1. System of Care: Cultural Competency KICK OFF Stark County Mental Health and Recovery Services Board of Stark County

2. 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

3. 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

4. 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.orghttp://comingtogetherstarkcounty.org

5. 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/http://ncccc.georgetown.edu/

6. 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.gl4mdMSALhttp://goo.gl4mdMSAL

7. 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

8. 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)

9. 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.

10. 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

11. 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

12. 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.

13. 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.

14. Readiness to Change Assessment

15. 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

16. Coming Together Stark County

17. What is Culture to YOU?

20. Why is Cultural Competence Important?

21. Data & Statistics Who we serve?

22. If solved….

23. Diversity Video: DO WE UNDERSTAND, & arE WE Doing enough? http://www.youtube.com/watch?v=Gxp_7aRA_tQ

24. Youth & Family Voice 21 st 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?

25. Georgetown-National Center For Cultural Competence

26. What’s in a Word? Disparities in mental health care 2-26 Disparities Disproportionality Overrepresentation Inequities Inequalities Social Justice Disparities in mental health status Cultural competence Cultural awareness Cultural sensitivity Cultural Appropriateness Cultural responsiveness Cultural and linguistic competence

27. policiespracticesbehaviorsstructuresattitudes …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

28. 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

29. 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 makingadministrationpractice & service deliverychild, youth, familycommunity 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

30. DEDICATED FISCAL RESOURCES DEDICATED FISCAL RESOURCES DEDICATED PERSONNEL RESOURCES DEDICATED PERSONNEL RESOURCES PROCEDURES STRUCTURES PRACTICES POLICY LINGUISTIC COMPETENCE LINGUISTIC COMPETENCE LINGUISTIC COMPETENCE FRAMEWORK Goode & Jones, Revised 2009, National Center for Cultural Competence Slide Source:© 2014 - National Center for Cultural Competence

31. 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.

33. DISCUSSION

34. Next Steps: Planning efforts Readiness Assessment Next Meeting

35. Contact Information Jeff Hallam- Kent State University –College of Public Health – Project Facilitator jhallam1@kent.edu Jessica Zavala- Community Engagement-Youth Services Coordinator 330-430-3950 jzavala@starkmhrsb.orgjzavala@starkmhrsb.org Remel Moore-Coming Together Stark County 330-454-5880 rmoore@comingtogetherstarkcounty.org rmoore@comingtogetherstarkcounty.org