In this episode we're talking with Melantha Witherspoon about Crisis Safety Planning (CSP). Through our discussion we talk about what a crisis safety plan is, what they contain, how they're used, and why they're used. Audience members will also learn more about reactive stratigies, proactive stratgies, and the difference between a crisis safety plan and a Behavioral Support Plan (BSP). We are providing additional resources for the audience to explore in the show resources below.  

Show Resources: 
Writing a Safety Crisis Plan (Youtube): https://www.youtube.com/watch?v=STiAKyeTwK4
Writing a Safety Crisis Plan (PDF): https://dmh.mo.gov/node/12981
Crisis Safety Assessment: https://dmh.mo.gov/media/pdf/safety-crisis-plan-assessment
Crisis Safety Plan Format Example: https://dmh.mo.gov/media/pdf/safety-crisis-plan
Safety Crisis Plan Question and Answer Session: https://dmh.mo.gov/node/101
Behavioral Services (DMH - MO): https://dmh.mo.gov/dev-disabilities/programs/behavior-services

Additional Resources…
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
Twitter - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

EP 8 - Crisis Safety Plans

On this episode of Meeting Midway Tier 2 Prevention we're talking with Cana Poteet, a Positive Support Consultant Supervisor for the Western section with the Missouri Department of Mental Health. Cana has several years of experience working with action plans and has helped numerous providers to implement their own action plans to help build sustainable systems within the provider organizations. Through our discussion we discuss we learn that action plans can be viewed as road maps or a project management tool. The different between objects, tasks and goals and how they relate to each other to form an action plan. How we know an action plan may be working if we view it from an implementation cycle lens. What do if organization/teams get stop using an action plan for a period of time. The importance of team involvement to the action with the idea that each team members strength should be utilized. How long action plans should be in place and what listeners can do if they want to create their own action. 

If you have any questions about this episode please feel free to reach out to Cana at Cana.Poteet@dmh.mo.gov or Carl Hoeninger at Carl.Hoeninger@dmh.mo.gov. 

Resources mentioned in this show: 
	- Missouri Department of Mental Health: Action Planning Guide  https://dmh.mo.gov/media/pdf/action-planning-guide
	- Missouri Department of Mental Health: Onboarding Agency Action Plan Template - Tiered Supports https://dmh.mo.gov/media/pdf/onboarding-agency-action-plan-template-tiered-supports
	- Tier 2 Action Plan for Check In Check Out [future episode will have this too :-) ] https://dmh.mo.gov/media/59501/download
	- Community Tool Box - 5. Developing Strategic and Action Plans https://ctb.ku.edu/en/developing-strategic-and-action-plans
	-  Youtube: Action Planning DMH DD MO Action Planning How to Create Effective and Efficient Goals
Additional Resources…
	
	• Missouri Department of Mental Health:  https://dmh.mo.gov/
	• Missouri Department of Mental Health Facebook:  https://www.facebook.com/MODivisionDD
	• Missouri Division of Developmental Disabilities Facebook : https://www.facebook.com/MODivisionDD
	• Twitter: https://twitter.com/MentalHealthMO
	• Missouri Department of Mental Health Youtube: https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
	• Missouri Division of Developmental Disabilities Youtube: https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 9 Action Planning

In this epsidoes of Meeting Midway - Tier 2 Prevention we talk with Stephen Hibner on the importance of setting expectations. Setting expectation is a powerful, powerful tool that teams can use to enhance not only the quality of someone's but also build better communication and relationships with those involved. However, setting expectation needs to be done in the right way. During the course of this epsidoes Stephen and I will provide an example of a poor set expectation of a supervisor rambling off tasks and setting expectation to have them complete and then provide a much better approach. Stephen also highlights the importance of team involvement in setting expectation, the importance of taking on small tasks one at time, and the importance of "Earn" and "Don't Earn" and why we use this phrase. 
	
	Please see additional resources below.. 
	Set Expectation Vs. Rights Restrictions -- https://dmh.mo.gov/media/pdf/set-expectations-vs-rights-restrictions
	Tools of Choice - https://dmh.mo.gov/dev-disabilities/tools-of-choice
	
	Additional Resources…
	• Missouri Department of Mental Health - https://dmh.mo.gov/
	• Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
	• Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
	• Twitter - https://twitter.com/MentalHealthMO
	• Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
	• Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Ep. 11 Setting Expectation

In this epsidoes of Cultivating Culture we discuss the DMH Way with Rod () and Dishon Knox. Per the DMH Way main webpage "The DMH Way is how we work together to create stronger relationships, better engagement, and more fulfillment in our roles. The DMH Way practices and principles help create an environment that recognizes personal value, growth, and commitment as the foundation for success—both inside and outside DMH. Through the DMH Way, DMH is living out its mission of serving, empowering, and supporting Missourians by investing in the DMH team and creating a culture of great leadership." 
	
In this episode we learn what the DMH Way is, how it began, what it has done thus far, and what to expect from the DMH in 2024. Several resources are linked to the DMH Foundation Training webpage below for the audience to explore. 
	
Show Resources…
DMH Way - https://dmh.mo.gov/about/better-government/dmh-foundation-training
	
Additional Resources…
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

EP 8 DMH Way

On this episode of Meeting Midway we discuss the Targeted System of Support Evaluation Tool (TSSET) with Nicole Jones. The purpose of this tool is to measure the implementation of Tier 2 and Tier 3 efforts among supported individuals within an organization. The tool itself, when administer, highlights consistent Tier 2 and Tier 3 efforts while also addressing gaps that need to be strengthened or areas that need to be implemented. At this time Missouri is the only state using the TSSET and is leading the rest of the nation in this approach however collaboration and connections are being made across the USA and internationally as well. Please see show notes for additional information below… 

Show Notes: 
May Institute: https://www.mayinstitute.org/services-for-schools/pbs-consult-dds-funded-org.html
Minnesota PBS: https://mnpsp.org/
PBIS.org Assessments: https://www.pbis.org/resource-type/assessments 
DMH DD Tiered Support Infographic on Risk Criteria: https://dmh.mo.gov/media/pdf/tiered-supports-risk-criteria-graphic
TSSET: https://dmh.mo.gov/media/pdf/tsset
Tier 2 Webpage: https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Additional Show Notes: 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

EP 18. TSSET May 2024

On this episode of Cultivating Culture Hope Moorhead discuss the importance of appreciation in the office work culture with two guest. Through their discussion the audience learns the difference between recognition and appreciation, how showing appreciation limits  staff burnout while fostering belonging in the workplace, and simple acts that we can all do show appreciation in the workplace e.g. smiling, saying hello, good morning or good afternoon. If you enjoy this episode please feel free to listen to our other shows that we've created and please see the show notes below for additional information on appreciation. 

Show Notes: 
Harvard Business Review - Leadership and Managing People "Simple ways to Show Appreciation at Work" by Christopher Littlefield: https://hbr.org/2023/10/simple-ways-to-show-appreciation-at-work
Harvard Business Review - Motivating People "The Little Things that Make Employees Feel Appreciated", by Kerry Roberts Gilson, Kate O'Leary, and Joseph R. Weinttraub: https://hbr.org/2020/01/the-little-things-that-make-employees-feel-appreciated 
LinkedIn - Marble Box: https://www.linkedin.com/pulse/importance-workplace-appreciation-marblebox

Additional Show Notes: 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 12 - Appreciation

On this epsidoes of Meeting Midway we're discussing what data is and why it is important. Data is complex and has many different layers that we attempt to unravel in this episode. We first attempt to operationally define what data is. Next we go into why its important to collect data, how we can use data, and provide ideas on what is good and bad data. Our hope for this epsidoes is that listeners will develop greater knowledge on this subject and begin to view data not as just confusing statistic or to complicated to collect and review, but rather to understand how data can help you and why you need it for your organization. 

Please see the show notes below for information discussed in this episode.

SMART Goals (DMH): https://dmh.mo.gov/media/pdf/smart-goals
Smart Goal Development - Agency Tiered Supports (DMH): https://dmh.mo.gov/media/pdf/smart-goal-development
"What are SMART Goals? Definition, Best Practices, and How to Make Your Own" - Tableau: https://dmh.mo.gov/dev-disabilities/tiered-supports/mtss
MTSS (DMH): https://dmh.mo.gov/dev-disabilities/tiered-supports/mtss
Tammy McCausland (2021) The Bad Data Problem, Research-Technology Management, 64: 1, 68-71, DOI: 10.1080/08956308.2021:1844540 (https://www.tandfonline.com/doi/epdf/10.1080/08956308.2021.1844540?needAccess=true)
Brown, A.W, Kaiser, K. A., Allison, D.B. (March, 2018) Issues with data and analyses: Error, underlying themes, and potential solutions, PNAS, 115,11,2563-2570. (https://www.pnas.org/doi/epdf/10.1073/pnas.1708279115)
Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.
Ep 9 of Meeting Midway - Action Planning: https://open.spotify.com/episode/1CXpJpOEZbRVrbjoNn9Ngm?si=29owi32uQgCubPjLPsa88Q
Ep 14 of Meeting Midway - Tier 2 Risk Screening: https://open.spotify.com/episode/3apFVeOsaOsuPNSMMXrINE?si=WfD6OWW2RzqMHYGDtLMShg
Ep 18 of Meeting Midway - TSSET May 2024: https://open.spotify.com/episode/09mgPULF0JSJW5WIqHxIta?si=2ezH5V7JQhWM2gKt33wavA
Ep 21 of Meeting Midway - Tiered Fidelity Tools: https://open.spotify.com/episode/2nkj9ULg7Wy5fv4R3JKQDy?si=1kevLP-FR1yhHj6MKr0Kcw


Additional Resources 
Missouri Department of Mental Health: https://dmh.mo.gov/
Missouri Department of Mental Health Facebook: https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook: https://www.facebook.com/MODivisionDD
X: https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube: https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube: https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 22 -Do you have data?

On this epsidoe of Cultivating Culture Kathleen Deppeler talks with Jazmine Pegues about stress and burnout. As we approach the holiday seasons many of us may begin to feel these experiences as we try to meet certain deadlines or expectation that others or we ourselves put upon us. Kathleen and Jazmine discuss the importance of watching out for burn out with others and within us. They over some helpful advice on how to overcome this by investing in ourselves just a couple of minutes each day.  

Show Resources
DMH Cares - https://dmh.mo.gov/wellness/dmh-cares
DMH Way - https://dmh.mo.gov/about/better-government/dmh-way
Critical Incident Stress Management  (CISM Peer Network) – 
https://dmh.mo.gov/media/pdf/managing-critical-incidents
https://mocred.dmh.mo.gov/group/479057
https://www.youtube.com/playlist?list=PLNLI6SAOm1yTObdgbNGT3_PJGCL9UaLjj
Strive Employee Life & Family (SELF) – http://www.mchcp.org/stateMembers/self.asp 

Additional Resources 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632


Ep 17. Stress and Burnout

Welcome to this episode of meeting Midway. In this episode, we’re joined by Nicole Kanaman, who recently presented at the 2024 Tiered Supports Summit in Missouri, sharing insights on “An Agency-Wide Approach: Getting DSPs to Use Healthy Behavioral Practices.” Nicole discusses the key points of her presentation, focusing on the multi-tiered (MTSS) approach her agency implemented to improve DSP training and behavior practices. 

Nicole discusses the barriers faced not only by individuals receiving services but also by providers themselves—challenges that are often overlooked but are critical to understanding the broader scope of support needed in the field. She shares how her agency worked to overcome these challenges, leveraging technology to support their initiatives.

Nicole discusses the pyramidal model and outlines four foundational practices for promoting healthy behavior among DSPs. She provides a quick overview of these practices and how they align with the Tier 1 universal supports in the multi-tiered system of supports (MTSS). 

Nicole also dives into the importance of Behavioral Skills Training (BST), explaining how it formed the foundation for healthy behavioral practices and contributed to her agency's success. The conversation covers how training and maintenance plans were integrated to ensure DSPs retained the knowledge gained through their training, which played a significant role in sustaining the long-term success of the initiative.

Nicole shares results from the implementation and how these outcomes reflect the overall effectiveness of their agency-wide strategy. She also elaborates on the Tier 2 approach featuring a Behavior Specialist Curriculum. 

Finally, for other providers considering implementing a similar multi-tiered system, Nicole offers valuable advice and shares key lessons learned from her experience.

Tune in to hear Nicole’s expert insights on improving DSP practices and fostering better outcomes for individuals receiving services.

Show Resources: 
GoodLife Innovations - https://mygoodlife.org/
Tiered Support Summit - https://dmh.mo.gov/dev-disabilities/tiered-support-summit/2024

Additional Resources 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632



New tracks tagged #MODMH