Background and Overview In response to recommendations from the - PDF document

8/3/2018 OSPI/Educational Service District Regional Behavioral Health Pilot Project Update Children’s Mental Health Workgroup June 28, 2018 Dr. Mona Johnson, Director Student Engagement and Support Office of Superintendent of Public Instruction 1 Background and Overview  In response to recommendations from the Children’s Mental Health Workgroup, E2SHB 1713 (2017) and E2SHB 2779 (2018) created the Children’s Behavioral Health Regional Pilot Project at the Office of Superintendent of Public Instruction (OSPI).  OSPI currently collaborates with Educational Service Districts 101 and 113 to implement and study the efficacy of funding a regional coordinator to manage system-wide activities to increase access to behavioral health services for school-aged children and families eligible for Medicaid.  Goal: To cultivate cross system regional and state collaboration, between schools and communities, to increase equitable access to care for students in need of behavioral health services and supports.  Purpose: Investigate the benefits of having a dedicated regional staff position to network with partners and K-12 school districts to coordinate behavioral health service delivery to students and families eligible for Medicaid. 1

8/3/2018 OSPI, ESDs, and LEAs ESD 114 Olympic • 15 LEAs ESD 121 ESD 189 Puget Northwest Sound • 35 LEAs • 35 LEAs ESD 113 ESD 171 Capital North Region Central • 45 LEAs • 29 LEAs ESD 112 ESD 101 Southwest Northeast • 30 LEAs • 59 LEAs ESD 105 ESD 123 South Southeast Central • 23 LEAs • 25 LEAs 3 ESD Regional MH Coordinator Activities  Coordination of Medicaid billing for schools and school districts in the ESD region Facilitation of partnerships across systems (State-ESD-District-  Regional-Local Partners)  Integration of service models and ensure the adequacy of system level supports for students in need of behavioral health supports  Collaboration among pilots sites and OSPI Delivery of comprehensive instruction to students in one high  school in each pilot site that improves mental health literacy in students and is designed to support teachers Conduct Case study of the pilot project impact and  recommendations due to the Governor and Legislative committees by December 1, 2019. 4 2

8/3/2018 Project Logic Model: Children’s Mental Health OSPI/ESD Regional Pilot Study RCW 28A.630.500 Working Outputs Inputs Outcomes/Impact Activities Participation Draft 5.25.18 What We Invest What We Do Short Term Intermediate Long Term Who We Reach • • Staff (OSPI, Two pilot Coordinate Medicaid • (1 year) (2 years) (3-5+ years) ESD’s • ESD’s, Program Billing in ESD regions ESD Lead/Point • • • Local School Districts Increased access Reduced systems • Facilitate partnerships Evaluator) • of Contact to MH/BH care barriers State/Regional Goal • Integrate system supports • Legislative guidance • Needs & Gap • • More efficient Increased access to Partners (HCA, DOH, • To cultivate cross • Collaborate with regional Funding Analysis etc.) service delivery MH/BH care and state partners • • • • system regional and Leadership Facilitation • Resource & Fund Effective regional Continuity & Decision Makers • Enhance regional • Partnerships Mapping state collaboration, • Community Partners and local service coordination of coordination of BH/MH • • Evaluation/Continuous • Increased delivery to K12 MH/BH care between schools & Students & Families care Quality Improvement education & • students and Sustainable communities, to • Increase education, • Support awareness families partnerships increase equitable awareness and support to • • • School-based Partnership Policy change access to care for local school districts service delivery • growth Funding for • Develop community & students in need of • Coordination of • Increased replication school partnerships behavioral health care • knowledge Improved behavioral • Deliver a MH literacy supports. • Data collection • Sustained funding (per HYS) & program and resources educational • Pursue Sustainability outcomes Assumptions External Factors School-based MH/BH service delivery is effective Legislative/Decision Maker Support(s) An ESD Regional Coordinator increases access to care for K12 students and families Sustained Funding Partnerships Fostering school & community partnerships increases access to care Schools effectively use Medicaid reimbursement to expand health services to students Clear Communication Across Systems Stakeholder Buy-in Medicaid service delivery and billing is accessible for schools Evaluation Collect data, analyze, interpret and report to Legislature, Governor & Stakeholders Determine ability to replicate across other ESD’s and state Influence workforce capacity & skills Project Partnerships Draft 5.25.18 Our Goal: To cultivate cross system regional and state collaboration, between schools & communities, to increase equitable access to care for students in need of behavioral health supports. Office of ESD Regional Families Superintendent All School Educational MH Pilot and of Public Districts in Service Districts Coordinator Students Instruction (ESDs) ESD Region (OSPI) Healthy University of Students Managed MD National Health ESD 101 & Promising Care Health Center for Care ESD 113 Futures Learning Plans Authority School Mental Regional MH Collaborative (MCOs) (HCA) Health Pilot (HSPF) CMS Coordinators Affinity Other Division of Educational Department Group interested Department Behavioral Service of Children partners of Health Children’s Mental Health and Districts Youth and Recovery (DOH) Health Legislative Families (DBHR) Workgroup (DCYF) 3

8/3/2018 Children’s Behavioral Health Regional Pilot Project Timeline and Status Children’s Establish Formal Health Students E2SHB 1713 Establish Formal Intensive District Activity Reporting and Mental Health Quarterly Meetings Promising Futures passes, includes and Regional Partnership Legislative with HCA Ongoing Data National Learning implementation of Partner Outreach with HCA Collection Committee Collaborative MH Workgroup Forms Recommendations June … Dec June July Oct Jan Feb March April May 2015 2016 2018… 2017 2017 2017 2018 2018 2018 2018 2018 2019 Establishes Create Recommendations ESD 101 & Contract with Pilot 113 Project Plans from MH Workgroup Maike & Assess Progress, Begin bi- Regional and Logic for increasing access Regional Associates Prepare for 2019 Mental Health weekly TA Models to care across Pilots Launch, for Case Implementation Coordination calls begin meeting systems deliver to Study at ESD 101 & the legislature monthly 113 Conduct Case Study for Future Recommendations (Due 12/1/2019) Last Updated: 6.26.18 Children’s Behavioral Health Regional Pilot Project Case Study Guiding Questions for Research:  Access to Care  Connections with schools and partners to learn about systems and needs to reduce barriers  Compare and contrast across and within regions to learn from schools and ESDs  Systems Integration  Regional and State Level monthly activity data collection reports to track coordination, facilitation, and integration to determine impact  Sustainability  Increase school district ability to receive reimbursement for services that can be re-invested in school-wide health services 4

8/3/2018 What we are Learning  Dedicated Staff Time is Key Establish connections with all districts in the region to identify current school systems use of  School-Based Health Services and Medicaid Administrative Claiming Program for Medicaid reimbursement to learn from their experience Gain an understanding of the funds schools are receiving through reimbursement to provide  support in planning for reinvestment in their health system  Engaging in local health transformation work matters! Strong OSPI and HCA collaboration for state, regional and local project implementation  Creating cross-systems school/community relationships and building trust  Increasing school understanding of health integration and what that means for student success  Participating with Accountable Communities of Health  Establishing connections with Managed Care Providers  Project Contacts Office of Superintendent of Capital Regional ESD 101 North East Washington ESD 113 Case Study Public Instruction Counties: Ferry, Stevens, Pend Counties: Grays Harbor, Mason, Maike & Associates Oreille, Lincoln, Spokane, Adams, Pacific, Thurston, Lewis Whitman Camille Goldy, Behavioral Health Andrew Bingham, Regional Sara Ellsworth, Regional Coordinator, Michelle Maike, Evaluation & Suicide Prevention Program Coordinator, sellsworth@esd113.org Director/Research Partner, Supervisor, abingham@esd101.net mmaike@olypen.com camille.goldy@k12.wa.us Dr. Mona Johnson, Director, Ramona Griffin, Director of Erin Riffe, Director, Behavioral Health Megan Osborne, Research Associate, Student Engagement and Prevention Programs, and Student Support, Megan.b.Osborne@gmail.com Support, rgriffin@esd101.net eriffe@esd113.org mona.johnson@k12.wa.us Martin Mueller, Assistant Mick Miller, Assistant Mike Hickman, Assistant Superintendent, Student Superintendent, Superintendent, Engagement and Support, mmiller@esd101.net mhickman@esd113.org martin.mueller@k12.wa.us 5