Objectives To increase the knowledge of the cross-system efforts to improve services and supports to WV children and their families To increase an understanding of the fundamentals of family/youth guided approached within child-serving systems To increase the knowledge of the WV resources to increase student success, social and emotional learning. 2
The West Virginia System of Care is a public/private/consumer partnership dedicated to building the foundation for an effective continuum of care that empowers children at risk of out-of- home care and their families. 3
What is a System of Care? A system of care is "a spectrum of effective, community-based services and supports for children and youth with or at risk of out of home care 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. A system of care provides an organizing framework for systems reform on behalf of children, youth and families. A system of care is a coordinated interaction with state, local, and community partners who serve the defined target population it is not: an agency, program, grant funding
Why a System of Care? Nationally recognized practice model for serving children with mental, behavioral, and intellectual/developmental disabilities and their families. Reduces duplication, coordinates efforts, builds long lasting partnerships that improves outcomes Passed by Legislation: Spring 2010-SB 636 WV Code: Chapter
Why a System of Care? 6 No One System Controls Everything Every System Controls Something Creating a Win-Win Moving from fragmented to integrated
WV System of Care Guiding Core Values 1. Family driven and youth guided, with the strengths and needs of the child and family determining the types and mix of services and supports provided. 2. Community-based, with a locus of services as well as system management resting within a supportive, adaptive infrastructure of structures, processes and relationships at the community level. 3. Culturally and linguistically competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of the populations they serve to facilitate access to and utilization of appropriate services and supports and to eliminate disparities in care. 7
WV System of Care Conceptual Framework 8
9 Synergy with Other Efforts-West Virginia Integration of WV System of Care Guiding Principles/Values Family Advocacy, Support & Training (FAST) Program WRAP-Wellness, Recovery, Action Plan for Youth Expanded School Base Mental Health Commission to Study Residential Placement of Children (SB 636) WV Statewide Needs and Gaps Assessment aka: Service Array Best Practice Community Forum Child Serving Agencies integrating core values and principles into policy and practice Building Bridges Jacobs Law WV CANS (Child, Adolescent, Needs & Strength Assessment)
WV System of Care Family-Driven / Youth-Guided Nothing About Me Without Me An Authentic Partnership with Families 10
Family-Driven Family-driven means that families have a primary decision-making role in the care of their own children, as well as, the policies and procedures governing care for all children in their community and state. This includes: choosing culturally and linguistically competent supports, services and providers, setting goals, designing, implementing and evaluating programs, monitoring outcomes and partnering in funding decisions (National Federation of Families, January 2011) 11
PARADIGM SHIFT: The Changing Role for Families and Youth 12 Provider Driven Family Driven Source Of Solutions Professionals and agencies Child, family, and their support team Relationship Child and family viewed as a dependent client expected to carry out instructions Partner/collaborator in decision making, service provision, and accountability Orientation Isolating and fixing a problem viewed as residing in the child or family Environmental approach enabling the child and family to do better in the community Assessment Deficit oriented Strengths based
PARADIGM SHIFT: The Changing Role for Families and Youth 13 Provider Driven Family Driven Planning Agency resource based Individualized for each child and family Access To Services Limited by agencies menus, funding streams, and staffing schedules Comprehensive and provided when and where the child and family require Expectations Low to modest High Outcomes Based on agency function and symptom relief Based on quality of life and desires of child and family
Knowledge Base for Family-driven Care TO GET BETTER RESULTS TO CHANGE SYSTEMS Families know what works for them. Families know what their limitations are. Families can keep track of services and change. Family and youth comfort and buy-in are necessary for success. Family experience is holistic. Families face the challenges all day and every day. Families are passionate and will not give up. Families have credibility. 14
Practice Base for Family-Driven 15 Family Experience+ Professional Expertise Service Design Delivery Participation Monitoring Evaluation Improved Safety, Health, and Well Being for Children, Youth, and Families Communication Trust BetterBetter COLLABORATIVE PARTNERSHIP
Moving toward engaging families within your system/agency
According to a Harvard Graduate School Survey in 2005, 40% to 50% of teachers who leave within their first five years cite ________________ as a top reason.
Multiple Choice Answers A. I am so sorry. Please feel free to impose any discipline you think is appropriate, and we will handle this when he gets home. B. Oh, big deal. Its a harmless prank. Nobody was hurt. C. Well, where was the teacher? Why wasnt she watching what went on?
Working With Difficult Parents Listen to the parent and identify their real concern. Give parent time to vent or cool down. Look for ways to find a common ground. Focus on the students strengths. Keep good records. Dont allow discussions of other students. Be proactive.
Family Transitions What are they ????
Families in Transition Military service/deployment Divorce/Marriage/Separation Incarceration or release Unemployment or recent employment Homelessness or fear of homelessness New to area/school Illness or death Birth or addition to family
Family Barriers to Engagement Isolation Negative experiences Fear and mistrust Lack of resources Limited respect Limited knowledge Stigma
25 Self Assessment Are you: 1. Truly meeting the needs of the family? 2. Assisting in developing the skills that will carry them thru? 3. Giving families the tools they need that lead to self-empowerment and self-sufficiency? 4. Engaging families & youth in the process? 5. Taking steps at community involvement & inclusion? 6. Celebrating successes as we go?
What Can We Do? Involve families from the beginning Provide clear and understandable resources Provide opportunities for families to meet with you and share their concerns Encourage teamwork Address language and cultural differences Try to empower and educate families
What Can We Do? Think out of the box Meet the family where they are – environmentally, educationally, socially, etc. Encourage family participation in educational meetings (i.e. SAT, IEP, 504, behavioral) Encourage Parent-Teacher activities Use Parent Volunteers when appropriate and reward them for their hard work
What Can We Do? Remember that families are unique and that all families need to feel valued and supported Suggest that parents are invited to trainings held at school Educate school personnel regarding mental health issues Encourage parents to advocate on behalf of their child
What Can We Do? Develop trainings/materials for parents regarding mental health topics Remind parents of how far they have come and their accomplishments Focus on the strengths of the family/student and build on the strengths Keep parents informed through routine contact Link families with needed resources from within the community
What Can We Do? Encourage family support groups or link families to established support groups Take care of yourself!
What Supports Are Available?
Family Advocacy, Support and Training Bill Albert, Director Jodie Gardill, Associate Director Dianna Bailey-Miller Deana Cummings Gloria Shaffer Melissa Hager, Attorney Bridget Remish, Attorney Ryan Ramey, Statewide Youth Coordinator Robin Hughes Rhonda McCormick
FAST Eligibility Criteria FAST Eligibility Criteria Child is 5 years to 18 years of age or transitioning to adulthood up to the age of 22 Legal guardian agrees to participate Child has a Primary Mental Health Axis 1 (DSM-IV) diagnosed emotional and/or behavioral disorder And at least one of the following: Childs level of disability requires multi-agency intervention to improve conditions (services from at least 2 or more systems; one must be Mental Health) Child has received Mental Health/Behavioral Health services for at least a year or these services are expected to last for more than a year.
Questions 34 Contact Linda or and Dianna x 2312 or FOR MORE INFO...
Resource Information WV System of Care & Regional Clinical Review Process Linda Watts at WV DHHR online application for CHIPS/Medicaid/School Clothing Allowance Contains links to other resources, screening and programs Family Advocacy, Support & Training (FAST) Program Bill Albert at ; Referrals Expanded School Mental Health ASPEN (suicide prevention) WV Suicide Prevention Hotline (TALK) 35
Resource information WV School Based Health Assembly Family Support Program, DHHR Family Resource Networks (FRN) – each has their own website, the directory is here Bureau for Children and Families Public Health – Office of Maternal and Child Health 36
Resource information Service Delivery/Development Work Group Susan Fry at ; fax WV Commission to Study Residential Placement of Children Linda Dalyai at WV Comprehensive Behavioral Health Commission Service Array Melanie Swisher at (304) or