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System of Care: Cultural Competency KICK OFF Stark County Mental Health and Recovery Services Board of Stark County
Welcome
• Purpose
• Housekeeping
• Introductions
Stark County Mental Health and Recovery Services Board Coming Together Stark County
Georgetown, National Center for Cultural Competence
Kent State University, College of Public Health
Introductions
• Jessica Zavala –Community Engagement-Youth Services Coordinator
• Stark County Mental Health and Recovery Services Board since
2013 • Collect, review, and report youth, family, school, and geographic
neighborhood behavioral health access data and stakeholder input, with particular attention to the underserved populations, to support informed community and system of care planning;
• Monitor, and review programs that outreach and serve traditionally underserved populations and existing programs that serve youth and families;
• Promote and coordinate cultural and linguistic competence within Stark County’s Behavioral Healthcare network;
• Support efforts and partnerships that improve access, quality and utilization of service within culturally diverse and underserved communities and population
http://www.starkmhrsb.org/site/PageServer
Introductions
• Remel Moore –Coming Together Stark County
• Executive Director
• Local Expert in Diversity and Inclusion Training
• Coming Together Stark County 2014 Diversity Award Champions
• Website: http://comingtogetherstarkcounty.org
Introductions
• Vivian Jackson Ph.D. LICSW
• National recognized expert and consultant
• Assistant Professor, Senior Policy Associate
• National Center for Cultural Competence and National Technical Assistance Center for Children’s Mental Health
• Georgetown University Center for Child and Human Development
• Website: http://ncccc.georgetown.edu/
Introductions
• Jeff Hallam –Professor and Chair, Social and Behavioral Sciences at Kent State University, College of Public Health
• Project Facilitator SAMHSA -System of Care –Stark County Mental Health and Recovery Services
• Graduate Assistants
• Melissa Mirka
• Ryan Tingler
• Website: http://goo.gl4mdMSAL
MHRSB Oversight: What is the Mental
Health and Recovery Services Board?
O.R.C. 340.03 Board of alcohol, drug addiction, and mental health services - powers and duties
• Serve as the community mental health planning agency for the county or counties under its jurisdiction, and in so doing it shall:
• (a) Evaluate the need for facilities and community mental health services;
• (b) In cooperation with other local and regional planning and funding bodies and with relevant ethnic organizations, assess the community mental health needs, set priorities, and develop plans for the operation of facilities and community mental health services
• Serve uninsured, Medicaid, Medicare, and underinsured
MHRSB Overview
• Provides funding and oversight to 12 behavioral health provider organizations to serve the prevention, intervention, treatment and recovery support needs of children and adults throughout Stark County
• 18 Member Board of Directors makes yearly allocation decisions amidst rapidly changing state funding and priorities
• Local Levy funding
• Actively seeks and obtains additional sources of funding (grant writer on staff) to meet local needs
• Embraces collaborative efforts to leverage and maximize funding and outcomes (local and regional)
System of Care History/Background • Stark County- Ohio Department of Mental Health was
awarded a SAMHSA System of Care Grant in the 1990’s. Stark County was 1 of 2 counties chosen to participate.
• Stark County System of Care planning expansion grant 2014
• Purpose: To develop a comprehensive strategic plan for improving, expanding and sustaining services provided through a system of care (SOC) approach for children and youth with serious emotional disturbances and their families.
Kent State University-College of Public Health
• Facilitation of the planning process • Jeff Hallam • Sonia Alemagno • Ken Slenkovich • Melissa Mirka and Ryan Tingler
• Evaluation team • Jonathan VanGeest • John Hoornbeek • Josh Filla
• Next step: readiness to change assessment
SAMHSA System of Care Grant
Mental Health and Recovery Services Board was awarded by -The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services Planning Grant for Expansion of the Comprehensive Community Mental Health Services for Children and their Families
•
System of Care
Definition: System of Care is: A spectrum of effective, community-based services and supports for children and youth with or at-risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.
Planning Efforts
• Review policies and practices focus to support our planning strategies
• Review recent and relevant data and stakeholder input already available within each of our systems and organizations and we will be hearing the voices of today’s young people and families
• Consultants available to us throughout the planning process: Kent State University School of Public Health, National Council on Behavioral Health, Georgetown Center on Cultural Competence, Coming Together Stark County, Young Adults, Youth and Families with Lived Experience As Past and Present Consumers in our System of Care Organizations, and SAMHSA System of Care Technical Assistance.
Focus Areas
• Cultural Competence • Other Focus Areas
• Trauma Informed Care
• Social Media & Website Communications
• Youth and Family Voice
• Wellness & Resiliency
• Affordable Care Act, Insurance Health Homes
Coming Together Stark County
What is Culture to YOU?
Why is Cultural Competence Important?
Data & Statistics
• Who we serve?
0 2 4 6
Category 1
Category 2
Category 3
Category 4
Series 3
Series 2
Series 1
If solved….
Youth & Family Voice
21st Century Diversity :
What should services look like?
How do we gather the youth voice?
What social media strategies work best to reach millennials?
What are young peoples definition of cultural competence?
Georgetown-National Center For Cultural Competence
What’s in a Word?
Disparities in mental
health care
2-26
Overrepresentation
Disparities in mental
health status
Cultural competence
Cultural awareness
Cultural sensitivity
Cultural
responsiveness
Cultural and linguistic competence
policies
practices
behaviors structures
attitudes
…requires that organizations
have a clearly defined,
congruent set of values and
principles, and demonstrate
behaviors, attitudes, policies,
structures, and practices that
enable them to work
effectively cross-culturally.
(adapted from Cross, Bazron, Dennis & Isaacs, 1989.
CULTURAL COMPETENCE
Slide Source:© 2014 - National Center for Cultural Competence
Five Elements of Cultural Competence INDIVIDUAL LEVEL
acknowledge cultural differences
understand your own culture
engage in self-assessment
acquire cultural knowledge & skills
view behavior within a cultural context
1
2
3
4
5
(Cross, Bazron, Dennis and Isaacs, 1989) Slide Source:© 2014 - National Center for Cultural Competence
ESSENTIAL ELEMENTS IN A CULTURALLY COMPETENT SYSTEM
These five elements must be manifested at every level of
an organization including:
policy makers
administration
practice & service delivery
patient/family/consumer
community
and reflected in its attitudes, structures, policies, practices,
and services.
Slide Source:© 2011 - National Center for Cultural Competence
policy making
administration
practice & service delivery
child, youth, family
community
These five elements must be manifested at every level of an
organization or system including:
and reflected in its attitudes, structures, policies, practices, and services.
Adapted from Cross, Bazron, Dennis, & Isaacs, 1989
Slide Source:© 2014 - National Center for Cultural Competence
DEDICATED FISCAL
RESOURCES
DEDICATED PERSONNEL RESOURCES
PROCEDURES
STRUCTURES
PRACTICES
POLICY
LINGUISTIC COMPETENCE
LINGUISTIC COMPETENCE FRAMEWORK
Goode & Jones, Revised 2009, National Center for Cultural Competence
Slide Source:© 2014 - National Center for Cultural Competence
National CLAS Standards Themes
Principal Standard 1: Provide effective, equitable, understandable and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy and other communication needs.
DISCUSSION
Next Steps:
• Planning efforts
• Readiness Assessment
• Next Meeting
Contact Information
• Jeff Hallam- Kent State University –College of Public Health –Project Facilitator
• Jessica Zavala- Community Engagement-Youth Services Coordinator 330-430-3950 [email protected]
• Remel Moore-Coming Together Stark County 330-454-5880 [email protected]