Learn more about special tracks offered during the conference

Poster Presentations & Networking Reception

6:00 pm - 7:30 pm ~ Bayshore Ballroom 

201 – Is Front-End Program Engagement Associated with Better Discharge Outcomes for Youth in a Residential Treatment Setting?
Cheryl Smith, LCSW; John Holland, PhD, Research Consultant, The Children's Center of Hamden, Hamden, CT

The Children’s Center of Hamden provides residential treatment for youth with severe behavioral and mental health problems. Using secondary data related to pre-admission engagement and post-discharge outcomes, measures were taken at baseline and again at three and six months to determine if efforts to engage youth transitioning from higher levels of care (hospitals and detention) resulted in successful discharges. This analysis is part of an ongoing agency-wide effort to utilize data-informed processes to inform programming.

202yya– Healthy Transitions (HT) Youth and Young Adult Engagement in Longitudinal Data Collection
Amy Ryder-Burge, MS; Ariana Napier, MA, Survey Research Division, RTI International, Durham, NC

The Now is the Time-Healthy Transitions (HT) program aims to improve access to services for youth and young adults who have or are at-risk of developing a serious mental health condition. This presentation describes the HT outcome evaluation component of the National Evaluation, youth and young adult engagement in a longitudinal data collection interview with panel maintenance and tailored outreach materials, as well as the impact on these activities on one-year follow-up interview participation.

203 – Partnering to Build Networks and Expand Systems of Care: Lessons Learned Over 20 Years
TaWanda Dent, BA; Elizabeth Oyer, PhD, Applied Research and Evaluation, Choices Coordinated Care Solution, Indianapolis, IN

The Choices Provider Network provides a wide array of community-based, individualized services to children and families with complex emotional and behavioral needs. Because youth and family teams determine which supports work best for them, the Network reflects the families currently being served as well as evolving needs. For decades, Choices has employed multiple strategies to develop provider networks and has learned many lessons to address changing needs and systemic challenges across communities. This information will be reviewed, presented, and discussed at this poster presentation.

204yya– Family Matters: Connecticut's Implementation of an Innovative Approach to Youth and Young Adult Opioid Use Disorders
Mary Painter, LCSW, LADC, Intimate Partner Violence and Substance Use Treatment and Recovery Unit, CT Department of Children and Families, Hartford, CT; Melissa Sienna, MS, MPA, Community Medicine and Health Care, University of Connecticut Health Center, Farmington, CT

In an effort to address the state's growing opioid epidemic, the CT Department of Children and Families convened youth, families, and providers to understand their experiences seeking, obtaining and delivering SUD treatment in the midst of this crisis. Guided by these conversations, CT obtained CSAT funding to develop an innovative, integrated approach to the problem by combining three evidence-based approaches into a single treatment and recoverymodelfor16-21 year olds: the ASSERT treatment model (ATM).

205yya– Go Throughs to Get Through: Low-Income Young Adults on the Frontlines of Mental Health
Nia West-Bey, PhD, Center for Law and Social Policy (CLASP), Washington, DC

Young adults living in poverty face high exposure to go throughs: lived experiences of structural disadvantage and trauma with lasting implications for educational, economic, and other life outcomes. They frequently get through these challenges without formal mental health supports, relying on community-based programs and peer networks to cope with their experiences. This presentation will explore opportunities to improve state and local policy in support of behavioral health outcomes for low-income youth and young adults.

206yya– Leveraging Design-Thinking Principles to End Youth Homelessness in Austin, Texas
Elizabeth Schoenfeld, PhD; Erin Whelan, MA; Kate Bennett, MPH, LifeWorks, Austin, TX

In 2017, Austin, Texas, was selected as one of ten communities in the United States to end youth homelessness by 2020, in part because of its recent success housing more than 50 youth experiencing homelessness in 100 days. To support these efforts, the community has leveraged principles of design thinking to generate innovative solutions and rapidly respond to barriers and opportunities. This poster presentation will provide information on why agencies or communities interested in addressing complex problems should consider incorporating design-thinking principles.

207 – Challenges of Emerging Adulthood among Those with Psychotic Spectrum Conditions: The Need for TIP Informed Programming Improvements
Karyn Dresser,
PhD, Stars Behavioral Health Group, Oakland, CA; Christine Graham; Joseph Solomita MSW, Stars Behavioral Health Group, Long Beach, CA

This poster explores the distinct needs and challenges of young adults with psychotic spectrum conditions compared to their age-counterparts in general outpatient programs and to those served in a Transition to Independence Process (TIP) Informed program. The comparisons illuminate distinct challenges that inform how TIP might be optimally focused and leveraged to improve outcomes for young adults with psychotic spectrum conditions across the TIP transition domains of living situation, education and employment, personal effectiveness, and community-life functioning. Topics include but are not limited to adult supports and independence skills; schooling, extracurricular activities, vocational exploration and work; and risk behaviors, wellness and recovery.

208 – Passion, Purpose, and Progress: Entrepreneurial Intervention for Young Adults
Britney Brewster, BA, Street Smart Ventures, LLC, Hartford, CT

Street Smart Ventures fosters hope and confidence in targeted populations through entrepreneurial work experiences. This presentation will cover recent research into the programming, a youth-driven initiative created in partnership with Connecticut’s Mental Health and Addiction Services Department, to engage their most difficult young adults. Research findings suggest that targeting highly engaging entrepreneurial activities promotes a stronger sense of self and a higher likelihood of contributing to, and participating in, pro-social community activities for participating adolescents.

209 – New Directions in Treatment for Intimate Partner Violence in Families Involved with Child Protection
Cynthia Swenson, PhD, Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC; Cindy Schaeffer, PhD, Psychiatry, University of Maryland, Baltimore, MD; Elisabeth Cannata, PhD, Wheeler Clinic, Plainville, CT; Tina L. Jefferson, LMSW, Connecticut Department of Children and Families, Meriden, CT; Cynthia Weaver, PhD, Evidence-based Practice Group,Annie E. Casey Foundation, Meriden, MD

Intimate partner violence (IPV) is a common and high-risk problem among families served by Child Protection globally. Few interventions exist that meet the comprehensive needs of families and virtually none are research supported. In this poster session, Connecticut Department of Children and Families, Wheeler Clinic, Medical University of South Carolina, University of Maryland, Baltimore and the Annie E. Casey Foundation present a comprehensive family-based model developed and implemented through their partnership.

210 – Creating a Statewide Youth and Family Training Institute for High Fidelity Wraparound Training, Coaching, Credentialing, and Monitoring of Outcomes
Lauren Jones, BA, University of Pittsburgh, Monroeville, PA; Shannon Fagan, MS, Bureau of Children's Behavioral Health Services, PA Office of Mental Health and Substance Abuse Services, Harrisburg, PA

Ten years ago, Pennsylvania created the Youth and Family Training Institute as the catalyst to transform the way that behavioral health services for youth and their families were delivered. A partnership of youth, family members, the state, a Medicaid managed care organization, a university and others adopted High Fidelity Wraparound as its practice model and built an infrastructure that provides the training, coaching, and credentialing of the HFW workforce, and monitors fidelity and outcomes related to the model. 

211fe– The Current State of Family-Run Organizations: What We've Learned from the 2017 FREDLA Survey
Jane Walker, MSW, Family-Run Executive Director Leadership Association (FREDLA), Ellicott City, MD; Malisa Pearson, Family-Run Executive Director Leadership Association (FREDLA), Lansing, MI

The Family-Run Executive Directors Leadership Association (FREDLA) disseminated an online survey to over 120 family-run organizations in 2017. The survey captured the activities, budget size, staff makeup, assessment tools, and collaborative partnerships of 65 family-run organizations across the United States. This poster presentation will highlight key findings from the survey, innovative activities, and areas of opportunity for future research.

212yya– Undocumented College Students, Social Exclusion and Psychological Distress
Rosalie Torres Stone, PhD, Sociology, Clark University, Worcester, MA; Kathryn Sabella, MA, Psychiatry, Systems and Psychosocial Advances Research Center, Shrewsbury, MA

Because of their legal status undocumented college students face several social, economic and legal barriers that place them at-risk of poor mental health. This poster presentation will examine how not having legal status impacts the psychosocial well-being of undocumented college-age students, and identify appropriate supports to alleviate psychological stressors. In 2016, an estimated 5.1 million U.S. children under the age of 18 live with at least one unauthorized parent. Of these children, an estimated 959,000 (19%) were undocumented - often referred to as the 1.5 generation by scholars.  Because of their legal status undocumented college students face several social, economic and legal barriers that place them at-risk of poor mental health. This poster presentation will examine how not having legal status impacts the psychosocial well-being of undocumented college-age students, and identify appropriate supports to alleviate psychological stressors. 

213 - Implementation Success: Taking the Hand of the Provider and Community for Successful Evidence-Based Model Implementation
John Burek, MS, Parenting with Love and Limits, 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. This poster presentation will use applied learning by connecting the dots for the audience between theory and boots-on-the-ground application using real data and videotaped examples.

214bhe– Translating Research into Policies to Address Behavioral Health Disparities: A Case Study of an Anti-Poverty Organization
Sara Buckingham, PhD, Department of Psychology, University of Alaska Anchorage, Anchorage, AK

Poverty deleteriously impacts children’s emotional and behavioral health. However, few behavioral health professionals engage with policymakers to translate research and advocate for policy solutions. This poster presents a case study of an anti-poverty organization working to bridge this research-policy divide by training volunteers in skills needed for engagement and supporting their targeted efforts. The structure, strategies, and outcomes of the organization are analyzed to glean lessons for behavioral health professionals seeking to influence evidence-based policymaking.

215 – Examining the Impact of Socioeconomic Status and School Demographics on School Based Mental Health Partnerships
Lucy Rabinowitz, MPH, CHES; Ann DiGirolamo, MPH, PhD; Susan McLaren, MPH, FACHE; Center of Excellence for Children's Behavioral Health, Georgia State University, Atlanta, GA; Danté McKay, JD, MPA; Stephanie Pearson, PhD, Office of Children, Young Adults & Families, Behavioral Health Division, Georgia Department of Behavioral Health & Developmental Disabilities, Atlanta, GA

This poster presents analytic results that assess levels of collaboration between community-based mental health providers and local schools in a state-wide School Based Mental Health (SBMH) program based on school-specific socioeconomic factors. Results indicate that the degree of collaboration improvement varies across school characteristics including student demographics and county-level socioeconomic indicators such as percent of children living in poverty. Providers should consider school attributes like student demographics and county socioeconomic indicators in determining where to place their services, as these may have a predictive effect on the increase in perceived levels of partnership throughout the year. Strong partnership has been shown to be an important factor in successful SBMH programs.

216bhe– Mindfulness, Anxiety and Depressive Symptomatology Among Hispanic Teens Participating in a Yoga Program
Rachel Clarke, PhD; Michelle Hospital, PhD; Julianna Sanjuan, BA; Staci Morris, PsyD; Eric Wagner, PhD, FIU-BRIDGE, Florida International University, Miami, FL

The present study (YogaTeens), evaluated the associations between well-being and mental health to examine the impact of yoga. Participants were Hispanic teens recruited from two mental health outpatient clinics in Miami-Dade County. The findings reveal that there is an inverse relationship between stress and emotional problems, and mindfulness; among this underserved predominantly Hispanic teen sample, stress appears to impact females differently than males with regard to mindfulness.

217fe– On the Road to Family-Driven Evaluation: Pot Holes, Speed Bumps, U-Turns and Driver's Ed for All
Joy Hogge, PhD, Families as Allies, Jackson, MS; Rodney Washington, EdD, Elementary and Early Childhood Education, Jackson State University, Jackson, MS

The definition of family-driven care is often cited among system of care partners but not necessarily perceived or acted upon in the same way in reality. These challenges and differences become even more pronounced when family-driven evaluation is introduced. This presentation describes the journey of one Family-Run Organization the evaluator of a local Infant and Early Childhood System of Care Project to ensure the initiative’s evaluation was family-driven.

218 – School-Based Mentoring: Creating a Program Model for an Alternative Education Setting
Kenya Minott, MSW; Sarah Narendorf, PhD, Graduate College of Social Work, University of Houston, Houston, TX

Mentoring could lead to better behavioral outcomes when used as an intervention for students referred to alternative education. One school district sought to create a model that could assist with the rehabilitation and reintegration of young people into school, with the goal of reducing the recidivism rate for referrals to their secondary alternative education program through a mentoring intervention. This study illustrates the conceptualization and development of this mentoring intervention for an alternative education program.

219 – I’m Sorry I Missed My Appointment: Understanding Factors Influencing Enrollment and Participation in a Service for Transitional Aged Youth (TAY) with Moderate to Severe Dual Diagnoses
Gretchen Conrad, PhD; Nick Schubert, MA; Andrew Lumb, PhD; Kyle McBride, BA; Timothy D. Moran, PhD, MD, Transitional Aged Youth Service, Substance Use and Concurrent Disorders,The Royal Ottawa Mental Health Centre, Ottawa, ON, Canada

The Transitional Aged Youth Service supports and treats youth with moderate-severe mental health & substance symptoms. These challenges are typically compounded by significant psychosocial stressors. The presentation severity confirms the need for specialized programming for this traditionally under-served population. The overall attendance rate (74%) is encouraging; however, there are many potential clients who are lost at the three intake times. Additional attendance enhancement strategies will be implemented, and their impact on attendance evaluated.

220 – TEGA (Technological Enabled Girl Ambassadors) Authentic Voice through Mobile Device
Willie Hillman, PhD, Youth MOVE Saginaw, Saginaw, MI

Youth Move recruited 20 disadvantaged girls aged 16 - 19, living in Saginaw, to become TEGAs. Over a period of three months, these girls were trained to interview disadvantaged girls, girls’ families, and the wider community. At the end of the three-month research period, they received a Market Research Society Interview Qualification, increasing their chances of economic opportunity, beyond their life as a TEGA.

221wa– Evaluating Youth Peer Support within High Fidelity Wraparound: Defining Roles, Tracking Progress, and Exploring Preliminary Outcomes
Monica Payne, MA; Chad Owens, Youth and Family Training Institute, University of Pittsburgh, Monroeville, PA

Standardizing how Youth Peer Support Partners are trained, coached, and evaluated has led to understanding more about how and why youth peer support services are effective. High Fidelity Wraparound is associated with an increase in Family Vision ratings, a decrease in Behavioral Health Services and in the teaching and transferring of skills to youth and families so that they can increase their confidence, self-efficacy, and ability to sustain change.

222 – Tracking Changes in Systems Integration and Leadership Buy-in in Four Foundation Funded System of Care Projects
Matthew Thullen, PhD, Illinois Children's Healthcare Foundation, Oak Brook, IL

In 2010, The Illinois Children’s Healthcare Foundation funded four system of care sites across Illinois. This presentation will report on changes in leadership buy-in and systems integration over the seven-year project period. Significant increases in at least one aspect of systems integration were reported by all sites from baseline to the final year, but evidence points to the tapering of integration over the final year and stronger improvement in leadership buy-in and system integration at one site.

223 – The Children's Mental Health Initiative: Mental Health Screening in School Settings
Amy Starin, PhD, LCSW, Illinois Children's Healthcare Foundation, Oak Brook, IL; Sharon Bearden, LCSW, Quincy Public Schools, Oak Brook, IL

The Illinois Children’s Healthcare Foundation provided private grant funding for four communities in Illinois to develop systems of care. This presentation focuses on the learnings from the universal school-based mental health screening protocol that was developed. Both quantitative and qualitative data support the importance of attending to the concerns of stakeholders at five system levels (community, district, building, faculty, and parent) in order to succeed in making mental health screening acceptable and routine.

224cw– Aged-Out Pregnant and Parenting Teens Speak Out About Academic Engagement and Performance: A Retrospective Study
Serena Ohene, DSW; Antonio Garcia, PhD, School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA

Interviews with pregnant and parenting teens (PPTs) in foster care revealed that attachment, identity, self-efficacy, and critical race theories may collectively help illuminate why PPTs in foster care face numerous academic challenges. Themes of system response, the impact of system response, educational outcome, and lessons learned emerged as highlights of participants’ lived experiences in foster care. Implications for the child welfare system will be highlighted and discussed.

225cw– I Am More Than My Past: Parents’ Attitudes and Perceptions of the Positive Parenting Program in Child Welfare
Antonio Garcia, PhD; Serena Ohene, DSW, University of Pennsylvania School of Social Policy & Practice, Philadelphia, PA; Christina DeNard, PhD, Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, IL; Seth Morones, MSEd; Clare Connaughton, University of Pennsylvania School of Social Policy & Practice, Philadelphia, PA

Little is known about the attitudes and perceptions of EBPs among parents involved in the CWS. Findings show that clinicians are likely to increase parent engagement by praising and recognizing progress, adapting case studies for increasing applicability, and encouraging peer support and bonding. In turn, parents reported their own confidence in cultivating positive interactions with their children. This poster presentation will include strategies to promote engagement in evidence-based practices among parents involved in the child welfare system.

226 – Enabling Change: MassHealth Expansion of Enhanced Peer Support in Child Behavioral Health
Mary Wesley, MPH, DrPH Candidate, Harvard T. H. Chan School of Public Health, Boston, MA

Young Adult Peer Mentors (YAPM) are youth with past mental illnesses that are trained as coaches with basic therapeutic counseling to help youth address mental illness. The project supports YAPM expansion within Massachusetts Medicaid (MassHealth). Organizational interest and readiness are examined through provider surveys. Educational materials will be developed from survey findings. An issue brief will describe lessons learned in funding YAPM to facilitate its use by MassHealth providers and implement systems change.

227 – A Therapist Implementation Survey of Common vs Problem-Specific Evidence-Based Treatment Strategies within Publicly Funded Youth Mental Health Services
Siena K. Tugendrajch, BA, Psychological Sciences, University of Missouri, Columbia, MO

A total of 795 therapists reported the frequency with which they used a range of treatment strategies with a recent, representative youth being treated for primary anxiety, depression, or conduct problems. Analyses suggest that clinicians use a wide range of evidence-based strategies alongside those without a consistent evidence base. Clinicians do implement EBT significantly more than strategies without a strong evidence-base. However, clinicians primarily use common EBTs (e.g., psychoeducation) rather than problem-specific EBTs (e.g., exposure, behavioral activation).

228wa– New Jersey Mobile Response and Stabilization Services
Wyndee Davis, MS, Department of Children and Families, Division of Children's System of Care, Trenton, NJ

Mobile Response and Stabilization Services (MRSS) is the New Jersey Division of Children’s System of Care urgent response component to a family defined crisis. MRSS delivers on-site assessment and intervention to assist youth exhibiting emotional or behavioral needs and their families to stabilize their living situation and behavior towards improved functioning and community integration. MRSS collaborates across youth-serving systems to support youth and family engagement and coordinate supports to help youth and families feel better.

229wa– Prevalence and Correlates of Early Discharge from a Wraparound Approach to Service Care Management: Using Evaluation Data to Improve Service Delivery for Children and Youth with SED
Katie Brubaker, MA, LPC, System of Care Grant Unit - Quality Assurance, Nevada Division of Child and Family Services, Reno, NV; Hannah Linden, MPH, School of Community Health Sciences / 275, System of Care Evaluation - University of Nevada, Reno, Reno, NV; Karen Taycher, Nevada PEP, Las Vegas, NV; Kristin Clements-Nolle, PhD, School of Community Health Sciences, System of Care Evaluation - University of Nevada, Reno, Reno, NV

The objective was to assess the prevalence and correlates of early discharge (<=6 months) from a wraparound approach to service delivery for children and youth with SED in Nevada. Over half the children and youth enrolled in wraparound were discharged early. Evaluation results demonstrate that early discharge was more common among children/youth with more complex needs (e.g., those returning from out-of-state residential treatment). Use of evaluation findings to improve service delivery will be included.

230wa– Overcoming Barriers to Support: Wraparound for Children and Youth with Emotional and Behavioural Disorders in the Context of a Community School
Nadine Bartlett, PhD, University of Manitoba, Winnipeg Manitoba, Canada

There are significant barriers to the receipt of support for children and youth with EBD. This poster presentation will share results of a qualitative, multi-case study that explored the readiness of community schools in the province of Manitoba to lead the implementation of the school-based wraparound approach for children and youth with EBD. Findings indicate that community schools, as centres of inclusive practice hold much promise as host environments for school-based wraparound.

231 – Education, Employment and Disability Among Young Persons with Early Psychosis Participating in OnTrackNY
Jennifer Humensky, PhD, Columbia University/New York State Psychiatric Institute, New York, NY

OnTrackNY is an evidence-based specialty treatment program for individuals with early psychosis, which incorporates supported education and employment services. Rates of engagement in employment and education, and receipt of disability benefits, during program participation, were analyzed. At baseline, 40% of participants were engaged in work or school, which rose to 80% by six months. At admission, 2.5% of participants were receiving disability benefits, with an estimated 18% expected to receive disability benefits within two years.

232 – Developing your Own Validated Tool to Measure Patient Experience
Jarrod Dungan; Elizabeth Croney; Gina Klyachkin, KVC Behavioral HealthCare Kentucky, Inc., Lexington, KY

While customer satisfaction surveys are nothing new, their relevance in healthcare is increasing. The Institute for Healthcare Improvement has defined the IHI Triple Aim with three primary components: improving the health of populations, reducing the per capita cost of healthcare and improving the patient experience of care. KVC Kentucky has undergone a project to develop a Patient Experience Questionnaire designed to provide information on patient satisfaction with the quality of care received.

233 – The Effect of Strengths Model for Youth Implementation on Professional Quality of Life for Mental Health Case Managers
Alexis Mills, BSW; Whitney Grube, LMSW; Amy Mendenhall, PhD, School of Social Welfare, University of Kansas, Lawrence, KS

This poster session addresses the critical need for increased structure in mental health case management. The Strengths Model for Youth (SM-Y) was implemented at a Midwestern community mental health center. Case manager outcomes were measured using the Professional Quality of Life Scale (ProQOL). Use of the SM-Y provides structure and guidelines for case managers to apply in practice. Findings showed a decrease in case manager burnout and an increase in compassion satisfaction.

234 – Participatory and Collaborative Evaluation Strategies to Support Data-Informed Decisions and Management
Isaac Karikari, PhD; 
Betty Walton, PhD; Christine Garry, MSW; Stephanie Moynihan, MSEd, Indiana University School of Social Work, Division of Mental Health and Addiction, Family and Social Services Administration, Indianapolis, IN

Moving from collecting required data for a grant to using evaluation information to support data-informed management is possible. This poster presentation illustrates evaluation strategies to create meaningful participation and collaboration in collecting, analyzing, and using data to support decisions and to monitor progress. Periodic collection of System of Care Implementation Survey (SOCIS) information identified strengths and ongoing challenges. Instead of reporting mean ratings, parametric statistics revealed meaningful differences in perspectives. Widely shared results inform planning.

235cw– Let's Care about Self-Care: Intentionally Promoting Organization Wide Self-Care to Retain Professionals in a Challenging Job Market
Elizabeth Croney, MSW; Regina Klyachkin, MSW; Megan Moore, MSW; Jarrod Dungan, BS, KVC Behavioral HealthCare Kentucky, Lexington, KY

Professionals working with at-risk families suffer high rates of secondary stress, burnout, and job dissatisfaction. Creating organization-wide self-care programming is neither a discrete nor simple task. Two leaders of a statewide behavioral health company will discuss the design and launch of a self-care program that initiated with the leadership team and then scaled-up for 200+ professional staff. Qualitative and outcome data will ground analysis of the challenges of adapting and sustaining successful self-care programming.

236 – Colorado Project AWARE: Building and Evaluating Comprehensive School Behavioral Health Systems
Mario Rivera, MS, Health and Wellness Unit, Colorado Department of Education, Denver, CO

The Colorado Department of Education was awarded a Project AWARE grant (Advancing Wellness And Resilience in Education) from SAMHSA to build the capacity of three school districts for a comprehensive school behavioral health system that supports students in reaching their fullest potential in school and life. The evaluation works to improve the effectiveness of AWARE and to generate knowledge that can be used by districts across the state to replicate the project.

237 – Ensuring Quality Care: Integrating CANS Data and Wraparound
Dan Embree, MEd, En Route, LLC, Portland, OR; Aimee Walsh, MS, Direction Service, Inc., Springfield, OR

Although system-level and statewide frameworks for the Child & Adolescent Needs and Strengths (CANS) and Wraparound are well documented, there is little information about methods for integrating the two within an organizational structure or for direct-practice. This poster presentation will explore the integration of CANS and Wraparound as well as using the CANS as a decision-support tool at various levels within an organization. An example of integration framework used by one organization will be highlighted.

238 – Building a Theory of Change to Address Child and Family Trauma across the Child, Youth, and Family-Serving Systems in Colorado
Ashley Brock-Baca, PhD, Office of Behavioral Health, Denver, CO

Children and families within systems of care have often experienced trauma that must be addressed to facilitate recovery. In Colorado in 2017, various systems had trauma-informed care initiatives, but these efforts were neither aligned nor comprehensive. The theory of change method was used to develop a statewide framework for creating trauma-responsive child-, youth-, and family-serving systems. The theory provides guidance on how evidence-based approaches for trauma can be integrated within a system of care.

239 – The Ohio Adventure Therapy Coalition Journey: Comprehensive Strategies to Provide Effective Treatment While Building a Research Base with Our Most Vulnerable Population
Bobbi Beale, PsyD, 
Center for Innovative Practice, Case Western Reserve University, Cleveland, OH

This collaborative project was created to train clinicians to implement adventure therapy groups in their community settings for youth in the child welfare system. Three components include: evidence supported experiential treatment for youth with trauma histories, implementation strategy that includes ongoing consultation and technical assistance, and a culture that embeds data collection and research into the programming. By combining these critical components, effective, sustainable treatment has been provided to the most vulnerable population, abused and neglected children and youth, while validating the programming and helping agencies launch sustainable services to meet the mental health needs of youth.


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