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City of Philadelphia Mental Health First Aid Initiative. Arthur C. Evans , Ph.D. Commissioner. H. Jean Wright II , Psy.D. Senior Advisor to Commissioner [email protected] Christina M. Finello, J.D., Ph.D. Philadelphia Dept. of Behavioral Health and Intellectual disAbility Services - PowerPoint PPT Presentation
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City of Philadelphia Mental Health First Aid
InitiativeH. Jean Wright II, Psy.D.
Senior Advisor to [email protected]
Christina M. Finello, J.D., Ph.D.Philadelphia Dept. of Behavioral Health and Intellectual disAbility Services
Arthur C. Evans, Ph.D. Commissioner
Overview
•DBHIDS mission •How MHFA fits into the Mayor’s goals for
a Healthy Philadelphia?•What is MHFA?•Philadelphia’s MHFA Initiative
▫What’s the plan?▫How is it going?
•Next steps + Summary
What is DBHIDS?
DBHIDS supports people in an environment of recovery, with a focus on prevention, resilience, wellness and self-determination in order to attain the highest quality of life possible. Responsible for administering a broad array of treatment, intervention and prevention programs for:
Children, adults, and families impacted by mental health, substance use and intellectual disabilities
More than 120,000 people are served each year through a $1 billion annual budgetNetwork of over 200 providers offering full continuum of servicesSingle payer for Medicaid, Federal, State and Local Grant dollars (Medicaid managed by City)
Office of Mental Health
Office of Addiction Services
BEHAVIORAL HEALTH SYSTEM
Community Behavioral Health
Office of Mental Health
Office of Addiction Services
IDS SYSTEM
Community Behavioral Health
Intellectual disAbility Services
Mayor Nutter’s Goals for the City of Philadelphia
Philadelphia becomes one the safest cities in America. The individual well-being of Philadelphians improves. Philadelphia is a place of choice. Philadelphia becomes the greenest and most sustainable city in
America. Philadelphia government works efficiently and effectively, with
integrity and responsiveness.
Our Population/Public Health Approach
to Improving Health Philadelphia’s Behavioral Health Services
Transformation Vision of Recovery, Resilience, & Self-
Determination Focus on:
1) Public Education and Training Partnerships with the general public, faith community,
indigenous community leaders, and city agencies 2) Early Intervention
Partnerships with first responders trained in Crisis Intervention, Community Response Teams, etc.
3) Effective, Specialized Treatment Community-based network of care providers
6
7
Fiscal & Administrativ
e Policy & Procedure Alignment
Four Building Blocks of a Recovery & Resilience-
Oriented System
Our Population-Based, City Wide Approach
to Mental Health First Aid
Train representatives from as many community and public safety organizations as possible as MHFA Instructors Emphasis on collaborative course instruction
Train as many Philadelphians as possible to be Mental Health First Aiders Public and private sector
8
What Is Mental Health First Aid?The help provided to a person developing a mental health problem or experiencing a crisis until professional treatment is received or the crisis resolves.
Spectrum of Mental Health Interventions
13
Overview of training
•Overview of mental health problems▫Depressive/Mood disorders▫Anxiety disorders▫Disorders in which psychosis occurs▫Substance use disorders▫Eating disorders
•Mental Health First Aid for crisis situations•Mental Health First Aid for non-crisis
situations
What is covered…
•5 step MHFA Action Plan•How to show respectful concern and how
to offer assistance•Role of First Aiders•When to call for emergency help•Sources of appropriate professional help
and self-help strategies
MHFA Versions
•General 12-hour MHFA curriculum•8 hour Public Safety Pilot curriculum
▫Public Safety version does not include Eating Disorders but does include some specific info related to state and local regulations and the relative roles of first responders and First Aiders
•Youth MHFA is in development but not yet available in Philadelphia
Goals
Reduce stigma
Increase mental health awareness
Strengthen community and cross-system capacity
Support recovery and resilience
Increase early intervention and access to behavioral health services
Potential Audiences▫Hospitals and health centers▫Law enforcement/first responders/Criminal
Justice▫Employers▫Faith communities▫Schools/universities▫Nursing home staff▫Individuals who have experienced
behavioral health challenges▫Family members▫Service providers and support staff▫Neighborhood organizations▫Concerned citizens
MHFA Strategy
*MHFA Certification lasts for 3 years.
Instructors required to
teach at least 3 courses per year
Public Safety& Community
MHFA Instructors
Our Process --- Year 1 of 3 Years
Public-Safety MHFA Community
MHFACriminal Justice Advisory Board
Meetings
Jan. 26 Kick-Off & OrientationMeeting with City
Leadership
Jan. 27 8-hour Public Safety MHFA Demo
5-day Public Safety MHFA Train the Instructor (Feb)
Two 5-day Community MHFA Train the Instructor (March, May)
Promoting Our MHFA Efforts
Kick-off for Philadelphia’s MHFA Initiative Meeting with city leadership including Mayor Michael Nutter Orientation for a larger audience, open to the public – 300+
attended Demonstration of 8-hour Public Safety Mental Health First Aid
course On-line promotion:
http://www.dbhids.org/dbhids-launches-mental-health-first-aid and http://www.facebook.com/DBHIDS
PublicityOur initiative has been covered by the following news outlets:
–The Inquirer, 1/27/12–CBS Philly, 1/28/12
–Examiner, 1/26/12
–The Philadelphia Tribune, 1/27/12
–WHYY News, 1/26/12
Interest expressed in MHFA
72% would like to attend a MHFA 12-hour training
14% would like to attend an 8-hour MHFA public safety-oriented training
56% expressed interest in becoming an instructor
61% want to be put on email list to be notified of upcoming trainings
*166 responses to our internet survey since the Kickoff
Respondents were from the following groups (could select more
than one group):
Human Services (45%)
Public Safety (10%)
Medical/Health Care (40%)
Culture/Ethnicity-based
Orgs (12%)
Faith-based Communities
(27%)
Courts/Legal (8%)
Youth Services (15%)
LGBT Community (9%)
Neighborhood Organizations
(18%)
Business (3%)
Educational System (20%)
Others: Parks & Rec., Unions, Public Works, Employment &
Housing Services
Public Safety Pilot – MHFA Train the Instructor
Public Safety Pilot – MHFA Train the Instructor Course
Representatives from the following organizations trained in February 2012:
Adult Probation & Parole Dept. (2)
Probation/Parole Officers Family Training & Advocacy Center (1)
Director of Training
Behavioral Health Training & Education Network (2)
Projects Coord.; Behavioral Health Training Specialist
First Judicial District Court (3)
Project Dawn Coord.; Philadelphia Treatment Court Coord.; Pretrial Services
Certified Forensic Peer Specialists (2)
Mayor’s Office of Re-Integration Services for Ex-Offenders (2)
Training Administrator; Manager of Re-Integration Services for Ex-Offenders
Court of Common Pleas, Trial Div. (1)
Mental Health Court Coord.
Philadelphia Fire Dept. (2)
Lieutenant; Firefighter
Dept. of Behavioral Health and Intellectual disAbility Services (6)
Policy & Criminal Court Coord.; Post-Arrest Crisis Specialist; Senior Consultant for Forensic Services; Senior Advisor & Criminal Justice Coord.; Veterans Jail Diversion Coord.; CIT Coord.
Philadelphia Police Dept. (3)
Philadelphia Prison System (1)
Sergeant; Police Officer; Police Officer
Psychologist
Defender’s Assoc. (2)
Social Service Advocates Public Health Management Corp. (1)
Director of Case Management & Program Standards
District Atty’s Office (1)
Asst. District Atty Sheriff’s Office (1) Deputy Sheriff/Inspector
How is it going so far?• 1st year = 31 in Public Safety pilot **6 dually certified
Instructors work in teams• About ½ of Instructors currently active. Obstacles
include:▫ Organizational buy-in and support for training activity▫ Scheduling and availability issues for Instructors and trainees
• 15 Public Safety trainings have been delivered• 220 First Aiders in Public Safety pilot have received
training
Classes
•Class size: Range 6-30 people•Trainees include:
▫New police recruits▫Forensic Services case managers and evaluators▫Probation and Parole staff and supervisors▫Pretrial Services intake interviewers▫Staff from Mayor's Office of Reintegration
Services for Ex-offenders (RISE)▫Public Defender legal staff and social services
advocates
Next Steps
•DBHIDS is working with the Scattergood Foundation to explore ways to support and expand MHFA in Philadelphia
•Continue to provide Public Safety training•Continue to train city/agency staff•Outreach to public and private entities with
public safety component
Summary MHFA is a main pillar of our overall approach to promoting
individual and community wellness and cross-system collaboration
Will include a systematic evaluation of impact
Will continue to promote public education and early intervention through additional efforts, including widespread on-line and in-person mental health screening
For more information about MHFA trainings in Philadelphia, contact Karen Escovitz, Project Coordinator, at
[email protected] Go to www.dbhids.org
For more information about MHFA in general, Go to www.mentalhealthfirstaid.org