July 2020 | Volume 8, Issue 1
New fiscal year, new format; same clinical-focused content!
Provider Wait Times - June 2020*
Calendar
Wait Time to Initial Diagnostic Assessment:
  • Child & Adolescent Behavioral Health: 5.2 days
  • Coleman Professional Services: 0 days
  • CommQuest Services: 11 days
  • Summit Psychological Associates: 5.2 days
  • TASC: 1.5 days
 
Post-Hospitalization Wait Time to Initial Diagnostic Assessment:
  • Child & Adolescent Behavioral Health: 2.5 days
  • Coleman Professional Services: 0 days
  • CommQuest Services: 8.5 days
 
Post-Hospitalization Wait Time to Initial Med/Som Appointment:
  • Child & Adolescent Behavioral Health: 4.6 days
  • Coleman Professional Services: 12.67 days
  • CommQuest Services: 22 days

*Wait times reflect adult and youth services combined. The above wait times
were reported to StarkMHAR from each provider organization
StarkMHAR Shout Out
This month, StarkMHAR would like to recognize Amber Haney , IHBT therapist for CommQuest. Amber has been a proven leader for the IHBT team. She is responsive to the families she serves, often going above and beyond to ensure youth remain safely in the home. Amber is dedicated and passionate in serving youth and families with complex and intensive needs. Due to the high level of intensity, Amber has spent 20 hours per week with one family and still provided excellent care for the rest of her caseload.   Her supervisor, John Miller, states that “she does an exceptional job of coordinating services within the Stark County community.”
Thanks for all you do, Amber!
Racism is a Public Health Crisis:
StarkMHAR Action Plan
Stark County Mental Health & Addiction Recovery (“StarkMHAR”) stands united with our community and the entire nation in calling for equal rights and treatment, ending systematic bias and institutional racism that has negatively impacted Black lives throughout our country’s history. We are committed to establishing a system that promotes access, health equity and ensures trauma informed care in all aspects of service delivery. We are committed to listen to consumers, staff and any citizen of Stark County and realize that more work needs to be done in this vital area.

Communities of color, particularly those with other intersecting areas of marginalization, are more likely to experience poor health outcomes as a consequence of social determinants of health — stemming from economic stability, education, physical environment, inadequate food and access to health care systems, including mental health and addiction. The current COVID-19 pandemic has highlighted and further exacerbated these health inequities.

StarkMHAR is committed to work that aims for equity in outcomes for all, and recognizes that efforts around access to services for under served and disadvantaged populations need to be prioritized. As such, a work group will be formed, made up of board members, staff, and community members, that will analyze the value of current services, create a multi year plan to expand successful and/or emerging services, and devise a way to measure their impact. Below are three examples of areas the work group will examine, among others:
  1. Ensure health equity and cultural competence within all mental health and substance use disorder prevention, treatment, and recovery support programs, ensuring services meet the local needs of diverse populations;
  2. What is StarkMHAR’s role in advocating for policies at the local, state and federal level that intersect with behavioral health work;
  3. What training is needed for behavioral health staff in the county as well as other stakeholders, and how to achieve that training. This includes expansion of current workforce development, including recruitment and engagement of diverse workforce.

The next report out will be made in three months or sooner as the work group is formed and begins discussions.
15 Day Unity Challenge
StarkMHAR has partnered with the Dismantling Racism Coalition of Stark County to create the 15 Day Unity Challenge to Dismantle Racism. The challenge is designed to create dedicated time and space to build more effective social justice habits, particularly those dealing with issues of race, power, privilege, and leadership. Participants will explore racial equity and social injustice through activities designed to dismantle racism and other forms of discrimination.
42 CFR Part 2 Revised Rule
The 42 CFR Part 2 regulations (Part 2) serve to protect patient records created by federally assisted programs for the treatment of substance use disorders (SUD). Part 2 has been revised to further facilitate better coordination of care in response to the opioid epidemic while maintaining its confidentiality protections against unauthorized disclosure and use.
OhioMHAS Applications Transition to New Web Platform
Beginning June 22, users of OhioMHAS applications will be asked to create an OH|ID to access these systems. The OH|ID is powered by the InnovateOhio Platform to improve citizen interactions with the state by making them more dynamic, data-driven, and customer-centered. OH|ID meets all federal and state digital security guidelines and is regularly audited to ensure all data and personal information remain private and secured.

OhioMHAS applications that will be transitioning to the new system include the following: eDIP, Community Linkage, LACCS, iPortal, LACTS, OBHIS, OPS Business Portal, OPS Orders, GFMS, Continuum of Care, CABHI, CFP, CURES Reporting, Eligibility Lookup, FEP, FTAMS, MATPDOA, OHYES, SOR, WEIRS, and GPRA. The current login system will remain available for a short time during the transition to the new system. Job aids and a video tutorial about how to set up your OH|ID are available HERE . For questions or assistance, contact the OhioMHAS Helpdesk at 614.466.1463 or MHAHelpdesk@mha.ohio.gov .
Community Assistance
Back to School Voucher Program
Emergency vouchers are gift cards, ranging in value from $20-$80 awarded to families in need in Stark County. The vouchers can be used at Stark County Goodwill stores for clothes, shoes, household items or new goods. Click here to apply.
HEAP Summer Crisis Program
The SCCAA HEAP Summer Crisis Program (SCP) provides electirc utliity assistance and/or air conditioner and up to two fans to income-eligible households throughout Stark County. The SCP will run from Wednesday, July 1st through Wednesday, September 30th. You cannot apply for SCP online- call 330-617-1055 to schedule a face-to-face or phone interview. Click the image to the right to view the full flyer.
Summer Meal Sites
More than 60 sites in Stark County are offering free meals this summer to children under the age of 18. Click the image for the link that includes school- and community-operated meal sites.
Social Security Administration
The SSA national number hours have changed from 7a-7p, to 8:00am-5:30pm. This will allow for more reps to be available during primary business hours.

The Local number is 877-255-1509. Information on stimulus payments can be found on https://www.ssa.gov/ -click the COVID link for more information.

Ohio is now able to do SS card requests online.
Zero Suicide Tidbit
" Trauma-Informed Telehealth Considerations for Youth with Suicidal and Self-Harm Ideation and Behaviors " is a resource intended to provide trauma-informed telehealth guidance regarding safety assessment and planning for youth with suicidal or self-harm ideation and behaviors.

Please note that in Stark County every client age 10 and above should be screened for suicide using the C-SSRS at every appointment.
Trauma Tidbit
On Tuesday, August 11th from 2:00-3:00 PM, Dr. Jamila Holcomb, Ph.D., LMFT will be presenting "What is Racial Trauma? Understanding How Trauma Affects the Black Community." While COVID-19 and racial injustice protests may have brought on new trauma, years of systematic racism, discrimination, and microaggressions have forced Black communities to live in a constant state of high alert, causing traumatic stress. Learn how racial trauma affects the Black community and ways both clinicians and organizations can better connect with Black clients.
Think ROSC
While resilience can be developed, we should consider how some have no choice but to be resilient. For BIPOC such as myself, being resilient is an act of resistance and survival, while we also celebrate the joys across and within each community.
Self-Care

Healthcare professionals and essential workers are showing up on the frontlines during the coronavirus pandemic, risking their health every day to help other people. Crisis Counseling is available fast, free, and 24/7 #ForTheFrontlines.

Text FRONTLINE to 741741.

The National Academy of Medicine’s  Action Collaborative on Clinician Well-Being and Resilience   has resources to support the health and well-being of clinicians during the COVID-19 outbreak. Even before the COVID-19 outbreak, many clinicians already faced burnout, as well as stress, anxiety, depression, substance abuse, and even suicidality. Now this crisis is presenting clinicians with even greater workplace hardships and moral dilemmas that are very likely to exacerbate existing levels of burnout and related mental health problems. The resources on their website offer more information on how to support the health and well-being of clinicians during public health emergencies, including the COVID-19 response.
The COVID CareLine is a new, toll-free number and emotional support call service created by the Ohio Department of Mental Health and Addiction Services. Behavioral health professionals will staff the CareLine from 8 a.m. to 8 p.m., 7 days/week. They will offer confidential support in times of personal crisis when individuals may be struggling to cope with current challenges in their lives. After 8 p.m., the CareLine will forward to the National Suicide Prevention Helpline, allowing those calling to have access to someone 24 hours/day. The number is 1-800-720-9616
While it can feel counterintuitive in such an uncertain and demanding time, health care professionals need to make time for their own coping and self-care. Psychological research has consistently shown that self-care not only benefits people’s health but enables them to carry out their jobs more effectively.

Download and share these free resources designed to help increase health care professionals’ ability to cope in the now and get through the challenges they are facing daily during the COVID-19 pandemic.
Coming Soon - Sunrise Vista Health & Wellness
Located at 1223 Market Ave North in Canton, the 72-bed facility will offer behavioral health services, along with addiction treatment and substance abuse treatment. Care programs will include inpatient short-term stabilization, partial hospitalization and intensive outpatient services for adolescents, adults and senior citizens. Call (234) 999-4900 or email codol@sunrisevistahealth.com to learn more.
Provider Updates
Nearly all Stark County behavioral health agencies are OPEN during the COVID-19 outbreak! We do not recommend skipping behavioral health appointments during the outbreak. Telehealth services are available to patients. Please contact your behavioral healthcare provider for more information.
 
For up-to-date announcements regarding COVID-19 and behavioral health services in Stark County, please visit our website or follow our Facebook page .
CommQuest Services *: Since Friday, June 5 th, CommQuest has temporarily stopped accepting new clients to the Alliance Detox unit, located in Aultman Alliance Community Hospital. All current clients transferred to CommQuest Detox, located in Aultman Hospital in Canton.

Beginning July 7th, the Canton Friendship Center will be open on Tuesdays and Thursdays. In order to maintain social distancing, only 30 members will be allowed in the building at one time. Activities and lunch will be in two groups. Staff will be sanitizing between groups. (Lunch to go will still be available.)
  • Morning group of 30 will be 9:00am-11:30am
  • Afternoon group of 30 will be 12:15-2:45

Entry will be on a first come first serve basis. Contact them today for more details at 330-453-8776.

Stark Community Support Network * is not answering their regular phone line during the COVID-19 pandemic. Please contact them by phone at 330-412-4410 or by email at scsn_1221@yahoo.com .
* = within StarkMHAR Care Network
If you have updates you would like added to a future newsletter, please contact Justina Gorman
Coalition Corner
Would you like to be more involved in the community?
Would you like to help effect change by working with community partners? Do you have resources or ideas you would like to share with us?
If you answered yes to at least one of these questions, consider attending one of StarkMHAR's coalition meetings.

Meets the second Wednesday of every month from 3:00-4:30 at StarkMHAR.

Meets the second Tuesday of every month from 3:30-5:00 at StarkMHAR.

Meets the third Friday of every month from 11:30-1:00 at StarkMHAR.

Until further notice, all coalition meetings are only being held remotely through Microsoft Teams. P lease email Justina Gorman to be added to the listserv of your choice for meeting reminders and links.
COVID-19 Resources
Many agencies and organizations have compiled lists of resources, apps, and ideas for helping providers and their clients manage mental health needs during the COVID-19 pandemic. Below are just some of those lists:

Coronavirus Information from OhioMHAS

Mental Health Technology Transfer Centers (MHTTCs) have created several resources to support providers and patients during COVID-19. Check out the links below for resources and upcoming events.





Treating Suicidal Patients during COVID-19: Best Practices and Telehealth webinar from Suicide Prevention Resource Center

COVID-19 Telehealth Toolkit from the National Consortium of Telehealth Resource Centers


Fill Your Recovery Toolbox from Hope United

Resources for the COVID-19 Crisis from the Education Development Center


The research-based Connections App (pictured to the right) is a free smartphone app that is scientifically proven to support patients in recovery by reducing relapse and promoting pro-social engagement.
  
With the app you can…
  • Track your sobriety,
  • Access e-therapy to learn new recovery skills, 
  • Connect with trained counselors and peers through messaging, 
  • Access clinical support 7 days/wk, 9am-10pm EST
  • Track your treatment plan and set reminders, 
  • Journal daily about your journey, 
  • And discover helpful videos, testimonials and more through the unique resource library.

Announced in July : Through a new partnership, Addiction Policy Forum and Foundation for Oioid Response Efforts (FORE) will extend the Connections App to patients in drug courts and other criminal justice diversion programs. Read more here .
Trainings, Webinars, & Resources
StarkMHAR Trainings
All Held via Zoom. Registrants will receive a link the week before.
Friday, August 14, 2020 from 9:00 AM-12:15 PM
This 3-hour training is presented from the specialized perspective of providing clinical services to youth with co-occurring mental health and substance use disorders. 3.0 CEUs pending.

Friday, August 21, 2020 from 9:00 AM-12:15 PM
Most clinicians recognize and readily agree that ‘adolescents are not adults’ – but what does this mean?  Understanding teenage behaviors is challenging enough without the extra complications of co-occurring mental health and substance use disorders. 3.0 CEUs pending.

Friday, August 28, 2020 from 9:00 AM-12:15 PM
A growing recognition for the advantages of integrating treatment for youth with co-occurring mental health and substance use disorders has been expanding. We have moved beyond Sequential or Parallel treatment options to integrating services into a single treatment plan. However, simply addressing substance use and mental health needs and goals on a single treatment plan is just the first step. 3.0 CEUs pending.

Friday, September 4, 2020 from 9:00 AM-12:15 PM
This training presents and describes, briefly, pharmacokinetic and pharmacodynamic aspects of the nine specific classes of drugs identified in the DSM-5 and also presents several examples of psychoactive substances that may be more common to youth experimentation included in the tenth class of ‘other’. 3.0 CEUs pending.

Thursday, August 27, 2020 from 10:00 AM - 12:00 PM
The military culture is one of unique practices, traditions, and beliefs that represent a shared unifying language with a distinct set of guiding principles. As veterans reintegrate into civilian life, the values and aspects of identity they acquired while serving will continue to be important as they move forward. We will learn how to ensure effective, understandable and respectful care for veterans as we increase our knowledge and understanding of the community’s needs. 2.0 CEUs pending.
Supporting BIPOC
In this multi-part recorded webinar series, Mark Sanders LCSW, CADC, provides an overview of substance use disorder treatment for African Americans and offers practical, evidence-based strategies that counselors and other can use to help engage their African American clients in treatment and succeed in recovery.

Conversations on race and racism are not necessarily easy or comfortable, but they are imperative. To have informed, constructive conversations with our children on this subject, we must first lay the foundation. We can do so by discussing some key terms with them.

Part 1 - Friday, July 31st, 1:00-2:30 PM
Part 2 - Friday, August 7th, 1:00-2:30 PM
This series is intended for students, families, educators and school mental health professionals who are navigating the impact of racial violence on student mental health.

Wednesday, August 5th, 12:30-2:00 PM
Learn how to recognize moral injury, identify its signs and gain the tools to address the traumatic impact of the current environment and support healing and a resilient recovery.
This workshop is offered in partnership between the Region V Public Health Training Center and the National Council for Behavioral Health.
Other
Thursday, August 13th, 8:30 AM - 5:00 PM
The CAMS model is used to assess patients’ suicidality and specifically treat their suicide risk. OSPF’s trainings will focus on treating suicidality in youth and young adults (10-24). CAMS is a three-part training that provide behavioral health professionals with knowledge, skills, and practice in recognizing and treating suicidality in patients.
*Please note, registration tends to fill up quickly*

Friday, August 28th, 9:00 AM - 5:00 PM
AMSR is a 1-day virtual workshop designed to train behavioral health professionals (and other relevant professionals) in how to recognize and assess suicide risk, plan for client safety, and manage the ongoing care of at-risk youth and young adults ages 10-24. 6.5 CEUs are provided to relevant professions.
*Please note, registration tends to fill up quickly*

Friday, August 14th, 9:00-10:30 AM
Participants will learn about the current addiction epidemic, contributing factors to the epidemic and how addiction manifests in the person's life. Participants will also learn about the history and relevance of abstinence-based recovery in 2020 and beyond. Presented by Gary Seech, Regional Director of Operations at Glenbeigh. Please RVSP by August 7th.

Videos, podcasts, and print media were created by the PTTC Network to assist prevention professionals as they transition to delivering services and programming from face-to-face to virtual settings. Select the title of a resource to be redirected to view or download that resource.

Wednesday, August 12th - Friday, August 14th, 10:00 AM - 3:00 PM each day
Stage I provides 12 continuing education hours of gambling specific education that will increase participants’ knowledge and understanding of the current climate of gambling and gambling expansion, problem gambling risks and warning signs, at-risk populations and co-morbidities of problem gambling with substance abuse and mental illness. Cost of attendance is $30.
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