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Sunday, March 4, 2018

Poster Presentations & Networking Reception

101yya– BRYT and Bridge Programs: A Growing Movement in Massachusetts for Supporting Successful Student Transitions Back to School After a Mental Health Crisis
Katherine Houle, LICSW, Brookline Center for Community Mental Health, Brookline, MA

Based at the Brookline Center for Community Mental Health, BRYT supports a growing network of school-based programs in Massachusetts addressing the needs of students who experience hospitalization or prolonged absences due to mental illness. These students are often struggling with depression, anxiety, fear of social rejection, and are at high risk for academic failure. This poster session includes an overview of the challenge and of BRYT-model programs, and the data supporting their efficacy, as well as program start-up and continuous improvement.

102bhe– A Review of Factors Related to the Lack of Asians in the Mental Health Workforce
Quynh Tran; Roxann McNeish, PhD, Department of Child and Family Studies, College of Behavioral and Community Services, University of South Florida, Tampa, FL

Mental health disparities still exist for Asian children and families, influenced by their low levels of service utilization and negative help-seeking attitude. A possible explanation for this phenomenon is the limited possibility for cultural matching between Asian patients and providers as Asians are extremely underrepresented in the mental health workforce. This review aims to assess factors that contribute to this disparity by systematically reviewing the literature and proposing a theory-based explanatory model.

103yya– System Approaches to Addressing Mental Health Needs among Transition-Aged Homeless Youth in New York City
Tamara Daley, PhD, Westat, Durham, NC

The NYC Transitional Independent Living (TIL) Program serves homeless youth aged 16-21. A comprehensive evaluation of the program incorporated six distinct sources of data, including administrative data from 768 youth, focus groups, surveys, and document review. This presentation will describe 1) the mental health background TIL youth; 2) areas of need related to mental health identified by youth and staff; 3) selected best practices in use by TILs; and 4) areas for potential program improvement.

104 – Measuring the Impact of MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment)
Hayley Winterberg, BA, HERO Young Adult Center, Recovery Empowerment Network, Phoenix, AZ; Greg Dicharry, BA, CPRP, Public Markets, Magellan Healthcare, Baton Rouge LA; Barbara Dunn, MSW, Public Markets, Magellan Healthcare, Newtown, PA

MY LIFE was established in 2008 and since that time has been on the national forefront of developing and advancing emerging best practices in the areas of youth involvement, youth groups and youth peer delivered services. A youth protocol developed in Arizona and an Impact Survey for evaluating the program will be discussed by presenters including one of the youth founders. Presenters will share personal experience, practical information, and resources to replicate their successes.

105wa – Medicaid Health Plans, Care Coordination, and Youth in Foster Care: The Amerigroup Model
David Bolt, MSW; Earlie Rockette, RNP, Child Welfare Health Plan, Amerigroup/Anthem, Atlanta, GA

The Amerigroup Child Welfare Health Plan is an innovative new programmatic approach to provide care coordination to youth with complex needs. The objectives of this presentation include: 1) to explain how the program stratifies youth into different levels of need and the corresponding intervention level, 2) outcomes associated with care coordination from the program, and 3) a brief description of the forward-thinking partnerships between Amerigroup and the community to provide for the high-need youth.

106bhe– Identifying Gaps in Community-Based Services for Recently Immigrated Venezuelan Populations to the United States

Carolina Scaramutti, MS; Mary Soares, MPH, Public Health Sciences Department, University of Miami Miller School of Medicine, Miami, FL; Seth Schwartz, PhD, Epidemiology and Public Health Sciences Department, University of Miami Miller School of Medicine, Miami, FL

As a rapidly growing population in the Florida community, recently arrived Venezuelans are a vulnerable community facing a number of stressful situations to adapt to living in a new country. Currently very little is known about this community. Identifying gaps in community resources is vital to develop community programs that are tailored to the needs of recently arrived Venezuelan children and their families and assist them during this difficult transition period.

107 – Engaging Young People in Coordinated Specialty Care for a Recent Onset of Psychosis: OnTrackNY’s Efforts to Integrate Peer Support in CSC Locally and Nationally
Sascha Altman DuBrul, MSW, 
Center for Practice Innovations, Division of Behavioral Health Services & Policy Research, New York State Psychiatric Institute, New York, NY

The integration of Peers in Coordinated Specialty Care (CSC) for a recent onset of psychosis is an exciting national trend. To increase integration, OnTrackNY has provided training and technical assistance to 8 of 20 New York CSC teams and 34 CSC teams in 12 states. Through this process, the CSC Peer Role, practice, and supervision have evolved. Learn the solutions, including new on-the-job wellness tools, which have been developed to effectively integrate Peers into CSC.

108yya– The Relationship of Marchman Act Protective Custody Holds During Emerging Adulthood and Baker Act Examination during Childhood
Ardhys De Leon, Undergraduate, Psychology and Behavioral Healthcare, University of South Florida, Tampa, FL

This descriptive study investigates the Marchman Act process in Pinellas County, Florida and examines the connection between having a Baker Act examination as a youth and a Marchman Act protective custody hold as an emerging adult. Through a mixed methods approach, the study shows that Pinellas County follows the Marchman Act differently due to an unmet need for Marchman Act funding. Emerging adults in this county remain high utilizers of emergency services despite these interventions.

109 – Implementation and Evaluation of a Statewide Initiative to Promote a Trauma-informed Systems of Care: The Promising Path to Success Initiative Within the New Jersey Systems of Care
Ruby Goyal-CarkeekMBA; Stacy Reh, BA, Children's Systems of Care, New Jersey Department of Children and Families, Trenton, NJ; Thomas Mackie, PhD, Health Systems and Policy, Rutgers School of Public Health, New Brunswick, NJ

Promising Path to Success (PPS) is a statewide initiative in New Jersey that combines the evidence-based approach of Six Core Strategies for Reducing Seclusion and Restraint© with the Nurtured Heart Approach® to build inner wealth in youth and families while supporting system partners in creating healthier environments. PPS emphasizes delivery of individualized services, in the most appropriate environment, with trauma-informed providers. This presentation will focus on the implementation of PPS, drawing on both the experiences of state leadership and site-level implementation data. The presentation will also review the motivation, approach, and preliminary findings for an ongoing Return on Investment evaluation.

110 cw– The Impact of the Parents as Teachers Program on Children from Kindergarten to the Third Grade and Beyond
Eric Gee, PhD, Department of Psychology, Brigham Young University-Idaho, Rexburg, ID; Stephen Bennett, Madison CARES, Rexburg, ID

The Parents as Teachers program (PAT) aims to arm children from disadvantaged homes with the necessary preparation to succeed both academically and socially in public school. The following research seeks to demonstrate the long-term effects of the program on children as evidenced by academic performance.

111wa – Wyoming Wraparound and the CANS: Identification of Risk of Out of Home Placement
Barbara Dunn, MSW, Public Markets, Magellan Healthcare, Newtown, PA; Sharon Weber, Certified Coach, Wyoming’s Care Management Entity, Magellan Healthcare, Cheyenne, WY

Successful High Fidelity Wraparound can develop over many years and through community efforts toward to a robust Care Coordination Entity model using validated and reliable measures for eligibility, fidelity, and outcomes. Consolidating tools for treatment planning, quality improvement, and outcomes with the Child and Adolescent Needs and Strengths (CANS) offered a comparison of profiles of youth with successful graduation vs. youth with out-of-home placement. Implications for use of the CANS in a frontier state are presented.

112 – Self-Identification of Mental Health Problems Among Homeless Young Adults
Sarah Narendorf, PhD; Kenya Minott, MSW, Graduate College of Social Work, University of Houston, Houston, TX; Diane Santa Maria, DrPH, School of Nursing, University of Texas Health Sciences Center, Houston, TX

This multi-city study explored perceptions of mental health problems in a sample of homeless young adults across the United States (n=1,426). Structured self-report interviews assessed symptoms, self-identified need, and coping strategies. While the majority of youth were identified as having mental health problems in screening measures, only a third of those self-identified as having a mental health problem. Implications for psychoeducation and messaging about mental health are presented.

113 – Developing a Community-Based Response to Sex Trafficking of Minors in the U.S./Mexico Borderland
Candace Black, PhD; Sally Stevens, PhD, Southwest Institute for Research on Women, University of Arizona, Tucson, AZ

The average age of youth entering into sex trafficking in Arizona is 14 years old (National Human Trafficking Resource Center, 2017). The Southern Arizona Anti-Trafficking Unified Response Network (SAATURN) identified a community need to address trafficking of at-risk youth in its first grant year. SAATURN’s response has included diverse strategies to build capacity to serve youths’ unique needs as this grassroots coalition is built from the ground up.

114 – Would Evidence-Based Parenting Interventions Work in Service Settings for Homeless Families? A Participatory Feasibility Study
Marvin So, MPH, CHES, Urban Health Initiative, Emory University School of Medicine, Atlanta, GA; Renee Jackson-West, Atlanta Metropolitan State College, Atlanta, GA; Patricia Arvelo, PhD, Clark Atlanta University, Atlanta, GA

Homelessness can present serious challenges for developing and implementing responsive parenting skills. A multi-method qualitative study was conducted in six service settings for homeless families, advised by caregivers who were previously/currently experiencing housing instability, to explore the feasibility of evidence-based programs (EBPs) targeting parenting among this vulnerable population. Findings highlight differences in perceptions across stakeholders regarding EBPs and underscore key considerations for adapting similar group-based interventions for this population.

115 – HIV Risk, Substance Use, and Sex Work Among Young Women in Belize: the Need for Prevention Efforts
Sally Stevens, PhD, LSAC; Josephine Korchmaros, PhD, Southwest Institute for Research on Women, University of Arizona, Tucson, Arizona; Elisa Castellanos, Tikkum Olam, Belize City, Belize; Cynthia Pope, PhD, Department of Geography, Central Connecticut State University, New Britain, CT; Candace Black, PhD, Southwest Institute for Research on Women,University of Arizona, New Britain, Arizona

Increases in newly diagnosed HIV cases in Belize are highest among females 20-24 and 60-64 years of age. Among young female sex workers (FSW), HIV risk behavior is substantial while HIV testing is lower than in other Central American counties. Factors associated with HIV risk include illicit drugs, poverty, unemployment, migrations, gender roles, cultural norms, and partner violence. Prevention efforts include teaming with various organizations and reaching out to FSW, traffickers, and bar owners.

116 – Fidelity Process for Implementation and Sustainability of the Transition to Independence Process (TIP) Model
Hewitt B. “Rusty” Clark, PhD,
Stars Behavioral Health Group & University of South Florida, St. Petersburg, FL; Karyn Dresser, PhD, Stars Behavioral Health Group, Oakland, CA; Joseph Solomita, MSW, Stars Behavioral Health Group, Long Beach, CA

The fidelity review process for the TIP Model has been developed to provide a transition to adulthood site with quality improvement information regarding its application of the TIP Model at the practice level; impact on the young people being served; and the extent to which the “implementation drivers” are being met. This presentation will illustrate how the TIP Model Fidelity Assessment is utilized for ongoing quality improvement and show findings related to the site accreditation process.

117cw– Actualizing Connected Autonomy: Delivering and Evaluating Wraparound with Homeless Young Adults Who Have a Foster Care History
Robin Lindquist-Grantz, PhD, LISW-S, Institute for Policy Research, University of Cincinnati, Cincinnati, OH; Meredith Hicks, MPH, Lighthouse Youth and Family Services, Cincinnati, OH; Kimberly Downing, PhD; Eric W. Rademacher, PhD, Institute for Policy Research, University of Cincinnati, Cincinnati, OH

Youth who age out of foster care are at risk of homelessness, as they frequently juggle the transition to adulthood with unstable housing and limited supportive connections. Participants will learn about data sharing among child welfare and homeless systems to develop an intervention that serves former foster youth who are homeless. The intervention emphasizes Wraparound to develop connected autonomy (Henig, 2010) through youth-driven service coordination, formal and natural supports, improved social-emotional functioning, and stable housing.

118 – Assessment of Implementation of the System of Care Approach in Nevada
Kevin McGrath, Division of Child and Family Services, Nevada Department of Health and Human Services, Las Vegas, NV; Lauren Williams, School of Community Health Sciences, University of Nevada, Reno, Reno, NV; Karen Taycher, Nevada PEP, Las Vegas, NV; Elizabeth Christiansen, PhD, School of Community Health Sciences, University of Nevada, Reno, Reno, NV

The Rating Tool for Implementation of the System of Care Approach (Stroul & Le, 2017) was completed by 60 respondents in Nevada. Overall, stakeholders rated the level of implementation at Level III Moderate. Nevada’s SOC was rated highest in the strategic plan domain (60% implementation), and lowest for infrastructure (40% implementation). Nevada’s SOC workgroups are using the Rating Tool results to guide next steps in several areas including training, prioritizing service expansion, and improving communication.

119 – Evaluating a State-Wide Training Effort to Understand Sustained Impact
Astrid Prudent, MA; Colleen Smith, MSW, Center of Excellence for Children’s Behavioral Health, Atlanta, GA; Stephanie Pearson, PhD; Dawne Morgan, Georgia Department of Behavioral Health and Developmental Disabilities, Atlanta, GA

Evaluating training efforts is a standard practice in many fields, whether to assess pre- and post-knowledge and skills, satisfaction, or behavior change. The Center of Excellence in Children’s Behavioral Health at the Georgia Health Policy Center utilized the Outcome Mapping approach to design an evaluation that enabled assessment of frontline behavior and practice among trainees at three and six months post-training and improved utility of the data to inform state-level decision-making.

120 – Proposed Solutions to Aid in Improving Latino Youth's Educational Outcomes
Christine Garry, MSW, LSW, School of Social Work, Indiana University School of Social Work, Indianapolis, IN

Latino youth in the United States have been reported as facing academic barriers in terms of access to necessary educational tools, having lower math and reading test scores, and having higher dropout rates than students from other ethnic backgrounds. This poster presentation addresses these aforementioned disparities and provides a conceptual model of these issues, as well as a proposed solution model for these issues.

121 – Social Determinants of Health
Paula Lupton, MSW, LCSW, Child Welfare, Sunshine Health, Winter Springs, FL; Aimee LeCours, MS, LMHC, MMA, Sunshine Health, Deltona, FL

This presentation focuses on understanding social, physical, and mental determinants of health. Participants will gain tips, tools, and ideas for improving the lives of clients that are affected by social determinants.

122 – A Pilot Study of the Utility of the ACHESS Mobile Phone Application to Support Adolescent Substance Abuse Recovery

David Hussey, PhD; Karen Coen Flynn, PhD, Begun Center for Violence Prevention Research and Education, Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH

This pilot study evaluates and discusses the utility and impact of mobile app technology (ACHESS) on treatment adherence among youth with substance use disorders in an intensive outpatient program. Findings indicate that the addition of ACHESS appeared to have improved IOP treatment adherence and completion rates. The potential for enhanced communication and relational supports associated with the app capabilities, coupled with skilled and engaged treatment providers, may contribute to enhanced treatment outcomes.

123 – The Self Advocacy Skills Inventory: Results from a Preliminary Factor Analysis
Richard Chapman, MA, Counseling Education, University of South Florida, Tampa, FL; John Ferron, PhD, Education, Measurement, and Statistics, University of South Florida, Tampa, FL; Ardis Hanson, PhD, USF Health Library, University of South Florida, Tampa, FL; Ann Cranston-Gingras, PhD, College of Education, University of South Florida, Tampa, FL; Bridgette Canal, BA, Rehabilitation and Mental Health Counseling,University of South Florida, Tampa, FL

Self-advocacy skills are critical for persons with developmental disabilities to ensure they are able to have the quality of life they want. This presentation will show results of a preliminary factor analysis on the self-advocacy skills inventory individual version. The self-advocacy skills inventory was created in 2016, after consultation with a panel of experts and a review of the literature. The inventory was piloted with undergraduate students with disabilities.

124 – Qualitative Insights from Implementing the Strengths Model for Youth
Nik Schuetz, LMSW; Amy Mendenhall, PhD, MSW, School of Social Welfare, University of Kansas, Lawrence, KS

The Strengths Model of case management has been adapted for use in adolescent mental health centers. After the first few years of implementation in a community mental health center, qualitative interviews were conducted with service providers to gain insight regarding the experience and satisfaction with the Strengths Model for Youth. Findings indicate overall satisfaction with the model, and offer suggestions for future directions and improvements. The implications will inform programs implemented in adolescent mental health.

125 – The Effectiveness of an Alternative to Detention Program on Increasing Developmental Assets for Adolescents Involved in the Juvenile Justice or Legal System
Laura Maggiulli, PhD; Joan Aiello, MS, Practice and Performance Excellence Group, Hillside Family of Agencies, Rochester, NY; Jennifer Perry, Program Manager for Reinvesting in Youth (RIY), Hillside Family of Agencies, Rochester, NY

The study tested the effectiveness of an alternative to detention (ATD) program on increasing developmental assets, measured by the Developmental Assets Profile, for at-risk youth with juvenile justice or legal system involvement (N=59). The study was a single-group pre-posttest design. Results are promising and show that the ATD program significantly increased total asset scores, seven out of eight asset categories, and internal and external assets.

126 – Factors Influencing the Implementation of School-Based Mental Health Services in Georgia: Results from a Two Year Longitudinal Analysis
Brandon Attell; Dimple Desai; Ann DiGirolamo; Deana Farmer; Sujay Greenlund, Georgia Health Policy Center, Atlanta, GA

School-based mental health (SBMH) services are a popular avenue to increase access to mental health care and provide for the early detection of mental health needs. In this research, various school-level characteristics affecting SBMH implementation over time were examined using a two-year case study from Georgia. Provider integration into the schools, school type, urbanicity, and the extent of prior behavioral health programs in the school all influenced implementation over time.

127 – Review of Factors That Predict Caregiver Engagement in Child Psychotherapy Treatment: Next Steps in Practice
Kathy Dowell, PhD, University of Minnesota Duluth, Duluth, MN

Recent research has identified several factors associated with the successful integration of caregivers into child psychotherapy treatment, leading to improved treatment outcomes measured as improved family functioning and symptom reduction. Studies have expanded their investigations to include younger clinical populations, youth of color, as well as those with complex comorbidity patterns. This presentation will provide a summary review of such factors, with associated recommendations for clinical practice.

128 – Power of the Village: A Family Systems Approach to Healing Trauma
Ellen Souder, MA, LPCC-S, Parenting with Love and Limits, Mansfield, OH; John Burek, MS, Parenting with Love and Limits, Lakeland, OH

Building on a structural-strategic framework, this presentation provides an overview of a family systems approach to trauma-informed care in behavioral health treatment. Video and case examples are used to illustrate major points of the family systems trauma approach used in the evidence-based Parenting with Love and Limits (PLL) treatment model.

129 – Outreach as Intervention:  Increasing Engagement of Youth and Families with Mental Health Needs in the State of Delaware Through a Multi-Sectoral Effort
Christine Hanna-Ronald, MSN, PMHNP-BC; Geeta Kotak, MSW, Delaware CORE, Wilmington, DE

Delaware CORE is a federally funded grant project designed to intervene early and possibly prevent the occurrence of serious mental illness in youth and young adults ages 16 - 25. Community outreach has been a critical component of the project. Through two distinct outreach efforts, the clinical and the youth- Delaware CORE improves community members’ skills in early identification of serious mental health conditions, and provides youth-friendly instruction to support the development of mental health literacy (Lynch, S., et al., 2016; Dominques, I., et al., 2011). The goals and objectives of clinical outreach services focus on education about clinical high risk and first episode psychosis. Youth outreach targets greater awareness and reduced stigma associated with the experience of mental illnessThis poster will demonstrate the effectiveness of outreach efforts in decreasing barriers to treatment and creating a more supportive environment for youth in the State of Delaware who experience symptoms of mental illness.

130 – Stakeholder Perceptions of Prenatal Substance and Alcohol Use in Hillsborough County
Sierra Rowland, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL; Norin Dollard, PhD, Department of Child and Family Studies, College of Behavioral and Community Sciences, Child and Family Studies, University of South Florida, Tampa, FL; Kathleen Moore, PhD, Mental Health Law and Policy, College of Behavioral and Community Sciences, University of South Florida - Tampa, FL

Substance and alcohol use during pregnancy impacts the mother and child. Prenatal substance or alcohol use can greatly influence society through medical costs, use of resources, and mortality.The Healthy Start Coalition of Hillsborough County estimated 700 drug-exposed babies were born in the county in 2016, a number that is expected to rise. The number of those affected by this issue are staggeringrequiring a greater understanding of this issue and the prioritization of a resolution.

131cw– Foster Alumni in Higher Education: Bridging the Gap
Misty Smith, DSW, MSSW, BSW, Social Work, Tarleton State University, Stephenville, TX

Former foster youth encounter unique challenges in pursuit of degree completion in higher education. Degree completion has the potential to promote self-sufficiency skills for former foster youth, decrease dependency on social services, and increase the likelihood of successful transition into adulthood roles. By aiding former foster youth through degree completion and removing some of the barriers faced, higher education may be able to relieve some of the financial pressure of increasing retention and graduation rates.

132cw– The Effects of Toxic Stress on Brain Development
Paula Lupton, MSW, Child Welfare, Sunshine Health, Winter Springs, FL; Chad Sedam, PhD, Child Welfare, Sunshine Health, Tallahassee, FL

This poster will give participants an understanding of the primary functions of each area of the brain and will discuss how exposure to toxic stress impacts brain development. Participants will be able to identify how toxic stress alters the structure and activity of specific brain areas and how these changes impact behavioral, social, and emotional functioning in children and in adults.

133cw– Factors Related to Short-Term Outcomes of Family Engagement Meetings in Child Welfare: Returning Home, Preventing a Move, and the Restriction of the Out-Of-Home Living Environments
Mary Elizabeth Rauktis, PhD, University of Pittsburgh School of Social Work, Child Welfare Education and Research Programs, Pittsburgh, PA

This presentation will examine the short-term outcomes of family engagement meetings as part of Pennsylvania’s Title IV-E Waiver project. Specifically, the poster will review which child-, family-, and meeting-level variables contribute to the immediate outcomes of initial family engagement meetings (including whether or not the meeting prevented a move to an out-of-home placement, resulted in a less restrictive placement, or resulted in a child returning home).

134 – Social Worker, Psychologist, or Psychiatrist: Does Profession Matter for Treatment Decisions for Antisocially Behaving Youth?
Kathleen Pottick, MSW, PhD, School of Social Work and Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ; Janisha Rodriguez, Rutgers University, New Brunswick, NJ; Xin Tian, Office of Biostatistics Research, National Heart, Lung, and Blood Institute, National Institute of Health, Bethesda, MD; Stuart Kirk, University of California Los Angeles, Luskin School of Public Affairs, University of California, Los Angeles, CA

A quasi-experimental vignette survey design nationally sampled 1,401 experienced social workers, psychologists, and psychiatrists to explore between-group differences in perceptions of treatment effectiveness for anti-social youth within varied contexts (DSM-disorder vs. environmental reaction). In 10 of 14 treatments, judgments of treatment effectiveness were statistically differentiated by professional group, and effectiveness also differed by youth’s social context. This study provides new insight into clinical decision making, demonstrating that professional socialization processes may generate disparities in judging effectiveness.

135wa – Medicaid Health Plans, Care Coordination, and Youth in Foster Care: The Amerigroup Model
David Bolt, MSW; Earlie Rockette, RNP, Child Welfare Health Plan, Amerigroup/Anthem, Atlanta, GA

The Amerigroup Child Welfare Health Plan is an innovative new programmatic approach to provide care coordination to youth with complex needs. The objectives of this presentation include: 1) to explain how the program stratifies youth into different levels of need and the corresponding intervention level, 2) outcomes associated with care coordination from the program, and 3) a brief description of the forward-thinking partnerships between Amerigroup and the community to provide for the high-need youth.


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