2. HISTORY OF THE ONIT INITIATIVE Born out of President Obama’s Now is the Time (NITT) plan Announced at the White House’s June 3, 2013 Conference on Mental Health. Aimed at creating new programs that increase access to mental health treatment, services, and supports, particularly for youth and young adults. In October of 2014, Oklahoma was one of 17 states awarded with a “Now is the Time” Healthy Transitions (HT): Improving Life Trajectories for Youth and Young Adults with, or at Risk for, Serious Mental Health Conditions Grant through the Substance Abuse and Mental Health Services Administration (SAMHSA).

3. GOALS OF ONIT Plan, develop, and implement a continuum of education, outreach, identification, and linkage to effective treatment. Support for youth and young adults age 16-25 that either have — or are at risk of developing — a serious mental health or co-occurring condition. Over the five year course of the grant, ONIT sites hope to serve at least 1,750 young adults in transition across the five funded sites (which cover three counties): Oklahoma, Okmulgee, and Washington.

4. Young Adults in Transition in Oklahoma

5. YOUNG ADULTS IN TRANSITION (YATs) IN OKLAHOMA According to the latest census information, there are 536,728 young adults in transition (YATs) living in Oklahoma. Out of this number; 32,204 YATs in the state are estimated to meet the criteria for series emotional disturbance (SED) or serious mental illness (SMI). Despite this high number, it is estimated that only 1 in 3 people who met the criteria for SED or SMI were served by our state’s mental health system during fiscal year 2013.

6. YOUNG ADULTS IN TRANSITION (YATs) IN OKLAHOMA YATS WHO SUFFER FROM SERIOUS MENTAL HEALTH OR CO-OCCURRING CONDITIONS ARE: The least likely age group to seek treatment. The least likely to graduate high school. Three times more likely to be involved in criminal activity. More likely to engage in substance abuse. Less likely to find, obtain, and keep a job. The least likely to achieve independent living in a community of their choice.

7. YOUNG ADULTS IN TRANSITION (YATs) IN OKLAHOMA ACCORDING TO A RISK FACTOR ANALYSIS COMPLETED BY THE UNIVERSITY OF OKLAHOMA’S EVALUATION TEAM (WHICH COVERED THE FIVE YEAR PERIOD BETWEEN 2009-2014 AND WAS CONDUCTED ON APPROXIMATELY 2,700 YOUTH AND YOUNG ADULTS RANGING IN AGE FROM 14-20 WHO WERE ENROLLED IN SERVICES AT SYSTEMS OF CARE SITES): 35% were living in poverty 19% had developmental delays 12% suffered from chronic illness 27% were victims of physical abuse 25% were victims of sexual abuse 36% had attempted suicide 42% had run away 28% had participated in criminal activity 38% had used alcohol 52% had a family history of mental illness 27% reported substance abuse at home 32% had a family history of domestic violence 40% had a history of psychiatric hospitalizations 49% had been physically aggressive

8. Homelessness Among YATs According to the 2015 Point in Time Data Count, 21% of the homeless population in OKC is under the age of 25. Common reasons why young people become homeless or runaway include family problems, transitions from foster care and other public systems, and economic problems. 1 in 7 young people between the ages of 10-18 will run away. 1 in 3 teens on the street will be lured into prostitution within 48 hours of leaving home. 75% of runaways are female. The rates of major depression, conduct disorder, and post traumatic stress disorder have been found to be 3x as high in runaway youth than in youth who have never run away. 32% of homeless youth have attempted suicide. Homeless youth who identify as LGBTQ complete suicide at a higher rate (62%) than homeless youth who identify as being heterosexual (29%).

9. ONIT Lab Sites

10. Largest population of YATs in the state (in excess of 100,000). Ranks 57th out of 77 counties for adverse childhood event (ACE) indicators. For YATs age 15-24, homicide and suicide are the 1st and 2nd leading causes of death. Teen birth rate of 15.3% (higher than the state average). Three funded sites: Northcare, Red Rock, and Hope Community Services. ONIT URBAN LAB SITE: OKLAHOMA COUNTY

11. Poverty rate of 20.5% and child poverty rate of 28.5% (higher than the state and national averages). Suicide is the 2nd leading cause of death for YATs age 16-25. CREOKS Community Mental Health Center is the host agency for the ONIT site. ONIT RURAL LAB SITE: OKMULGEE COUNTY

12. Ranks 50th out of 77 counties for ACE indicators. Access to mental health care was identified as a priority by people living in the county. Youth alcohol and drug use were identified as top needs to be addressed. Suicide rate is more than two times the national average. Grand Lake CMHC is the host agency for the ONIT site. ONIT RURAL LAB SITE: WASHINGTON COUNTY

13. Hope for Young Adults in Transition

14. GOALS OF ONIT INITIATIVE WITH THE FUNDING PROVIDED BY THE ONIT GRANT, SITES HOPE TO ACCOMPLISH THREE MAJOR GOALS: 1.Increase awareness and establish access for the public and the target population related to serious mental health conditions that impact young adults in transition. 2.Identify, reach out to, and engage young adults in need of services. 3.Effectively treat and support young adults in need of services.

15. STAFF AVAILABLE AT ONIT SITES EACH ONIT SITE IS FUNDED FOR ONE FULL TIME TEAM OF PROVIDERS — THIS TEAM CONSISTS OF A TRANSITIONS FACILITATOR AND A TRANSITIONS MENTOR. The Transitions Facilitator The Transitions Mentor This team will be utilizing a treatment approach known as the Transition to Independence Process (TIP) Model — along with the components of the Wraparound process — to help YATs address needs that they have identified for themselves.

16. STAFF AVAILABLE AT ONIT SITES THE TRANSITIONS FACILITATOR A person who meets the criteria as a Case Manager Level II (CM II) through ODMHSAS, At minimum, they must possess a Bachelor’s Degree in a behavioral health related field, and Have experience working with the young adult population.

17. STAFF AVAILABLE AT ONIT SITES THE TRANSITIONS MENTOR A person who meets the criteria as a Peer Recovery Support Specialists (PRSS) This person is not required to have a degree, but They must have lived experience as a young person in recovery from mental health and/or substance abuse related needs.

18. SERVICES PROVIDED THROUGH ONIT SITES EACH YOUNG ADULT WHO IS INTERESTED IN RECEIVING SERVICES THROUGH THE ONITT SITES WILL BE SCREENED FOR: Trauma, Suicidality, Mental Health, and Substance abuse related needs.

19. SERVICES PROVIDED THROUGH ONIT SITES ONCE SCREENED, THE YOUNG ADULT WILL BE LINKED TO THE MOST APPROPRIATE SERVICES AND SUPPORTS BY THE SITE’S TRANSITIONS FACILITATOR AND TRANSITIONS MENTOR. These services include, but are not limited to: Individual, group, and family therapy Crisis response services Substance use disorder treatment Medication management Case management Peer recovery support services Access to primary health care to address their physical health needs

20. SERVICES PROVIDED THROUGH ONIT SITES In addition to behavioral and physical health services, each YAT will also work with their ONIT Team to address priority needs related to: Food Housing Education Employment Transportation Services and supports will be individualized based on the unique strengths and needs of each young adult — they will get to determine which services and supports they would like to access.

21. Anticipated Outcomes

22. ANTICIPATED OUTCOMES FOR ONIT OVER THE COURSE OF THE GRANT, THE FIVE FUNDED SITES WILL BE MONITORING (AND HOPEFULLY HAVE A POSITIVE IMPACT ON) THE FOLLOWING OUTCOMES FOR YOUNG ADULTS IN TRANSITION: Safe and stable housing Increased employment and/or volunteer opportunities Decreased contact with law enforcement Increased access to reliable transportation Improvements in family and social connectedness Increased opportunities for continuing education Improvement in daily living skills, including social skills Increased reported feelings of belongingness in their communities

23. Accessing Services at ONIT Sites

25. Referral Forms for ONIT can be accessed by emailing Shannon Lee at srlee@odmhas.org srlee@odmhas.org Oklahoma County Contacts: Northcare: Christine Cao: Christine.Cao@northcare.com (405) 858-2824 Red Rock: Elisa Thompson: ElisaT@red-rock.com (405) 523-3938 Hope: Isela Perez: iperez@hopecsi.org (405) 510-3855 HOW TO MAKE A REFERRAL TO AN ONIT SITE Okmulgee County Contact: CREOKS: Samantha Bowman: Samantha.bowman@creoks.org (918) 752-9024 Washington County Contact: Grand Lake Mental Health Center: Kimberly Hill: khill@glmhc.net (918) 214-0955

26. QUESTIONS? IF YOU HAVE ANY QUESTIONS OR CONCERNS REGARDING THE ONIT INITIATIVE, PLEASE CONTACT: Shannon Lee Project Director, OK Now is the Time (ONIT) OK Dept. of Mental Health and Substance Abuse Services 1200 NE 13th Street, Oklahoma City, OK 73152 (405) 522-3842: Office (405) 208-9723: Cell srlee@odmhsas.org