office of children’s mental health wchsa conference may 14, 2015

Office of Children’s Mental Health

WCHSA Conference

May 14, 2015

SHIFT Your Perspective

• From illness to adaptation• From primarily a clinical approach to a public

health approach• From a programs approach to a systems

approach• From families as receivers to families as

leaders

Shift Our Perspectivefrom Mental Illness to Adaptation

Shift Our Perspectivefrom Mental Illness to Adaptation

“Early experiences are biologically embedded in the development of the brain and other organ systems leaving a lifelong impact on learning, behavior and both physical and mental health.”

Harvard Center on the Developing Child

Shift Our Perspectivefrom a primarily Clinical Approach to a Public Health Approach

Shift Our Perspectivefrom a primarily Clinical Approach to a Public Health Approach

Shift Our Perspectivefrom Programs to Systems Thinking

Shift Our Perspectivefrom Programs to Systems Thinking

Common Agenda

Shared Measurement Systems

Mutually Reinforcing Activities

Continuous Communication

Backbone Support Organization

Concerns: Psychotropic Drug Patterns among Children / Youth on Medicaid

7 out of 10 young people prescribed a psychotropic drug in 2013 had no therapy

Especially noticeable for youngest children (ages 0-5)

Concerns: Hospitalizations

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Mental health as the leading reason for children to be hospitalized (except for newborns)

Concerns: Hospitalizations

9About half of these costs are due to hospitalizations and meds.

Concern: High Youth Suicide Rates

Concern: Pronounced Racial Disparities Across Systems

• Mental Health• Child Protective

Services• Schools• Corrections

Disparities: Suicide Risk

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• Wisconsin’s Black youth suicide attempt rate is 82% higher than the national average.

• LGBT, Hispanic, and Black youth are at the highest risk of attempting suicide

Disparities: Out-of-Home Placement

American Indian children are at the highest risk of being placed in foster care (25 per 1,000 children) and are almost seven times more likely to be in out-of-home care than their White peers

Disparities: School Discipline

•Approximately 1 in 5 Black students were suspended in 2013 (21%) - more than 9 times the rate of White students

•American Indian students were suspended at over 3 times the rate of White students

•Hispanic/Latino students were twice as likely as their White peers to be suspended

WI has the worst juvenile incarceration disparities in the nation 15

Disparities: Juvenile Justice

Shift Our Perspectivefrom Families as Receivers to Families as Leaders

Shift Our Perspectivefrom Families as Receivers to Families as Leaders

Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities

Parent Peer Specialists in Wisconsin

Role of a Certified Parent Peer Specialist:

• Provide information and resources• Support parents in navigating complex

systems• Deliver peer support • Encourage self-reliance, resilience, and

recovery.

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Current Initiatives

• Collective Impact Workgroups:– Increasing Access– Trauma-Informed Systems– Building Resilience

• Addressing Youth Emergency Detentions• Addressing Disparities• Building an Infrastructure for Family

Engagement

Opportunities for County Input and Collaboration

Thank you

Elizabeth Hudson, LCSW

Office of Children’s Mental Health

Elizabeth.Hudson@wi.gov

608-266-2771

Sources• The Johnson Foundation at Wingspread, “Top of Mind: Children’s Mental Health in

Racine”, June 2012• SAMHSA, “Behavioral Health Barometer Wisconsin” • WI Health Information Organization (WHIO) dataset• DPI WiseDash online data dashboard• Children’s Defense Fund, “Mental Health Fact Sheet” • “Wisconsin ACE Brief: 2011 and 2012 Data”, • Annie E. Casey Kids Count • DOC, Division of Juvenile Corrections 2013 Report• Juvenile Secure Detention Registry• Individual Student Enrollment System (ISES)• Office of Detention Facilities 2013 Annual Report• DCF, “Wisconsin Children in Out-of-Home Care” 2012 Annual Report• SAMHSA’s 2012 URS tables• DPI, “Youth Risk Behavior Survey Executive Summary 2013”• Mental Health America, Parity or Disparity: The State of Mental Health in America

2015