NEW COMMUNITIES TRAINING February 10, 2010 Being Data-Driven Westchester Community Network Myra Alfreds, Director, Children’s Mental Health Services Westchester.

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


10 Kid Study10 Kid Study

Integrated County PlanningIntegrated County Planning

Interdepartmental AgreementInterdepartmental Agreement

SustainabilitySustainability


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


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


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!

Westchester Community Network

For additional information click to:

www.westchestercommunitynetwork.com

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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