Durham County Board of County Commissioners June 4, 2012

Durham System of Care will develop and maintain an integrated, streamlined service delivery system based on best practices, outcomes and accountability while providing leadership for system level change and continuous quality improvement

 Homelessness ◦ Shelter Coordination Team  Criminal justice ◦ Mental Health/Criminal Justice Advisory Committee ◦ Jail Coordination Team  Crisis Services  Transition Age Youth ◦ BECOMING ◦ Connected x25 (Drop Out Recovery)

 Total SOC county budget: $365,000  The Durham Center SOC budget: $756,327  SAMHSA budget: $626,439  Total Cost: $1,747,766

 Currently the County funds 5 FTE’s ◦ Ann Oshel, Director (50% SAMHSA match) ◦ Debra Duncan, Community Liaison (50% SAMSHA match) ◦ Bea Laney, SBMH Project ◦ Teka Dempson, Family Partner Coordinator (100% SAMHSA match) ◦ Vacant, Evaluator  Total Cost: $365,000

 Housing Specialist  Hospital Liaison  Care Coordinators  Court Liaison  Court Psychologist  Jail Liaison  School Liaison  Child SOC Coordinator  Peer Support  Total Cost: 756,327

 Project Director  Training/TA Coordinator  Youth Coordinator  Social Marketing Coordinator  Cultural and Linguistic Competence Coordinator  Outreach Coordinators  3 Care Coordinators  Employment Coordinator  Total cost: $626, 439

 Care Review Coordinator (new position)  Community Relations Specialist (new position)  Jail Liaison (new position)  Court Liaison  Community Liaison  Family Partner Coordinator  Hospital Liaison  Child SOC Specialist  Housing Specialist  Care Coordination

 Network of Care  Care Review  Child and Family Teams  BECOMING  Training  Partner with School Based Mental Health Project  Community Collaborative  Special Events ◦ Children’s Mental Health Day ◦ Making a Difference Awards Breakfast ◦ Steps Forward

 On-line community resource directory and electronic medical record capability  Increased number of participating organizations by 198 last year ◦ Senior services ◦ Juvenile Justice ◦ Spanish speaking  Number of participating organizations: 1206  Increased marketing efforts ◦ Community presentations ◦ Brochures ◦ magnets

 DPS$1000  Public Health$1000  BECOMING$3000  DSS$2000  Durham Center$5000  Total cost: $12,000/annually

 A multi- disciplinary, collaborative process between professionals, the individual, child and family and members of their support team to increase access to needed services and supports.  Based on self determination and recovery to improve their quality of life.

 6 specialized teams meeting almost 225 times last year ◦ Child Team ◦ Adult Team ◦ Hispanic Team ◦ Transition Age Youth Team ◦ Shelter Team ◦ Juvenile Justice Team

77% Data obtained from follow up telephone surveys with a sample of recipients of Independent Living Initiative (ILI) funds.

 Reduced admissions by 75% since 2007 with monthly averages less than the state goal  Last fiscal year 100% of those admitted from homelessness were discharged to a residence ◦ 40% discharged to transitional housing/group living ◦ 35% discharged to permanent housing

 Begin tracking outcome data in addition to descriptive data already collected  Design specialized studies on target populations for more detailed analysis  Clarify target populations to capture high risk/high cost persons

 Provided TA to over 328 teams  Conduct annual evaluation to measure fidelity of teams to the national best practice indicators  Offered CFT training to over 200 participants

 Develop web based database to register all CFT’s  Improve tracking of common consents  Explore options to increase participation in evaluation (peer evaluators, Care Coordinators, etc…)  Increase technical assistance to teams to ensure adherence to fidelity  Offer more ongoing training opportunities

 Has allowed us to accelerate and develop certain aspects of SOC  Pays for an infrastructure that supports all aspects of SOC  Have been purposeful to ensure the strategies fit the overall mission of SOC- the “greater good” work of SOC needs to continue

 Stewards of Children  Trauma informed practices learning series  Child and Family Team  Futures Ready transition planning  Ready to Rent  SOAR for disability applications

 Been selected as a trauma informed learning community by the National Council on Behavioral Healthcare  Revive SOC training program now that curriculum has been endorsed by DMH/SAS/DD  Cross Agency  Explore on-line learning options

 Need to rebuild leadership support amongst public stakeholders  Increase a SOC approach within key community issues  Host Steps Forward event to develop strategic priorities  Re-instill that SOC is meaningful and relevant to all vulnerable citizens and non-traditional partners- not just to the MH and SA population/providers  Explore opportunities for cross system studies