1. A Plan for Improving the Behavioral Health of New Hampshire’s Children TRANSFORMING CHILDREN’S BEHAVIORAL HEALTH CARE Regional Presentations April-May 2013 1

2. WHAT DOES CHILDREN’S BEHAVIORAL HEALTH LOOK LIKE IN NH? Many systems Fragmented & uncoordinated No common vision Not family driven, youth guided, culturally and linguistically competent 2

3. MOMENTUM: WE NEED CHANGE Advocates Challenging fiscal landscape State philanthropic investments Demonstration projects 3

4. WHERE DO WE STAND? Strategic plan – Learning and sharing common information about what works – Digging deeper & getting specific – Agreeing on common values and principles Provides the direction for where we want to go Practice Groups & partnerships 4

5. WORKING TOGETHER Collaborative Working together to create an integrated, comprehensive children’s behavioral health system for New Hampshire which is family driven, youth guided, culturally and linguistically competent 50 + across the array of child- serving entities Steering Committee: Children’s Alliance Endowment for Health FASTER GSFFCMH NAMI NH NHCF DOE DHHS Steering Committee: Children’s Alliance Endowment for Health FASTER GSFFCMH NAMI NH NHCF DOE DHHS 5

6. STRATEGIC PLAN BASICS Birth through transition age Prevention through tertiary Mental health + substance use = behavioral health Integration Systems level: sustaining infrastructure changes 6

7. STRATEGIC PLAN OVERVIEW 9 goals (big ideas) First goal: overarching Sub-strategies: the specifics of how to make the goal happen 7

8. HOW HAVE WE ORGANIZED OUR WORK? Implementing Policy, Administrative, Regulatory Changes Developing or Expanding Services and Supports, Care Management, and Individualized Approach Workforce Changes, Providing Training, and Technical Assistance Generating Support and an Advocacy Base Creating or Improving Financing Strategies 8

9. BIG IDEAS/GOALS Big Idea: Build a common vision Common language Consistent definitions for a family driven, youth guided, community based and culturally and linguistically competent children’s behavioral health system Shared understanding 9

10. BIG IDEAS/GOALS Big Idea: Implement family- driven, youth-guided, culturally and linguistically competent systems and services Family Support Specialist Youth M.O.V.E. Trauma-informed care Interpretation and the provision of CLAS Meaningful involvement at every level 10

11. BIG IDEAS/GOALS Big Idea: Create a care management entity Manage services, costs & care CME for youth with complex behavioral challenges who are involved in multiple systems Improve outcomes Realign financing streams (blend, pool, braid) Aligns with State’s care management plans An entity to be a centralized hub with clear points of accountability A command center 11

12. BIG IDEAS/GOALS Big Idea: Develop Wraparound High fidelity Family centered, child and youth driven Care coordinator, wraparound facilitator, navigator “Wrapping” a comprehensive set of individualized services and supports and support networks “around” young people, rather than forcing them to enroll in inflexible, predetermined services or treatment 12

13. BIG IDEAS/GOALS Respite care Crisis Intervention Peer to Peer Support (family and youth) Substance use Prevention, Intervention and Treatment Trauma-based Cognitive Behavioral Therapy Evidence based or promising practices Natural supports Big Idea: Provide new services & supports Available everywhere 13

14. BIG IDEAS/GOALS Big Idea: Develop our workforce Develop and implement core competencies The Workforce reflects the people it serves Cross training 14

15. BIG IDEAS/GOALS Big Idea: Identify behavioral health needs at earlier ages and earlier stages Increase early identification & intervention Screening Schools Work with Primary Care Providers 15

16. BIG IDEAS/GOALS Behavioral problems  Student achievement  Screening Evidence-based interventions Monitoring progress Adjust intensity of services and supports Make decisions based on information (data) Children and youth are safe, feel respected, act responsibly, make good decisions and experience a positive school climate Big Idea: Create in schools a multi tiered system of support to improve students’ educational outcomes Positive Behavioral Interventions & Supports (PBIS) Response to Instruction (RtI) 16

17. BIG IDEAS/GOALS Big Idea: Use information to improve outcomes Measure outcomes and satisfaction for children, youth & families Research-based assessment tools Using data to make decisions Use data to “make the case” for investment 17

18. BIG IDEAS/GOALS Big Idea: Let people know and build support Awareness Use data to “make the case” Build support for investment in children’s behavioral health 18

19. Summit March 11, 2013 Regional Presentations SAMHSA Grant “kicks off” implementation Get Involved Visit www.NH4Youth.orgwww.NH4Youth.org 19

20. SAMHSA System of Care Grant Prioritized Goals in Plan Goal 3: Care Management Entity Approach Goal 2.4: Infuse Cultural and Linguistic Competence throughout System of Care 20

21. SAMHSA System of Care Grant (continued) Prioritized Goals in Plan Goal 5 and Goal 3.2: Training Network and Capacity for High Fidelity Wraparound Goal 2: Enhanced Capacity for Family & Youth Peer Support 21

22. Individually, we are one drop. Together, we are an ocean..... Ryunosuke Satoro 22