June 2009 MH notes

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June 2009 MH notes Powered By Docstoc
					                           Mental Health Advisory Committee meeting

                                    Notes from 1st meeting on

                                          June 19, 2009

Jeff Spano provided opening remarks and thanked everyone for their participation and
enthusiasm for this work and in assisting the Chancellor’s Office and our system.

Catherine Campisi provided welcoming remarks and reported that she will be facilitating this
meeting on behalf of Scott Berenson, who was not able to make the meeting, but that by the
time of the next meeting, this group would be lead by yet to be filled Mental Health Specialist

Catherine reported that Chancellor’s Office has conducted interviews to fill the Mental Health
Specialist position and is hopeful to fill the vacancy soon.

Catherine provided background on Prop 63, Student Mental Health Initiative, Chancellor’s
Office–Department of Mental Health MOU development, and the establishment of this advisory

Catherine presented on “Meeting the Mental Health Needs of CCC Students: Opportunities and
Challenges.” (See hardcopy of slides provided).

Gail Conrad form San Diego Community College District presented on her dissertation on
Mental Health issues in CCC’s and specifically on a survey that she conducted via various CCC
list serves (see the overview document provided).

      Data to be provided to the Chancellor’s Office as soon as possible, most likely in August
       or September.

      Gail will be invited back to present her data and an update on the surveys at next
       committee meeting.

      After discussion, Catherine informed the group that the first step will be to review the
       data, determine if there are resources to conduct more targeted follow up surveys (ex.
       campus safety) and/or the group can make formal recommendations based on findings
       of the surveys.

Vic Ojakian made two follow up comments:

   1. The sheer size of our segment/system makes the CCCC a logical point of entry to reach
      the largest number of people (especially younger people) with MH needs in CA.

   2. He also reported that Martha Kanter, former Chancellor at Foothill-DeAnza District, has
      now been confirmed as Undersecretary of Education in the Obama Administration and
      could be a key ally in the work of this group, moving forward.
The remainder of meeting was dedicated to all committee members in attendance and invitees
providing updates on what they are working on, ideas they have for the group moving forward,
and general MH updates on behalf of the agency or stakeholder group he or she represents:

      Michael Kennedy – Sonoma County has a pending program that may be identified as a
       potential best practice. In Sonoma County, County MH, the local high school districts
       and Santa Rosa Jr College are all working together on MH initiatives. 2 pronged
       approach – 1) specialized team convened and brought to college campus when student
       displays psychotic symptoms and 2) similar approach with High Schools involving the
       identification of a key point person (normally the Vice Principal). Model of free flowing
       information between then 3 involved entities within parameters of privacy law and
       developing HIPPAA release information, to facilitate that communication. A reaction to
       communication breakdown documented in the VA Tech incident. He sees the shared
       information between County MH, K-12, and College as a key to program’s success. The
       will have peer counselors at the CC. Peers must be trained in depression / suicide
       prevention education. Training law enforcement officers at the CC on MH issues, using
       model form Memphis. Plan is to implement these strategies in Fall 09. Taking dual
       behavioral health / integrated health approach. Spoke to heightened level of risk when
       combining drug/alcohol abuse with MH issues. The will use “triage” approach in his
       county, incorporating 4 levels of MH : 1) mild 2) moderate 3) severe {DIDN’T SEEM TO
       GET the 4th level in my notes – perhaps Michelle can call Michael if CC doesn’t
       remember either – sorry}

      Alvin Jenkins – Spoke about his approach to individual, one-on-one counseling at his
       college. Main focus is on trust building, expressing to client that it’s “OK if you’re not
       OK.” Key is how to link students back to appropriate MH resources at local level when a
       student on a college has a psychotic episode or demonstrated other severe mental
       health issues (especially in light of budget cuts – Cuts can’t be an excuse to not get
       services and attention the students need). Reported that SF City College does not have
       on-campus MH services so they need training, resources and local support to develop
       effective referral mechanisms in campuses that do not have MH services. The idea was
       floated for including MH training at EOPS association conferences and trainings.

      Casey Dorman – Gave overview of how Prop 63 monies flow to local level and how the
       plan must be approved at local level, including partnership with local community
       stakeholders. Strongly recommended that community colleges involve themselves as
       early as possible in local planning phase. The comment was made that this group, with
       involvement of the MH specialist position, can provide training and education to
       community college as to how to “play the game.” It was reported that many counties did
       not get involved in local planning as they were waiting for statewide SMHI programs to
       develop. With those returned monies still “in limbo” many colleges were caught in a
       “Catch 22.”
    Orange County is using the MHSA money in the following ways; Training, such as
    workforce education development for MH staff and clients/consumers, development of a
    14-week program at a local CC to train students to work in the MH field, development of
    a Recovery Education Institute – life skills training in small group setting. Casey reported
    that academic depts. at a college are a good potential partner with local mental health,
    not just counseling departments. CSU Fullerton is developing a theater production
    whose theme is decreasing stigma and celebrating MH awareness. Also they are
    supporting a film/arts festival put on in large part by MH consumers. Reported that a
    movement of Mental Health Pride is emerging through these types of efforts and that
    someone with mental illness or MH challenges can be a very valuable on-campus
    advocate. Also reported that “Scrambled Eggs Productions” has developed DVD
    including snippets of a Riverside theater production on MH.

   Cielo Avalos – reported on 5 statewide MH projects 1) SMHI (Higher Ed and K-12) 2)
    stigma reduction 3) suicide prevention 4) technical assistance 5) MH disparities (? Is that
    right, CC?) and reported that counties were supposed to return monies to fund the
    statewide projects, however many have not. Once county plans are approved the
    counties are supposed to send a portion of the funds back to the state. This was not a
    legal requirement, but some have, however the statewide grants have not been agreed
    upon and dispersed, so the money is still “in limbo.” 10-12 counties have sent back
    funds, totaling approx. $15 million returned (Is that figure correct?). Meeting scheduled
    on June 24th and in July to discuss the statewide projects. Later, she reported in
    response to previous suggestions about, that is
    another viable option for an on-line model and that the AAS has written a report
    addressing concerns of using an on-line model. Cielo will send that information to

   Vic Ojakian:

 Communication – Recommended collecting existing written resources and documents
  that colleges already have developed or compiled, and house them on CCCCO website
  as a repository. Compile MH informational fliers that are already in use, pick which ones
  are the best, vet them through this committee, and distribute them to entire system
  leveraging the size of CC system to save on costs. Utilize new and emerging forms of
  communication that are most common among youth: Facebook, texting, Twitter, blogs,
  etc. Explore a model used by U. of Washington where they distributed questions about
  depression and other MH issues to all students via postcards. Later, in response to
  Anulfo’s suggestion of model, Vic reported that University of Michigan
  has an on-line model called “MiTalk” and that the UC’s are exploring this as well, and will
  provide Jeff Spano with UCOP contact person.

 Education – We should explore any and all opportunities to infuse MH education in
  student curricula – examples: journalism coursework, drama/theater, and medical
  courses. General idea is to use the educational delivery options available to us to help
    infuse the discussion of mental health and MH resources into the entire educational
    culture of the campus.

 Organizational strategies – Develop policies and procedures for effective delivery of MH
  information. Develop a statewide crisis plan with as much specificity as possible.
  Support models such as peer to peer groups, training parents or other adults to create
  an environment where at-risk students have can have an adult trust relationship.
  Recommended that Specialist pull all the free on-line tools together, vet them through
  this group when necessary and distribute to field. Recommended we incorporate MH
  resources into: faculty orientation, student orientation, convocation, flex, etc.

    Vic also reported that Suicide Prevention Resource Center (SPRC) has several online
    videos on suicide prevention and other MH issues available for free. There are many
    free videos on suicide prevention on YouTube. Any models we support should have 1)
    Prevention 2) Intervention and 3) Post-intervention components and should be built from
    a multi-cultural perspective.

   Anulfo Medina – recommending the peer support group’s model especially for transition
    age youth. One problem is the qualifications, selection and training of peers. Need good
    training, as not everyone can be a good peer. Identified problem with the use of term
    “kids” when counseling or working with youth. Culturally insensitive and in appropriate.
    Must prepare environment you bring youth into prior to counseling. Talked about the
    Reach out website Australia. Spoke about one-stop /drip in center organized by CAYEN
    for transition age youth, funded by combination of some MHSA$ and other dedicated
    funding sources such as monies for homeless youth. At the centers they can receive
    peer support job development. life skills, access to counselors, washers / dryers,
    showers just a place to hang out. In a welcoming environment

   Reina Kaslofski– Problem - counseling only being available from 8AM-5PM. Students
    needing mental health support is a 24 hour per day issue. Relayed an incident about an
    instructor making fun of a student needing accommodations, highlighting the issue of
    student-instructor trust building.

Interim discussion – We must have clear definitions of what the colleges mean when using
the word “counseling.” That word can mean very different things to differ people or different
groups. Catherine floated the idea of bringing in a faculty member on this committee.

   Mary Ojakian – In addition to theater and journalism classes mentioned earlier,
    suggested including MH training within Emergency Medical Technician (EMT) course
    curriculum. We need to think of creative ways to include MH information into the
    infrastructure of education / curriculum. Also, via Journalism and this overall approach,
    we strive to use the media to present MH issues in more positive light.

   Cheryl (from DOR last name??) Explained DOR’s cooperative programs (Co-ops) in
    general and the co-op with DMH specifically. Reported DOR has very large caseload of
    clients with MH as their documented disability. They have an interagency agreement in
    place with DMH for training and staff. All community partners are welcome to attend
    trainings, including CC staff. At local level, they have coops with County mental health,
    who have relationships with local rehab districts. They serve joint clients / so they use a
    team approach to services. They have MHSA funded staff (AGPA’s) working at DOR to
    develop more coo-op programs. Also have co-ops with High School Districts, County
    Offices of Education, Special Education programs, and Community Colleges. In a local
    co-op with a CC, there are challenges with 3 bureaucracies (DMH, DOR, CCC) involved.

    Michelle / CC – please review these two sections for accuracy. I had to step out of the
    meeting for a call, when they spoke, so I am working from Michelle’s notes for Brian and
    Valjean. For Valjean, in particular, not sure what we are saying.

   Brian Olowude - We must be realistic and measured in evaluating what services we can
    provide. Health Services in the CC system are somewhat limited. Enrollment is
    increasing, with fewer dollars to serve students. Need legislation for more funding of
    Health Services and MH services. Colleges should seek support of other campuses. We
    need to be creative in developing MH programs. Concerned about how we advertise MH

   ValJean Dale- Posed questions - what are the shape and size of Health and Wellness
    services? Perhaps, we need a survey? Existing survey needs to be updated and shared
    widely. Collaborated with 10 colleges on completing FAFSA application (???? – not sure
    about this note). QPR Training (??). Staff Development (??). Developing student
    orientation. Her association supports peer to peer model due to the fact students “speak
    the same language.”

   Latisha Dorsey - Echoed Reina’s comment that students unfortunately cannot always
    rely on or trust instructors and that instructors don’t always have an open door policy.
    She posed question – why can’t all 110 colleges replicate all the ideas that were being
    discussed at this meeting? It was suggested to her by the group for students to be very
    active in local Board meetings, to organize, to go to the Capitol for demonstrations, and
    to have a voice on campus and at a state level. Some answered her question by saying
    that there are issues of local autonomy and shared governance, however the idea is at
    the heart of this committee’s work and the new Specialist’s work to, in fact, spread good
    working models statewide. But, we can’t force them on to local colleges, due to unique
    and individual needs at each college and in each local community.

   Becky Perrelli

          Data collection – Spring (2009 or 2010? – I had 2009 in my notes but she must
           have meant 10?) there will be new survey on Health Services – will seek support
           of Chancellor’s Office.

          Communication – Health Services needs to partner with internal groups better –
           Veterans, Foster Youth, Strident Grouds, Mental Health, DSPS , EOPS, Cal
           WORKs. Plus, she echoed Vic’s comments about a repository of documents and
           information on the website.

          From Chancellor’s Office – they seek support to embed MH in curriculum
           development and to train faculty. Explore “mandated” MH training for faculty.

          We need to take a holistic approach to student retention and success, including
           Health Services and Mental Health.

          We need to have a swifter response to community’s MH needs.

          She encourages this group to seek heightened visibility from MHOAC (is that
           acronym correct?)

          Need better and uniform accepted definitions of MH terms in the system, like

          Encourage student health fees to be expended to hire Health Services and
           Mental Health Services Specialists.

   Lt. Col. David Rabb – Need to look at the MH issues as it related to vets not only from
    the perspective of serving the vets themselves, but also how this impacts Vets’ families
    and family members who are effected by this issue. Shared a saying “community heals,
    isolation kills.” He was here as a consultant on veterans issues, but also recommended
    a VA representative be placed permanently on this committee. New G.I. Bill and new
    rules will mean more vets coming on campus next year.

   Dr. Lori Adrian – Will send us a best practices list (from whom / regarding what ????)
    She recommended we include CEO’s and high level administrators on the work of this
    committee. She recommend we present at their conferences. Utilize internal and
    external collaborations to maximize limited resources. Encouraged group to develop
    models for crisis response teams. Identified three key areas to focus on 1) Eating
    disorders 2) Veteran’s issues 3) Depression resulting from people losing their jobs.
    Recommended a Community College Police association member on this committee.

   Reid Milburn - Recommend we explore the use of newer technologies to communicate
    with students and student groups: Facebook, Twitter, MySpace, Instant Messaging, etc.
    The statewide Student Senate has 3 resolutions that relate to this group’s work:1)
    Encourage colleges to have more Health and Wellness oriented programs, 2) Keep
    health centers open in the summer 3) More standardization and continuity of services for

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