Mike Armstrong, Ohio Department of Education (Columbus)

1. Coordinating Education and Mental Health Services for Students with Disabilities: Ohio’s Community of Practice Enhancing Collaborations to Promote a Mental Health—Schools—Families Shared Agenda for Children’s Mental Health Mike Armstrong, Ohio Department of Education (Columbus) Terre Garner, Ohio Federation for Children’s Mental Health (Cincinnati) Carl E. Paternite, Center for School-Based Mental Health Programs (Miami University) Kay Rietz, Ohio Department of Mental Health (Columbus) Presentation at the NASDSE 66th Annual ConferenceLouisville, Kentucky November 11th, 2003

2. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003

3. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003 To view the the feature about the forum broadcast on the Ohio News Network (10/9/03) go to: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html

4. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioOctober 9, 2003

5. Infrastructure for Ohio’s Shared Agenda Initiative Hearing on Mental Health and School Success (February 8, 2001) Presided over by Ohio’s First Lady Hope Taft and convened by: Ohio Department of Mental Health (ODMH) Center for Learning Excellence Ohio Department of Education (ODE) Governor’s Office

6. Infrastructure for Ohio’s SharedAgenda Initiative Publication of Mental Health and School Success: Hearing Summary and Resource Guide (Spring, 2001) • Testimony summary • Facts, resources, and ideas highlighting the inter-dependency of good mental health and success in school

7. Infrastructure for Ohio’s SharedAgenda Initiative Follow-up Publication of Mental Health and School Success: What We are Learning (Spring, 2003) • Chronicles the growing success of mental health — education —family partnerships • Highlights innovative school-based mental health programs and services • Resource guide

8. Infrastructure for Ohio’s SharedAgenda Initiative Formation in 2001 of the Ohio Mental Health Network for School Success (OMHNSS) Action Networks spearheaded by affiliate organizations in six regions of the State

9. The Ohio Mental Health Network for School Success Mission To help Ohio’s school districts, community-based agencies, and families work together to achieve improved educational and developmental outcomes for all children — especially those at emotional or behavioral risk and those with mental health problems.

10. The Ohio Mental Health Network for School Success • Action Agenda • Create awareness about the gap between children’s mental health needs and “treatment” resources, and encourage improved and expanded services (including new anti-stigma campaign). • Partner with regional action networks to enhance within-region implementation of the action agenda, actively soliciting student and family input. Also, contribute to statewide efforts (e.g., training institutes, workshops, research, etc.). • Conduct surveys of mental health agencies, families, and school districts to better define the mental health needs of children and to gather information about promising practices.

11. The Ohio Mental Health Network for School Success • Action Agenda (continued) • Provide training and technical assistance to mental health agencies and school districts, to support adoption of evidence-based and promising practices, including improvement and expansion of school-based mental health services. • Develop a guide for education and mental health professionals and families, for the development of productive partnerships.

12. The Ohio Mental Health Network for School Success • Action Agenda (continued) • Assist in identification of sources of financial support for school-based mental health initiatives. • Assist university-based professional preparation programs in psychology, social work, public health, and education, in developing inter-professional strategies and practices for addressing the mental health needs of school-age children.

14. Report of President’s New Freedom Commission on Mental Healthhttp://www.mentalhealthcommission.gov “…the mental health delivery system is fragmented and in disarray…leading to unnecessary and costly disability, homelessness, school failure and incarceration.” Unmet needs and barriers to care include (among others): • Fragmentation and gaps in care for children. • Lack of national priority for mental health and suicide prevention. July, 2003

15. Report of President’s New Freedom Commission on Mental Health: Six Goals for a Transformed System Americans understand that mental health is essential to overall health. Mental health care is consumer and family driven. Disparities in mental health services are eliminated. Early mental health screening, assessment, and referral to services are common practice. Excellent mental health care is delivered and research is accelerated. Technology is used to access mental health care and information.July, 2003

16. Four Recommendations Supporting Goal 4: Early Mental Health Screening, Assessment, and Referral to Services are Common Practice Promote the mental health of young children. Improve and expand school mental health programs. Screen for co-occurring mental and substance use disorders and link with integrated treatment strategies. Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and supports. July, 2003

17. Ohio’s Shared Agenda Initiative Mental Health, Schools and Families Working Together for All Children and Youth

18. Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National Association of State Mental Health Program Directors (NASMHPD) Concept Paper: Mental Health, Schools and Families Working Together for All Children and Youth: Toward A Shared Agenda (2002)

19. Purpose of the Concept Paper “Encourage state and local family and youth organizations, mental health organizations, education entities and schools across the nation to enter new relationships to achieve positive social, emotional and educational outcomes for every child.”

20. The Aim The aim is to align systems and ensure the promise of a comprehensive, highly effective systemic collaboration to coordinate and integrate programs and services for children and youth and their families.

21. The Vision A vision for a shared education and mental health agenda ensures that: All children and youth have an equal opportunity to develop their fullest cognitive, social and emotional capacities; and The needs of those who experience psychosocial problems and emotional and behavioral disabilities are effectively addressed.

22. The Framework The framework encompasses a continuum of interventions, including: Positive development of child, youth, families and communities and prevention of problems; Early identification—interventions for children and youth at risk or shortly after the onset of problems; and Intensive interventions—with a focus on integrated approaches.

23. The concept paper is available online at:www.nasdse.org/sharedagenda.pdfwww.ideapolicy.org/sharedagenda.pdfwww.nasmhpd.org

24. Policy Maker Partnership (PMP) at the National Association of State Directors of Special Education (NASDSE) and the National Association of State Mental Health Program Directors (NASMHPD) Shared Agenda Seed Grant Awards to: Missouri, Ohio, Oregon, South Carolina, Texas, and Vermont With Ongoing Across-State Networking Facilitated by PMP/NASDSE

25. Additional Funding for Ohio’s Shared Agenda Initiative Ohio Department of Mental Health Ohio Department of Education Ohio Department of Health and Numerous Additional State-level and Regional Organizations

26. Infrastructure for Ohio’s Shared Agenda Initiative The Shared Agenda seed grant is being implemented in Ohio within the collaborative infrastructure of the Mental Health Network

27. Three Phases of Ohio’s Shared Agenda Initiative Phase 1—Statewide forum for leaders of mental health, education, and family policymaking organizations and child-serving systems (March 3, 2003) Phase 2—Six regional forums for policy implementers and consumer stakeholders (April-May, 2003) Phase 3—Legislative forum involving key leadership of relevant house and senate committees (October 9, 2003)

28. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioRachel’s TestimonyOctober 9, 2003 You can listen to Rachel’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html

29. Phase 1 and Phase 2Shared Agenda Forums Logo Here Columbus, OH — Statewide Forum, March 3, 2003 Athens, OH—Southeast Wooster, OH—North Central April 15, 2003 April 28, 2003 Columbus, OH—Central Bowling Green, OH—Northwest April 29, 2003 April 29, 2003 Cleveland, OH—Northeast Hamilton, OH—Southwest May 5, 2003 May 5, 2003

30. Strategies and Features of Various Phase 1 and 2 Shared Agenda Forums • Keynote presentations by national and state experts: • Mark Weist, Center for School MH Assistance, U. of Maryland • Steve Adelsheim, New Mexico School MH Initiative • Howard Adelman & Linda Taylor, UCLA School MH Project • Kimberly Hoagwood, Columbia University • Howie Knoff, Project Achieve • Joseph Johnson, Ohio Department of Education • Eric Fingerhut, Ohio State Senator

31. Strategies and Features of Various Phase 1 and 2 Shared Agenda Forums • Promising work in Ohio showcased • Youth and parent testimony • Cross-stakeholder panel discussions • Facilitated discussion structured to create a collective vision, build a sense of mutual responsibility for reaching the vision, instill hope that systemic change is possible, and problem-solve regarding implementation issues • Appreciative Inquiry model for promotion of systems-level change and transformation informed the process

32. Outcomes and Recommendationsfrom Phases 1 and 2 • Approximately 725 participants • Materials compiled and developed to inform the Fall, 2003 Shared Agenda Legislative Forum • Through Legislative Forum raise public awareness and build advocacy for policy and fiscal support for better alignment for education and mental health in the next biennial budget process • Website created to track and publicize Ohio’s Shared Agenda initiative (http://www.units.muohio.edu/csbmhp/sharedagenda.html)

33. Logo Here Selected Participant EvaluationFindings (mean/modal ratings) from Statewide and Regional Forums How positive was the forum? (scale: 1=poor; 2=needs to improve; 3=ok; 4=good; 5=very good; 6=great) Statewide 4.8/5 Southeast 4.6/5 North Central 4.2/5 Central 4.4/5 Northwest 4.6/5 Northeast 4.8/5 Southwest 4.8/5

34. Participant Perspective (mean/modal ratings) on Extent of Barriers to Implementing a Mental Health, Schools, Families Shared Agenda What is the extent of barriers? (scale: 1=none; 2=a few barriers; 3=some barriers; 4=many barriers; 5=very difficult; 6=not possible) Statewide 3.8/4 Southeast 3.4/4 North Central 3.7/4 Central 4.0/4 Northwest 3.8/4 Northeast 3.9/4 Southwest not rated

35. Log Here Selected Participant EvaluationFindings (mean/modal ratings) from Statewide andRegional Forums How much will the forum help collaboration efforts? (scale: 1=no help; 2=very little help; 3=a little help; 4=some help; 5=pretty good; 6=great) Statewide 4.4/5 Southeast 4.5/5 North Central 4.1/4 Central 4.4/4 Northwest 4.4/4 Northeast 4.5/4 Southwest 4.4/5

37. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioTova’s TestimonyOctober 9, 2003 You can listen to Tova’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html

38. Legislative Forum Preparation October 9, 2003 • Development of format for forum, and selection of date • Commitment of participation from ODMH and ODE leadership • Identification and preparation of legislative co-chairs • Invitation to additional legislative panelists • Invitation to stakeholders throughout the state

39. More Legislative Forum Preparation October 9, 2003 • Promotional work • Selection of students for written and oral testimony and identification of facilitator • Selection of adults (parents, educators, and mental health providers) for written and oral testimony and identification of facilitator • Development of written materials for the legislators • Plan for pre-forum events with student and adult participants

43. Written Material Provided to Participating Legislators October 9, 2003 • Detailed agenda • Executive summary of The President’s New Freedom Commission on Mental Health Final Report • Shared agenda fact sheet and recommendations • Overview of Ohio’s Shared Agenda Initiative • Written testimony by students • Written testimony by parents, educators, and mental health providers • Note: all available on Shared Agenda website at http://www.units.muohio.edu/csbmhp/sharedagenda.html, except New Freedom Commission Report which is available at www.mentalhealthcommission.gov

46. Pre-Forum Activities for Students, Their Parents, Adult Panelists, and Members of the Mental Health Network Affiliates October 8, 2003 • Hotel check-in for overnight stay in Columbus • Visit to Senate Finance Hearing Room and statehouse tour • Meeting with Senator Carey, forum co-chair • Student meeting with facilitator to practice testifying • Adult panelist meeting with facilitator to discuss testifying • Free time • Dinner and celebration with Mike Hogan (ODMH) and Mike Armstrong (ODE)

47. Pre-Forum Dinner and CelebrationOctober 8, 2003

48. Pre-Forum Dinner and CelebrationOctober 8, 2003

49. Comments from Legislators Following the Adult Testimony From Representative Joyce Beatty (Member House Education Committee) In a question/challenge to fellow legislative panelists: “Is there legislation that we should be looking at?” From Representative Arlene Setzer (Chair, House Education Committee) In response to Representative Beatty: “During this whole process I was also taking notes and marking because, as you indicated there have been some specifics provided to us which we truly need many times when looking at legislation. And, as most of you know currently the house and the senate are working on Senate Bill 2 House Bill 2 which is for the teacher success and identifying highly qualified teachers. And within that realm…..I am going to guide that discussion around some of things that I have heard today about the idea that teachers need to understand regardless of what their teaching assignment might be…”

50. Legislative Forum On Mental Health and School SuccessCreating A Shared Agenda In OhioKristin’s TestimonyOctober 9, 2003 You can listen to Kristin’s Legislative Forum verbatim testimony at: http://www.units.muohio.edu/csbmhp/sharedagendalegforum.html