SOC 101
System of Care Overview System of Care Across Tennessee is helping to build ld so solid d track cks to support the development of all children across our state. Just as spikes, ties, and rails are used to anchor the tracks, the solid tracks for development — Syst stem m of Care e Across oss Tenne nesse ssee — are made up of state agencies, community partners, healthcare systems, school systems, and other human services. All of these se servic vices s wor orkin king g together ether keeps childr dren en in their ir homes , famil ilies es conne nected ted to their ir communit nities ies , and helps all of Tennessee move forward in life and reach our destinations.
System of Care Mission and Vision Mission. To put in place policies, organizational structures, and funding mechanisms that support the implementation and expansion of a children’s mental health system in Tennessee (TN) grounded on SOC values and principles. Vision. TN families have access to community-based services for children and youth with mental, emotional, and behavioral health needs that is coordinated across systems, individualized to a family’s unique needs, strengths, and culture, and where the families are the primary decision makers in the care of their children.
Current System Structure
System of Care Structure SAMHSA Family/ Self Screening with Uniform Protocols System of Care Tennessee Community Complex multi- Agencies Department of system children Child with Needs Full plan of care Mental Health and Substance Abuse Juvenile Services Court Authorization of Services Tracking Registration Traditional Assessment of Need Schools Uncomplicated Care Coordination care Family Support Service Authorized Service Delivered Child Welfare
About SOCAT SOC has been a part of TN for 20 years, starting in 1999 We received our current grant, SOCAT, in 2016 and it will last until 2020 Values — family-driven, youth-guided, community-based, and culturally and linguistically responsive.
Family Driven Youth Guided Community Based Culturally and Linguistically Competent
About SOCAT We have 12 sites across the state, with the capacity to serve 86 out of Tennessee’s 95 counties Each site has a SOCAT team which consists of a Care Coordinator and Family Support Specialist Additionally, we have 3 Divisional Coordinators
System of Care Sites in Tennessee
About SOCAT The goal of SOCAT is to ensure Tennessee families have access to community-based services coordinated across systems Services are individualized to meet each family’s specific needs Families are the primary decision makers in the care of their children.
About SOCAT SOCAT is not a program or service System of Care is a philosophy, as well as a strengths and values- based approach to working with families - Recognizes the importance of family, school and community, and - Seeks to promote the full potential of every child and youth by addressing their physical, emotional, intellectual, cultural, and social needs.
How is it Funded?
Criteria for Eligibility Children, youth, and young adults from birth to 21 years of age Those experiencing emotional or behavioral concerns that affect their daily life (in school, in children’s services, with their family, with law enforcement, etc.) This needs to be about at-risk of out of home placement. (in school, in children’s services, with their family, with law enforcement, etc.) Those who are willing and interested in participating in SOCAT
More complex needs Full Wrap 2% Process Intensive Intervention 3% Level Individualized Service Level Targeted 15% Intervention Level Generalized Universal Services Health 80% Promotion Level Less complex needs These materials and curriculum are products of The Institute. Unauthorized copy, distribution, or use in part or whole is strictly forbidden without permission of The Institute.
Values – Family Driven Families are the experts and primary decision makers Family is choosing services, picking supports, and deciding effectiveness of treatment Children, youth, and young adults from birth to 21 years of age Putting families in the driver's seat
Values – Youth Guided Youth are the experts in what is best for them Young people have the right to be empowered Youth will not be fully involved in their care if they aren’t able to make decisions and provide input Don’t make decisions or have conversations about the youth unless they are present
Values – Culturally and Linguistically Responsive Another way of saying “Cultural Competence” Being able to relate effectively to people from various groups and backgrounds Understanding everything that influences an individual’s or family’s identity Knowing your implicit biases, and admitting when you don’t know or understand something
Values – Community Based Individuals are most comfortable receiving services in their home and community Community based services helps alleviate some transportation barriers Helps individuals remain connected to their community while receiving services Associated with a continuum of care, greater satisfaction, and following of treatment plans
What is a Family Support Specialist? A parent or caregiver who has the lived experience of being a parent or caregiver for a child with mental health issues and/or challenging behaviors, and has navigated child-serving systems Helps families navigate various systems and connects them with local resources Participates as a team member in Child and Family Team Meetings (CFTM) Provides empowerment and advocacy skills to parent/caregiver(s).
What is a Care Coordinator ? Responsible for ensuring all phases and activities of the Wraparound Process are done with high quality and fidelity In collaboration with family, FSS, and team provide engagement through education about the process Utilize the family team process to develop and coordinate the plan of care Links family to supports, and community resources In conjunction with the Divisional Coordinator, Supervisor, and FSS participate in community outreach and engagement efforts
What is a Divisional Coordinator ? SOCAT Divisional Coordinators operate as the face of SOCAT within local communities and jurisdictions ensuring seamless communication, services, and supports Divisional Coordinators provide training and technical assistance, outreach and engagement opportunities, and assist in resource identification and linkage
Council on Children’s Mental Health Created in 2008 as a result of new legislation Develops a statewide plan to make sure mental health care agencies in TN are furthering system of care values Allows professionals, families, and youth to come together to share resources, best practices, and lessons learned
SOCAT Referral Process Initial al Face ce-to to-Face ace Mee eeting: Initia ial l Contact with Within 7 days, allow Paren ent/Ca t/Careg egiv iver: er: parent/caregiver to choose “Any door” Referral location, complete NOMS, Within 24 hours (telephone, complete Crisis Plan, family text, in-person) story Second Face-to-Face Buil ild Team am, Coll llat ateral al Meetings: Contact acts: s: Initia ial l Wrapar around Meetin ing: Work with the family to build Complete additional evaluation Within 30 days, allow the family team, contact those parent/caregiver to choose paperwork, CANS, Plan of Care, identified by the family, location and participants complete family story 6 month follo low-up up: Additio ional al Wrapar around CANS, Fidelity tools, NOMS, Meetin ings: s: Caregiver Strain, and Federal Tools every 6 months and at Complete every 30-45 days discharge
2017 FY Data SOCAT enrolled 109 children, youth, and young adults 100% of clients stated they were treated with respect, were satisfied with services they received, and that SOCAT staff stuck by them no matter what After 6 months no clients felt worthless, hopeless, or depressed 91% Success rate of keeping children in their homes
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