ASSET System of Care Expansion Planning Initiative – Funded by the Substance Abuse and Mental Health Services Administration, the goal of this initiative was to develop a comprehensive strategic plan to enhance the state and local infrastructure to strengthen the systems that interact with children, youth, and families with severe emotional disturbances. Access the System of Care Strategic Plan and ASSET final report.
Bringing What Works to Youth in Corrections – Funded by the National Institute for Mental Health, this research project aims to adapt an evidence-based trauma intervention, Trauma-Focused Cognitive Behavioral Therapy, for use in the state correctional system. Following adaptation through a participatory approach, the effectiveness of the adapted model will be assessed in three correctional facilities. The feasibility study will allow for testing of the screening, recruitment, and consent processes, examine the acceptability and tolerability of the treatment approach, and provide preliminary estimates of effectiveness.
Building Resiliency after Trauma – The Building Resiliency project supported the adoption and implementation of an evidence-based child trauma treatment, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), in two Texas communities (Fort Worth and Austin).
Children’s Coordinated Funding Committee –Institute staff supported a committee comprised of program and finance representatives from nine child-serving state agencies to examine the issue of fragmented funding and service coordination for children with severe emotional disturbance (SED). This specific population of children was selected due to the high costs shared among agencies and programs, and because there is great potential to better coordinate funds across agencies to improve outcomes and reduce costs that could then be redirected to early intervention and prevention efforts. Access the final report and recommendations here (link to report).
Front End Diversion Initiative (FEDI) – Specialized juvenile probation officers (SJPOs) are used as diversion for youth with mental health needs from the juvenile justice system. FEDI is a pre-adjudicatory diversion program for in which SJPOs are trained to identify mental health with a screening instrument, connect youth and their families to community resources in order to support retention of youth in their homes and ultimately keep them from further involvement with the juvenile justice system. The purpose of this study was to replicate FEDI in the Maryland Department of Juvenile Services, develop a fidelity and competency measure for specialized supervision, increase evidence base for specialized supervision as a strategy to support youth with mental health needs and publicize study results in order to impact public systems more broadly.
NorthSTAR Evaluation – In 2015, Institute staff conducted an evaluation of the NorthSTAR behavioral health Medicaid 1915b waiver, located in seven counties in the Dallas region. The evaluation aimed to describe the service system, the population served in NorthSTAR, access and quality of services, and outcomes of care. The descriptive evaluation provided information about NorthSTAR as the region prepared to reorganize following a legislative decision to end the pilot program. An evaluation report was submitted to the Department of State Health Services.
Texas School Based Behavioral Health Survey – Staff within the Institute supported a subcommittee of the Texas Mental Health Transformation initiative to conduct a survey to better understand the behavioral health resources and needs in schools across Texas, distributing the survey to almost 3000 individuals, primarily school nurses, counselors, and administrators.
Texas Mental Health Transformation – The Mental Health Transformation State Incentive Grant (MHT SIG) was a five-year Texas Governor’s Office initiative funded by the Substance Abuse and Mental Health Services Administration to transform the state’s mental health service system. The Department of State Health Services (DSHS) contracted with staff in the Institute to work with agencies to implement transformation projects, conduct assessments and evaluation of particular grant activities, and prepare and present reports on transformation progress and outcomes.
YES Waiver – The Health and Human Services Commission (HHSC) and the Department of State Health Services (DSHS) developed the Youth Empowerment Services (YES). The YES waiver is a Medicaid Home and Community-Based Services Waiver that allows for more flexibility in the funding of intensive community-based services to assist children and adolescents with serious emotional disturbances (SED) to live in the community with their families. Waiver services are provided in combination with services available through the Medicaid State Plan, other federal, state, and local programs the individual may qualify for, and the natural supports that families and communities provide.
YES Waiver Evaluation – The Institute collaborated with the Department of State Health Services (DSHS) to conduct an external evaluation of the Youth Empowerment Services (YES) Waiver. The YES Waiver is a 1915(c) Medicaid waiver targeting children and youth at risk of psychiatric hospitalization and out-of-home placement.
1115 Waiver Behavioral Health Projects – In 2012, the Texas Health and Human Services Commission accepted proposals for innovative new community programs intended to increase access to care, enhance the quality of care, or provide more cost-effective care. TIEMH reviewed all approved behavioral health projects and developed a database to describe key components. The initial report summarized the projects approved for four years (access report here), with a subsequent report describing those projects approved for three years (access report here).