ADDICTIONS AND MENTAL HEALTH The Vision for Children’s Mental Health in Oregon Amy Baker, MSW Child and Family Mental Health Manager October 25, 2014

ADDICTIONS AND MENTAL HEALTH

The Vision for Children’s Mental Health in Oregon

Amy Baker, MSWChild and Family Mental Health Manager

October 25, 2014

What is mental health for children?

Mental health in childhood is characterized by:•Achievement of development and emotional milestones •Healthy social development•Effective coping skills


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Why is children’s mental health so important?

• Mental illnesses are the leading causes of disability

• The global cost of mental illness is estimated at nearly $2.5 trillion

• Half of all lifetime cases of mental illness begin by age 14 and three quarters by age 24


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“A total of 13%-20% of children living in the United States experience a mental disorder in a given year, and surveillance during 1994-2011 has shown the prevalence of these conditions to be increasing.”

– Mental Health Surveillance 2005-2011

Center for Disease Control


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Our evolving understanding of the brain


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Impact of poverty

• Poverty in early childhood increases the negative impacts on physical and mental health later in life

• In 2013, 40% of single-mother families were living in poverty

• The number of children living in single-parent homes has nearly doubled since 1960


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Great Smoky Mountain Study(Costello 2003)

• 6% of the girls in the study were born with low birth weight and 38% of that population developed a major depressive disorder between the ages of 13 and 16.

• Increasing the income of Native American families living below the poverty line reduced aggression and lead to higher graduation rates and less criminal justice involvement


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Great Smokey Mountain Study and mental health prevalence

In the youngest cohort, the cumulative prevalence for any disorder was higher than 90%


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What else do we know?

• Adverse Childhood Experience Study (ACES) (1995-1997) had 17,000 participants

• The cost of child maltreatment is estimated at 124 billion dollars a year


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Magnitude of the solution

ACE reduction reliably reduces costs

60% of History of Adult Incarceration is Attributable to ACES

Resiliency and protective factors can reduce the impacts of ACES


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• Love and support from a primary caregiver• Other supportive adults• Sense of belonging and value• Sense of competency • Home and community safety• Good supervision• Good nutrition• Relational capacity

System of Care Framework B


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System of Care Framework


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What can we do?


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• Intervene early• Empowerment and hope• Support families to support their children• Embed services in natural environments• Find healthy adult attachments for children• Trauma informed schools• Build healthy communities

Addictions and Mental Health strategic goal: early intervention

• Increase evidence-based early childhood mental health services

• Focus on infant and toddler mental health

• Develop screening and treatment protocols for pregnant mothers


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Trauma and resilience

• Increase awareness of neuroscience, epigenetics, ACES and resilience.

• AMH trauma policy• Increase programming

that builds resilience and lasting relationships


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Family search and engagement case example


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Family search and engagement


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Wrapping it up -


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• Look at multigenerational approaches to reduce the impact of poverty and trauma

• Focus on services that build relational capacity

• Intervene at key opportunities

• Integrate with the larger system child and family serving system.

“In cultivating compassion we draw from the wholeness of our experience – our suffering, our empathy, as well as our cruelty and terror. Compassion is not a relationship between the healer and the wounded. It’s a relationship between equals. Only when we know our own darkness well can we be present with the darkness of others. Compassion becomes real when we recognize our shared humanity.” -Pema Chödrön


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Documents

ADDICTIONS AND MENTAL HEALTH The Vision for Children’s Mental Health in Oregon Amy Baker, MSW Child and Family Mental Health Manager October 25, 2014