Result Area 2: Prevent and Act Early

Result Area 2 is focused on ensuring that effective prevention and early intervention services are available to all Orange County residents. The Orange County Department of Education (OCDE), First 5 Orange County, Children’s Cause, Orange County Social Services Administration, Western Youth Services, Orange County Aging Services Collaborative, and Alzheimer’s Association of Orange County are serving as the backbone organizations for this result area.

Early on, stakeholders involved with Result Area 2 identified a need to organize workgroups by age group, including: prenatal to age 5, school-aged children, transitional aged youth (TAY), adults, and older adults. Stakeholders recognize that strategies and interventions will need to be further refined to meet specific needs of the diversity of cultural groups, including ethnic/racial, sexual orientation and gender identities, deaf and hard of hearing, and others.

Result Area Action Plan

Backbone organizations and impact organizations have collaborated in a planning process spanning the age groups to come to agreement on three cross-population overarching strategies, interventions/activities, and short- and long-term outcomes.

Overarching Strategies and Sub-Populations

Promote resilience, protective factors, and positive support of social determinants of health
Improve early detection and diagnosis of mental health illnesses and substance-use disorders across care settings
Increase outreach, education, and engagement for community families, behavioral health and primary care providers, and allied professionals

Prevent and Act Early

Prenatal to 5

Long Term Outcome

Effective prevention and early intervention available to all OC residents.

Strategies and Activities

Promote Resilience, Protective Factors, and Positive Support of Social Determinants of Health

  • Support and expand early child mental health (ECMH) promotion in Early Childhood Education (ECE) settings
  • Identify and promote accessible social-emotional curriculum for preschool/transitional kindergarten (TK)
  • Connect with and engage cities and communities who are focusing on early childhood

Short Term Outcomes

Improve Early Detection and Diagnosis of Mental Health Illnesses and Substance-Use Disorders Across Care Settings

  • Review and address barriers to screening
  • Support implementation of universal early childhood screenings
  • Support perinatal MH and opioid/SUD screenings
  • Create post-screening referral pathways

Short Term Outcomes

Increase Outreach, Education, and Engagement for Community Families, Behavioral Health and Primary Care Providers, and Allied Professionals

  • Embed an ECMH focus in the curriculum of existing residency/nursing programs
  • Connect, aligned, and leverage new MHSA training funding and advise on content to include ECMH
  • Expand on or conduct a countywide awareness campaign on importance of social-emotional development

Short Term Outcomes

Prevent and Act Early

School Aged Children

Long Term Outcome

Effective prevention and early intervention available to all OC residents.

Strategies and Activities

Promote Resilience, Protective Factors, and Positive Support of Social Determinants of Health

  • Support the development of one-stop drop-in wellness center (“Chill Zone”)
  • Identify successful school-based, evidence-based mindfulness and meditation curriculum
  • Identify and support trainings to school and “Out of School Time” staff in different approaches for building protective factors

Short Term Outcomes

Improve Early Detection and Diagnosis of Mental Health Illnesses and Substance-Use Disorders Across Care Settings

  • Explore and understand barriers to implementation of universal screenings for each population and culture sub-group
  • Identify list of evidence-based MH/SUD screenings for each population and culture sub-group
  • Develop training tools such as referral flowcharts for districts and decision-making tree for schools

Short Term Outcomes

Increase Outreach, Education, and Engagement for Community Families, Behavioral Health and Primary Care Providers, and Allied Professionals

  • Develop a coordinated access point/ pathway (e.g., one phone number) to request for training related to MH/SUD via recent MHSA BH training funding allocation
  • Expand “NAMI on campus” and other MH focused clubs
  • Work with PTAs to host panel discussions and MH/SUD related film screenings

Short Term Outcomes

Prevent and Act Early

Older Adults

Long Term Outcome

Effective prevention and early intervention available to all OC residents.

Strategies and Activities

Promote Resilience, Protective Factors, and Positive Support of Social Determinants of Health

  • Identify, align, and expand successful social and wellness support programs for older adults (OA)
  • Train older adult health care providers on OA MH and well-being
  • Align and engage OA advocacy efforts

Short Term Outcomes

Improve Early Detection and Diagnosis of Mental Health Illnesses and Substance-Use Disorders Across Care Settings

  • Conduct key informant interviews to explore integration of mental health and neurocognitive screening as part of the annual Medicare medical visit
  • Conduct culturally and linguistically competent screenings at non-traditional settings
  • Explore and promote a post-screening referral pathways and provider follow up

Short Term Outcomes

Increase Outreach, Education, and Engagement for Community Families, Behavioral Health and Primary Care Providers, and Allied Professionals

  • Support and expand current MH/SUD campaigns to include OAs
  • Provide culturally and linguistically appropriate training to family members and caretakers on OA mental health/SUD
  • Host a conference or convening on OA mental health/SUD

Short Term Outcomes

Key Partners / Organizations

Representatives from various community-based organizations with specialty in the different age groups and involvement in providing prevention and early intervention services, Orange County Health Care Agency, school districts, age specific collaboratives or coalitions, Orange County Social Services Administration and health systems.

Meeting Notes and Materials

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