Form SSTI

ATTACHMENT 2: State Support for Transition Inventory (SSTI)

OMB No. 0930-XXXX

Expiration Date XX/XX/XXXX

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.  The OMB control number for this project is 0930-xxxx.  Public reporting burden for this collection of information is estimated to average 19 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 1 Choke Cherry Road, Room 2-1057, Rockville, Maryland, 20857.

ATTACHMENT 2: State Support for Transition Inventory (SSTI)

Welcome to the SSTI [INSERT GRANTEE/STATE NAME/LOCAL LAB/PROJECT NAME)

The State Supports for Transition Inventory (SSTI) assesses the extent to which the state system has developed the capacity to provide comprehensive transition support for young people with serious mental health conditions.

You are being asked to complete the SSTI because you have knowledge about how the state advocates and leaders are working together to support transition aged youth.

Findings from the SSTI survey will be shared with state leaders and can be used to help identify goals and develop plans for improving transition services.

The SSTI typically takes between 15 - 20 minutes to complete.

SSTI responses are confidential. No one involved with [INSERT LOCAL LAB/PROJECT NAME] will be told how you answered the questions.

Thank you for agreeing to complete the SSTI.

The SSTI has 27 items. Each item has one "anchor" statement that describes what fully developed support in your state would look like relevant to that item, and another anchor statement that describes what the least developed support, or a state at the beginning of its development might look.

For each item, you should consider the conditions in your state relevant to that item. Next, you should select a rating on the five-point scale that is provided.

• On this scale, a score of 4 is the highest and indicates that your state resembles the description of the fully developed support for that item.

• On the other end of the scale, a score of 0 is the lowest and would indicate that your state resembles the description of the least developed support for that item.

• Often, your state will not resemble either extreme of the scale. In this case, you should choose a score elsewhere on the 4-to-0 scale that best approximates where you feel your state lies.

It is completely OK if you don't know the answer to some—even many—of the items. If you do not feel adequately informed or knowledgeable to answer an item, choose "DK" for "Don't Know".

How to stop the survey and finish it later

If you don't have enough time to complete the survey in one sitting, you may leave the survey and then resume it later.

As you click on the "next" button in the survey, the survey page saves. When you want to leave the survey, close your browser window. When you are ready to access the survey again, just click on the link you received in the original invitation e-mail. The link remembers where respondents left off based on the last completed page.

Click "Next" to proceed to the SSTI Survey.

1. In terms of your ethnic or racial background, which of these best describes you?

African American

Latino/Hispanic

Native American/American Indian

Caucasian/European American

Other (please specify)

2. Select the category that best describes your current primary role related to local Healthy Transition Initiative project. (Choose one answer.)

Administrator or staff of state office of child or adult mental health

Leaders or staff of other state divisions such as child welfare, juvenile justice, vocational rehabilitation, etc.

Other roles

If you are unable to make a rating, please click "Don't know." There is space for comments at the end of this survey.

THEME 1—Partnerships: Collective awareness of and responsibility for the service needs of

youth and young adults (Y&YA) with serious mental health conditions have been built across key state agencies.

Item 1.A Awareness and Partnering

Fully developed system	Least developed system
Leaders of state agencies that provide services to Y&YA are aware of their needs and preferences.	Leaders of state agencies that provide services to Y&YA are not aware of their needs and preferences.

Item 1.B Forum for Collaborative Work

Fully developed system	Least developed system
State-level representatives from relevant public agencies have a forum for joint planning and problem solving regarding services for Y&YA.	State-level representatives from relevant public agencies do not have a regular opportunity to meet for planning and problem solving regarding services for Y&YA.

Item 1.C Influential Youth and Young Adult Voice

Fully developed system	Least developed system
Y&YA with lived experience in the mental health system take active roles in the state-level forum.	Y&YA are not invited to participate in state-level discussions about the needs and preferences of young people, or they are "token" members who have no influence.

Item 1.D Influential Family and Adult Ally Voice

Fully developed system	Least developed system
Families and other adult "allies" of young people with systems experience are influential members of the state level forum and they participate actively in discussions and decisions.	Families and other adult "allies" are not invited to participate in state- level discussions about the needs of young people, or they are "token" members.

Family and

Adult Ally Voice

If you are unable to make a rating, please click "Don't know." There is space for comments at the end of this survey.

THEME 2—Collaborative Action: State-level leaders take steps to translate the transition project’s mission and values into concrete policies and practices.

Item 2.A State Policy and Funding Support

Fully developed system	Least developed system
Leaders of state agencies identify and initiate policy, practice and funding changes that are needed to support effective systems of transition services in local communities around the state.	Leaders of state agencies and their staff have not taken concrete action (e.g. changed policies, created effective fiscal strategies) that would support the development of transition systems in local communities around the state.

Item 2.B Local Partnering

Fully developed system	Least developed system
State agencies maintain active and productive partnerships with transition project(s) in local communities and are open to their recommendations.	Leaders of state agencies rarely recognize needs and problems with transition projects(s) in local communities or ask for their recommendations.

Item 2.C State Mental Health Collaboration (Child and Adult)

Fully developed system	Least developed system
State-level staff responsible for child and adult mental health services work together to integrate their efforts to improve services and outcomes for Y&YA.	Though there may be a stated commitment to the needs of Y&YA, the child and adult mental health systems have NOT taken tangible steps toward integrating services or monitoring activities.

If you are unable to make a rating, please click "Don’t know." There is space for comments at the

end of this survey.

Theme 3—Workforce. The state actively plans for the development of a skilled workforce and supports employment practices that allow local staff to work in a manner that is engaging and developmentally appropriate for Y&YA.

Item 3.A Workforce Planning

Fully developed system	Least developed system
State leaders are informed about workforce issues related to services for Y&YA and actively support the development of high quality training for staff and supervisors.	There is no systematic way to communicate information about workforce needs to state leaders. State leaders are not involved in either development or monitoring of training activities.

Item 3.B Coordinated Training

Fully developed system	Least developed system
There is a coordinated statewide effort to ensure that staff across all relevant agencies are trained in skills for engaging Y&YA and for working with them in a developmentally appropriate way.	There is no state-level effort to ensure that staff from all relevant agencies are trained in specific skills for working with Y&YA.

Item 3.C Mental Health Training

Fully developed system	Least developed system
There is a coordinated statewide effort to ensure that staff from both adult and child mental health settings are trained to engage with Y&YA in a developmentally appropriate way.	There is no state-level effort to ensure that staff from both child and adult mental health settings are trained in specific skills for working with Y&YA

If you are unable to make a rating, please click "Don't know." There is space for comments at the end of this survey.

THEME 4—Fiscal Policies and Sustainability: The State has developed fiscal strategies to support and sustain services for Y&YA and has implemented procedures for collecting and using data on expenditures.

Item 4.A Removing Fiscal Barriers

Fully developed system	Least developed system
State leaders have a process for identifying and changing fiscal policies that impede delivery of services to Y&YA in the local community.	State leaders are not aware of which fiscal policies act as barriers to the implementation of services for Y&YA, or they have not taken concrete steps to change these policies.

Item 4.B Child and Adult Mental Health Fiscal Partnering

Fully developed system	Least developed system
The state-level child and adult mental health systems integrate their funding to finance transition services and/ or have worked together to create policies that outline each system’s financial contributions to services for Y&YA. .	The state-level child and adult mental health systems finance services for Y&YA separately and there is no mechanism for identifying cost shifting or duplication of services.

Item 4.C Sustainability of Services and Supports

Fully developed system	Least developed system
There is a clear and feasible plan for sustaining fiscal support for the system of transition services over the long term and this plan is being fully implemented.	Concerns have been expressed at the state level about funding of services for Y&YA but no concrete plan of action exists.

If you are unable to make a rating, please click "Don't know." There is space for comments at the end of this survey.

THEME 5—Access to Needed Supports and Services: There is statewide capacity to provide the services and supports that promote successful transitions for Y &YA.

Item 5.A Capacity for Individualized Planning

Fully developed system	Least developed system
There is a statewide capacity to offer individualized transition planning to Y&YA in a manner that is engaging and developmentally appropriate.	Y&YA in this state do not have access to individualized transition planning or the planning that is available is not consistent with their needs and preferences.

Item 5.B Service / Support Access

Fully developed system	Least developed system
Across the state, services and supports are available at the times and locations that are convenient for Y&YA.	Across the state, services and supports are mostly available at times and locations that are convenient to providers.

Item 5.C Service / Support Availability

Fully developed system	Least developed system
Across the state, Y&YA can access transition-related services and supports (e.g., housing, employment supports, peer support) without a long wait.	Across the state, transition-related services and supports are unavailable or can be accessed only after long delays.

Item 5.D Seamless Mental Health Care

Fully developed system	Least developed system
Across the state, Y&YA’s mental health services are not disrupted or radically changed just because they reach a certain age (e.g. 18).	When Y&YA reach a certain ages (e.g. 18), their access to mental health care is interrupted or disrupted.

Item 5.E Continuity of Related Services

Fully developed system	Least developed system
Across the state, other services for Y&YA (e.g., housing, employment supports, peer support) are not disrupted or radically changed when a young person reaches a certain age (e.g. 18).	When young people reach a certain age (e.g. 18), their access to transition-related services are interrupted or disrupted.

Item 5.F Access to Peer Support

Fully developed system	Least developed system
There is a statewide capacity to offer peer-delivered services and supports. Peer supporters have clearly defined roles, their activities are integrated with the system of transition services and they are paid appropriately.	Y&YA in this state do not have access to good quality peer-delivered services and supports.

Item 5.G Building Cultural and Linguistic Competence

Fully developed system	Least developed system
The state devotes resources to developing or ensures access to services and supports that reflect the young person’s cultural and linguistic preferences, and that are respectful of his/her personal and sexual identity.	The state has no organized or ongoing effort to increase community capacity to provide Y&YA with services and supports that reflect their cultural and linguistic preferences, and that are respectful of personal and sexual identity.

4 - Fully	3 - Almost			0 - Least
developed	there	2 - Midway	1 - Beginning	developed	Don't know

Item 5.H Access to Evidence-Based Services.

Fully developed system	Least developed system
Across the state, evidenced based or evidenced supported programs are available for Y&YA. When needed, EBPs have been modified to make them engaging and developmentally appropriate.	Evidence based programs are not available to Y&YA or are available only to a few Y&YA or in a few parts of the state.

Item 5.I Outreach and Public Education

Fully developed system	Least developed system
Across the state, outreach and public education strategies have been implemented to improve early identification of youth and young adults with mental health challenges.	Few efforts have been made to educate the public about the mental health needs of Y&YA or to extend outreach services.

Item 5.J Services for problematic drug/alcohol use

Fully developed system	Least developed system
Y&YA in this state have access to developmentally appropriate services for problematic drug/alcohol use, if needed.	Y&YA in this state cannot access services for problematic drug/alcohol use in a timely way and/or the available services are not developmentally appropriate.

If you are unable to make a rating, please click "Don't know." There is space for comments at the end of this survey.

THEME 6— Accountability: The state has implemented mechanisms to monitor the quality and outcomes of services for Y&YA with serious mental health conditions.

Item 6.A State-Level Outcome Monitoring

Fully developed system	Least developed system
There is a mechanism at the state level for reviewing data about outcomes and service utilization by young adults. This information is used as the basis for strategic planning and quality improvement.	Outcome data and data on service utilization are not available, or are not used for planning or quality improvement.

Item 6.B Fidelity Monitoring

Fully developed system	Least developed system
The state has a clear expectation that fidelity monitoring will occur for individualized transition planning and for evidenced based programs in the array of services and supports for Y&YA.	There is no state level expectation to monitor fidelity of either transition planning or evidenced based programs.

Item 6.C Satisfaction Monitoring

Fully developed system	Least developed system
There is a systematic state-level process to monitor satisfaction with services for Y&YA and their families. Concerns and barriers have been identified and addressed.	There is no state-level process for monitoring satisfaction, satisfaction data are not used to make improvements.

Item 6.D Disparities Monitoring

Fully developed system	Least developed system
There is a systematic statewide process for identifying and addressing barriers in access, quality and outcomes for Y&YA based on racial, ethnic, sexual or other personal or cultural identities.	There is no statewide process for identifying and addressing these disparities.

Please describe one or two things (programs, activities, policy changes) that your state has done recently to improve services to young people with serious mental health disorders.

What are the most pressing challenges that your state is trying to solve for this population?

Do you have any additional feedback you would like to provide?

Thank you for taking the time to complete this assessment! Please click "next" to finish.

Attachment 2: SSTI 4