MHTTCs Implementing Change
MIC Stories (MHTTCs Implementing Change) feature our MHTTC Regional or National Focus Area Centers’ intensive technical assistance projects that had a significant impact on mental health prevention, treatment, or recovery support services.
The Special Weekly Series for Tribal Schools as they Reopen Amidst COVID-19 ran from Summer to Fall 2020 to open the conversation for the school community on how they prepared and responded to reopening for the 2020-2021 academic year. The series combined peer-to-peer networking and sharing of resources, and brought on members of the Native school community who were having success in the way they were adapting to COVID-19 restrictions to share their experiences and best practices.
Training and Implementation of Motivational Interviewing (MI) for Native Behavioral Health, HIV/AIDS and Native American Family Home Health Care Providers: Spirit of Communication: Motivational Interviewing and Traditional Teachings
The National American Indian and Alaska Native MHTTC was invited by Johns Hopkins Department of Public Health to help them train their Native American and Alaska Native home health care workers who work with families to address early childhood care and children experiencing Adverse Childhood Experiences (ACE) and to provide feedback and coaching in the implementation of Motivational Interviewing (MI) for those working to address and prevent HIV / AIDS within American Indian and Alaska Native patients.
The National Hispanic and Latino MHTTC, in collaboration with the Ventura County Office of Education (VCOE), implemented targeted technical assistance to promote cultural and linguistic competence among school district staff serving Hispanic migrant children and their families.
The National Hispanic and Latino MHTTC held a Learning Community (LC) to serve as a bridging process between science and practice. The group was comprised of individuals with shared values and common goals for knowledge and the development of skills to increase treatment engagement among Latina/o/x patients through a culturally responsive person-centered and recovery approach.
The New England MHTTC Person-Centered Recovery Planning (PCRP) Learning Collaborative project is a multi-agency learning collaborative to provide intense training, TA, and implementation support around the practice of PCRP. It began with a series of introductory webinars in December 2019 and was scheduled to conclude in December 2020; however, supports will be extended for 3 months due to significant project disruptions caused by the COVID-19 pandemic. Primary faculty are Dr. Janis Tondora of the Yale Program for Recovery and Community Health and Dr. Dan Wartenberg of Newport Mental Health.
Two-thirds of children, nationally, reported at least one traumatic event by age 16, with significant numbers of children in New England states experiencing adverse childhood experiences (Sacks and Murphy, 2018). To strengthen school mental health supports that address the needs of children who have experienced/are at risk of experiencing significant trauma, the New England MHTTC developed the Childhood-Trauma Learning Collaborative (C-TLC).
Between September 2019 and September 2020, Northeast and Caribbean MHTTC provided intensive technical assistance (TA) in Motivational Interviewing for four behavioral health service provider agencies. The project included face-to-face tailored trainings, consultation, and implementation support for providers, supervisors, and administrators, as well as an ongoing learning community for each group.
Puerto Rican teenagers have unique mental health needs due to many traumatic events that have occurred in the region since 2017. Starting in September 2021 (and currently ongoing), the Northeast and Caribbean MHTTC has provided technical assistance on youth mental health to the Comprehensive Adolescent Health Services (SISA, in Spanish) Program of the Puerto Rico Department of Health, with the ultimate goal of boosting mental health awareness across Puerto Rican youth.
The Central East MHTTC, in collaboration with the Annapolis Coalition on the Behavioral Health Workforce and the Community Behavioral Health Association of Maryland, invited organizations to participate in a Workforce Recruitment and Retention Collaborative that would educate community-based behavioral health providers in Maryland on the multiple factors contributing to the crisis in the recruitment and retention of behavioral staff.
With the start of COVID in 2019, its continued dominance in 2020, and its lingering effects, many public school teachers and staff in the Central East region contemplated leaving the profession. The Central East MHTTC, in its assessment of the State Departments of Education and local school districts, found that the school mental health workforce wanted more training and technical assistance in compassion fatigue.
The Southeast MHTTC, in collaboration with the National Center for School Mental Health, implemented the School Mental Health Regional Learning Community to engage the region’s school mental health leaders in advancing comprehensive school-based mental health systems.
The Southeast MHTTC, in collaboration with the National Council for Mental Wellbeing CCBHC Success Center, implemented a Southeast CCBHC Learning Community to engage regional mental health state leaders and provider organizations in advancing this innovative approach to providing access to integrated and comprehensive mental health and addiction care.
Through support and partnership with the Illinois Association for Behavioral Health (IABH), Great Lakes MHTTC committed to conducting a Youth Mental Health First Aid (YMHFA) Training Initiative in 2019 to provide training to adults who work with youth on how to identify, understand and respond to signs of mental illnesses and substance use disorders. IABH trained staff to become YMHFA trainers and held nine trainings and trained over 200 adults to become Youth Mental Health First Aiders. As we were in the middle of our first year of this initiative, a new pilot program for Teen Mental Health First Aid (tMHFA) was coming into fruition.
Dating back approximately 10 years, this collaboration between Great Lakes MHTTC and the Wisconsin Department of Health Services seeks to reduce 30-day readmission rates to inpatient psychiatric hospitals. Each year, different county crisis services apply to participate and learn about the NIATx model for process improvement, develop a change project, and subsequently implement new strategies to achieve their goals.
In partnership with the Texas Education Agency and Texas Health and Human Services Commission, the South Southwest MHTTC began a monthly Professional Learning Community to train regional staff as trainers in the National School Mental Health Best Practices: Implementation Guidance Modules and regional coaches to support implementation within LEAs. To increase the relevance of the learning opportunity and pilot implementation within the state, the Texas Education Agency provided a grant to each regional education center to provide training and technical assistance to five small and rural school districts in their region.
The South Southwest MHTTC partnered with Thresholds to provide intensive technical assistance on Individual Placement and Supports (IPS) for First Episode Psychosis (FEP) Coordinated Specialty Care teams to better support the educational and career goals of the people they serve. While most staff had some training and skills in IPS, they identified a need for further skill development in applying the model to youth and young adults.
The project provided training and technical assistance in enhancing integrated care partnerships and exploring business models for integrated care between a behavioral health organization and a primary care clinic/hospital organization. Additionally, the Mid-America MHTTC provided technical assistance on increasing integration between behavioral health and medical staff to benefit patient experience and outcomes.
With the ever-growing need for school mental health services across the state of Nebraska, the Nebraska Department of Education (NDE) created the Nebraska School Mental Health Project to provide resources to support school mental health efforts across the state. As part of this project, they identified a need for leadership training and guided strategic planning in implementing comprehensive school mental health systems and best practices and partnered with Mid-America MHTTC for training and technical assistance in this area.
Through collaboration with Dr. Smith’s office, the Mountain Plains MHTTC leveraged a connection with the National Association of State Head Injury Administrators (NASHIA) to provide a comprehensive workshop series on evidence-based practices for supporting persons with TBI and co-occurring mental health disorders.
With the challenges faced by rural communities in the region when addressing youth mental health and well-being (e.g., stigma, lack of available and affordable resources and accessibility of mental health services), the Mountain Plains MHTTC, in collaboration with Resilient Futures, conducted a training of trainers that provided tools and resources to appropriately and effectively implement trauma-informed practices in their communities and schools.
The Bold Conversations Peer Learning Community (PLC) was a six-part, cohort-based workshop series led by the Pacific Southwest MHTTC in the Winter of 2021 for mental health practitioners and mental wellness advocates in the region and throughout the United States. Participants in the PLC were able to increase their awareness of self, enhance their skills to communicate more effectively, and increase their confidence in facilitating and engaging in uncomfortable conversations.
To address the need for evidence-based grief support in the mental health field, the Pacific Southwest MHTTC led a 6-week Grief Readiness Pilot Lab in Spring 2021 to guide school mental health practitioners to explore the topic of grief and develop Grief Readiness Plans. Then, informed by the pilot, the Pacific Southwest MHTTC offered a Grief Readiness Series for school and mental health leaders nationwide in the fall of 2021 to be purposefully timed before the end of year holiday season.
The Northwest ISF Demonstration Project aims to impact student achievement and attainment, increase identification and impact on students with internalizing behaviors, improve wellness, and reduce rates of student discipline problems and related impact of trauma, opioid and substance misuse, suicide prevention, depression, and/or anxiety. The project goals are to increase the capacity of districts to install and sustain effective systems that support the mental wellness of all students at the school level.
The 18-month project (January 2021-June 2022) involved intensive TA to a single large Behavioral Health Organization in Tacoma, WA to implement STRIDE groups to improve health outcomes among their adult clients with psychosis. The Northwest MHTTC partnered with the developers of the STRIDE intervention, researchers and trainers from the Kaiser Permanente Center for Health Research in Portland, OR. Together, they supported Comprehensive Life Resources to launch STRIDE lifestyle groups and develop a plan for sustaining and scaling this program throughout the adult outpatient care programs at their organization.