Pamela Sagness Director, Behavioral Health Division a st state e - - PowerPoint PPT Presentation

Pamela Sagness Director, Behavioral Health Division

a st state e of me menta tal/ l/emo moti tion

• nal

al be bein ing and/ d/or choi

• ice

ces s and d act ctio ions that affec ect t WE WELLNESS SS.

By 2020, mental health and substance use disorders will surpass all physical diseases as a major cause

• f disability worldwide.

SAMHSA

Sta State e Epid pidemiologi iological cal Ou Outc tcome

• mes

s Work

• rkgroup
• up (SE

SEOW) W)

SEOW W Mission sion Statemen ent: t:

Identify, analyze, and communicate key substance abuse and related behavioral health data to guide programs, policies, and practices

www.p .pre revention.nd. ention.nd.go gov/ v/da data ta

1. 1.4% 2.6% 7.0% 0% 14.4% 4% 30.5% 5% 59.2% 2%

Heroi Heroin Met Methamp hamphetami amine Sy Synthe nthetic tics Pres Prescri cript ption ion Pa Pain in Medicat Medication Cigaret igarette Sm Smoking

• king

Alco cohol hol

Repo ported d LIFE FETI TIME ME Use Among g ND ND Hi High School l St Stude dents nts

2017 YRBS

Yout uth h (H (High h Sc School) l)

In 2009 (the last time the question was asked), lifetime use of MARI RIJU JUANA ANA among ND high school students was 30.7%

Substance Use Prevalence

Number of days students report consuming alcohol in their lifetime.

Youn ung g Adults ults (18 (18-29) 29)

A signif nificant icant mispe perceptio ception is re revealed d when perceptions tions of how frequently ently peers binge drinking nking are compar ared d to actual ual binge drinki nking ng rates. s.

ND Young Adult Survey, 2016

OPIOID OVERDOSE

Deaths in North Dakota

20 43 61 77

2013 2014 2015 2016

23 23 9 31 12 41 40 58 63 35

2013 2014 2015 2016 2017 (Jan- Sept)

Opioid-related Deaths

OPIOID AND ALCOHOL DEATHS – CASS COUNTY

“Compared to national averages, North Dakota fares well on most indicators of physical and behavioral health. One exception to this is alcohol use; North Dakota ranks much higher than the national average in excessive drinking and alcohol-related motor vehicle crash deaths.”

ND Behavioral Health System Study 2018

No North th Da Dakota ta Pre reventi ention

• n Prio

riori rities ties

Underage Drinking Adult Binge Drinking Prescription Drug / Opioid Abuse

PREVENTION WORKS

60.5% 59.2% 54.2% 49.0% 46.1% 43.3% 38.8% 35.3% 30.8% 29.1%

1999 2001 2003 2005 2007 2009 2011 2013 2015 2017

Current Alcohol Use (past 30 days) among ND High School Students

Youth Risk Behavior Survey

Yout uth h (H (High h Sc School) l)

The e pe percen enta tage ge of ND HS stud uden ents ts who rep eport t havin ing th their ir fir irst t dr drin ink be befor

• re age 13

3 has de decrea eased ed from

• m

32.3% .3% in in 1 1995 95 to 14.5% 4.5% in in 2017. . (YRBS) S)

Age e of

• f Initi

nitiation ation

EFFECTIVE CHILDREN’S BEHAVIORAL HEALTH SYSTEM

Community-based Family-driven Youth-guided Culturally and linguistically competent

http://www.tapartnership.org/docs/UpdatingTheSOCConcept2010.pdf

CORE VALUES:

KEY PRINCIPLES

Multi-system collaboration Integration Least restrictive Resist criminalizing Broad array of services and supports Accessible (timely) Quality (effective, show outcome) Tailored to youth and family Strengths based

Beh ehavioral ioral He Heal alth th Co Cont ntinuum inuum of Ca f Care e Mode del

Institute of Medicine Continuum of Care

The goal of this model is to ensure there is access ss to a ful ull range ge of high h qua uality y se servic vices to meet the various needs of North Dakotans.

PROMOTION & PREVENTION

Con

• ntinuum

tinuum of

• f Car

are e Mod

• del

PROM OMOTION/P TION/PRE REVENTION VENTION

• Delivered prior to the onset of

a disorder, these interventions are intended to prevent or reduce the risk of developing a behavioral health problem or preventing death.

Shared Risk and Protective Factors

• Research shows that some risk and protective factors

are associated with multiple outcomes.

– For example, negative life events, such as divorce or sustained neighborhood violence, are associated not only with substance abuse but also with anxiety, depression, and other behavioral health problems.

Strengths-based Focuses on providing the developmental supports and opportunities (protective factors) that promote success

Resilience

Community-based prevention

Strategic Prevention Framework State Incentive Grant (SPF SIG)

• Blue bars are strategies impacting youth in an effort to prevent underage

drinking

Substance Exposed Newborns Task Force

Senate Bill 2367 (2015 Legislative Session) Task force purpose:

• Research the impact of substance abuse and

neonatal withdrawal syndrome.

• Evaluate effective strategies for treatment and

prevention.

• Provide policy recommendations.

Early Intervention

Con

• ntinuum

tinuum of

• f Car

are e Mod

• del

EARL RLY Y INT NTERVENTION VENTION

• These strategies identify those individuals at

risk for or showing the early signs of a disorder with the goal of intervening to prevent progression.

Early Intervention/Identification

• ½ of all people with mental

and/or substance use disorders are diagnosed by age 14

• ¾ of people with these

conditions are diagnosed by age 24

(2009 Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Institute of Medicine)

Windows of Opportunity

http://www.samhsa.gov/capt/sites/default/files/images/windows-opportunity-char-lg.jpg

Intervening during windows of

• pportunity—CAN

prevent the disorder from developing.

ASAM

Con

• ntinuum

tinuum of

• f Car

are e Mod

• del

TRE REATMEN TMENT

• These clinical services are for people

diagnosed with a behavioral health disorder.

Adolescent Substance Abuse Treatment Programs

Substance Abuse Treatment Programs are licensed by the Behavioral Health Division

Psychiatric Residential Treatment Facilities (PRTF)

The Behavioral Health Division licenses PRTFs. Psychiatric Residential Treatment Facilities provide 24-hour services in a facility setting for youth who have demonstrated severe and persistent deficits in social, emotional, behavioral and/or psychiatric functioning and have not responded to interventions in the community. All facilities serve male and female residents:

Luther Hall 16 beds age 10-18 Fargo Ruth Meiers 10 beds age 12-18 Grand Forks Dakota Boys and Girls Ranch (DBGR) 16 beds age 10-19 Fargo PRIDE Manchester 8 beds age 5-13 Bismarck DBGR Western Plains 16 beds age 10-19 Bismarck DBGR 16 beds age 10-19 Minot

Voluntary Treatment Program (VTP)

About VTP: A program to provide out-of-home treatment services for a Medicaid- eligible child with a serious emotional disorder. A parent or legal guardian does not have to transfer legal custody of the child in order to have the child placed in an out-of-home treatment program when the sole reason for the placement is the need to obtain services for the child's emotional or behavioral problems.

50-06-06.13. Treatment services for children with serious emotional disorders.

The Behavioral Health Division administers the Voluntary Treatment Program (VTP).

Con

• ntinuum

tinuum of

• f Car

are e Mod

• del

RE RECOVE VERY

• These services support individuals’ abilities

to live meaningful, productive lives in the community.

Ensure availability and access to a broad, flexible array of effective, community- based services and supports for children and their families that address their emotional, social, educational, and physical needs, including traditional and nontraditional services as well as natural and informal supports.

READINE

EADINESS SS & S

& SOCIAL

OCIAL DET ETERMIN ERMINANTS ANTS OF OF HEAL EALTH TH

Prevention/ Promotion Early Intervention Treatment Recovery

FUN

UNDIN ING

WOR

ORKFOR KFORCE

BEST

EST PRACTICE TICE

Sy Syst stem em Appr proac

• ach

Return rn on n Inves estment ment

Telebehavioral Health in North Dakota: 2017

Key P y Point

• ints

ND’s Behavioral Health system is in a state of reform

Need for community based services

Stop criminalizing behavioral health Support full continuum of care

Su Subs bsta tance nce Abu buse se Pre reventi ention

• n

Com

• mmunity

unity Fund nding ing Di Dist stribution ribution

Pre reven entio tion n Res esou

• urce

ce and and Me Media ia Cen enter er

Free resources and assistance available to ND individuals and communities

www.prevention.nd.gov

Get t In Involv

• lved!

ed!

Pre rescriptio scription n Drug rug/Opioid /Opioid Ab Abuse use Pre reven ention tion

Goal: Reduce access to abusable medications by raising awareness about effective ways to safeguar uard d and d dispo pose se of unuse sed/un /unwant anted ed medicatio cation.

St Stop

• p Ov

Over erdose dose

Goal: Increase evidence-based

• verdose prevention in North Dakota

St Stop

• p Ov

Over erdose dose: : Good

• od Samar

amaritan itan La Law

The Good Samaritan Law was passed to encourage friends, family members, and bystanders to call 911 in the event of an overdose. The Law provides protection from prosecution for ingestion or possession of a substance or possession of drug paraphernalia for a maximum of three people, including the person overdosing. In o

• rde

der to be be imm mmune fro rom p m pro rosecu cutio tion, , you need d to:

North Dakota Century Code 19-03.1-23.4

St Stop

• p Ov

Over erdose dose: : Li Limit mited ed Li Liability ability

According to North Dakota law, any individual (family, friends, or community member) is protected from civil or criminal liability for giving naloxone for a suspected opioid overdose.

North Dakota Century Code 23-01-42

Research has continually shown that kids identify their parents as having the most influence

• n their decision of whether or not to drink alcohol.

Why y Pare arents nts LE LEAD AD?

“In automobile terms, the child supplies the power but the parents have to do the steering.”

• Dr. Benjamin Spock

Ongoing going Conver ersations sations Posit sitiv ive e Role le- Modeling deling Moni nitoring

• ring

Suppor pport t and d Enga gagem gement ent

Risk sk and Prot rotectio ction

Par aren ent-Specif Specific ic Fac actor

• rs

It It Works

• rks!

www ww.parents .parentslead.o lead.org rg

Age-Specific Information

Customized Emails

Customized Emails

Handouts and Resources

Handouts and Resources

Follo

• llow,

, Li Like e an and d Share! hare!

Prof Profess essional ional Por

• rtal

tal

Handou ndouts ts and nd Resour

• urces

ces

Em Email ail Up Upda dates es

ND ND Be Behavioral vioral He Heal alth h Div Divis ision ion

Provides a platform for sharing professional development

• pportunities for behavioral health professionals

www.behavioralhealth.dhs.nd.gov

QUESTIONS?