2Where we are and where we are going? Status of Wrap in CaliforniaSuccesses notedChallenges notedWhat’s on the horizon?
3SB 163 WraparoundSB 163 allows counties to provide service alternatives to eligible children in, or at risk of, group home care by using the State foster care maintenance payment to provide wraparound services.
4OverviewPermits flexible use of State FC funds for intensive individualized services so children stay with/return to familiesAll counties eligible to participate
5OverviewTarget Population: Children placed/would be placed in group home at RCL 10-14Plan: Counties submit plan consistent with Wraparound StandardsTraining: All staff complete approved Wraparound trainingSOC/FSP: Coordination with Children’s System of Care and Full Service Partnership plans
7FundingFlexibility in using specific amount of State FC funds and county matchSpecific number of service allocation slots
8Service Allocation Slots Amount of funds available to pay for individualized intensive Wraparound package for child/familyOne Wrap slot may serve more than one childAll Wrap slots pooledReimbursement rates = RCL rate minus cost of concurrent placement
9Federally Eligible Child in SB 163 RCL 13 = $5,994 FEDERALLY ELIGIBILE CHILDREN IN SB163 WRAPAROUND AND CONCURRENT PLACEMENTWraparound Rate forFederally Eligible Child in SB 163RCL 13 = $5,994Less FMAP of 50% = ,997Dollars to SB 163 Flexible Fund = $2,997*Federally Eligible Child in Concurrent PlacementPlacement Costs = $1000IV-E 50% share = $500*Remainder to be paid fromSB 163 FlexibleFund.* CFL No. 01/02-51 and Errata provides instructionsfor the claiming of the these costs.
11CALIFORNIA COUNTIES WITH SB 163 WRAPAROUND SERVICES 1. Alameda 2. Butte 3. Contra Costa 4. Del Norte 5. El Dorado 6. Fresno 7. Humboldt 8. Kern 9. Los Angeles 10. Mendocino 11. Mono 12. Monterey 13. Napa 14. Orange 15. Placer16. Plumas17. Riverside 18. Sacramento 19. San Bernardino 20. San Diego 21. San Francisco 22. San Joaquin 23. San Louis Obispo 24. San Mateo 26. Santa Barbara 27. Santa Clara 26. Santa Cruz 28. Shasta 29. Siskiyou 30. Solano 31. Sutter 32. Tehama 33. Ventura
12Key Components in Wrap Child and family teams Single plans for multiple systemsStrength-based point of service planningCross system integrationIncorporation of natural and informal resourcesUnconditional care
14Defining WrapAround Three Levels of Definition PracticeProgramSystem
15Defining Wraparound Practice Implications Strengths/assets from first conversationBlending of formal & informal resources in planning & decision makingTargeted activities designed to meet needs spoken by familyFlexing existing service categories & delivery based on spoken needsAssure consumer voice, choice & preferenceCare in context of families & home communities
16Defining Wraparound Program Implications “No reject no eject” contracts or practiceFlexible service delivery which builds on family system & community resourcesMaximizing informal resourcesValues base in terms of results for familiesChanging staff roles to assure that comprehensive focus of care is metPartnerships with consumers in planning, developing & delivering response
17Defining Wraparound System Implications Integration across systems to assure flexible response through every doorBuilding accessible resource poolsMaximizing opportunities for partnershipsPoint of service contractingSystem decision making in context of careSanctioning individual family teams as full decision makersBuilding a strength focus in monitoring activities
18Mental Health Services Act The outcomes that the California Department of Mental Health wants to achieve as a result of the MHSA.People have things to do which are important to them, including things such as employment, vocational training, education, and social and community activities.People are able to have safe and adequate housing, children are safe living with their families and there are fewer numbers of people who have no place to live.People have family and friends to help them and to be with them and provide support for them.People can get the help they need when and where they need it.There are fewer adults in the jails and young people in juvenile halls who have serious mental health problems.Most mental health services and supports are voluntary, where the person chooses the services and supports they want. There are less “involuntary services” which are services such as having to be in a hospital or a locked institution, or children having to live in a place which is not their own home or with their own family.Source: A Readers Guide to Mental Health Services ActCommunity Services and SupportsThree-Year Program and Expenditure Plan Requirements
19Key Structure Options for Supporting Wraparound Community teamAdministering agencyLead agenciesService coordinatorsChild and family teamsSpecialized providersInformal community supports
20Wraparound Support Structure FamiliesInverting the structureAll levels support familiesConnections between families, program & communityBuilding a new agency & system cultureChild & Family TeamsAgency Management TeamSystemsCommunity TeamBoard of Supervisors
21Community Team Composition Systems RepresentativesParentsCultural leadersBusiness leadersClergyFamily membersYouthOther
22Children in Wraparound In, or at risk of, high-level Group Home Placement and:Wards of the Court (W&I 602)Dependents of the Court (W&I 300)Certified eligible for Mental Health services (AB3632, 27.6, etc.)Have been adopted and are eligible for the Adoption Assistance Program (AAP).