Introduction to Childrens System of Care Rebekah Behan, BS Tim - PowerPoint PPT Presentation

Introduction to Children’s System of Care Rebekah Behan, BS Tim Marshall, LCSW Project Coordinator, Child Health and Director of the Office of Community Development Institute of Connecticut, Mental Health, Connecticut Department of Children and Families Inc.

Introduction to Children’s System of Care Rebekah Behan, BS Tim Marshall, LCSW Project Coordinator, Child Health and Director of the Office of Community Development Institute of Connecticut, Mental Health, Connecticut Department of Children and Families Inc.

Child Health and Development Institute of CT, Inc. Our Vision All children have a strong start in life with ongoing supports to ensure their optimal health and well-being. Our Mission To ensure healthy outcomes for all children in Connecticut by advancing effective policies, stronger systems, and innovative practices. Our Strategy We identify, demonstrate, support and promote effective health and mental health care innovations and improvements, working closely with providers, https://www.chdi.org/ policymakers, academic institutions and state agencies.

Connecticut Department of Children and Families DCF in Connecticut is a multi- mandate agency • Child Protective Services • Children and Youth Mental Health Services • Children and Youth Substance Use Services • Children and Youth Prevention https://portal.ct.gov/dcf Services

Objectives • Develop a clear understanding of the values and principles of children’s System of Care (SOC) • Identify key components to integration and collaboration in an SOC model • Understand the steps to implement a system of care approach

What is Children’s SOC? The SOC is a “spectrum of effective, community-based services and supports for children and youth with or at risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.” Stroul, B., Blau, G., & Friedman, R. (2010). Updating the system of care concept and philosophy. Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health.

SOC Core Values • Community-based • Family driven and youth guided • Culturally and linguistically competent From Stroul, B. (2002). Issue Brief: Systems of care: A framework for systems reform in children’s mental health . Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health.

SOC Guiding Principles • Broad array of services and support • Be individualized • Offer least restrictive, clinically appropriate setting • Involve families and youth • Collaboration • Care management • Developmentally appropriate services • Incorporate or link • Accountability

Why is an SOC important? • Realizes and empowers parents as a primary resource • Supports parents/guardians caring for their children • Serves children and adolescents at risk for out-of-home placement in the most appropriate and least restrictive environment • Fosters successful partnerships • Embraces the notion of creating comprehensive, coordinated, cultural competent, interagency collaboration that affects the community and children’s mental health agenda • Becomes a resource for families returning from out-of-home placement • Collaboration brings about improved and more appropriate services for children and their families

Culturally and Linguistically Appropriate Services (CLAS) Services that are respectful of and responsive to individual cultural health beliefs and practices, preferred languages, health literacy levels, and communication needs and employed by all members of an organization (regardless of size) at every point of contact. • CT Context https://thinkculturalhealth.hhs.gov/clas/what-is-clas

Work in CT • Bottom Up • CLAS • Care Coordination • Mobile Crisis

Role of the Intermediary Organization • Bridge the gap between science and practice • Identify and adapt best practice models; serve as intermediary between treatment developer and practice implemented by provider agencies • Integral role in developing and supporting multiple programs or practices Role of the Intermediary Organization in Promoting and Disseminating Mental Health Best Practices for Children and Youth: The Connecticut Center for Effective Practice, Robert P. Franks, 2010

Wraparound • Defined by SAMHSA as “a philosophy of care that includes a definable planning process involving the child and family that results in a unique set of community services and natural supports individualized for that child and family to achieve a positive set of outcomes” https://nwi.pdx.edu/

10 Principles of Wraparound 1. Unconditional Care/Persistence 6. Natural Supports 2. Individualized 7. Team-based 3. Strengths-based 8. Community-based 4. Collaboration 9. Culturally competent 5. Family Voice and Choice 10. Outcome-based

Wraparound Formal Resources + Informal Resources = Wraparound Elements Formal Resources Informal resources • Assessment, Diagnosis, • Family Members and Related Services • Neighbors/Community Members • Crisis Services • Spiritual Leaders • Non-Residential Treatments (outpatient) • Coaches • Residential Treatments • School Staff

Formal Resource Examples Care Coordination • Works with family to assess situation and develop a “Child Specific Team” Mobile Crisis • Oversees development of an • Accessed free of charge and offers immediate individualized service plan help with any behavioral/emotional crisis • Advocates for service and supports involving a youth • Crisis specialist triages crisis call • Coordinates and monitors plan implementation, and child and family • Trained Mental Health Clinician offers ongoing outcomes care to youth and families • Works to establish linkages to ongoing behavioral health care Peer Support • Advocates for service and supports • Links with formal and informal supports • Coordinates and monitors plan implementation, and child and family outcomes • Serves as a mentor, advocate or mediator • Teaches skills to improve coping abilities • Assists in developing goals

How do you implement an SOC approach? • Care management is critical to effectiveness of services • Support one Plan of Care • Support the goals of continuity and coordination • Encompass families and youth as partners • Utilize a strength-based focus Pires, S. (2010). Building systems of care: A primer (Second Edition). Washington, DC: National Technical Assistance Center for Children’s Mental Health, Georgetown University Center for Child and Human Development.

Resources Child Health and Development https://www.chdi.org/ Institute of Connecticut, Inc. The TA Network https://theinstitute.umaryland.e du/our-work/national/network/ National Wraparound Initiative https://nwi.pdx.edu/ (NWI) Substance Abuse and Mental https://www.samhsa.gov/ Health Services Administration (SAMHSA) Mental Health Technology https://mhttcnetwork.org/ Transfer Center Network (MHTTC) Plan 4 Children https://www.plan4children.org/

Contact Information Tim Marshall Rebekah Behan Child Health and Development Institute CT Department of Children and Families behan@uchc.edu tim.marshall@ct.gov 860-679-8726 860-550-6531 Martha Staeheli Valerie Gold MHTTC - CMH Initiative MHTTC - CMH Initiative martha.staeheli@yale.edu vgold@c4innovates.com