NEW COMMUNITIES TRAINING February 10, 2010 Being Data-Driven Westchester Community Network Myra Alfreds, Director, Children’s Mental Health Services Westchester.
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NEW COMMUNITIES TRAININGNEW COMMUNITIES TRAININGFebruary 10, 2010February 10, 2010
Being Data-DrivenBeing Data-Driven
Westchester Community NetworkWestchester Community Network
Myra Alfreds, Director, Children’s Mental Myra Alfreds, Director, Children’s Mental Health ServicesHealth Services
Westchester County, New YorkWestchester County, New York
From Data to SustainabilityFrom Data to Sustainability
Data Collection/ExplorationData Collection/Exploration
Social MarketingSocial Marketing
Cross-System Buy InCross-System Buy In
Program DevelopmentProgram Development
SustainabilitySustainability
Westchester Community Network, 2003
Identification of Systems Issues•Family Ties•Case Management Programs•Network
Tier 2Meeting
Form a Sub-Committee•Data Collection
On-going Sub-committee•Planning group
Hard Services/Programs
Training
Evaluation/Data
Information To Action: Westchester Model For Change
Examples:•Residential•MR-DD/SED•Juvenile Sex. Offenders•Early Childhood•Clinic Waiting List•Juvenile Fire-setters
Example #1Example #1
Cost-Benefit analysis of savings from Cost-Benefit analysis of savings from residential placementresidential placement
County Executive’s State of the County County Executive’s State of the County AddressAddress
Single Point of Entry/Single Point of Single Point of Entry/Single Point of Return is developed across systemsReturn is developed across systems
Residential Placement and Psychiatric Hospitalization
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Baseline(n=253)
6 Months(n=178)
12 Months(n=144)
18 Months(n=104)
24 Months(n=72)
All Residential Psych Hospital Only
Child Psychiatric Epidemiology Group: Columbia University – MSPH/NYSPI
Example #2Example #2
10 Kid Study10 Kid Study
Integrated County PlanningIntegrated County Planning
Interdepartmental AgreementInterdepartmental Agreement
SustainabilitySustainability
Example #3Example #3
ER Study of Children Ages 8 and UnderER Study of Children Ages 8 and UnderCross System Planning with New PartnersCross System Planning with New PartnersEarly Childhood NetworksEarly Childhood NetworksAdvocacy and County Buy-InAdvocacy and County Buy-InModel Programs and ServicesModel Programs and ServicesDevelopment of Early Childhood SOCDevelopment of Early Childhood SOCFoundation SupportFoundation SupportNew Federal Grant (Project Launch)New Federal Grant (Project Launch)
Other Data/Survey/Planning efforts led to Other Data/Survey/Planning efforts led to new partnerships, successful county-wide new partnerships, successful county-wide cross-system approaches that have been cross-system approaches that have been sustainedsustained– Juveniles with Sexually Aggressive/Reactive Juveniles with Sexually Aggressive/Reactive
BehaviorsBehaviors– Juveniles with Fire Setting BehaviorsJuveniles with Fire Setting Behaviors– High Risk AdoptionsHigh Risk Adoptions– Co-occurring Developmental DisabilitiesCo-occurring Developmental Disabilities
Lessons LearnedLessons Learned
Need for a dedicated Need for a dedicated Researcher/Evaluator in County Researcher/Evaluator in County
Exclusive focus on the National Evaluation Exclusive focus on the National Evaluation did not lead to sustainabilitydid not lead to sustainability
It did lead, however, to a partially funded It did lead, however, to a partially funded position – our System of Care Analystposition – our System of Care Analyst
CMHI NEW COMMUNITIES TRAININGCMHI NEW COMMUNITIES TRAININGTrack 2
Later Developmental Stages
Capacity for Family Partnership, Youth Partnership, Cultural and Linguistic
Competence, Cross-System Partnership
Westchester Community Network
Myra Alfreds, Director, Children’s Mental Health
Westchester County
Carol Hardesty, Family Ties Executive Director
Westchester County, Westchester County, NYNY
Urban Areas and Major Urban Areas and Major PlacesPlaces
Westchester County
Urban AreasLakes and Coastal Waters
Major Places
0 10 Miles
N
EW
S
Child Psych Epi GroupColumbia University – NYSPISource: 1990 US CensusProjection: NAD83, NY Long Island
Population 940,302 (2003 U.S. Census Bureau)
Westchester County is approximately 450 square miles in size.
The youth population (0-21) in 2002 was estimated at 234,329. By the year 2020, Westchester’s population of color will nearly match the white population with Hispanics constituting the fastest growing population group.
Cities, Towns, Villages & Hamlets:
6 Cities
23 Villages
14 Towns
““Creating A Shared Vision & Creating A Shared Vision & Principles”Principles”
“A Social Justice Movement”
Families/Youth As the Driving Force Families/Youth As the Driving Force in the Change Processin the Change Process
…Shared power…Youth & families are the experts…Families at every table…Youth & families having a voice
& choice…Respecting the unique needs of
each family…Family and youth involved in
service delivery training evidence-based practices research & evaluation policy development & decisions
Leadership DevelopmentLeadership Development
“Identifying, Developing & Sustaining Effective
Leadership”
Identification of Systems Issues•Family Ties•Case Management•Network•Youth Forum
Children’s Core Advisory Council (Governance Body)
On-going Sub-committee•Planning group
Hard Services/Programs
Training
Information To Action: Westchester Model For Change
Examples:•Residential•MR-DD/SED•Juvenile Sex. Offenders•Early Childhood•Clinic Waiting List•Juvenile Fire-setters
Form a Sub-Committee(Data Collection)
Evaluation
Training/Social Marketing StrategiesTraining/Social Marketing Strategies
Training & SOC Orientation
Involvement & investment in committees
Creating opportunities for leadership development
Conferences
Marketing Materials
Website
Special Events (recognition breakfast, community forums)
“Seizing the moment” – learning about cross-systems initiatives & partnerships
“Every encounter is a social marketing & training opportunity”
Residential Placement and Psychiatric Hospitalization
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Baseline(n=253)
6 Months(n=178)
12 Months(n=144)
18 Months(n=104)
24 Months(n=72)
All Residential Psych Hospital Only
Child Psychiatric Epidemiology Group: Columbia University – MSPH/NYSPI
Suspended/Expelled
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Baseline(N=221)
6 Months(N=129)
12 Months(N=102)
18 Months(N=82)
24 Months(N=65)
Total Females Males
Child Psychiatric Epidemiology Group: Columbia University – MSPH/NYSPI
Some Parting Thoughts…Some Parting Thoughts…We learn most from our families.Change is constant (learn to adapt)Seize opportunities Social Marketing is an on-going process – not a “one-shot deal”.Celebrate successes & accomplishments Keep the focus of your goals & objectivesSurround yourself with those who are like-mindedPerseverance“Leave no stakeholder behind” (partners as co-architects)/Beyond process of gaining Stakeholders & Shared VisionSOC development is on-going (long-after the grant ends)ENJOY THE JOURNEY!
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