Ne b ra ska Syste m of Ca re Youth Guided, Fam ily Driven Transform rm at ion T Thro rough Part rt ners rships 08 08/08 08/201 017 Helping People Live Bet ter Lives.
Wh a t Is A Syste m of Ca re ? Defin init it io ion: “A System of Care is a spectrum of effective, com m unity-based services and supports for children and youth w ith or at risk for m ental health or other challenges and their fam ilies, that is organized into a coordinated netw ork. Bet et h St roul an and R Rober ert F Fried edm an an Si Sim ply Sa Said: A System of Care is NOT a program , but rather a different w ay of doing business. It is a fram ew ew ork that is “operationalized.” Helping People Live Bet ter Lives.
Syste m of Ca re Int er erag agen ency c collab aborat at ion brings together child and Com m u m m unit y-bas ased ed s ser ervices es are an integral part of the fam ily-serving agencies from the public, private, and System of Care so that children and fam ilies receive faith-based sectors. Exam ples include child w elfare, effective services in their ow n hom es and m ental health, juvenile justice, education, and health neighborhoods. in partnership to provide needed services. For exam ple, Full p par art icipat at ion of fam am ilies at at al all l level els o of t t he e m ental health and the local schools w ork together so syst em m eans that services provided are fam ily-driven sy that a child w ith behavioral issues is not im m ediately and youth guided. A com m itm ent to this practice suspended from school. ensures that there is fam ily and youth partnership at Individual alized ed, s st ren engt h-bas ased ed p prac act ices es identify and the com m unity and state level for the purposes of build on the strengths of the fam ily and child. Fam ilies program planning and direction. are included in creating an individual plan to provide Shared resp sponsi sibilit y for su successf ssful resu sult s m eans needed services. This ensures services are easy to that all stakeholders (agencies, com m unity supports access, effective, and m atch the culture and language and fam ilies) have a responsibility to individual/fam ily of the fam ily and child. outcom es by ensuring effective program s in each Cult ural al c com pet et en ence in the System of Care is built on com m unity and im plem enting the notion that in order to w ork effectively w ith a child System of Care effectively statew ide. and fam ily, there m ust be an understanding of the fam ily’s culture, race, values, and ethnic background. Helping People Live Bet ter Lives.
Ne SOC Priority Ou tcom e s • Low ering the average age (in years) of first system contact (currently 9.38 years for Nebraska.) • Reducing the percentage of youth placed out of hom e (currently 1 7.7 percent for Nebraska.) • Decreasing the average annual cost per youth (currently $4,392.90 in Nebraska.) • Im prove school attendance rate (currently 95.2 percent in Nebraska, according to the Departm ent of Education.) Th e b aselin e d ata for th e System of Care, in clu sive of d ata from th e Division s of Med icaid , Beh avioral Health , an d Ch ild ren an d Fam ily Services/Neb raska Fam ilies Collab orative an d th e Office of Prob ation , rep resen ts 37,996 un iq ue youth involved w ith any of th ese agen cies for any p eriod of tim e d u rin g FY15. Helping People Live Bet ter Lives.
Dire ctin g All Ne SOC Work Overar A Phased ed Work Plan Guides es t he e arching Goal als: Nebraska children and youth are healthy, safe and Sy Syst em thriving 64 action steps over a three-year period Nebraska's System of Care provides parents and addressing: caregivers the resources they need for their SOC Infrastructure fam ilies. Service Design and Delivery Nebraska's System of Care is the gold standard in Evaluation and CQI delivery of m ental health services for children and Workforce Developm ent youth. Perform ance m easures identified for each phase. Dem ons nst rat ing ng C Chang nge: 1 9 outcom e m easures assessing im provem ents for children, youth and fam ilies. Helping People Live Bet ter Lives.
Ne SOC Op e ra tion a l Stru ctu re NeSO SOC Im plem em en ent at at ion Lead eader ership Work T Team eam s Boar ard A. A. Cont in inuous Q Qualit it y Im provem em en ent B. B. Cr Cross-Sy Syst em NeSOC C Devel elopm en ent /Ser ervices es You out h A Advisor ory Fam il ily A Advis isory Im plem em en ent at at ion & S Suppo pport s Co Council Council Co Com m it t e t t ee C. C. Finan ancial al I Inves est m en ent D. Social D. al M Med edia a an and Com om m unicat ion on/SOC NeS eSOC I Im plem em en ent at at ion Work T Team eam s Aw ar aren enes ess E. E. Traini ning ng a and nd T.A. Team Team Team Team Team A B C D E LOCAL LO L LEA EADER ERSHIP A AND S SER ERVICE D E DEL ELIVER ERY T TEA EAMS Helping People Live Bet ter Lives.
Ne SOC Le a d e rsh ip Boa rd DHHS HHS C CEO Adm inist rat at ive e Office e of t he e Court s Adm in inis ist rat iv ive O Offic ice of Probat io ion Beh ehavioral al Heal ealt h Educat at ion C Cen ent er er of N Neb ebras aska ( a (BHECN) Children’s s Com m issi ssion Fam il ily O Orga ganiz izat io ions NeSOC C Lead eader ership Boar ard Neb ebras aska D a Dep epar art m en ent of E Educat at ion m eet eet s q quar art er erly Neb ebras aska C a Children en an and F Fam am ilies es Foundat at ion Reg egional al B Beh ehavioral al H Heal ealt h Aut horit ies es Tribal al S Societ et y of Car are Yout h P Par art ner ers (2) 2) Fam am ily P Par art ner ers (2) 2) Helping People Live Bet ter Lives.
Ne SOC Im p le m e n ta tion Com m itte e DHHS D Div ivis isio ions DHHS Office e of Heal ealt h Dispar arit ies es Adm in inis ist rat iv ive O Offic ice of Probat io ion Reg egional al B Beh ehavioral al H Heal ealt h Aut horit ies es NeSOC C MCO COs –Her erit ag age e Heal ealt h (3) Im plem em en ent at at ion Fam il ily O Orga ganiz izat io ions Com m it t ee ee m eet eet s b bi-m on ont hly Court Im provem em en ent P Projec ect Neb ebras aska C a Children en an and F Fam am ilies es Foundat at ion UNL Pu Public Po Policy Cent er Neb ebras aska T a Tribes es Neb ebras aska D a Dep epar art m en ent of E Educat at ion Yout h P Par art ner ers (2) 2) Fam am ily P Par art ner ers (2) 2) Helping People Live Bet ter Lives.
Ad visory Cou n cils a n d Sta n d in g Work Te a m s Tea eam s D Drive e t he W e Work o of t he S e SOC You out h A Advisor ory Fam ily A y Advisory y Cross-system representation. Operationalizes NeSOC w ork plan. Identifies barriers and strategies for Yout h-Guided an Yo and Fam am ily-Dr Driven overcom ing. Youth and fam ily m em bership. CQI CQ Equal partners in decision m aking. Train inin ing Review s activities and strategies. Finan ance ce Meet eet s M Mont hly Provides input to NeSOC Leadership. Ser ervices ces & & Social So Suppo pport s Mar arket et ing Helping People Live Bet ter Lives.
SAMHSA Gra n t Su p p orts th e Effort Aw ard Hi Aw Highlights Beg egan an Sep ept em em ber er 30, 20 2016: Provides $3M annually for four years. Mat at ch r req equirem em en ent s: Ratio of 1 :3 in aw ard years 1 -3, Ratio of 1 :1 in aw ard year 4. Projec ect o objec ect ive: e: Im prove outcom es for children and youth w ith serious em otional disturbances (SED) and their fam ilies. NeSO SOC projec ect focus. Children en an and y yout h w w ho ar are: e: at risk of out-of-hom e placem ent, involved in m ultiple child-serving system s, and/or transition age. Helping People Live Bet ter Lives.
Gra n t Fits In to th e Bigge r SOC Pictu re Nebrask ska Syst em o of Care St at ew ide • Long-term initiative: Changing the w ay w e do business. • Population: Birth to 21 years. NeS eSOC G Gran ant • Outcom es focused on all Nebraska youth. • Broader services developm ent. • Key Task: Policy and operations developm ent. Helping People Live Bet ter Lives.
Se le cte d Se rvice Focu s Are a s Focusing o on ar areas eas t hat at need eed d devel elopm en ent or real ealignm en ent . Crisis response Service Capacity Expansion Professional consultation Im plem ent Parents and Children together (PACT) –Region 6 Intensive Out Patient –Region 1 Care m anagem ent and coordination The SOC Expansion and Sustainability Cooperative Agreem ents program is one of SAMHSA’s hybrid grant program s. SAMHSA intends that its hybrid grants result in the developm ent of infrastructure and the delivery of services as soon as possible after aw ard. Ser ervice d e del eliver ery should beg egin no lat at er er t t han an s six m ont hs aft er er t t he p e projec ect aw ard b beg egins. Helping People Live Bet ter Lives.
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