1. Office of Children’s Mental Health WCHSA Conference May 14, 2015

2. SHIFT Your Perspective From illness to adaptation From primarily a clinical approach to a public health approach From a programs approach to a systems approach From families as receivers to families as leaders

3. Shift Our Perspective from Mental Illness to Adaptation “Early experiences are biologically embedded in the development of the brain and other organ systems leaving a lifelong impact on learning, behavior and both physical and mental health.” Harvard Center on the Developing Child

4. Shift Our Perspective from a primarily Clinical Approach to a Public Health Approach

5. Shift Our Perspective from Programs to Systems Thinking Common Agenda Shared Measurement Systems Mutually Reinforcing Activities Continuous Communication Backbone Support Organization

6. Concerns: Psychotropic Drug Patterns among Children / Youth on Medicaid 7 out of 10 young people prescribed a psychotropic drug in 2013 had no therapy Especially noticeable for youngest children (ages 0-5)

7. Concerns: Hospitalizations 7 Mental health as the leading reason for children to be hospitalized (except for newborns)

8. Concerns: Hospitalizations

9. 9 About half of these costs are due to hospitalizations and meds.

10. Concern: High Youth Suicide Rates

11. Concern: Pronounced Racial Disparities Across Systems Mental Health Child Protective Services Schools Corrections

12. Disparities: Suicide Risk 12 Wisconsin’s Black youth suicide attempt rate is 82% higher than the national average. LGBT, Hispanic, and Black youth are at the highest risk of attempting suicide

13. Disparities: Out-of-Home Placement American Indian children are at the highest risk of being placed in foster care (25 per 1,000 children) and are almost seven times more likely to be in out-of-home care than their White peers

14. Disparities: School Discipline Approximately 1 in 5 Black students were suspended in 2013 (21%) - more than 9 times the rate of White students American Indian students were suspended at over 3 times the rate of White students Hispanic/Latino students were twice as likely as their White peers to be suspended

15. WI has the worst juvenile incarceration disparities in the nation 15 Disparities: Juvenile Justice

16. Shift Our Perspective from Families as Receivers to Families as Leaders Develop an infrastructure to ensure meaningful parent and youth involvement in state agency activities

18. Parent Peer Specialists in Wisconsin Role of a Certified Parent Peer Specialist: Provide information and resources Support parents in navigating complex systems Deliver peer support Encourage self-reliance, resilience, and recovery..

20. Current Initiatives Collective Impact Workgroups: – Increasing Access – Trauma-Informed Systems – Building Resilience Addressing Youth Emergency Detentions Addressing Disparities Building an Infrastructure for Family Engagement

21. Opportunities for County Input and Collaboration

22. Thank you Elizabeth Hudson, LCSW Office of Children’s Mental Health Elizabeth.Hudson@wi.gov 608-266-2771

23. Sources The Johnson Foundation at Wingspread, “Top of Mind: Children’s Mental Health in Racine”, June 2012 SAMHSA, “Behavioral Health Barometer Wisconsin” WI Health Information Organization (WHIO) dataset DPI WiseDash online data dashboard Children’s Defense Fund, “Mental Health Fact Sheet” “Wisconsin ACE Brief: 2011 and 2012 Data”, Annie E. Casey Kids Count DOC, Division of Juvenile Corrections 2013 Report Juvenile Secure Detention Registry Individual Student Enrollment System (ISES) Office of Detention Facilities 2013 Annual Report DCF, “Wisconsin Children in Out-of-Home Care” 2012 Annual Report SAMHSA’s 2012 URS tables DPI, “Youth Risk Behavior Survey Executive Summary 2013” Mental Health America, Parity or Disparity: The State of Mental Health in America 2015