the Prevention of Cruelty to Children, Jamaica Plain, MA

This Pediatric Behavioral Health Urgent Care model aligns with behavioral health reform efforts in Massachusetts and has been foundational in informing policy change that will improve access to behavioral health care for youth and their families. This presentation will describe advocacy strategies, including engagement of community stakeholders, administrative and legislative policy-makers, and family members to move towards implementation of the model.

Session 76

4:15 PM – 5:15 PM
Palma Ceia 4 ~ 60-Minute Symposium
Behavioral Health Integration Into Pediatric Primary Care: Lessons From the Massachusetts Child Psychiatry Access Program
Symposium Chair: John Straus, MD, Massachusetts Behavioral Health Partnership, Boston, MA; Discussant: Talia Hahn, MPH, DMA Health Strategies, Lexington, MA

The Massachusetts Child Psychiatry Access Program (MCPAP) is a system of regional children’s behavioral health consultation teams offering psychiatric and clinical consultation, as well as resource and referral information to help primary care providers manage the behavioral health of their pediatric patients. Dr. Straus will introduce the topic, describing the key aspects of MCPAP and the challenges it has faced as the primary care landscape has evolved.  DMA will present results from a survey of 104 pediatric practices about their existing behavioral health resources, needs, and the strategies they use to manage children with mental health conditions. Dr. Straus will end the presentation by identifying how survey findings have been used to improve and adapt MCPAP, as well as implications for other psychiatric consultation services.

The Massachusetts Child Psychiatry Access Program: The Evolving Role of Psychiatric Consultation in Pediatric Primary Care
John Straus, MD, Massachusetts Behavioral Health Partnership, Boston, MA

The Massachusetts Child Psychiatry Access Program (MCPAP) offers timely access to psychiatric consultation and facilitates referrals for accessing ongoing pediatric behavioral health care. The program is available for all children and families regardless of insurance, through their primary care providers. MCPAP is evolving alongside the changing primary care environment to serve children with behavioral health needs in Massachusetts best. This session will discuss specifics about the program’s successes and challenges.

Addressing Children’s Behavioral Health in Pediatric Primary Care: Results From the Massachusetts Child Psychiatry Access Program Quality Improvement Survey
Talia Hahn, MPH, Alison Ireland, MA, DMA Health Strategies, Lexington, MA

DMA Health Strategies undertook work for the Commonwealth of Massachusetts’ Department of Mental Health to survey pediatric physicians using the Massachusetts Child Psychiatry Access Program.  DMA is presenting results from a sample of 104 pediatric practices about their existing behavioral health resources, needs, and the strategies they use to manage children with mental health conditions in a rapidly changing primary care environment.

5:15 PM – 5:45 PM
Palma Ceia 4 ~ 30-Minute Paper
Developing a Universal Survey to Measure Agency-Wide Impact: One Instrument Across Diverse Programs, Services, and Clients
Nikolaus Schuetz, LMSW, Amy Mendenhall, PhD, MSW, School of Social Welfare, University of Kansas, Lawrence, KS; Pamela Cornwell, LCMFT, Saint Francis Ministries, Hays, KS; Amanda Pfannenstiel, LCP, LCAC, Saint Francis Ministries, Hays, KS; Becci Akin, PhD, MSW, School of Social Welfare, University of Kansas, Lawrence, KS

Social welfare researchers collaborated with a nation-wide agency to develop a universal instrument to measure impact across various programs with different services, diverse clients, and several locations. The survey, adapted from the Protective Factors Survey, was piloted at six different sites and programs. This presentation will discuss the insight from developing an agency-wide universal instrument, implementation lessons from providers’ perspectives, program impact findings, and how they all inform agency-wide process change.

Session 77

4:15 PM – 4:45 PM ITRE
Garrison Suite ~ 30-Minute Paper
School-Based Behavioral Health Care: Serving Vulnerable and Unique Populations
Amanda Farris, MSW, Flossie Parsley, MSW, Hillsborough County Public Schools, Tampa, FL

Providing behavioral health services to children and adolescents in high need school districts can be particularly challenging. For ethnic minority and migrant farmworker communities, cross-system barriers often impede behavioral health service access for families. As a result, school providers are often relied upon to fill the significant gap in care. Understanding the challenges of unique at-risk populations can enhance the implementation of school-based services and lead to more successful outcomes for children.

4:45 PM – 5:15 PM
Garrison Suite ~ 30-Minute Discussion
The Minnesota School-Based Diversion Model (SBDM) – an Overview of the Model and Dissemination of Initial Lessons Learned From Six Pilot Sites
Char Myklebust, PsyD, Professional Education Pal, LLC, Minneapolis, MN; Julie Atella, MA, Wilder Research, Amherst H. Wilder foundation, St. Paul, MN

This presentation will provide information about the Minnesota School-Based Diversion Model (SBDM) and its implementation in six pilot sites in Minnesota. Additionally, we will discuss the analysis of the initial findings, which will include uncovering some of the analyses from the implementation and outcome evaluation.

5:15 PM – 5:45 PM
Garrison Suite ~ 30-Minute Paper
Evaluating the Impact of a State-Wide System of Care Initiative to Reduce Restraint in Out-Of-Home Treatment Settings
Thomas Mackie, PhD, MPH, Department of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, NJ; Jolene Chou, MPH, Rutgers, the State University of New Jersey, New Brunswick, NJ; David Goldin, MA, Oliver Lontok, MD, MPH, Institute for Health, Health Care Policy, and Aging Research, Rutgers, the State University of New Jersey, New Brunswick, NJ; John Palatucci, MPA, Department of Health Behavior, Society, and Policy, Rutgers School of Public Health, Piscataway, NJ

In 2015, the New Jersey Children’s System of Care implemented Promising Path to Success (PPS), a statewide initiative to create trauma-informed environments. This paper reviews the evaluation and return on investment analysis conducted on this statewide initiative. We will present the rationale, study design, and results of an evaluation of effectiveness and return on investment of PPS, including the use of a stakeholder advisory board, overall logic model, data sources, and results.