Powerpoint slide decks that we have permission to share have been converted to pdf format and are hyperlinked with the title of the presentation. Enjoy!

Learn more about special tracks offered during the conference

Session 67yya

10:00 am - 10:30 am
Bayshore 5 ~ (30-minute Paper) 

Coordinated Opportunities for Recovery and Empowerment: Core - a Program for the Treatment of First Episode Psychosis
Goldfarb, PhD; Brian McBride, BA; Maria Castillo, MEd, Wraparound Milwaukee, Milwaukee, WI

Participants will be introduced to the integration of the CORE model with the basic tenets of Wraparound, creating economies of scale, leading to a prototype for sustainability. Fidelity and outcome measures are reviewed. Fidelity data will focus on engagement with the team and outcome data will be presented showing mental health improvement, program satisfaction, the capacity for retention, reduction in hospitalization and overall cost savings.

10:30 am - 11:00 am
Bayshore 5 ~ (30-minute Paper) 

Transition from the Child to the Adult Behavioral Health System: A Retrospective Longitudinal Analysis of Emerging Adults Behavioral Health Service Utilization
 Bory, PsyD; Robert Plant, PhD, Beacon Health Options, Rocky Hill, CT

As emerging adults transition from the child and adolescent to the adult behavioral health system, estimates suggest there is a 50% to 60% decline in behavioral health service utilization. This presentation will describe a retrospective longitudinal analysis of Medicaid youth of their behavioral health service utilization patterns from their 17th to 18th year. A cluster analysis and future areas of research and practice will be discussed.

11:00 am - 11:30 am
Bayshore 5 ~ (30-minute Paper) 

The Toughest Job You’ll Ever Love: Being a Young Parent with a Serious Mental Health Condition
Emma Pici-D'Ottavio, BA; Laura Golden, BA; Jennifer Whitney, Transitions Research and Training Center (RTC), University of Massachusetts Medical School, Shrewsbury, MA; Kathleen Biebel, PhD, Systems and Psychosocial Advances Research Center (SPARC), University of Massachusetts Medical School, Shrewsbury, MA; Kathryn Sabella, MA, Transitions Research and Training Center (RTC),University of Massachusetts Medical School, Shrewsbury, MA

This paper will describe the unique experiences of young parents living with a serious mental health condition, a population that is just beginning to be explored. Challenges specific to this population will be discussed, including issues specific to childcare, co-parenting, custody, and housing. The duality of mental health and parenting will also be discussed. Despite the challenges of being a young parent, having children appeared to be a motivating force regarding recovery for many.

Session 68ebp

10:00 am - 10:30 am
Bayshore 6 ~ (30-minute Paper)

Using Technical Assistance to Support the Implementation of an Evidence-based Program in the Community: Lessons from Data and Practice with the Legacy for Children Parenting Intervention
Marvin So, MPH, CHES; Sophie Hartwig, MPH; Akilah Heggs, MA, Centers for Disease Control and Prevention, Atlanta, GA; Lynne Katz, EdD, University of Miami, Linda Ray Intervention Center, Miami, FL; Lara Robinson, PhD, MPH, Centers for Disease Control and Prevention, Miami, FL

Disseminating evidence-based programs (EBPs) into community settings is critical for meeting the behavioral health needs of children and families. This presentation reports on experience supporting implementation of the Legacy for Children parenting intervention by diverse agencies serving children (e.g., pediatric primary care, early childhood education, federally qualified health centers). Included are lessons that may be useful for similar organizations, drawing from qualitative analyses of technical assistance reports, integrated with perspectives from technical assistance providers.

10:30 am - 11:30 am
Bayshore 6 ~ (60-minute Symposium) 

Successful Transfer of a Strengths-Based EBP: Going to Scale from Start-up to Sustained Fidelity to Parent Empowerment and Successful Family Outcomes
Symposium Chair: Laura Rains, MSW, MA, Implementation Sciences International, Inc., Eugene, OR; Discussant: Luann Gray, MSW, Kalamazoo Community Mental Health and Substance Abuse Services, Kalamazoo, MI

This symposium will provide an overview of GenerationPMTO, a parent-empowering evidence-based practice (EBP) implemented in System of Care across contexts, cultures, and countries (Forgatch, Gewirtz, 2017). Previously known as Parent Management Training Oregon Model (PMTO®), GenerationPMTO is based on 50 years of research, development, and implementation, and demonstrates beneficial effects on child, youth, and parent adjustment. 

Session 69cw

10:00 am - 10:30 am
Bayshore 7 ~ (30-minute Paper)

The Effect of Child Maltreatment History and Emotional/Behavior Problems on Substance Use Trajectories Among Child Welfare Involved Youth
Yampolskaya, PhD; Connie Walker, PhD, Department of Child and Family Studies, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL 

This study examined the trajectories of substance use among child welfare involved youth using a subsample of 625 youth from the National Survey of Child and Adolescent Well-Being. Two distinct substance use trajectory classes including High Stable Substance Use and Rapid Progression Use were identified. Findings suggest that experience of physical abuse is the key factor that distinguishes the two groups. Implications of the findings will be discussed.

10:30 am - 11:00 am
Bayshore 7 ~ (30-minute Paper)

Best Practices for Drug Testing in Child Welfare
Margaret Lloyd, PhD, School of Social Work, University of Connecticut, Hartford, CT

Drug testing is the most common intervention for parental substance use disorders in child welfare courts. Positive test results are frequently used to document that “reasonable efforts” at reunification have failed. Unfortunately, this current approach overlooks the potential for drug testing as a key feature of recovery-oriented child welfare practice. This presentation will introduce an alternative, evidence-based drug testing program to increase the likelihood of parent recovery and family reunification.

11:00 am - 11:30 am
Bayshore 7 ~ (30-minute Paper)

Changing the Culture in Tennessee: Promoting ACEs Philosophy and Transforming Organizations
Hadjiharalambous, PhD, College of Social Work Office of Research and Public Service, University of Tennessee, Knoxville, TN; Linda Daugherty, MPA, College of Social Work Center for Applied Research and Evaluation, University of Tennessee, Knoxville, TN; Emily McCutcheon, MSW, MBA, College of Social Work, Office of Research and Public Service, University of Tennessee, Knoxville, TN

Tennessee’s Building Strong Brains Initiative is a statewide public-private partnership that aims to promote culture change in early childhood based on a philosophy that prevents and mitigates ACEs. The Initiative has worked with the FrameWorks Institute to educate professionals so they can communicate key ACEs messages in ways so the story they take back to their organizations is compelling for transforming policies and practice and lay audiences understand. This session highlights early accomplishments and challenges. 

Session 70

10:00 am - 11:30 am
Esplanade 1 ~ (90-minute Symposium)

A Model for Engaging Underserved Latino Youth, Families, and Community Partners in Research and Mental Health Practice
Symposium Chair and Discussant: David "Luke" Smith, MD, El Futuro, Inc., Durham, NC

Latino youth and families with unmet mental health needs seek treatment at lower rates than their peers. Engaging Latino families in research and adapting evidence-based practices to be culturally relevant are two strategies for overcoming these disparities. Both are challenging. Community organizations can be effective bridges for both. Findings from three interagency research partnerships with El Futuro, a community behavioral health organization serving Latinos in North Carolina, will be shared as examples of this “bridge” effect. 

  • Padres Efectivos (Parent Activation): Case Study of a Stakeholder-Engaged Research Partnership Between a Community Behavioral Health Organization Serving Latino Youth and Families and Researchers
    David "Luke" Smith, MD, El Futuro, Inc., Durham, NC; Kathleen Thomas, PhD, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Despite a critical need for community-based organization/research partnerships to address disparities in Latino behavioral health and healthcare, they remain rare. A case study of a PCORI-funded stakeholder-engaged trial describes the structure, processes and outcomes of this collaboration. Typical challenges and lessons learned are described. Frequent communication with a network of trusted partners is crucial to face and address inevitable bumps in the road. Adequate time and resources provide an important foundation for stakeholder-engaged research.

  • Puentes (Bridges): Case Study of a Research Toolkit to Foster Stakeholder-Engaged Research Participation at Community Behavioral Health Organizations Serving Latino Youth and Families
    David "Luke" Smith, MD, El Futuro, Inc., Durham, NC; Kathleen Thomas, PhD, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Latino stakeholder engagement in research can help overcome mental health disparities but is challenging to achieve. Community organizations serve as bridges to engagement yet often lack capacity. A PCORI-funded toolkit developed by a multi-stakeholder workgroup describes the values, capacities, and processes for community behavioral health organizations serving Latinos to participate in research effectively. Long-term relationships with trusted researchers and a strong understanding of necessary research-participation capacities are crucial for successful community organization participation in research.

  • Challenges and solutions in evaluating effectiveness of mental health service provision for Latino youth in community settings: Results from El Futuro
    Saavedra, PhD, Drug Violence and Delinquency Prevention, RTI International, Research Triangle Park, NC; Anna Yaros, PhD, Center for Justice, Safety, and Resilience, RTI International, Research Triangle Park, NC    

    Meeting the mental health needs of Latino children and adolescents in community behavioral health settings requires variations and adaptations of evidence-based treatment approaches, which presents difficulties when systematically evaluating the outcomes of these programs. This presentation will include findings and solutions from a needs assessment of El Futuro, a mental health organization serving Latinos in North Carolina, including best practices in clinical symptomatology and treatment implementation measurement and data analysis. 

Session 71FE

10:00 am - 11:30 am
Esplanade 2 ~ (90-minute Discussion Hour)

Emergency Department Crisis and Transition Services: Model, Outcomes, and the Role of Family Engagement
Frances Purdy, MEd, JD, CFSS, Health System Division, Oregon Health Authority, Salem, OR; Amanda Ribbers, MS; Julie Magers, BA; Rebecca Marshall, MD, MPH, Child & Adolescent Psychiatry, Oregon Health & Science University, Portland, OR

This presentation will focus on innovations in the design of crisis and transition services for children presenting at hospital EDs in psychiatric crisis (suicide attempt, overdose, other psychiatric emergencies). The team-based intervention involves clinical and peer services providing short-term psychiatric consultation, therapy, care coordination, and family support. The demonstration began in 2014 with four hospitals and now includes hospitals and crisis centers in seven counties (rural and urban). 

Session 72

10:00 am - 10:30 am
Esplanade 3 ~ (30-minute Paper)

An Implementation Study: Qualitative Analysis of Contextual Factors Shaping School Beliefs and Responses to Adolescent Behavioral Health and Discipline
Kramer, MSW, MPA; Karli Keator, MPH, National Center for Mental Health and Juvenile Justice, Delmar, NY; Stephen Phillippi, PhD, LCSW, CCFC, Public Health, Louisiana State University, New Orleans, LA

Responses to youth who exhibit disruptive behaviors in school often involve suspension, expulsion, or possibly arrest. This session reports findings from an ongoing study, funded by the National Institute of Justice, examining the impacts of school-based interventions on alternative disciplinary practices, and overall school climate and safety. Beliefs and subjective theories about discipline and behavioral health held by professionals and schools are found to be consequential to the effective implementation of policy and practice changes.

10:30 am - 11:00 am
Esplanade 3 ~ (30-minute Paper)

The Technical Assistance Needs and Usage of System of Care Grantees
Jennifer Schurer Coldiron, PhD;
Eric J. Bruns, PhD, Wraparound Evaluation and Research Team, University of Washington, Seattle, WA; Abram Rosenblatt, PhD, CMHI National Evaluation, Westat, Rockville, MD

The National Technical Assistance Network for Children’s Behavioral Health partnered with the Children’s Mental Health Initiative National System of Care Expansion Evaluation Team to combine their data to explore the technical assistance (TA) needs of recent system of care (SOC) grantees, as well trends in their TA usage and its impact on their SOC development. Findings reveal a strong alignment between grantee’s goals and TA accessed and that less-developed grantee sites accessed more TA.

11:00 am - 11:30 am
Esplanade 3 ~ (30-minute Paper)

Are Blue States More Evidence-Based? Associations between State Context, Behavioral Health Infrastructure, and Use of Research
Eric Bruns, PhD; Michael Pullmann, PhD; Spencer Hensley; Elizabeth L. Parker, PhD, University of Washington, Seattle, WA; Kimberly Hoagwood, PhD, New York University, New York, NY

In previous research, downward national trends in state investment in evidence based treatment (EBT) for youth were found. This study examined what contextual factors are associated with state trends in EBT implementation since 2001. Results of multilevel models found a number of state-level predictors of EBT implementation, including state fiscal and policy structures, state demographics, and controlling political party. Results suggest there are interpretable predictors of state investment in EBT and research use. 

Session 73yya

10:00 am - 10:30 am 
Palma Ceia 1 ~ (30-minute Paper)

Emerging Adults with Serious Mental Health Conditions and Disclosures in Educational Contexts
Laura Murray, PhD, Graduate School of Education, University of Pennsylvania, Philadelphia, PA

This study investigates how emerging adults with psychiatric disabilities make disclosures related to mental health in educational contexts. Seventy-eight emerging adults, ages 18 to 25, with self-reported mood, anxiety, and/or psychotic disorders were recruited through online youth mental health resources nationally, and asked to report on their high school and college mental health disclosure thoughts, attitudes, and behaviors via anonymous online survey. The current paper reports some of these findings.

10:30 am - 11:30 am 
Palma Ceia 1 ~ (60-minute Discussion Hour)
Programming for Building Collegiate Resilience and Readiness for Young Adults Living with Serious Mental Health Conditions
Dori Hutchinson
, ScD; Paul Cherchia, LMHC, Center for Psychiatric Rehabilitation, Boston University, Boston, MA

Presenters will facilitate a discussion around collegiate resilience and various models of wellness, academic, and resilience skills-building programming. Presenters will also examine collegiate mental health wellness programs that support students living with a serious mental health condition cultivate the resiliency, health, and academic skills needed to thrive in college, specifically programs at the Center for Psychiatric Rehabilitation at Boston University.

Session 74yya

10:00 am - 11:30 am 
Palma Ceia 2 ~ (90-minute Symposium)

Stacking for Success: Building Authentic Partnerships with Youth and Young Adults
Symposium Chair and Discussant: Monica Payne, MA, Youth and Family Training Institute, University of Pittsburgh, Monroeville, PA

The Pennsylvania Healthy Transitions Partnership is on a journey to capture authentic youth voice across the Commonwealth of PA by creating a Youth and Young Adult Network along with a leadership assessment and training curriculum that is integrated into the data dashboard system. Session participants will hear from state and county partners and young adults about the successes thus far, challenge areas, lessons learned, and how being a part of this Network is bridging a gap to wellness.

Session 75wa

10:00 am - 10:45 am 
Palma Ceia 3 ~ (45-minute Paper)

Yes We Can: Continuous Realist Evaluation of System Of Care Expansion By Combining Big Data From All Human Services And Entire School Populations To Investigate What Works And For Whom
Mansoor Kazi, PhD, Engagement & Economic Development, Fredonia State University of New York, Fredonia, NY; Rachel Ludwig, LCSW, Department of Mental Hygiene, Chautauqua County, Mayville, NY; Susan Hoerter, DO, Department of Mental Health, Rockland County, Pomona, NY; Marie McLaughlin, Children's Services Directorate, Manchester City Council, Manchester, UK; Patricia Brinkman, Community Mental Hygiene Services, Chautauqua County, Manchester, NY

To this day, most SOCs have focused on at risk groups rather than the total school populations. This demonstration utilizes big data continuously on entire school populations from the SAMHSA-funded SOC expansion in Chautauqua and Rockland counties (NY); and from Manchester City Council (UK). Methods included nonequivalent comparison group as well as matched quasi-experimental designs, combined with logistic regression to investigate what interventions worked and for whom, in real time.

10:45 am - 11:30 am 
Palma Ceia 3 ~ (45-minute Paper)

Mental Health Data Collection and Evaluation Across 1700 NYC Schools Throughout the 2015 - 2018 School Year 

Heather Hermansen, MPA; Benjamin Maskell, MSW, Office of School Health - School Mental Health, NYC Department of Health, Long Island City, NY

A discussion of the design, implementation, and evaluation of mental health program approaches in New York City, with an exploration of the lessons learned from implementing programs in a complex ecosystem in partnership with multiple large city-government agencies. Each of the school mental health programs have the same two innovative features: 1) each program delivers mental health services using a three-tiered public health framework, and 2) mental health services and supports are delivered in schools. 

Session 76

10:00 am - 10:30 am 
Palma Ceia 4 ~ (30-minute Paper)

Implementing Standardized Assessment to Identify Clinical High Risk for an Early Psychosis Program
Charles Webb, PhD, Department of Services for Children, Youth and Families, Division of Prevention and Behavioral Health Services, Wilmington, DE

A first step to building statewide treatment of CHR is to implement a sustainable and replicable system for identification. With funding from SAMHSA’s Now is the Time/Healthy Transitions (1H79SM061931-01), Delaware created a system of centralized screening and in-home assessment based on the Structured Interview for Psychosis-Risk Syndromes. Implementing this system has involved getting clinician and community buy-in, and developing clear guidelines for sharing highly sensitive results. Plans for improving the predictive value of assessment and using aggregate data are discussed.

10:30 am - 11:30 am 
Palma Ceia 4 ~ (60-minute Symposium)

Comprehensive Behavioral Health Services for Youth Entering the Justice System: An Exciting, Innovative, Health Coach Approach
Symposium Chair: Richard Dembo, PhD, Department of Criminology, College of Behavioral and Community Sciences, University of South Florida, Tampa, FL; Discussant: Ralph DiClemente, PhD, Rollins School of Public Health, Emory University, Atlanta, GA

Public safety, offender risk screening and assessment, and supervision practices and interventions designed to reduce offending behavior remain key features of the balanced and restorative justice model informing juvenile justice in the U.S. Recent decades have seen the development of evidence-based screening and assessment instruments to identify, and interventions to address, youth substance abuse and mental health issues. It is now time to incorporate public health issues, especially youth sexually transmitted infections, among the key concerns of juvenile justice agencies. Evidence indicates justice-involved youth are at heightened risk of acquiring these diseases and, since most arrested youth are returned to the community soon after arrest, serving as core transmitters of these diseases. Female youth are at relatively greater risk of acquiring and bearing the personal burden resulting from them. Yet, few juvenile justice agencies especially those at the front end of the justice system test or coordinate with local departments of health in identifying and treating infected, youth. A policy shift and innovative approaches, such as the Health Coach service model discussed in this panel, are needed to respond effectively to the urgent public health need justice-involved youth present.

Session 77

10:00 am - 10:30 am 
Garrison Suites ~ (30-minute Paper)

A Systematic Approach to Outreach and Engagement with Youths and Young Adults Experiencing First Episode Psychosis: Successful Strategies, Challenges, and Lessons Learned 
Hong Ngo, PhD, 
Center for Practice Innovations, OnTrackNY, New York State Psychiatric Institute, Columbia University Medical Center, New York, NY; Talia Richkin, BA; Elizabeth Russell, BA, SAMHSA Healthy Transitions Grant, Center for Practice Innovations, OnTrackNY, New York, NY

OnTrackNY, a Coordinated Specialty Care program in New York, delivers comprehensive early intervention services for young people experiencing a first episode of non-affective psychosis (FEP) and has developed a systematic outreach and engagement strategy with goals of enhancing engagement and reducing the duration of untreated psychosis.  This symposium will present implementation outcomes of OnTrackNY, successful outreach and engagement strategies, lessons learned, and considerations for innovative ways to enhance engagement and improve care trajectory for young people with FEP.

10:30 am - 11:30 am 
Garrison Suites ~ (60-minute Discussion Hour)

The Redeploy Illinois (RI) and Adult Redeploy Illinois (ARI) Programs – Successful Alternatives to Incarceration for Youth and Young Adults
Hughes, MA, Division of Family and Community Services, Bureau of Youth Intervention Services, The Illinois Department of Human Services, Springfield, IL; MaryAnn Dyar, MPP, Adult Redeploy Illinois, Illinois Criminal Justice Information Authority, Chicago, IL

Redeploy Illinois (RI) was developed to expand evidence-based alternatives to youth facing incarceration. Modeled after the successful juvenile Redeploy Illinois program, Adult Redeploy Illinois (ARI) was established to expand these services to adult offenders. Interventions for both programs include cognitive behavioral therapy, frequent reassessment of risk/needs, family involvement, and basic skills development. Programs like Redeploy Illinois and Adult Redeploy Illinois increase the likelihood of success for justice-involved youth and young adults while saving the state money.


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