Mind the Gap: Creating a Robust Continuum of Behavioral Health Care for Young Ohioans
At a time when so many young Ohioans are struggling with behavioral health challenges, many that have been further exacerbated by the COVID-19 pandemic, it is critical to ensure Ohio has a network of behavioral health services that provide timely, quality care to all children, adolescents, and young adults, regardless of income or location. A new study that will be released tomorrow takes a detailed, systematic look at overlapping systems that impact behavioral health for children, from birth through childhood and into adulthood, across every one of Ohio’s 88 counties.
Mind the Gap: Creating a Robust Continuum of Behavioral Health Care for Young Ohioans, co-authored by the Children’s Defense Fund-Ohio (CDF-Ohio) and the Mental Health & Addiction Advocacy Coalition (MHAC) is the first data set of its kind to review services and supports available to each child at the county level in Ohio. Its findings reflect what communities have accomplished, identifies unmet need, and defines the factors that support development of a comprehensive Continuum of Care (CoC), which integrates physical health, health promotion and prevention, treatment, and recovery support services.
By establishing a common understanding and shared vocabulary, the report provides tangible information and concrete data to inform decision-making. Local and state policymakers and other stakeholders can take recommended actions to address gaps in the CoC.
The proposed CoC identifies the types of behavioral health services that should be available at each age and stage of development for young Ohioans prenatal up to age 26, along with their caregivers. Defining a universal CoC for Ohio’s 88 counties is a critical first step in delineating what should be available, where capacity exists, and what is needed in terms of services and opportunities for greater investments and focused attention. Using the CoC as a framework, CDF-Ohio and the MHAC surveyed the 50 Alcohol, Drug Addiction, Mental Health and Recovery Services (ADAMHS) Boards throughout Ohio on the availability of behavioral health services by age.
The information provided by the ADAMHS Boards, coupled with data from the Ohio Departments of Medicaid and Mental Health and Addiction Services, provides a roadmap for ensuring young Ohioans and their families can access and receive the behavioral health services and supports they need, when and where they need them.
Cultivating Opportunities for Youth to Flourish in Franklin County
When our youth are valued, they are better able to pursue opportunities and are better able to engage in our community. However, at least 15,000 (9.2%) youth ages 16–24 in Franklin County are not enrolled in school or participating in the workforce; at least 3,000 youth under age 24 in Franklin County are homeless; and over 17,000 students faced barriers to reaching key educational milestones in the 2017–2018 school year. To effectively address these issues, it is important to understand the characteristics of and barriers facing our youth, especially those who are not enrolled in school or participating in the workforce, commonly referred to as Opportunity Youth. By understanding their characteristics and the barriers they face, we can better understand their needs, the resources required to meet their needs, and how best to support their transition to adulthood. When our youth have access to resources that meet their basic needs they are able to focus and excel in work, school, and other aspects of their lives. In this report, CDF-Ohio focused on Opportunity Youth and youth with unmet basic needs, regardless of their education or employment status.
Over the past several years, Franklin County and the City of Columbus, in partnership with local and regional stakeholders, service providers, and others, released reports and analyses exploring poverty, Opportunity Youth, and homeless youth. This report builds on the foundation of those reports, takes a fresh look at the data, and incorporates the voices of our youth and youth-serving providers and program leaders who identified continuing barriers and new opportunities.
Opportunity Youth Report Discussion
Our recent report, Cultivating Opportunities for Youth to Flourish in Franklin County, aims to ensure that Franklin County is a place of opportunity for all young people, particularly for our “Opportunity Youth” population of 16- to 24-year-olds neither in school nor working who have been separated from pathways that promise successful transitions from adolescence to adulthood. As a follow-up to the publication of the report, CDF-Ohio partnered with many of the youth-serving organizations and the Columbus Foundation to host a series of conversations focused on the report, opportunity youth, and our continued work together.
Opportunity Youth in Franklin County, Ohio
Webinar 1: Listen and Watch the first conversation about the Opportunity Youth report featuring Dr. Mark Lomax, II from the Columbus Foundation and Ann Bischoff, CEO of Star House and hosted by Tracy Najera of the Children’s Defense Fund-Ohio.
Data Gathering & Youth Voice
Webinar 2: CDF-Ohio hosted the second installment of the conversation about the Opportunity Youth report featuring Dr. Nikki Thomas from the Ohio State University and Kim Eckhart of Children’s Defense Fund-Ohio focused on the report’s approach in elevating youth voice.
Human-Centered Design Thinking: Designing our Systems, Programs, & Services for Youth
Webinar 3: In this third webinar, CDF-Ohio dived into the importance of human-centered design and was honored to be joined by a panel youth and young adult advocates from central Ohio who spoke towards the importance of youth voices in policy and decision-making. Special thank you to Doris Edelmann and Lisa Dickson from Foster Action Ohio and Ann Bischoff from Star House Columbus for their help in facilitating this panel.
Putting Research into Practice with Cloe Cooper – Youth Voice to Drive Policy
Webinar #4: In this fourth installment of the webinar series, CDF-Ohio and special guest, Cloe Cooper, discuss how to put this research and data in practice. Ms. Cooper discusses what this can look like in terms of policy actions that can be taken to help opportunity youth as they transition into adulthood.
The complete PowerPoint deck from all four webinars are available here for viewing.
Continue with us on our learning journey!
The Children’s Defense Fund-Ohio has developed a tool kit to provide teachers, school administrators, guidance counselors, social workers and other service providers practical resources to facilitate capturing youth voice as they design services that will improve outcomes for children and teens.
Youth need policies, programs, and practices that are responsive to their life circumstances. Significant training and resources have been invested to elevate our community’s awareness of trauma-informed care; however, youth report that this awareness must be translated into everyday practice.
Youth insights, perspectives, and lived experiences are integral to designing policies and programs aligned to their needs. Many schools have programs, services, and resources and youth report the need for more integration of their perspectives and insights to improve offerings, delivery approaches, and outcomes.
These key findings were a part of our recent report: Cultivating Opportunities for all Youth to Thrive in Franklin County.
The tool kit includes:
Focus Group Protocol This is a tool that can be used as a model when developing a format for doing focus groups with young people. The questions use a strengths-based approach and build on appreciative inquiry principles.
Focus Group – Demographic Survey This tool complements the focus group protocol to provide insight into the types of lived experiences that have informed the participants responses.
Consent Form Template This tool complements the youth focus group protocol and should be provided to youth prior to facilitating a focus group with them.
Survey for Organizations on Trauma-Informed Systems The audience for this tool is a team or organization who serve youth who are willing to do an honest self-assessment. The purpose of this survey is to serve as a first step to help organizations ensure that they are responsive to youth trauma and that all youth feel welcome in their environments.
Appreciative Inquiry: Here’s one I liked There are many resources available to describe appreciative inquiry. This is one that provides a concise summary that can be easily shared with colleagues as you seek partnerships in your organizations to pursue this approach toward program design.
Human-centered Design: Here’s one I liked Among the many resources available to describe human-centered design, this is one that provides a video and summary that can be easily shared with colleagues as you seek partnerships in your organizations to pursue this approach toward program design.
Civil Rights in Schools This tool provides a shared value statement that reflects the key principles that are present in safe, healthy and inclusive school climates. There are eight principles that can be viewed as a student’s “Bill of Rights” while they are under our care in schools.
Examples of trauma-informed practices in schools (2015) This tool offers practical examples of national and Ohio-specific programs that have been implemented to address trauma in schools. As a result of what we’ve learned through this experience, CDF-Ohio has created this Toolkit to capture some resources and tools that can be used.