Orange County Youth Mental
Health Implementation Team
Final Report
August 25, 2015
Presentation Outline
• Commission Purpose & Objectives
• Committee Recommendations
• Initiated Recommendations
• Next Steps
Commission Purpose & Objectives
NATIONAL STATISTICS*
• 1 in 5 children ages 13-18 have, or will have a
serious mental illness
• The average delay between onset of symptoms
and intervention is 8-10 years
• Suicide is the 3rd leading cause of death in youth
ages 10 to 24
• Approximately 50% of all lifetime cases of
mental illness begin by age 14 and 75% by age
24.
*National Alliance on Mental Illness; www.nami.org and National Institute of Mental Health; www.nimh.hin.gov
Commission Purpose & Objectives
ORANGE COUNTY DATA (2013 to Present)
• 2,283 psychiatric hospitalizations ages 0-17
• 15,273 school suspensions and 27 students expelled
• 1,148 children in child welfare out-of-home care
• 20 suicides ages 11-24 (2014)
• 8% of children reported thoughts of suicide
• 7,520 arrests for children under 17 y/o
• 2,250 felony arrests
• 84 children were less than 10 y/o
Commission Purpose & Objectives
• Current system is fragmented and
disjointed
• Difficult to navigate for parents and
young adults
• Mental health problems often co-exist
with other social factors such as
poverty and substance abuse
• Data collection is fragmented making
incidence, prevalence and outcomes
hard to measure
Commission Purpose & Objectives
FRAMEWORK FOR SYSTEM OF CARE (SOC)
SEAMLESS AND COORDINATED
CommunityBased
Family
Driven
Culturally
Competent
Youth
Guided
Individualized
Services
Natural
Supports
Service Intensity Matches Needs
Orange County Youth Mental Health
Commission Established on August 26, 2013
Implementation Team – April 2014
ORIGINAL COMMISSION OBJECTIVES:
•
Determine state of mental health system for children and youth and families
•
Develop effective strategies and initiatives to improve the mental health of children and
young adults in Orange County
•
Identify financial sustainability options for an optimized system of care
•
Identify attitudes towards youth mental health
IMPLEMENTATION TEAM OBJECTIVES:
•To determine how to implement the Commission’s recommendations within Orange County
IMPLEMENTATION TEAM CHAIRS:
Richard Morrison – Florida Hospital
William Sublette – Orange County School Board
Implementation Team Members
• Maria Bledsoe (Central Florida Cares)
• Sara Brady (Sara Brady Public Relations) – Chair of Public Education Committee
• Glen Casel (Community Based Care of Central Florida)
• William D’Aiuto (Florida Department of Children & Families)
• Muriel Jones (Federation of Families of Central Florida)
• Cathy Lake (Florida Department of Juvenile Justice)
• Dr. Mike Muszynski (Florida State University)
• Dr. Michael Frumkin (University of Central Florida) – Chair of Systems Design Committee
• Dr. Vickie Cartwright (Orange County Public Schools)
• Ray Larsen (Heart of Florida United Way)
• Dr. Ron Piccolo (Rollins College) – Chair of Finance Committee
• Barbara Meeks (Nemours Hospital for Children)
• Dr. Ana Leon (University of Central Florida)
• Honorable Frederick Lauten (Chief Judge, Ninth Judicial Circuit Court)
• Beth Nunnally (Centene Corporation)
• Linda Sutherland (Healthy Start Coalition)
• Dr. Alicia Homrich (Rollins College)
Presentation Outline
• Commission Purpose & Objectives
• Committee Recommendations
• Initiated Recommendations
• Next Steps
Committee Recommendations
COMMITTEES:
• Systems Design/Finance and Sustainability
• Public Awareness and Community Education
Committee Recommendations
SYSTEMS DESIGN COMMITTEE RECOMMENDATIONS
Governing Board
Advisory Board
Management Network (MN)
Committee Recommendations
FINANCE & SUSTAINABILITY
COMMITTEE RECOMMENDATIONS
MANAGEMENT NETWORK STRUCTURE
Director
Administration
Facilitator
Communication
Data
Case
Fiscal
Management
Management
Management
Committee Recommendations
PUBLIC AWARENESS & COMMUNITY EDUCATION
COMMITTEE RECOMMENDATIONS
• Create a “Dr. Oz” expert on youth mental illness:
– Host major event to announce campaign - Keynote speaker
• Design “road show” pushing awareness
campaign throughout the community
– Orange County–led Community Conversation with area news media
executive leadership
– PSAs
– Bloggers
– Incorporate “real families” of youth mental illness as “storytellers”
Presentation Outline
• Commission Purpose & Objectives
• Committee Recommendations
• Initiated Recommendations
• Next Steps
Initiated Recommendations
WRAPAROUND EXPANSION
•Awarded Department of Children and Families Reinvestment Grant
expands target population to 13 and 14 year olds
•Awarded $4 Million Substance Abuse and Mental Health Expansion
Grant to extend services to age 21
•Sustaining current Wraparound Orange efforts with County GR
LAW ENFORCEMENT TRAINING
•Crisis Intervention Team – Youth Training
•Trained over 200 officers, including 110 school resource officers
August, 2014 to current
•Focused on increasing use of civil citation and reducing arrests
Initiated Recommendations
COMMUNITY ACTION TEAM (CAT) –
LEGISLATIVE ACTION
•Awarded to Aspire Health Partners – serving adolescents ages 11-21
COMMUNITY NAVIGATION SYSTEM
•Robust Data Base – Procurement in process
•Creates a virtual central point of access for families
•Referrals and access to service system in real time
MOBILE CRISIS TEAM
•24/7 Crisis Response for youth and families – began August 17, 2015.
•Diversion from out of home placement
Presentation Outline
• Commission Purpose & Objectives
• Committee Recommendations
• Financial Considerations
• Next Steps
Next Steps
RECOMMENDATIONS
The new system of care be developed and
implemented in phases:
Phase 1: Developing the system design and implementation using
current resources.
Phase 2: Further development of the system with new resources.
Phase 3: Full implementation of the system envisioned by the
Commission with full resources needed.
Next Steps
RECOMMENDATIONS
Public
Awareness
Orange County
Managing Entities
Providers/Hospitals
Consumer/Family
Stigma
Reduction
Advocacy
Community Based
Care of Central
Florida
National Alliance
on Mental Illness
Central Florida
Cares
Federation of
Families
Mental Health
Association
Orange County Youth Mental
Health Implementation Team
Final Report
August 25, 2015