Concurrent Sessions 78-88


March 15-18, 2020

Wednesday, March 18, 2020
10:00 AM – 11:30 AM

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

Session 78 Y&YA

10:00 AM – 10:45 AM
Bayshore 5 ~ 45 Minutes Discussion
Empowering Youth Advocates to Become Young Professionals: The Next Era in Workforce Development
Jammie Gardner, Youth Era, Eugene, OR; Lacy Dicharry, MS, MBA, Youth Era, Eugene, OR

Youth advocates often work to find career pathways into utilizing their lived experience to help others in a professional capacity. This rapidly evolving workforce is a tremendous asset to any program when you understand how to work with these generations using culturally responsive and evidence-based approaches. Join us in learning more about how to create success for your staff as they transition from youth advocates to young professionals.

10:45 AM – 11:30 AM
Bayshore 5 ~ 45 Minutes Discussion
Elevating Lived Experience Through Coaching
Lacy Dicharry, MS, MBA, Youth Era, Eugene, OR; Jammie Gardner, Youth ERA, Eugene, OR

The youth peer workforce has produced positive outcomes for system-engaged youth. Young professionals are experiencing burnout due in part to a lack of adequate support,  cultural misalignment within their organizations, and limited development opportunities. Young professionals need effective training, support, regular coaching, and opportunities for growth. Research suggests that coaching boosts organizational productivity, engagement, and wellness for young professionals.  Youth Era coaches will provide insight into best practices and deliver coaching strategies and tools.

Session 79 EBP

10:00 AM – 11:00 AM
Bayshore 6 ~ 60-Minute Discussion
An Evidence Based Approach to Providing Technical Assistance to Child Welfare Agencies in New York City
Melissa Fulgieri, LCSW, Marta Anderson, LCSW, Implementation Support Center, New York Foundling, New York, NY

This presentation will highlight how The Implementation Support Center (ISC) used the Community Development Team (CDT) model to provide technical assistance to child welfare agencies across New York City in preparation for a request for proposals. The presentation will delve into what spurred the creation of the ISC as well as how CDT grounds ISC’S services in an evidence-based framework. The presentation will also showcase the future work ISC will complete on this project.

11:00 AM – 11:30 AM
Bayshore 6 ~ 30 Minutes Discussion
Systems of Care: Implementing EBP’s, EHR, and Information Technology
Arik Hill, The New York Foundling, New York, NY; Sylvia Rowlands, PhD, Evidence Based Community of Programs, The New York Foundling, New York, NY; Thomas Sexton, PhD Functional Family Therapy Associates, Bloomington, IN

This presentation will discuss a spectrum of effective, community-based services and supports for children/youth with or at risk for mental health, child welfare, juvenile justice, or other challenges and their families. The spectrum organized into a cross-sector, coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs to improve their functioning at home, in school, in the community, and throughout life.

Session 80 CW

10:00 AM – 10:30 AM
Bayshore 7 ~ 30-Minute Discussion
Addressing the Needs of Families Affected by Substance Abuse Through FAST—A Voluntary, Non-Judicial Program
Monica Landers, MA, MSW, Department of Child and Family Studies, University of South Florida, Tampa, Florida; Carlos Cruz, Reena Johnson, Family Support Services of North Florida, Inc., Jacksonville, Florida; Areana Cruz, MSEd, Anna Abella, PhD, Department of Child and Family Studies, University of South Florida, Tampa, Florida

This presentation will describe a voluntary, non-judicial program implemented in Duval County, Florida—Family Assessment Support Team (FAST)—to provide a comprehensive array of services and supports to meet the needs of families impacted by substance misuse.  Using funds awarded through a Regional Partnership Grant, Family Support Services of North Florida, Inc. (FSSNF) is working to increase parents’ recovery from substance abuse disorders, improve outcomes for children, and enhance family functioning and stability through their FAST program.  This symposium will provide a synopsis of the FAST program and present findings from a comparative effectiveness study on the extent to which the FAST program is impacting outcomes related to safety, permanency, well-being, and recovery from substance use disorders.

10:30 AM – 11:30 AM
Bayshore 7 ~ 60 Minute Discussion
Promising Path to Success is V.I.T.A.L. (Vision, Implementation, Training, Assessment & Lessons Learned) – New Jersey’s System of Care Journey of Transformation
Elizabeth Manley, MSW, The Institute for Innovation and Implementation-University of Maryland, Baltimore, MD; Stacy Reh, BA, NJ Department of Children and Families, Children’s System of Care, Trenton, NJ; Dawn Kowalczyk, MS, LMFT, Behaviorial Research and Training Institute, Rutgers University, Piscataway, NJ

This discussion will showcase how Vision, Implementation, Training, Assessment, and Lessons Learned (V.I.T.A.L) have transformed New Jersey’s work with youth and families through its first SAMHSA System of Care Expansion Grant, Promising Path to Success (PPS). With a focus on workforce development, relationship building, and data, PPS utilized Six Core Strategies and the Nurtured Heart Approach as a foundation to changing how we connect with youth, families, staff, and providers to develop healing environments and achieve better outcomes. This session will also provide a first look at how the challenges and successes of Promising Path to Success will inform New Jersey’s newest SAMHSA system of care expansion grant and be utilized to positively impact child protection, local schools, and more of its system partners.

Session 81 BHE

10:00 AM – 10:30 AM
Esplanade 1 ~ 30-Minute Paper
Understanding and Addressing the Vocational Barriers and Needs of Black Young Adults With Serious Mental Health Conditions
Jonathan Delman, PhD, JD, MPH, Transitions to Adulthood Center for Research, University of Massachusetts Medical School, Stoneham, MA

Racial disparities exist in the delivery and outcomes of vocational services for young adult Blacks with disabilities. This paper shows the results of a multi-staged mixed-methods study of the vocational experiences, needs, and preferences of Black young adults with serious mental illnesses (SMI). This includes qualitative interviews with Black young adults with SMI, data analysis, and provider focus groups to present the interview findings to their interpretation toward improving services.

10:30 AM – 11:00 AM
Esplanade 1 ~ 30-Minute Paper
Alcohol Use Disorder and Pregnancy Coercion Among Young African American Women
Ariadna Capasso, MFA, Ralph DiClemente, PhD, Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY

This study examined the association of pregnancy coercion (PC) and alcohol use among young African American women. Women with an alcohol use disorder (AUD) had 1.89 odds than those without to experience PC (95% CI:1.20-2.96). Odds of experiencing PC increased with the number of drinks consumed before sex (AOR:3.033-5 vs. 0 drinks;95% CI:1.65-5.55 and AOR: 4.716+ vs. 0 drinks; 95% CI: 2.40-9.24). Alcohol use as a risk factor for PC should be further explored.

Session 82 FE

10:00 AM – 11:00 AM
Esplanade 2 ~ 60-Minute Discussion
Parent Peer Support to Promote Access and Retention of Children in Mental Health Services: Preliminary Findings From a Randomized Trial
Bruno Anthony, PhD, Psychiatry, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO; Eric Bruns, PhD, Psychiatry, University of Washington, Seattle, Seattle, Washington; Mille Sweeney, Family-Run Executive Director Leadership Association, Ellicott City, MD; Ruth Fox, Allegheny Family Network, Pittsburgh, PA; Michelle Heinen, Uplift, WY, Cheyenne, WY

Parent peer support (PPS), provided by those with lived experience raising youth with mental health conditions, holds promise to improve youth and caregiver outcomes. However, there is little research on its short- and long-term impacts. This presentation will discuss the development and preliminary results of an NIMH-supported R34 award, which will culminate in a randomized clinical trial, involving testing of a research- and theory-based model created by the Family-Run Executive Director Leadership Association.

11:00 AM – 11:30 AM
Esplanade 2 ~ 30-Minute Paper
Childhood Anxiety and Caregiver Strain
Summer Nielsen, MA Candidate, Psychology, University of Minnesota Duluth, Duluth, MN

Caregiver strain for those caring for a child with a psychological disorder can significantly impact treatment effectiveness. Although strain among caregivers of children with behavioral disorders has been examined, anxiety disorders and caregiver strain require more attention. In this study, data collected from a sample of 100 youth referred for intensive mental health treatment and their caregivers, will contribute to the knowledge base of how children’s anxiety impacts caregivers, and consequently, treatment outcomes.

Session 83 WA

10:00 AM – 10:45 AM
Esplanade 3 ~ 45-Minute Paper
High Fidelity Wraparound Adapted for Success in a Medical Model: Type 1 Diabetes in Teens, and Their Families
Amy G. Nevin, MD, Diabetes Wraparound Program of UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA; Tammy Nash, SLP, Advisory Board, Diabetes Wraparound Program of UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA; Laurie Jones, Youth and Family Training Institute, University of Pittsburgh Medical Center (UPMC), Monroeville, PA

The Diabetes Wraparound Program (DWP) of UPMC Children’s Hospital is the first known effort of its kind to adapt the High Fidelity Wraparound (HFW) model to address a medical condition: youth with Type 1 Diabetes (T1D), and their families. Our session reveals how a leadership team that includes youth with T1D, and parents raising children with T1D,  plus a well-constructed organizational structure that supports the HFW team has educated doctors, nurses and diabetes educators in a variety of ways, not only to change culture in a hospital but also to make inroads with social and natural supports for children and their families within the Hospital’s diabetes clinic. We look forward to explaining how the program was developed and implemented, how youth and families have played a key role, how Endocrinology and Psychiatry are working together, and how the pieces that are in place that will lead to improved outcomes.

10:45 AM- 11:30 AM
Esplanade 3 ~ 45 minutes Discussion
The Contributions of Youth Peer Advocates in High Fidelity Wraparound
Ruth Lindenfelser, LMSW, The Center for Human Services Research, Albany, New York; Ashley Rivera, NYS Systems of Care Grant, YOUTH POWER! of Families Together in NYS, Albany, NY

Peer services are unmistakably a pivotal enhancement to the Wraparound process. However, there is limited research on the potential contributions peers, and particularly youth peer advocates (YPAs), make to the Wraparound process. This presentation will describe the benefits of involving youth peers from a Wraparound demonstration project in New York State, as well as areas needing further support. Youth peer advocates have the potential to enhance the Wraparound process, yet much remains unknown about how to best harness their unique skills. The New York State System of Care High Fidelity Wraparound initiative, in which peers are part of a care team, provided an opportunity to examine their role in HFW and identify their unique value and needs. Data gathered from multiple sources will provide a holistic view of this role and its’ impact on families served.

Session 84 Y&YA

10:00 AM – 11:30 AM
Palma Ceia 1 ~ 90 Minute Symposium
The Mental Health Block Grant Ten Percent Set Aside Study: Building Effective Teams to Support Individuals With First Episode Psychosis
Symposium Chair: Abram Rosenblatt, PhD, Westat, Rockville, MD

First episode psychosis (FEP) often affects individuals and their families just at the time when young people are preparing for and establishing autonomy as adults. Coordinated Specialty Care (CSC) addresses systemic gaps and barriers that youth who experience FEP commonly face. In 2016, the federal government required states to implement early intervention services through the Mental Health Block Grant (MHBG) ten percent set aside administered by the Substance Abuse and Mental Health Services Administration (SAMHSA). Currently, the funds are allocated to aspects of programming for 251 CSC programs nationally. The MHBG 10% Study focuses on 36 CSC programs across the U.S. using set aside funds. This symposium presents overall MHBG 10% Study findings on program staffing, with a special focus on the use of peer support as well as primary outcomes from clients across these programs.

The Heart of the Coordinated Specialty Care Model: The Team Approach in First Episode Psychosis
Preethy George, PhD, Westat, Rockville, MD

Coordinated Specialty Care is an evidence-based treatment early intervention model for individuals with first-episode psychosis (FEP). The multidisciplinary teams that are used in CSC form the foundation of each program’s service delivery. Given the central nature of the CSC team, this presentation provides information about staffing roles, leadership, and staff turnover within 36 CSC programs across the country.

The Growth of Peer Support Services in Coordinated Specialty Care Programs for First Episode Psychosis
Tamara Daley, PhD, Westat, Durham, NC

While not identified as a core element of Coordinated Specialty Care (CSC) for individuals experiencing a first-episode psychosis (FEP), peer support programs have become an increasingly common component of programs across the U.S. The MHBG 10% Study provides rich data on a set of 25 CSC programs that have introduced a peer support program, including the goals and roles of peer support, as well as funding mechanisms and initial challenges.

Fidelity Matters: The Relationship Between Fidelity and Participant Outcomes in First Episode Psychosis Programs
Abram Rosenblatt, PhD, Carol Bruce, PhD,Westat, Rockville, MD

A central question of the MHBG Study is whether participants demonstrate better outcomes when attending programs with higher fidelity. Independent raters used a modified version of the First Episode of Psychosis Services Fidelity Scale (FEPS-FS), and outcomes included symptoms, quality of life, and functioning across multiple domains. Programs generally demonstrated high fidelity. Controlling for individual and site-level factors, including those related to staffing, we observed significant relationships between fidelity and outcomes for selected measures.

Session 85 MB

10:00 AM – 10:45 AM
Palma Ceia 2 ~ 45 Minutes Discussion
Building Resilient Students – Local Public Health Partnering With Schools To Create Environments Promoting Good Mental Health For Boys
Justine Ginsberg, BSN RN, Community Health, Farmington Valley Health District, Canton, CT; Jennifer Kertanis, MPH, Public Health, Farmington Valley Health District, Canton, CT

Improving the health of children both physically and mentally, requires an increased focus on building resilient attributes of our youth, specifically for boys.  Resilience Grows Here has successfully written and implemented a K-12 school-based curriculum that fosters the resilience students need through skill-building and self-awareness. By encouraging the investment of schools, we have created a model school practice placing public health-centered programming into the classroom with exciting initial results.

10:45 AM- 11:30 AM
Palma Ceia 2 ~45 Minute Symposium
Preparing to Sustain Progress: The Making Connections Initiative
Ruben Cantu, BA, Mental Health, Prevention Institute, Oakland, CA; Roxann McNeish, PhD, MSW, Department of Child & Family Services, University of South Florida, Tampa, FL

This session will share lessons that have emerged as the 13 Making Connections initiative sites shift into their fifth year. As these sites have developed sustainability plans to move them beyond the current funding commitment, conversations have focused on strategy and impact in deciding what to scale to strengthen the most impactful and promising strategies (e.g., scaling stronger vs. scaling bigger). Sites have also worked through how to sustain the work (e.g., through partnership, strategic communications, new funding, leadership and mentor training, and curricula development). With mental health and trauma continuing to be critical issues in the U.S., and with limited resources to both engage communities and implement upstream prevention strategies, identifying what and how to scale and sustain is more important than ever. The Making Connections initiative developed as a community-centered approach to mental health and well-being, and through this intentional approach has been able to provide the opportunity for young leaders to emerge as the core of the work – leading assessment, implementation, and evaluation of strategies.

Session 86

10:00 AM – 10:30 AM
Palma Ceia 3 ~ 30-Minute Paper
Correlates of Referral Source for Youth Partial Hospitalization Systems and Outcomes
Kathy Dowell, PhD, Psychology, University of Minnesota Duluth, Duluth, MN

This project examined demographic and clinical correlates of youth referred for partial hospitalization from various referral points as well as comparative treatment outcomes. Referral sources or entry points were identified as inpatient, outpatient, self, school, social services, medical providers, and residential treatment programs.

10:30 AM – 11:30 AM
Palma Ceia 3 ~ 60-Minute Symposium
USF PathEd Collaborative: Building a Tampa Bay Behavioral Health Pathway to Care PCOR/CER Network
Symposium Chair: Nev Jones, PhD, Department of Psychiatry & Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL; Discussant: Linda Callejas, PhD, Child & Family Studies, College of Behavioral & Community Sciences, University of South Florida, Tampa, FL

Improving youth and young adult pathways to care following the onset of nascent serious mental illness is a critical public health issue. This symposium will present the PathEd Collaborative work to engage diverse community partners in Hillsborough County in a capacity-building process to increase involvement in research to improve pathways to care for youth/young adults experiencing the onset of serious mental illness. The papers presented will present process and preliminary findings on small research projects co-led by USF researchers and PathEd partners on the following topics: collaborative engagement of partners for training in research methods; projects focused on the experiences of diverse youth/young adults, including those working as youth peer specialists; Hispanic/Latinx youth experiencing acculturative stress and other challenges; and youth of color and, or, those living in extreme poverty with early psychosis receiving services in diversion courts.

Using Participatory Methods to Promote Stakeholder-Led Mental Health Research and Equity
Nev Jones, PhD, Department of Psychiatry & Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL

With exceptions, stakeholder-led mental health research remains scarce in the U.S., with barriers including access to funding and IRBs, university policies and practices, and underlying structural barriers to higher education for many of the communities most affected by mental health services research. We describe the development of and preliminary findings for four stakeholder-led (Y/YA, family, and front-line provider) research projects focused on pathways to and through care, emphasizing intersections between participatory methods and health equity.

Community Engaged Research With Hispanic/Latinx Youth and Families: Identifying Strategies for Increased Engagement and Promoting Long-Term Equity in Mental Health Crisis Services
Linda Callejas, PhD, Child & Family Studies, College of Behavioral & Community Sciences, University of South Florida, Tampa, FL

This paper will present preliminary findings of community-engaged research conducted with staff members of the leading Hispanic/Latino-focused service provider in Hillsborough County, Florida, to learn more about community perceptions of research participation and mental health among youth/young adults and their families. Aside from the discussion of the engagement process and community perceptions related to mental health stigma and participation in research, the paper will identify recommendations for increased engagement with Latinx youth/young adults and parents.

Facilitated Conversation: Promoting Health Equity Through Participatory Research
Nev Jones, PhD, Morsani College of Medicine, University of South Florida, Tampa, FL; Linda Callejas, PhD, Child & Family Studies, College of Behavioral & Community Sciences, University of South Florida, Tampa, FL

The final presentation will serve as a facilitated discussion and present lessons learned, including facilitators and barriers to using a collaborative engagement research process to improve crisis services for diverse youth and young adults experiencing mental illness, specifically, and more generally to promote behavioral health equity. The discussion will focus on identifying opportunities to meaningfully engage with community residents (youth, young adults, parents) and highlight their knowledge in efforts to improve mental health service systems.

Session 87

10:00 AM – 10:30 AM
Palma Ceia 4 ~ 30 Minute Discussion
Impact of Family, Friends, and Romantic Partners on Mental Health Recovery Among Emerging and Middle-Aged Adults With Serious Mental Illness
Eunji Nam, PhD, School of Social Work, University of Central Florida, Orlando, FL

The purpose of this study is to explore the distinctiveness of emerging adults with serious mental illness (SMI). Guided by the social convoy model, this study compared emerging (ages 18 to 29) and middle-aged adults with SMI (ages 40 to 65) regarding social-relational characteristics and its impact on mental health recovery. Findings suggest that emerging adults with SMI have many similarities; however, they are also distinguished from middle-aged adults with SMI in a few ways.

10:30 AM – 11:30 AM
Palma Ceia 4 ~ 60-Minute Paper
Improving the Outcomes With Transition-Age Young People in a Large Community Transition System:  Strategies for Implementation, Fidelity, Tracking Outcomes, and Building Site-Capacity for Sustainability
Tiffany Lawrence, LMFT, Broward Behavioral Health Coalition, Lauderhill, FL; Hewitt B. “Rusty” Clark, Ph.D, Director, National Network on Youth Transition, St Petersburg, FL; Crysta Snyder, CRPS, Wellness Coach, South Florida Wellness Network, Inc, Oakland Park, FL; Jennifer Branham, LCSW, South Florida Wellness Network, Inc, Oakland Park, FL

This paper discusses and illustrates program implementation principles with the Broward County Transition Collaborative – with its six provider agencies in Fort Lauderdale, FL. We will present data related to the implementation of the Transition to Independence Process (TIP) Model, the fidelity process, and outcomes for the young people served, such as improvements in daily-life functioning and wellness, reductions in substance use, stabilized in home-type housing, decreased use of crisis and residential.

Session 88

10:00 AM – 10:30 AM
Garrison Suite ~ 30-Minute Paper
Using Data to Inform Implementation of Systems of Care in Rural Georgia: The AIME Project
Russell Carleton, PhD, Center of Excellence for Children’s Behavioral Health, Georgia Health Policy Center, Atlanta, GA; Matthew Clay, MS, Georgia Department of Behavioral Health and Developmental Disabilities, Atlanta, GA; Tina Brown, Ann DiGirolamo, PhD, Center of Excellence for Children’s Behavioral Health, Georgia Health Policy Center, Atlanta, GA

The AIME Project is a system of care initiative, funded through SAMHSA, with a focus on rural areas of Georgia. The evaluation has incorporated several emerging methods for data collection, including the use of “Poll Everywhere” technology and utilizing social marketing metrics. Also, the initiative has focused on more fully integrating Certified Peer Specialists into the care coordination process. The presentation will discuss some of those innovations and their early results.

10:30 AM – 11:00 AM
Garrison Suite ~ 30-Minute Paper
Implementing a Statewide Fidelity Review and Certification Process for Intensive Home-Based Treatment in Ohio
Richard Shepler, PhD, Bobbi Beale, PsyD, Center for Innovative Practices, Begun Center for Violence Prevention, Case Western Reserve University, Cleveland, OH

Taking treatment models to scale statewide requires consistent application of program protocols and standards. This presentation will describe the development and implementation of a program-level fidelity tool that measures adherence to the core components of the Intensive Home-Based Treatment (IHBT) model. We will discuss the fidelity instrument, fidelity review protocols, and statewide certification process.

11:00 am – 11:30 AM
Garrison Suite ~ 30-Minute Paper
A Psychometric Analysis of an Organization-Developed Tool: The KVC Kentucky Consumer and Family Member Experience and Satisfaction Surveys
Denise Jones, MBA, MSW, Jarrod Dungan, BA, , KVC Behavioral Healthcare Kentucky, Lexington, KY; Chizimuzo (Zim) Okoli, PhD, MPH, MSN, Yazan Al-Mrayat, MSN, RN, College of Nursing, University of Kentucky, Lexington, KY

KVC Kentucky is a non-profit organization specializing in family and child welfare services. This study provides findings from an examination of the psychometric properties of two instruments developed by the organization to assess consumers’ and family members’ satisfaction with their services. The subscales within both instruments demonstrated internal consistency and validity for use in the service population. Future research may focus on reducing the number of items within each instrument for better distribution.