Virginia Commission on Youth Collection of Evidencebased Practices

Virginia Commission on Youth Collection of Evidence-based Practices for Children and Adolescents with Mental Health Treatment Needs 4 th Edition September 7, 2011 Leah Hamaker

Virginia Commission on Youth Background – Childhood Mental Health Disorders • Mental health disorders affect 1 in every 5 young people at any given time. • More children suffer from mental health disorders than leukemia, diabetes, and AIDS combined. • Children with untreated ADHD drop out of high school at a rate 10 times more often than other children. Between 5 to 20% of all children are diagnosed with Anxiety Disorders. One in 100 children is diagnosed with Bipolar Disorder or Schizophrenia. One in every 110 children [one in every 70 boys] has an Autism Spectrum Disorder. Half of all adults with mental health disorders reported that the disorder started before age 14. • • • Of the children diagnosed with a mental health disorder, only 1 in 4 receive appropriate treatment based on scientific evidence. Sources: Virginia Treatment Center for Children, 2010; American Psychological Association, 2008. 2

Virginia Commission on Youth Financial Impact – Childhood Mental Health Disorders • Estimated costs for the treatment of child mental health disorders approximately $11. 75 billion or $173 per child. • Effective mental health treatments for children can improve school readiness, academic achievement, and reduce the need for special education services. Source: Sturm et al. 2001; Ringel & Sturm, 2001. 3

Virginia Commission on Youth • Needs identified from a survey of a sample of Virginia providers – Adequate education & training of providers – Staying up-to-date about what’s happening with clients Source: Virginia Department of Health and Virginia AHEC. (2009). A Study of Child and Adolescent Behavioral Health Within Selected Regions in the Commonwealth of Virginia. 4

Virginia Commission on Youth Evidence-based Practices (EBPs) • Scientifically tested • Demonstrate improved outcomes for children with mental health disorders • Serve as a guide for clinicians, policymakers, and families 5

Virginia Commission on Youth EBPs Demonstrated Outcomes – improved school attendance and performance – improved family and peer relationships – decreased involvement with law enforcement & the juvenile justice system; – decreased rates of substance use & abuse – reduction in self-injurious behaviors – prevention of more intensive service use § decreased hospital admissions, institutional care & out -of-home placements Source: National Alliance for Mental Illness, 2007. 6

Virginia Commission on Youth Challenges with EBPs § Countless options § Difficulty accessing information about EBPs § Difficult for service providers to make informed choices § Research on best practices constantly evolving § No central clearinghouse for service providers/families to access information about EBPs 7

Virginia Commission on Youth One of Virginia’s responses for EBPs – The Collection of Evidence-based Practices for Children and Adolescents with Mental Health Treatment Needs (Collection) 8

Virginia Commission on Youth History of the Collection § SJR 99 (2002) directed Commission on Youth (COY) to: ü Coordinate the collection of effective treatment modalities and practices for children with mental health treatment needs; and ü Seek the assistance from an Advisory Group of experts. § First published in 2002 § SJR 358 (2003) directed COY to: ü Biennially update the Collection; and ü Make the Collection available through web technologies. § Currently in its 4 th Edition 9

Virginia Commission on Youth Rationale for Updating the Collection § Provides an updated listing of EBPs for treating youth with mental health disorders § Reflects current research on best practices § Assists in prioritizing treatment options § Serves as a resource for providers and families 10

Virginia Commission on Youth Advisory Group for Collection 4 th Edition – – – DBHDS DSS DMAS DJJ DOE VDH Office of Comprehensive Services (CSA) CSBs COY members Local CSA/CSB Advocacy Group Representatives Ø One Child Psychiatrist Ø Clinical Psychologists Ø School Psychologist Ø Parent Representatives Ø Virginia Tech University Ø Ø Ø Virginia Commonwealth University Private Providers Area Health Education Centers (AHEC) Independent Living Providers Representatives from the Developmental Disability Community 11

Virginia Commission on Youth • Autism Spectrum Disorders • Adjustment Disorders • Behavior Disorders – Attention Deficit Hyperactivity Disorder – Conduct Disorder – Oppositional Defiant Disorder • Maladaptive Behaviors – – • Included in the Collection 4 th Edition Juvenile Sexual Offending Eating Disorders Fire Setting Non-suicidal Self-injury Substance Use Disorders 12

Virginia Commission on Youth • • Habit Disorders Anxiety Disorders Trauma Mood Disorders – Pediatric Depression & Dysthymia – Pediatric Bipolar Disorder • • Included in the Collection 4 th Edition Early Onset Schizophrenia Intellectual Disability Antidepressants and the Risk of Suicidal Behavior Youth Suicide 13

Virginia Commission on Youth Collection 4 th Edition – What’s New? • Assessments – Specific measurement tools for each disorder • Terminology – Intellectual disability v. mental retardation – Autism spectrum disorders v. pervasive developmental disorders – Additions to glossary, acronyms & abbreviations • Search feature for web version 14

Virginia Commission on Youth Collection 4 th Edition – What’s New? (cont. ) • Updated website (http: //vcoy. virginia. gov) • New graphic & bookmark • Standalone sections – – Pediatric Bipolar Disorder Obsessive-compulsive Disorder Habit Disorders (Tic Disorder/Trichotillomania) Trauma • Easy-to-use tables – Summaries of EBPs for each disorder 15

Virginia Commission on Youth Collection 4 th Edition on COY website – Hyperlinks organized by disorder – Includes hyperlinks to listed sources & resources To access: – Go to http: //vcoy. virginia. gov and – Click on the Collection 4 th Edition link 16

Virginia Commission on Youth Dissemination of Collection 4 th Edition • Posted to COY website • Linked to child-serving agencies’ websites • Additional cost-effective dissemination approaches – – University libraries Area Health Education Centers (AHEC) School Divisions/Parent Resource Centers Virginia’s 91 library systems 17

Virginia Commission on Youth Dissemination of Collection 4 th Edition (cont. ) • Letters sent encouraging use of proven practices – Cabinet Secretaries and agencies in Health & Human Resources, Public Safety & Education – VACSB, SLAT & SEC – Private provider associations, pediatric & psychiatric societies • Letters sent encouraging inclusion of EBPs at postsecondary level – Community college system – Public universities with graduate programs in psychology, psychiatry, social work & counseling – State Council of Higher Education (SCHEV) 18

Virginia Commission on Youth Other Accomplishments • Collection 4 th Edition included in an online course for social workers, psychologists, nurses, and other clinicians. • Referenced by – U. S. Department of Health and Human Services – Virginia’s Mental Health Law Reform Panel Task Force on Children and Adolescents Report 19

Virginia Commission on Youth Upcoming Biennial Updates • 2011 Update – – • Re-convene Advisory Group Review Intellectual Disability & Autism Spectrum Disorder Sections Update hyperlinks & resources Identify goals and mechanisms for continued dissemination of the Collection. 2013 Update – Reflect changes in the American Psychiatric Association’s Diagnostic & Statistical Manual of Mental Disorders (DSM) – DSM-5 slated to be published in May 2013. • • Changing the three ADHD subtypes Non-Suicidal Self-Injury Modifications to Trauma Additions to Eating Disorders subtypes – EBPs in Virginia 20

Virginia Commission on Youth Questions/Comments? Amy Atkinson, Executive Director Leah Hamaker, Senior Policy Analyst Virginia Commission on Youth aatkinson@vcoy. virginia. gov lhamaker@vcoy. virginia. gov 804 -371 -2481 Collection 4 th Edition http: //vcoy. virginia. gov 21