Puerto Rican teenagers have unique mental health needs due to the traumatic events that have occurred since 2017 (e.g., Hurricanes Irma and María, ongoing earthquakes and aftershocks starting in 2020, the COVID-19 pandemic). One way that the Comprehensive Adolescent Health Services (SISA, in Spanish) Program of the Puerto Rico Department of Health is helping to serve teenagers, is through a youth promoters program, in which youth aged 10 to 14 (6-8^th grade) serve as “peers teaching peers” and provide messages promoting good health and the prevention of risky behaviors in school, the community, and/or within their families. The SISA Program identified that their coordinators, who represent Puerto Rico’s school regions and educate youth promoters, needed more education and training on youth mental health. Starting in September 2021 (and currently ongoing), the Northeast and Caribbean MHTTC has provided technical assistance on youth mental health to the SISA Program and their coordinators, with the ultimate goal of boosting mental health awareness across Puerto Rican youth.

With the ever-growing need for school mental health services across the state of Nebraska, the Nebraska Department of Education (NDE) created the Nebraska School Mental Health Project to provide resources to support school mental health efforts across the state. As part of this project, they identified a need for leadership training and guided strategic planning in implementing comprehensive school mental health systems and best practices and partnered with Mid-America MHTTC for training and technical assistance in this area.

Educators and school-based staff play important roles in supporting student mental health, often listening to students’ fears and concerns, and helping them cope with stressful events. In addition, educators and staff are working long days and often report feeling overwhelmed by juggling many job responsibilities. The effect of this stress can take the form of compassion fatigue, burnout, or secondary traumatic stress that contribute to lower job satisfaction and educator turnover. With the start of COVID in 2019, its continued dominance in 2020, and its lingering effects, many public school teachers and staff in the Central East region contemplated leaving the profession due to burnout and compassion fatigue. The Central East MHTTC, in its assessment of the State Departments of Education and local school districts in the region, found that the school mental health workforce wanted more training and technical assistance in compassion fatigue. 

Mental health providers and school mental health champions in the Pacific Southwest region are constantly providing grief support in the field, though many are under-trained in grief response and recovery practices and some are experiencing their own grief. To address the need for evidence-based grief support in the mental health field, the Pacific Southwest MHTTC led a 6-week Grief Readiness Pilot Lab in Spring 2021 to guide school mental health practitioners to explore the topic of grief and develop Grief Readiness Plans. Then, informed by the pilot, the Pacific Southwest MHTTC offered a Grief Readiness Series for school and mental health leaders nationwide in the fall of 2021.

The Central East MHTTC, in collaboration with the Annapolis Coalition on the Behavioral Health Workforce and the Community Behavioral Health Association of Maryland, invited organizations to apply to participate in a Workforce Recruitment and Retention Collaborative. This project educated community-based behavioral health providers in Maryland on the multiple factors contributing to the crisis in the recruitment and retention of behavioral staff. The collaborative assisted providers to identify factors influencing their ability to recruit and retain staff and develop individualized action plans. It also provided technical assistance and allowed providers to share progress and receive feedback from members of the Collaborative.

The New England MHTTC Person-Centered Recovery Planning (PCRP) Learning Collaborative project is a multi-agency learning collaborative to provide intense training, TA, and implementation support around the practice of PCRP. It began with a series of introductory webinars in December 2019 and was scheduled to conclude in December 2020; however, supports will be extended for 3 months due to significant project disruptions caused by the COVID-19 pandemic. Primary faculty are Dr. Janis Tondora of the Yale Program for Recovery and Community Health and Dr. Dan Wartenberg of Newport Mental Health.