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UPDATED: Mental Health Training Opportunities, Policy News and More from the Texas Children's Mental Health Forum - Saturday, August 28, 2010
The updates below were shared with listserv members of the Texas Children's Mental Health Forum.

Opportunities to ACT
 Support the Texas Children's Mental Health Forum's Priorities for 82nd Legislative Session- While maintaining adequate funding levels for children's services will be a top priority during the upcoming session, the Forum has identified key priority areas and recommendations to advance children's mental health policy. Your organization can show its support of these priorities by signing-on. Click here to view the Forum Priorities and Sign On Form.
 
Advocates Round Table (ART) - A group of cross-disability advocates (both individuals and organizations), has come together to create the Advocates Round Table (ART) to carry a common message to the legislature regarding the impact of the impending health and human services budget reductions. That message is "Invest in Community: Real People, Responsible Solutions.” ART would very much like to have the mental health advocacy community join their efforts by participating in their meetings and distributing the survey. If you are interested and would like to get involved, you can contact Sarah Watkins atmailto:swatkins@cotwd.org or Dennis Borel a tdborel@cotwd.org.

Legislative Budget Board (LBB) Hearings on Agency Budget Requests - Austin, Various Dates. Over the next few weeks, the LBB will be holding hearings where state agencies present their Legislative Appropriations Requests (LARs) for the 2012-2013 biennium. These hearingsare open to the public, and there will be opportunities for public testimony. You can view the full list of scheduled hearings here. Scheduled hearings of interest to children's mental health advocates include:
  • Dept. of Family and Protective Services: Thursday, Sept. 9, 1:00 PM - 5:00 PM, Room110,John H Reagan Building,105 W. 15th St., Austin
  • Dept. of State Health Services: Monday, Sept. 13, 1:00 PM - 5:00 PM, Room HAC, Capitol Extension, Austin.
  • Texas Education Agency: Tuesday, Sept. 14, 1:00 PM - 3:00 PM, Room 120,John H Reagan Building,105 W. 15th St., Austin.
  • Health and Human Services Commission: Wednesday, Sept. 15, 10:00 AM to 2:00, Room 140,John H Reagan Building,105 W. 15th St., Austin.
Task Force for Children with Special Needs - Public Hearing - Austin, Sept. 13 & 14. The Task Force wants to hear from consumers, service providers and other stakeholders about their experiences and ideas on the issue of accountability for services and systems designed to assist children and youth with special needs, including children and youth with mental illness. For more information, please contact Kate Volti, Task Force Director,at(512) 487-3497.
  • Monday, Sept. 13,4:00-7:00 PM, Public Hearing Room125, Winters Building, 701 W. 51stSt. Austin, TX 78751
  • Tuesday, Sept. 14,8:30-10:30 a.m.,Public Hearing Room 1410,Brown-HeatlyBuilding,4 900 N. Lamar Blvd.,Austin, TX 78751.
  • The public is also invited to the quarterly Task Force meeting immediately following the Sept. 14th hearing.
Opportunities to LEARN
 
 
Author Pete Earley to Speak on the Mental Health System.- Austin, Sept. 21. 3:00-4:00 PM, Texas State Capitol,Room E2.002, Legislative Conference Center. The Hogg Foundation is hosting a free public event featuring Pete Earley, an investigative journalist and bestselling author of "Crazy: A Father's Search Through America's Mental Health Madness,” a Pulitzer Prize finalist in 2007 whose title refers to the mental health system and not persons with mental illness. He will describe his attempts to help his son, Mike, after he was denied treatment and arrested during a psychotic break. He also will explain why jails and prisons have become our new asylums, why this is wrong and what we need to do to turn mental health back into a health issue instead of continuing to make it a criminal justice problem. You can read an excerpt here. This event is free, but space is limited. Click here register. For more information, please contact Program Officer Colleen Horton, colleen.horton@austin. utexas.edu, (512) 471-2988.
 
Texas Association for Infant Mental Health Annual Meeting and Conference -Corpus Christi, Sept 24-25: The Texas Association for Infant Mental Health (TAIMH) will be holding its annual meeting and conference in conjunction with the South Texas Association for Infant Mental Health Annual Symposium on Friday, September 24th and Saturday, September 25th in Corpus Christi at the Region 2 Education Service Center. Cost is to be determined, but you can reserve hotel accommodations at theOmni Corpus Christi Hotel - Bayfront Tower for $90/night by calling 1-800-843-6664 and requesting the Texas Association for Infant Mental Health Room Block.
 
Understanding Suicide: More Than Just a Theory - Houston, Oct. 1. In this one-day workshop participants will gain knowledge of  contemporary theories of suicidal behavior and risk assessment; identify factors that exacerbate and diffuse suicidal intent; and discuss collaborativetreatment approaches that facilitate disclosure of ideation and thenavigation of recurrent suicidality. October 1, 2010, University of St. Thomas, Houston.Sponsored by MHA Houston and The Menninger Clinic. Click here for more information. To register, contact Bree Scott at mailto:atbscott@menninger.edu.
 
National Association of Social Workers Annual Conference – Houston. October 8-10, 2010The 2010 National Association of Social Workers, Texas Annual Conference is slated for October 8-10, 2010at the Westin Galleria in Houston. Houston Mayor Annise Parker will be the opening plenary speaker and will address "Inspiring Community Action for a Better Quality of Life." Conference topics include suicide prevention and postvention, overview of psychotropic medication for treating mental illness, teaching the next generation of social workers, motivational interviewing, and challenges facing children with incarcerated parents. For more information, click here. National Child Welfare, Juvenile, and Family Law Conference– Austin,Oct 20-23, 2010The National Association of Counsel for Children is holding its 33rd National Child Welfare, Juvenile, and Family Law Conference,Achieving Equity for Children and Families, this October in Austin. The conference will be an opportunity for attorneys who practice juvenile dependency, delinquency, and family law to gather with professionals from the many other disciplines that also work in this field, such as medicine, mental health, social work, probation, law enforcement, and education. Click here for more information.
 
Summit Event -Promising Practices in Serving Children with Complex Behavioral Health Needs and Their Families: A System of Care in Texas-Save the Date! Tuesday Oct 19, 9:00AM -3:00PM at the Capitol Auditorium, Austin. Gary Blau, Ph.D., Chief of the Child, Adolescent and Family Branch at the Center for Mental Health Services with SAMSHA, will be providing a national perspective of systems of care as a promising practice in serving youth with complex needs. This summit will also offer state, family, and community presentations, and will include a group discussion to identify recommendations for expanding the system of care approach in Texas. This event is being sponsored by the Texas Children's Mental Health Forum, the Texas Systems of Care Collaborative, the Texas Integrated Funding Initiative, and the Texas Mental Health Transformation project. Stay tuned for more information!

SAVE THE DATE: 10thAnnual Partners in Prevention Training Conference: Navigating Tools of the Trade: Strategies for Prevention and Protection –Round Rock, TX. October 28-29, 2010 The Department of Family and Protective Services, together with member agencies of the Interagency Coordinating Council for Building Healthy Families, offers the Partners in Prevention Conference annually to provide training opportunities to community-based prevention service providers throughout Texas. The Conference focuses on ways to provide better services to families, improve collaborations, promote prevention programs in communities, and become more knowledgeable about prevention theory and practice.The 10th annual conference will offer two full days of keynotes and breakout sessions of interest to direct service workers, program administrators, policy makers, community-based family service organizations, students in the field of social work and anyone else with an interest in the prevention of child abuse/neglect, juvenile delinquency or substance abuse.A fiscal/administrative and ethics track will also be offered.Participants will have the opportunity to earn CEUs. Registration information is coming soon.Details will be posted to the conference website as available.

"Big Tent” Conference – Houston. November 18-20, 2010 The Big Tent Conference is bringing together thought leaders and representatives from national youth- and family-serving organizations, educators, young people, congregation leaders, health professionals, and many other caring adults to build a coherent and focused approach to supporting the development of healthy kids and helping them reach their full potential. Learn more about this first-time event at http://www.bigtentconference. com/

Reports and Resources

What Works for Home Visiting Programs. A new Child Trends fact sheet, What Works for Home Visiting Programs,synthesizes the findings from 66 rigorous evaluations of programs with a home visiting component. Overall, 32 programs had positive impacts on at least one child outcome, 23 had mixed reviews, and 11 were not proven to work.

Integration of Health and Behavioral Health Services Workgroup – Report to the 81st LegislatureTheIntegration of Health and Behavioral Health Workgroup, established by House Bill 2196 during the 2009 legislative session, has filed its report to the Legislature, recommending best practices in policy, training and service delivery to promote the integration of health and behavioral health services in Texas.

Resources for Military FamiliesThe National Child Traumatic Stress Network has web-based resources available to help military families, including Military Families Knowledge Bank, which includestips for talking with healthcare providers, tips for talking with your children, tips for talking about injuries of war with family members, and resources to help educate families, medical professionals, and school personnel about how to better serve military children who are experiencing traumatic grief.

Tracking Federal Investments in Children: First Focus, a bipartisan advocacy organization dedicated to making children and families a priority in federal policy and budget decisions, has published two new reports regarding federal investments in children.The Children's Budget 2010 provides an analysis of the over 180 federally funded programs that are aimed at enhancing the well-being of children, and how their appropriations levels have changed over the past five years. Kids' Share 2010 is the fourth annual examination of the federal spending trends and tax policies that support and affect children and families.

 

Past UPDATES
 
More:
 
Healing Invisible Wounds: Why Investing in Trauma-Informed Care for Children Makes Sensewas a policy brief released by theJustice Policy Institute.The brief examines the relationship between childhood trauma and involvement in the juvenile justice system. According to the brief, while research shows that up to 34 percent of children in the United States have experienced at least one traumatic event, between 75 and 93 percent of youth entering the juvenile justice system annually are estimated to have experienced some degree of trauma.
 

New Series of Studies Show Suicide Attempts Constitute a Significant Portion of Drug-Related Hospital Emergency Department Visits. A new series of studies analyzing drug-related hospital emergency department visits throughout the country during 2008 reveals a substantial percentage of these visits involve suicide attempts. According to these studies conducted by theSubstance Abuse and Mental Health Services Administration(SAMHSA) more than one in every twelve (8.8 percent) drug-related hospital emergency department visit by an adolescent is a suicide attempt--double the rate found among cases involving those age 25 and older (4.4 percent). Among cases involving young adults aged 18 to 25 the attempted suicide rate was 6.6 percent.

State Considers Tougher Child Care Requirements was an article released by The Texas Tribune. The Texas Department of Family and Protective Services (DFPS) is considering stricter standards for its Child Care Licensing division. DFPS proposes that two caregivers can oversee up to 18 two-year-olds and up to 28 three-year-olds as opposed to the current standard, 22 two-year-olds and up to 30 three-year-olds for two caregivers. Child care professionals have differing views about the proposed standards. Some believe the new standards will improve care for Texas children while others believe that the proposed standards will result in less income for their businesses and higher tuition for families.

A Healthy Mind Makes a Health Body in Teens was an article in Science Daily that highlights the report, "How Adolescents' Mental Health Predicts their Physical Health: Unique Contributions of Indicators of Subjective well-being and Psychopathology." According to Emily Shaffer-Hudkins and her team, from the University of South Florida, adolescents' positive emotions and moods, as well as their satisfaction with life, could be more important than their anxiety or depression levels for predicting their physical health. Looking at teenagers' so-called 'subjective well-being' could help identify those likely to develop health problems in the future and target them with appropriate prevention strategies.

Helping Child Welfare Workers Support Families with Substance Use, Mental, and Co-Occurring Disorders is a set of training modules from the National Center on Substance Abuse and Child Welfare. The modules are intended to provide learning opportunities and baseline knowledge on substance abuse and mental health problems and interventions; motivate and facilitate cross-systems work; and incorporate cultural awareness and facilitate cultural competency in child welfare practice.

One in Five Preschool Children in the U.S. Demonstrates Mental Health Issues When Entering Kindergarten was an article in Science Daily that highlights two reports: "Prevalence of DSM-IV Disorder in a Representative, Healthy Birth Cohort at School Entry" and "Minding the Transition to School." Social competence and behavior problems that are evident at kindergarten and first grade are known to be strong predictors of a child's academic and social functioning. However, findings reported in the July issue of the Journal of the American Academy of Child and Adolescent Psychiatry suggest that psychosocial risk factors can be identified even earlier and can be observed during the transition from preschool to formal schooling.

Some Medicaid Doctors Rely Heavily on Potent Drugs was an article in The Texas Tribune. The article highlights increasing trends of antipsychotic prescriptions to Texas Medicaid patients and how several physicians are profiting from the increase in prescriptions. Although psychotropic drugs only represent 2 percent of the 30 million Medicaid prescriptions filled every year, 70 percent of Medicaid patients are under age 19. These types of medicines have serious side effects in kids and therefore, prescriptions should be heavily monitored.

Texas Suicide Prevention Symposium Presentations are now accessible online. Presentations include various topics from suicide prevention training, substance use and mental health on college campuses, to at-risk training for high school educators.

DSHS Behavioral Health Data Book: The Texas Department of State Health Services (DSHS) Behavioral Health Data Book is now available online. You can view information from the second quarter of FY2010 by clicking here. (Thanks MHSA Division!)

Most Medicaid Children in Nine States are Not Receiving All Required Preventative Screening Services. Texas was included in this federal study which found three out of four children did not receive all required screenings. In 9 States, 76 percent of children did not receive 1 or more of the required EPSDT medical, vision, or hearing screenings. Forty-one percent of children did not receive any required medical screenings. Click here to read the full report.

 
State Early Childhood Policy Profiles provides a comprehensive view of state policies that promote health, education, and strong families to help early development and school readiness of America's youngest citizens. The National Center for Children in Poverty (NCCP) released the early childhood profiles in order to improve the odds for young children. These profiles highlight states' policy choices alongside other contextual data related to the well-being of young children.Texas' profile is also located on the site.

 

Call for the Inclusion of MH and Addiction Services in Federal Health Information Technology Provisions.The Health Information Technology for Economic and Clinical Health(HITECH) Act was enacted as part of the American Recovery and Reinvestment Act in January of 2009, creating new Medicare and Medicaid reimbursement incentives to encourage a wide array of providersto adopt and utilize electronic health records. Mental health and addiction services were not included in the act, whichis intended topromote widespread adoption of Health Information Technology (HIT) to increase healthcare quality, reduce medical errors, andpromote care coordination.The Health Information Technology Extension for Behavioral Health Services Act of 2010 (HR 5040) wouldextend provisions to include mental health and addiction services to improve care coordination and integrated care. To learn more, including how you can support this effort, please view background sheet from the National Council for Community Behavioral Health Care.

Invitation to Open Dialogue about Words Used in the Mental Health Community: Pam Hyde, head of the Substance Abuse & Mental Health Services Administration (SAMHSA), has opened a dialogue about words that are used--or avoided--in the mental health community. For example, some believe "consumer" is too vague or demeaning for a person who lives with mental illness, but "patient" and "client" are too medical or subservient in nature. Other terms that may lack clear definition include "mental health" and "recovery." Read Hyde's invitation for dialogue and the list of terms she mentions. Send your comments to dialogue@samhsa.hhs.gov.

Early Childhood Intervention (ECI) Seeking Public Comments (Dallas, San Antonio hearings)
The Texas Early Childhood Intervention (ECI) program will be holding public hearings in June and July to give the public an opportunity to comment on proposed changes in both our state rules, as well as on our proposed standards manual for our local contractors. Click here to see the hearing schedule as well as the items posted for comment. Items that may be of particular interest to stakeholders include changes in the system of collecting fees from those families found eligible to pay for some services, and new requirements for criminal background checks for employees of local ECI programs. Interested persons who are unable to attend a hearing are also invited to submit written comments.

Child Care Licensing Seeking Feedback From Parents
The Child Care Licensing division of the Texas Department of Family and Protective Services wants parents' input to improve child care.They have released a 10 minute survey. Click here to complete the survey.

 

Survey - Improving Child/Youth Placement Outcomes: A System Redesign (Foster Care Redesign) explains how the Department of Family and Protective Services (DFPS) and others in the system are working to redesign the Texas foster care system. The website describes guiding principles, objectives, and pieces and recommendations for the redesign effort. DFPS seeks input about the project through their online survey.
 
2009 DFPS Annual Report and Data Book  Texas Department of Family and Protective ServicesAnnual Report/Data Book is an overview of the department's programs, services, performance, and accomplishments, and a comprehensive statistical resource of DFPS services. This report and databook cover the fiscal year beginning Sept. 1, 2008 through Aug. 31, 2009.

Building Better Beginnings: Improving Texas Child Care Standards Report from theTexas Association for Infant Mental Health (TAIMH) on Texas child care standards

Early Childhood Mental Health Services: Four State Case Studies. Policy analysis of early childhood mental health services in Connecticut, Michigan, Ohio and Illinois. Released by the Project Forum at the National Association of State Directors of Special Education (NASDSE).

New SAMHSA Initiative Heads to Region VI in Dallas, TX In support of theSubstance Abuse and Mental Health Services Administration (SAMHSA)'s efforts to mobilize and coordinate behavioral action in partnership with key leadership in States and communities, SAMHSA is establishing a Regional Office in Region VI inDallas, Texas beginning in May 2010 in partnership with the Office of the Assistant Secretary for Health. Find out more here.

Active and Healthy Schools Get Kids Moving: MU researchers implement program to increase student's activity was an article released by U.S. News and World Reports. A Missouri elementary school recently adopted the Active and Healthy Schools Program, a program aimed to help increase kids' activity levels, improve their attention span and reduce discipline problems. As a part of the program, students participate in 3-5 minute activity breaks throughout the day, including games such as jumping, walking or climbing stairs, and may occur inside or outside of the classroom. After breaks, teachers resume schoolwork and students' attention levels are restored.

Attitudes Toward Mental Illness: 35 States, District of Columbia, and Puerto Rico, 2007was recently released by the Center for Disease Control.The report provides in-depth look at attitudes surrounding mental illness in 35 states, including Texas.CDC analyzed data using the 2007 Behavioral Risk Factor Surveillance System (BRFSS), which included two questions on attitudes toward mental illness. Most adults (88.6%) agreed with a statement that treatment can help persons with mental illness lead normal lives, but fewer (57.3%) agreed with a statement that people are generally caring and sympathetic to persons with mental illness.

Department of Family and Protective Services Updates Online Handbooks. Handbook and Operating Policy revisions for June 1, 2010 have been published by DFPS. Handbooks include: Child Protective Services Handbook, APS MH&MR Investigations Handbook, Statewide Intake Policy and Procedures Handbook.

Far From Home was an article published by The Texas Tribune that discusses the life of 16-year-old Richard DeMaar. Richard was one of roughly 900 out-of-state kids sent to a Texas residential treatment center in the last five years,part of a national compact that allows states that do not have adequate psychiatric or mental health services to send kids to states that do. The practice is designed to help troubled kids get the level of care they need, regardless of where they call home. The practice has increasingly come under fire from children's health advocates, who say it takes kids away from their families and their communities --two things they need to make a full-fledged recovery.

Helping Child Welfare Workers Support Families with Substance Use, Mental, and Co-occurring Disorders.SAMHSA's NCSACW is proud to announce the launch of the Helping Child Welfare Workers Support Families with Substance Use, Mental, and Co-Occurring Disorders Training Packagetoolkit. Developed for child welfare professionals, it is intended to provide learning opportunities and baseline knowledge on substance abuse and mental health problems and interventions; motivate and facilitate cross-systems work; and incorporate cultural awareness and facilitate cultural competency in child welfare practice. The toolkit covers six modules and provides a range of training materials that were developed to be adapted to meet the needs of child welfare trainers for in-person workshops or training sessions.

Juvenile Justice, Mental Health and Youth of Color: A Framework for Action in Texas is a report recently published by Southwest Key Programsand the Inter-American Institute for Youth Justice at the University of Texas at Austin. Funded by the Hogg Foundation for Mental Health, the report describes findings from a symposium with national and local experts, as well as stakeholder focus groups with youth, parents and providers. The study confirmed disparities in access, quality of treatment and aftercare for minority youth in the Texas juvenile justice system and provided a set of policy recommendations to address these issues.

Substance-Exposed Infants: State Responses to the Problem assesses state policy from the broadest perspective: prevention, intervention, identification, and treatment of prenatal substance exposure, including immediate and ongoing services for the infant, the mother, and the family. In the study , NCSACW reviews states' policies regarding: pre-pregnancy prevention efforts; screening and assessment in the prenatal period; testing at birth and notification of child protective services (CPS) in cases in which infants are identified as substance-affected; the provision of services to SEI and their parents after a CPS referral is made or other agencies become involved; and the processing of SEI-related referrals to developmental disabilities agencies.

Economic Impact of Emotional Problems in Childhood. A new study published online in the journal Social Science and Medicinesheds light on the economic consequences of having a childhood emotional or psychological problem, such as depression, attention deficit disorder, or substance abuse. Researchers have discovered that such concerns can diminish a person's ability to work, significantly impacting their lifetime earnings - people who reported having psychological problems during childhood averaged $10,400 less income per year when compared to siblings who did not have similar problems. The lower income was partly a consequence of working an average of seven weeks fewer per year.

Corporal Punishment and Aggressive Behavior in Children was a study published in the journal Pediatrics. The study examines the association between mothers' use of corporal punishment (spanking) against three-year-old children and subsequent aggressive behavior among those children. Participants were a part of the Fragile Families and Child Well-being Study (1998-2005), a population-based, birth cohort study of children born in 20 large US cities. The study authors assessed maternal reports of corporal punishment, children's aggressive behaviors at three and five years of age and many key demographic features and potential confounding factors. They found that a mother's use of spanking more than twice in the previous month when the child was three years of age was associated with increased risk for higher levels of child aggression at age five, among other findings.

Passage of Pospartum Depression Legislation will help provide support services to women suffering frompostpartum depressionand psychosis. The Melanie Blocker Stokes MOTHERS Act will also help to educate mothers and their families about these conditions and supports research into the causes, diagnoses and treatments for postpartum depression and psychosis. The initiative was signed into law after being included as part of the health insurance reform legislation.
 

Child and Family Mental Health: Research and MessagingTheFrameWorks Institute has created a web page featuring resources developed from a multi-year study of public perceptions about child and family mental health. The research is intended to inform effective framing strategy related to mental health by gaining a better grasp of the gap between frames used by the media, expert knowledge and public understanding. Lots of good stuff here!

Positive Youth Justice: Framing Justice Interventions Using the Concepts of Positive Youth Development is a new report released by theCoalition for Juvenile Justice. The report promotes a framework rooted in Positive Youth Development (PYD), a "strength-based, resilience-oriented perspective on adolescence." The report provides ideas of how to use PYD to design interventions and create outcome measures for youth justice agencies.

Texas School-to-Prison Pipeline, School Expulsion Report was recently released by Texas Appleseed. The report documents the trends in expulsion of students to Juvenile Justice Alternative Education Programs (JJAEPs) and to the streets. The report finds that a disproportionate share of minority and special education students are being expelled from Texas public schools for non-criminal, non-violent offenses. Being expelled from school increases these students' chances of advancing farther in the school-to-prison pipeline. The Texas Tribune also featured an article discussing the reports' major findings.
 

 

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