Monday, March 6, 2017, 11:15 am - 12:15 pm

Session 12 

11:15 am - 12:15 pm
Bayshore 5 ~ (Symposium) 

Collaborative Problem Solving: Site-Wide and System-Wide Implementation / Part 2
Symposium Chair: Michael Hone, MEdCrossroads Children's Centre, Ottawa, Ontario; Discussant: Stuart Ablon, PhD, Think:Kids, Boston, MA

Collaborative Problem Solving (CPS) was introduced in 1998 as an approach for understanding and managing explosive, chronically inflexible children (Greene, 1998). Fifteen years later, it is being applied much more broadly with families and systems to address externalizing and internalizing symptoms in children and adolescents, and as a unifying approach across mental health agencies and in systems of care.  In this symposium, we will describe how the CPS approach can be used site-wide, as well as system-wide, to impact change in individuals/families, agencies, and systems. We will give practical advice for how agencies can plan to implement CPS site-wide, and then how they can evaluate their provider and site-wide fidelity as they move through the implementation process. In each talk, presenters will describe best practices (and pitfalls encountered) when implementing the CPS approach with individuals, in organizations, and across systems of care. After the two presentations, Dr. Ablon, Director of Think:Kids in the Department of Psychiatry at Massachusetts General Hospital (home of the Collaborative Problem Solving Approach) will comment on the talks and lead a discussion.

Session 13

11:15 am - 12:15 pm
Bayshore 6 ~ (Symposium) 

Innovative Strategies to Improve Mental Health Integration in Pediatric Primary Care
Symposium Chair: Carol Zahm, PhDDC Department of Behavioral Health, Washington, DC; Discussant: Jim Wotring, DC Department of Behavioral Health, Washington, DC

In the United States, up to 20% of children experience a MH disorder in a given year (Perou, Titsko, & Blumberg, 2013). Early identification of mental health (MH) concerns is critical, as accurate and early diagnosis and treatment can alleviate significant social and academic problems throughout childhood and into adulthood (Dodge, Bierman, & Coie, 2015). However, only one in five youth requiring MH treatment receive it (Van Landeghem and Hess, 2005). The District of Columbia (DC) has implemented several strategies to improve the integration of MH in pediatric primary care for children. We discuss two of these strategies: implementing a Quality Improvement (QI) Learning Collaborative model to improve universal, routine MH screening, and the development of a child psychiatry access program, DC MAP (Mental Health Access in Pediatrics).  

Session 14

11:15 am - 12:15 pm
Bayshore 7 ~ (Symposium)

Trauma, Attachment, and Teens in Care: Implementation of an Evidence-Based Program for Foster Parents
Symposium Chair: Marlene Moretti, PhDSimon Fraser University, Canada

There are over 600,000 children and youth living in foster care in the United States, and teens represent approximately for 34% of the children in care. Exposure to complex trauma and attachment disruption is common among adolescents in foster care, contributing to placement breakdowns, loss and exposure to re-traumatization. Despite these needs, and the burden of suffering for children, families and their communities that results, there is a dearth of attachment-based interventions designed for foster families of adolescents. The Connect Parent Group (Connect) is a 10-week manualized program developed to promote caregiver sensitivity; mindfulness; dyadic affect regulation and openness to partnership with their child. Designed to maximize uptake, treatment fidelity and sustainability, it can be delivered by a range of practitioners at relatively low cost on a caregiver unit basis.

Session 15

11:15 am - 12:15 pm
Palma Ceia1 ~  (Discussion Hour)

Involving Young People in Evaluation to Impact Systems Change
Ciara Khan, Joshua Calarino, Dawntavia Louis, Youth M.O.V.E. Miami, Miami Gardens, FL

Session 16

11:15 am - 12:15 pm
Palma Ceia 2~ (Symposium)

Kids in Crisis:  Unpacking the Problem of Pediatric Psychiatric “Boarding” and Developing Policy Solutions
Symposium Chair: Kate Ginnis, MSW, MPHBoston Children's Hospital, Boston, MA; Discussant: Courtney Chelo, Massachusetts Society for the Prevention of Cruelty to Children, Jamaica Plain, MA

Children in psychiatric crisis across the country are experiencing prolonged stays in Emergency Departments and other inappropriate settings, or “boarding,” while awaiting acute care. Boarding was first identified in the literature in 2003, revealing that the mental health system appeared to function opposite the medical triage system; youth with more symptom severity were less likely to quickly access what they needed, and were at higher risk for “boarding.”  Research conducted by the same team in 2007-2008 found that not much had changed. This study elucidated what had been known anecdotally for years – pediatric psychiatric crises are seasonal, and that boarding follows the same pattern. Despite several state-led task forces over the years, in Massachusetts, the problem seems to be getting worse. Boarding is a complex problem facing youth, families, providers, and healthcare systems across the country, and will require a complex solution. This project highlights the essential nature of including researchers, families, advocates, and policy-makers in order to make change in a “system” that is actually a collection of unrelated parts.

Session 17

11:15 am - 12:15 pm
Palma Ceia 3 ~ (Symposium)

The Open Table: A Faith and Systems of Care-based Poverty Intervention Process
Chair: John VanDenBerg, PhDThe Open Table, Paonia, CO; Discussant: Jon Katov, BSThe Open Table, Phoenix, AZ

The Open Table, currently being implemented in over 20 states, is a unique faith-based approach to intervening in poverty. Similar to the wraparound process, but independently developed, the process is centered on a table of seven to twelve people who volunteer their lives and social capital to one person/family, for one year, to help them overcome poverty and other complex life needs. The model is currently being used for youth aging out of foster care, youth with high levels of trauma, youth who have been in custody and self-identify as LGBTQ, youth who have been sexually trafficked, adults who have been in long-term poverty, and other populations. A number of faith/government partnerships involving Open Table are currently being implemented in different parts of the U.S. through the System of Care Grant Program of SAMHSA. Open Table is operating in both rural and large urban areas, and is currently building an evaluation and research base, with recent completion of a logic model; theory of change; manualization of the process (including on-line training); an outcome study of Open Table graduates; evaluation of participants; and a qualitative study which provides an empirical base for the theory of change. This workshop will have two parts. The first part will include a detailed explanation of the process and current implementation and growth; the second part will be a presentation of the evaluation and research base for the model.

Session 18

11:15 am - 12:15 pm
Palma Ceia 4 ~ (Discussion Hour)

Data-Based Progress Monitoring and Decision Making with Indicators of Complete Mental Health
Natalie Romer, PhD, Research Assistant Professor, College of Behavioral and Community Sciences, University of South Florida, Tampa, FLKaren Elfner Cox, MA, Evaluation Coordinator, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL

Session 19

11:15 am - 12:15 pm
Esplanade 1 ~ (Discussion Hour)

How Can Residential Care Providers Collect Post-Discharge Outcome Data? Preliminary Results from a Feasibility Pilot
Ronald Thompson, PhD, Vice President and Director, Boys Town National Research Institute for Child and Family Studies, Father Flanagan's Boys Home, Boys Town, NE; Dana Weiner, PhD, Policy Fellow, Chapin Hall Center for Children, University of Chicago, Chicago, IL; Robert Lieberman, MA, Chief Executive Officer, Executive Leadership, Kairos, Grants Pass, OR; Gary Blau, PhD, Chief, Child, Adolescent and Family Branch, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Rockville, MD

Although treatment outcome indicators have been defined and measured by some residential treatment providers, methods have not been developed for wide-scale evaluation of outcomes in this service sector. During this Discussion Hour, the methods and preliminary results of a feasibility study, evaluating the barriers and achievability of residential providers collecting post-discharge outcome data, will be presented. Following that, participants will be encouraged to discuss implications for wide scale post-discharge outcomes measurement for residential providers. 

Session 20

11:15 am - 12:15 pm
Esplanade 2 ~ (Discussion Hour)

Strategies for Addressing Custody Relinquishment to Meet Children's Behavioral Health Needs
Beth Stroul, MEd, Management & Training Innovations and TA Network for Children's Behavioral Health, McLean, VA; Adam Becenti, MPP, National Indian Child Welfare Association, Portland, OR

Session 21

11:15 am - 11:45 pm
Esplanade 3~  (Paper)

The Strength in Mentorship: Exploring the Link between Mentorship and Resilience
Leanne Delsart, MS, Training and Crisis Coordinator, Wraparound Milwaukee, Milwaukee, WI

11:45 am - 12:15 pm
Esplanade 3~  (Paper)

Implementing Fidelity Measurement: Administration, Dashboard Creation, and Psychometric Testing of the Wraparound Fidelity Index, Short Version (WFI-EZ)
Brandon Attell, Ashley Singleton, Susan McLaren, Colleen Smith, Georgia Health Policy Center, Atlanta, GA

Session 22itr

11:15 am - 11:45 am
Garrison Suite ~ (Paper)

A Mixed Methods Evaluation of the Adolescent Marijuana Delinquent Act Citation Program in Hillsborough County
Vanessa Tate, BA, CPH (provisional), Lauren Julian, BA, Alexis McKinley, BS, The Institute for Translational Research in Adolescent Behavioral Health, University of South Florida, Tampa, FL; Kimberly Menendez, MS, Charles Mendez, III, Mendez Foundation, Tampa, FLJulie Baldwin, PhDNorthern Arizona University, Flagstaff, AZKathy Moore, PhDCollege of Behavioral and Community Sciences, University of South Florida, Tampa, FL

11:45 am - 12:15 pm
Garrison Suite ~ (Paper)

Hillsborough County Children’s Services – Operationalizing Success: An Analysis of Risk and Protective Factors of Transition-Age Youth in Residential Foster Care
Jana Leyrer, BA, Sarah Sheffield, BAInstitute for Translational Research in Adolescent Behavioral Health, University of South Florida, Tampa FL; Jean Marie Willsie, PhD, LMHC, Rhonda Rhodes, LCSW, JoAnn Rollins, MAHillsborough County Children’s Services, Tampa, FL; Tom Massey, PhDCollege of Behavioral and Community Sciences, University of South Florida, Tampa, FL

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