Chancellor’s Office Advisory Group on Student Mental Health (COAGSMH) Meeting Summary January 31, 2014 ~ Sacramento, CA COAGSMH Members Present Stephanie Dumont, Academic Senate for CCC, South Representative, Golden West College Jeannine Farelly, California Youth Empowerment Network (CAYEN) - Mental Health America of California (MHAC) Janine Moore, Riverside County Department of Mental Health Brian Olowude, CCC Mental Health and Wellness Association, Fresno City College Vic & Mary Ojakian, Parent Advocates/American Foundation for Suicide Prevention Becky Perelli, Health Services Association CCC, City College of San Francisco Jenny Qian, Orange County Health Care Agency Chris Villa, Fresno City College CalMHSA Ann Collentine CCC Chancellor’s Office Jeff Spano Foundation for CCCs Colleen Ammerman Heather McClenahen David Monti Lee Anne Xiong SMHP Project Partners Kerrilyn Scott-Nakai (CARS) Sally Jue (CARS) Amy Springmeyer (CARS) Kari DeCelle (CARS) Bob Saltz (PIRE) Rich McGaffigan (PIRE remote) The Journey Towards Sustainability Continues: How Do We Support Long-Term Student Mental Health Systems and Infrastructures? The members briefly reviewed their role, which is to create and sustain long-term student mental health services, systems, and infrastructure. This includes: - extending student mental health services beyond the grant, - engaging in big picture conversation, - facilitating connections with County Mental Health, - fostering community connections, and - developing of recommendations to put forth to CCCCO for messaging. Today’s agenda was developed to address the action items from the prior meeting: - Align with Student Success and Support Program Initiative - Connect with Career Pathways - Capture and share student voice - Provide guidance and leverage resources Emphasis on mutual support was a theme throughout the meeting, as was the need to communicate clearly and consistently across the system. CalMHSA PEI Sustainability Plan CalMHSA Executive Board recently approved Phase II of a two-phased sustainability plan. Phase I will be a continuation of the current work plan from June 2014 through June 2015. Negotiations to extend statewide projects are being made on a contract by contract basis. Document1 1|Page County participation, carryover of unspent funds, interest, and matching funds will act as bridge funding for approved Phase I programs. The extension of existing services will be determined by criteria outlined in the Sustainability Plan adopted by the Board. These include: 1. Statewideness: a. Demonstrates public health approach by increasing awareness—statewide campaign b. Policy recommendations c. Demonstrates linkage and/or adds value to national campaign; such as the role of prevention for ACA or CMS d. Ability to be done locally 2. Regional Value: a. Enhancing local activities with materials or resources for local county/stakeholders b. Procuring resources at lower cost—media buys c. Addresses unique regional need 3. Evidence of Impact to date: a. Meaningful Quantitative Information b. Meaningful Qualitative Information c. Cost effectiveness 4. Evidence Based Practices from other states/localities or has potential to become an Evidence Based Practice (including based on community-defined evidence) 5. General Leveraging a. Current leveraging is strong b. Future opportunity to leverage from additional funding sources 6. Adverse consequence if discontinued a. Impact key to other projects b. Long-term impact vs. short-term impact 7. Is this a short-term statewide project that is ready to be discontinued due to: a. Demonstrated short-term impact b. One time only c. Local sustainability 8. Performance to date: (internal use only) (based on CalMHSA staff analysis) a. Meets deliverables on time b. Work products exhibit excellent quality c. Demonstrate commitment to CalMHSA principles and mission d. Few or no contract management issues Phase II will begin in June, 2015. At the February, 2014 meeting, the CalMHSA Board will vote to fund PEI Statewide Plans within the target range of 4-7% of local annual PEI funds for Phase II. Matching funds requested from program partners will range from 10-50% match, with emphasis on contributions from education. Additional information is available online at http://calmhsa.org/wp-content/uploads/2011/11/AGENDA-FINAL12-9-2013.pdf, beginning on page 12. Counties are in the process of developing their 3-year plans where funding for local programs are under consideration. This is a prime window of opportunity to effectively communicate to counties how statewide programs support and enhance county efforts and will continue to do so. It is not about asking a county to meet and then ask for funding. One example provided was how colleges have large, captive audiences and could easily disseminate messages, information, etc. to assist with county outreach efforts. Sharing tools developed from the statewide efforts with PEI coordinators was another suggestion. Document1 2|Page Advisory group members were invited to listen in to the CalMHSA monthly board meetings. Announcements are online at http://calmhsa.org/. To receive email announcements, send a request to Bianca Vidales at Bianca.Vidales@calmhsa.org. Action Item: Group collectively agreed that it would be beneficial to use the funding evaluation criteria to assess the current status of the CCC SMHP initiative and look for areas for improvement. Campus Based Grant Funding Update Several Campus Based Grants experienced administrative and programmatic barriers that affected the rate at which funds were expended. Those with higher than anticipated balances were asked to adjust allocations and identify carryover funds. These impacts affected nearly 60% of the 23 Campus Based Grants. Action Item: To learn from this experience, COAGSMH members asked the Foundation to draft a report on the challenges to grant execution that colleges identified. Capitalizing on Innovation: Best Ways for Sharing Learnings with Colleges A CARS consultant, Sally Jue, presented her findings from work with campuses. Ms. Jue provides assistance to campuses to formalize referral and tracking protocols with community mental health providers, and explore new ways to build capacity for mental health services for campuses. In addition, she has facilitated multiple Regional Strategizing Forums hosted by Campus Based Grants. Key points for collaboration noted from her work with colleges, County Mental Health departments, and community based organizations include: - Cross sharing of information - Making the contacts and defining communication preferences and response timelines - Incentivizing relationships (e.g., assistance with grant deliverables through events, etc.) - Expanding participation beyond higher education-specific activities - Making a mutual commitment that reinforces sustainability A toolkit that offers guidance and discusses approaches to connect and navigate relationships between community colleges to County Mental Health and vice versa was recommended. Action Item: Colleen Ammerman, Becky Perelli, Janine Moore, and Jenny Qian will convene to explore and develop a toolkit on collaboration between colleges and county mental health departments. Sally Jue will assist with the effort. Mobile apps have become a popular method to disseminate information to students. SAMHSA held a national competition. Others include Prometheus’ “everyone needs help,” UC Davis mobile website, and My3. Fresno, Rio Hondo, Riverside, and West LA developed mobile apps with grant funds. Advisory group members discussed the need to garner input and feedback from students during, not after, the development process of these types of applications and other technologies. Student focus groups, Student Senate, and other institutions of higher educations are all viable partners in the development of these apps. The Foundation indicated interest in supporting efforts to engage student groups in these processes. Action Item: Brian Olowude from Fresno City College will contact the mobile app developer to determine the feasibility of a webinar with CARS. Document1 3|Page Webinars, case studies, toolkits, or other products will be used to highlight innovative tools, practices, and products developed throughout the grant. Webinars, however, are one of the more cost effective mechanisms for knowledge transfer. The CARS CCC SMHP team is developing a schedule of webinars to capture the grantee learnings. These are anticipated to launch in the Spring. CARS is also determining the feasibility of modifying the Online Guide to Mental & Behavioral Health, Resources for College Students electronic product to a mobile app platform. Moving Towards Action: Finalize Letter of Support At the previous COAGSMH meeting, the group agreed to submit a recommendation to the Chancellor to promote and support student mental health via tailored communications to the CSSOs. While the letter was initially intended to highlight the need for student mental health support, the advisory group determined that explicit actions and recommendations were necessary. Specifically, a more robust strategy was called for. The CalMHSA statewide PEI Phase I and II sustainability efforts could facilitate the policy change for the CCC system to leverage resources to address the need for student mental health services. The strategy would call attention to the fact that 25% of the student population is impacted by mental health issues, tie the need for student mental health with academic success, indicate outreach and support is needed from the top-down, ask for support to sustain efforts, and outline how the CCC system can move to the next level to support PEI efforts for student mental health. Action Item: Jeff Spano, Ann Collentine, and Chris Villa will invite Linda Michalowski to coordinate and meet and develop a plan to systematically address and promote student mental health in CCCs. VPs of Instruction and Student Services will be the primary audience. This may include a site visit to Fresno City College, as a model program. Taking the Show on the Road: Maximizing Our Data and Sharing Our Results Bob Saltz from PIRE presented sources of data, types of data collected, and results to date for CCC SMHP. A COAGSMH member, Becky Perelli, provided a snapshot of community colleges that participate in the annual ACHA-NCHA survey collected from CCCs and analyzed by the HSACCC. It was agreed that outcome metrics are essential to capture the true impact of the program and effects of technical assistance, trainings, webinars, etc. Information for off-campus referrals and whether or not students follow up and connect to mental health services was one measure that the group was interested in. It was suggested that one correlation to measure impact could be the number of staff and faculty who complete Kognito training and the increase or decrease in referrals. The 2012-13 HSACCC data is still under analysis, but should be completed in early spring. It will be shared at the next COAG meeting. The student mental health advisory group from Riverside College, and other NAMI and Active Minds chapters on campus, are potential partners to augment the data findings with the “student voice.” Action Item: Members requested data on campuses with high rates of success for the Kognito training. A tip sheet to market and incentive participation was also requested. Cabrillo College was recommended as a possible campus to contact. Action Item: PIRE will review and collate outcomes data currently collected. Document1 4|Page Action Item: Becky Perelli will coordinate with CARS to package key findings from the data and incorporate the student voice. This may include a PowerPoint, info graphic, etc. Announcements/Member Updates Ann Collentine, CalMHSA New tools released from the stigma and discrimination reduction initiative: Know the Signs - Suicide is Preventable http://www.suicideispreventable.org/ Teacher credentialing for K-12 recently launched Tools for Change 2014 Conference March 7 – 8, 2014, San Francisco, CA http://www.mentalhealthsf.org/ Mental Health and Substance Use Disorder Awareness Day, May 13, 2014, South Lawn, Capitol Building, Sacramento, CA http://calmhsa.org/wp-content/uploads/2013/12/May-MH-Day-Flyer-Save-theDate.pdf Vic Ojakian www.EachMindMatters.org offers numerous promotional materials; members were encouraged to share Disability Rights California conducted an analysis to identify language from legislation that has become outdated or is considered demeaning Efforts to institute suicide prevention policies as administration regulations at all school districts in his county are underway. To date, 21 (schools?) have adopted suicide prevention policies. Mary Ojakian Following a suicide cluster in the Palo Alto school district, a group of key leaders in the community and subject matter experts developed the Comprehensive Suicide Prevention Toolkit. Mary Ojakian was a key member of the group. Members asked for copies to share across systems (e.g., Safe and Supportive Schools, Department of Education, etc.) The Toolkit is available online at http://pausd.org/parents/services/health/downloads/ComprehensiveSuicidePreventionToolkitforSchool s.pdf. Jennifer Farrelly, CAYEN Conducted four focus groups with transitional age youth, one of which was LGBTQ specific. Participants were primarily community college students. Preliminary findings indicated mental health services were not advertised and were not integrated in health services, which caused many to hesitate accessing counseling services due to stigma. Members asked that the findings be reviewed and discussed at the next COAG meeting in April. The student policy workgroup reviewed and approved a K-12 curriculum applicable across the cohorts. CAYEN is currently in the process of creating and maintaining a statewide directory of youth-specific drop-in centers. FCCC Foster Youth Training 15-20 grantees launched new curriculum. Additional Resources: Online Guide to Mental & Behavioral Health, Resources for College Students Document1 5|Page Demonstration Site http://www.laspositascollege.edu/healthcenter/CCCSMHP/index.php Download Files http://cccstudentmentalhealth.org/resources/index.php#training-materials An Internship Model: The Life Skills Center - Los Angeles College Consortium http://www.cccstudentmentalhealth.org/docs/Convening/2013_CBGConvening08_InternshipModel.pdf Next Steps CCC Chancellor’s Office: Jeff Spano, Ann Collentine, and Chris Villa will invite Linda Michalowski to coordinate and meet with VPs of Instruction and Student Services and develop strategy to systematically address and promote student mental health in CCCs. This may include a site visit to Fresno City College, which is viewed as a model program. Foundations for CCCs: Compile brief report of administrative and programmatic challenges experienced by CBGs in the management of SMHP grant funds Colleen Ammerman, Becky Perelli, Janine Moore, and Jenny Qian will explore and develop a CCC/DMH collaboration toolkit. CCC SMHP Partners (CARS/Kognito/PIRE) Email final copy of the meeting PowerPoint, CalMHSA Phase I funding criteria, and (Each Mind Matters, Suicideispreventable.org, LA Harbor Life Skills Center) resources to COAGSMH members. Brian Olowude from Fresno City College will contact the mobile app developer to determine the feasibility of a webinar with CARS. CARS will review the Online Guide to Mental & Behavioral Health, Resources for College Students to determine what updates can be made (e.g., webinars, additional websites, etc.) A mobile app will also be explored. PIRE will review and collate outcomes data currently collected. Becky Perelli will coordinate with CARS and PIRE to package key findings from the HSACCC 2012-13 data. This may include a PowerPoint, info graphic, etc. Future Discussion Align CalMHSA funding sustainability plan criteria to SMHP Report out from workgroups (Jeff Spano, Colleen Ammerman) Review and discuss CAYEN TAY focus group findings Report on barriers and lessons learned that led to CBG underspending of budget Getting resources converted into mobile apps or other programs Document1 6|Page