Contributing Factors (What's helping the trend?):

• • Breaking mental health stigma by increasing awareness
  • Public Service Announcements (PSAs) and mental health programs/campaigns ex. National Alliance on Mental Illness (NAMI)

Restricting Factors (What's keeping the trend from improving?):

• Covid-19 pandemic. The pandemic restricted program activities, access, and availability
• Inability to access medical care (cost, transportation, geographic location, etc.)

Equity Issues (What disparities are contributing?):

• Racial and Ethnic Minorities
• Low income
• Unemployed
• Low educational attainment
• Geographic region (Appalachia)
• Sexual orientation and gender minorities
• Asylum seekers/refugees/survivors of forced displacement

Clermont Board of Development Disabilities

Clermont County Educational Service Center

Clermont County Family & Children First

Clermont County Mental Health & Recovery Board

Clermont County Public Health

Clermont County Public Health - WIC

Coalition for Activity and Nutrition (CAN) - Coordinated by Clermont County Public Health

Ohio State University Extension Office

Evidence-based resources:

• Depression in Children and Adolescents: Screening
• Teen Depression
• The Surgeon General’s Call to Action to Implement the National Strategy for Suicide Prevention

Social and emotional instruction

Coordinated care for behavioral health

Digital access to treatment services and crisis response

Mental health education

Physical activity programs

Social and emotional instruction

• Local schools provide trauma-informed care and support, both individually and in group settings, and help build student capacity for behavior management through Child Focus, Inc (Clermont County Educational Service Center)
• Incorporate Elements of Social Emotional Learning into instructional delivery and student supports in many schools (Clermont County Educational Service Center)
• Provide Positive Behavioral Intervention Supports (PBIS) in numerous districts (Clermont County Educational Service Center)
• District-specific initiatives; Olweus' Bullying Prevention Program and Signs of Suicide Program, Grant Us Hope, and Teens Against Bullying (TAB), all of which focus on both stifling or confronting problem behaviors in others and also maintaining good mental health or seeking support in doing so, while dealing with unwelcome behavior (Clermont County Educational Service Center)
• Provide access to prevention video training and live training sessions for professional development through the Southwest Ohio School-based Prevention Practitioners' Council (Clermont County Educational Service Center)
• Local funding for suicide prevention programs (Clermont County Family & Children First; Clermont County Mental Health & Recovery Board)

Coordinated care for behavioral health

• Chronic disease management program for diabetes (Ohio State University Extension Office)
• Clermont DD Behavioral Health Department includes a mental health counselor to work with individuals who have complex mental health diagnosis in addition to developmental disabilities (Clermont Board of Developmental Disabilities)

Digital access to treatment services and crisis response

• Promote utlization of the local mobile crisis line (Clermont County Family & Children First)
• Provide Wraparound for our youth/families/teams virtually or in-home, based upon family preference (Clermont County Family & Children First)
• Develop crisis plans with the youth, family & team members (Clermont County Family & Children First)

Depression screening

• Provide depression screening for WIC participants and make referrals as needed (Clermont County Public Health - WIC)

Mental health education

• Develop service plans for individuals served at Clermont Board of DD (Clermont Board of Developmental Disabilities)
• Annual training for Clermont Board of DD staff on how to use Sanctuary Tools and apply principles in group discussions (Clermont County Board of Development Disabilities)
• Train first responders, particularly law enforcement, to recognize mental health crises and know the resources to assist someone in crisis with getting needed behavioral health treatment (Clermont County Public Health)
• Improve access to the mental health system so that individuals in crisis can access needed behavioral health treatment (Clermont County Public Health)
• Campaigns: Tools2Thrive focuses on what individuals can do throughout their daily lives to prioritize mental health, build resiliency, and continue to cope with the obstacles of COVID-19 (Clermont County Mental Health & Recovery Board)

Physical activity programs

• Fund staff positions (Case Managers and Benefit Specialists) at agencies to work with clients in Outreach and Advocacy to maintain enrollment in public assistance systems (Clermont County Mental Health & Recovery Board)
• Case Managers to work with clients on assuring healthy eating and limits on unhealthy eating, including taking them to grocery stores (Clermont County Mental Health & Recovery Board)
• Community-wide physical activity campaigns (CAN)
• Provide physical activity ideas and education to WIC participants through quarterly Newsletters (Clermont County Public Health - WIC)