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4/10/2015 1 Service Coordination: A Recipe for Success Shared philosophy among providers Shared philosophy among providers Collaborative policy and funding.

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Presentation on theme: "4/10/2015 1 Service Coordination: A Recipe for Success Shared philosophy among providers Shared philosophy among providers Collaborative policy and funding."— Presentation transcript:

1 4/10/ Service Coordination: A Recipe for Success Shared philosophy among providers Shared philosophy among providers Collaborative policy and funding infrastructure Collaborative policy and funding infrastructure Unique services and supports Unique services and supports

2 4/10/ History of Service Coordination: 1980’s – Celeste Administration Clusters – county level cross system clinical/treatment teams. Clusters – county level cross system clinical/treatment teams. Participants were clinical level cross system personnel. Participants were clinical level cross system personnel. Parents and children often not involved in plan development. Parents and children often not involved in plan development. Focus on problems/concerns. Focus on problems/concerns. Creation of state cluster fund & application process. Creation of state cluster fund & application process.

3 4/10/ History of Service Coordination: 1990’s – Voinovich Administration Family and Children First Councils created and responsible for service coordination mechanism. Family and Children First Councils created and responsible for service coordination mechanism. Cross system approach Cross system approach Mandates included needs assessment of child, development of individual family plan, and dispute resolution process. Mandates included needs assessment of child, development of individual family plan, and dispute resolution process. State Inter-systems fund application simplified. State Inter-systems fund application simplified. SC required to access funds. SC required to access funds.

4 4/10/ History of Service Coordination: 2000’s - Taft Administration Methods to divert children from juvenile court and address at-risk unruly and adjudicated unruly youth. Methods to divert children from juvenile court and address at-risk unruly and adjudicated unruly youth. Family access to referral and dispute resolution processes Family access to referral and dispute resolution processes Strengths based assessment of family Strengths based assessment of family Required Family Team meetings with specific timelines when there are emergency or planned out-of-home placements. Required Family Team meetings with specific timelines when there are emergency or planned out-of-home placements.

5 4/10/ History of Service Coordination: 2000’s - Taft Administration Shifted from child focus to family focus. Shifted from child focus to family focus. Strong emphasis on family engagement and empowerment. Strong emphasis on family engagement and empowerment. Required access to Family Advocates or support person(s). Required access to Family Advocates or support person(s). Alignment of SC with many high fidelity WrapAround principles. Alignment of SC with many high fidelity WrapAround principles.

6 4/10/ History of Service Coordination: 2000’s - Taft Administration State inter-systems fund was discontinued and redistributed as an allocation to each mental health and recovery services board (404 dollars). State inter-systems fund was discontinued and redistributed as an allocation to each mental health and recovery services board (404 dollars). Access to Better Care 404 dollars allocated based on population. Access to Better Care 404 dollars allocated based on population. $5,681 non-behavioral health funds allocated equally to each county FCFC. $5,681 non-behavioral health funds allocated equally to each county FCFC.

7 History of Service Coordination: Mid 2000’s - Strickland Administration Access to Better Care Initiative ended Access to Better Care Initiative ended Family And Systems Together (FAST) changed to Family-Centered Services & Supports (FCSS) with a direct connection with FCFC Service Coordination Family And Systems Together (FAST) changed to Family-Centered Services & Supports (FCSS) with a direct connection with FCFC Service Coordination FCFC receive FCSS funding for families with children with multiple needs in service coordination and can be used to support non-clinical needs FCFC receive FCSS funding for families with children with multiple needs in service coordination and can be used to support non-clinical needs

8 History of Service Coordination: 2010’s - Kasich Administration FCFC continue to receive FCSS funding for families with children with multiple needs that are involved in FCFC service coordination FCFC continue to receive FCSS funding for families with children with multiple needs that are involved in FCFC service coordination FCSS funding can be used to support non- clinical needs of children and their families FCSS funding can be used to support non- clinical needs of children and their families

9 4/10/ Service Coordination Mechanism ORC (C) What’s in the law? Each county shall develop a county service coordination mechanism. The county service coordination mechanism shall serve as the guiding document for coordination of services in the county. Each county shall develop a county service coordination mechanism. The county service coordination mechanism shall serve as the guiding document for coordination of services in the county.

10 4/10/ Service Coordination Mechanism The overarching requirements for coordinating services for multi-need children in a county:  Referral  Confidentiality  Parent Participation  Assessment of Strengths and Needs  Culturally Responsive  Least Restrictive Environment  Dispute Resolution  Comprehensive Family Service Coordination Plan Process  Juvenile Court Diversion  Monitoring and Tracking Outcomes

11 4/10/ Comprehensive Family Service Plan: An Individual Family Plan Requirements for developing and implementing: Notification of and Invitation to CFSP Meetings Notification of and Invitation to CFSP Meetings Pre-Out of Home Placement Team Meeting Pre-Out of Home Placement Team Meeting Family Rights Confidentiality Confidentiality Participate in Meetings and Decisions Participate in Meetings and Decisions Invite Informal Supports / Family Advocate Invite Informal Supports / Family Advocate Approve Team Leader Assignment Approve Team Leader Assignment Initiate Meetings Initiate Meetings Dispute Resolution Dispute Resolution

12 4/10/ Comprehensive Family Service Plan: An Individual Family Plan IN THE PLAN Goals and Services Goals and Services Designation of Service Responsibilities Designation of Service Responsibilities Timelines for Goals Timelines for Goals Crisis and Safety Plan Crisis and Safety Plan Regular Reviews Regular Reviews

13 4/10/ Service Coordination Process: 1. Referral from family member, agency, or provider. 1. Referral from family member, agency, or provider. 2. Determine level of need. 2. Determine level of need. 3. Explain SC & family rights & sign necessary documents 3. Explain SC & family rights & sign necessary documents 4. Complete Strengths & Needs Assessment & Culture 4. Complete Strengths & Needs Assessment & Culture Discovery Discovery 5. Determine Family Team/Offer Family Advocate 5. Determine Family Team/Offer Family Advocate 6. Develop Family Plan including Crisis and Safety Plan 6. Develop Family Plan including Crisis and Safety Plan 7. Implement Plan 7. Implement Plan 8. Regular follow up team meetings held to monitor 8. Regular follow up team meetings held to monitor progress progress 9. Final team meeting to address transition issues & 9. Final team meeting to address transition issues & celebrate success. celebrate success.

14 4/10/ The Many Names of Service Coordination Service Coordination Service Coordination Family Support Teams Family Support Teams Wrap Around /Hi-Fi Wraparound Wrap Around /Hi-Fi Wraparound Cluster Cluster ICAT (Inter-systems Community Assessment Team) ICAT (Inter-systems Community Assessment Team) ICAT (Inter-agency Clinical Assessment Team) ICAT (Inter-agency Clinical Assessment Team) FAmily Stabilty Team (FAST) Community Wraparound Child and Family Team Intersystem Diversion Team (IDT) Kids in Different Systems (KIDS) Diversion Assessment Team (DAT) Coordinated Care Program

15 4/10/ Service Coordination Data from the FCSS Initiative Category of Service/Support Need SFY 10: # of Children Presenting with Need at Intake SFY 10: % of Children with Need SFY 11: # of Children Presenting with Need at Intake SFY 11: % of Children with Need SFY12: # of Children Presenting with Need at Intake SFY12: % of Children with Need Mental Health328562% % % Poverty % % % Special Education % % % Developmental Disability % % % Unruly101719% % % Delinquent86816% % % Child Neglect58011% % % Child Abuse4538.5% 5379%5349.4% Physical Health4438.3% %5459.6% Alcohol/Drug4849% %4137.2% HMGN/A 4808%2674.7% Total Needs12,280 13,827 13,229 The table below shows the number of needs children had when they were referred to FCFC for service coordination and were eventually served with FCSS funding in SFY 12 compared to the needs in SFY 10 &11:

16 4/10/ Service Coordination Data from the FCSS Initiative Type of Service/Support Provided SFY 10: # and (%) of Children Receiving Service/Support SFY 10: % of Total Services and Supports Provided SFY 11: # and (%) of Children Receiving Service/Support SFY 11: % of Total Services and Supports Provided SFY12: # and (%) of Children Receiving Service/ Support SFY 12: % of Total Services and Supports Provided Service Coordination4029 / (76%)29.4%3498 / (58.6%) 24.1%2129 / (37.3%)22.6% Respite1795 / (34%)13.1%2053 / (34.4%)14.1%1790 / (31.4%)19% Transportation1165 / (22%)8.5%1366 / (22.9%)9.4%1657 / (29.2%)17.6% Social/ Recreational Supports 1792 / (34%)13.1%1304 / (21.9%)9%1455 / (24.4%)15.5% Non-Clinical In-Home Visits 1788 / (33.7%)13%2178 / (36.5%)15%494 / (8.9%)5.2% Mentoring 1102 / (18.5%)7.6%448 / (8.1%)4.8% Structured Activities to Improve Family Functioning 1272 / (24%)9.3% 888 / (14.9%)6.1%443 / (8%)4.7% Parent Education 964 / (18%) Parent Ed. + Mentoring 7% 901 / (15.1%)6.2% 404 / (7%)4.3% Parent Advocacy 564 /(10.6%)3.2% 298 / (5%)2.1% 279 / (5%)3% Safety and Adaptive Equipment 180 / (3.4%)1.3%158 / (2.7%)1.1%212/ (3.7%)2.3% Other 204 / (3.8%)1.5%465 / (7.8%)3.2%106 / (1.9%)1.1% Non-Clinical Parent Support Groups 84 / (1.6%)0.6%306 / (5.1%)2.1%62 / (1.1%).7% Total 13, % 14, % 9, % The below table shows the type of services and supports families received through the FCSS Initiative in SFY 10, 11 & 12:

17 Service Coordination Data from the FCSS Initiative One of the primary purposes for the FCSS Initiative is to prevent out-of-home placements by wrapping the needed non-clinical services and supports around a family. 95.7% of children served with FCSS funds remained in their own homes in SFY 12.

18 4/10/ Questions?


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