Chautauqua Tapestry Family driven ~ Youth guided ~ Culturally sensitive Community based ~ Evidence-based

Welcome to Chautauqua County!

What is Chautauqua Tapestry? An opportunity and challenge for Chautauqua County service and support providers to partner with youth who have emotional and behavioral challenges and with their families to create an accessible, responsive, appropriate and effective service delivery system. “Chautauqua Tapestry brings together providers, families and the community to share responsibility and resources to enhance the delivery of services and improve the lives of youth and families.”

Logic Model Chautauqua Tapestry Chautauqua County, NY Mission: Chautauqua Tapestry represents the weaving together of effective, appropriate and individualized supports and services that are accessible and comprehensive to meet the needs of youth with emotional and behavioral challenges and their families. Chautauqua Tapestry Chautauqua County, NY Vision: Systemic transformation with shared understanding and commitment to and practice of system of care (SOC) values and principles Logic Model Child Specific Family Driven Youth Guided Effective Practice Guiding Principles Community Based Least Intrusive Culturally & Language Appropriate Context Goals Strategies Outcomes Evaluation to develop a cross system delivery system including a local evaluation that can provide regular analysis of what interventions work. Population of Focus Youth with SED (Serious Emotional Disturbance) ages 0 – 21 with additional attention on: Hispanic and African American Children and Families Youth with SED involved in juvenile justice, child welfare and/or receiving special education services Care provided meets the individualized needs of youth and family System Services are offered simultaneously Enhanced communication between partners Community knowledge about SOC Improved access to services Expanded family advocacy to all service systems Plan for replication will be developed and updated for dissemination Replicable, rural countywide plan ensuring individualized child and family team/ wraparound approach throughout all service systems Full family and youth participation in system planning and service delivery Strengths System Support of CMHS funded statewide family network Support for development of Family/Youth 501(C)3 Strong, engaged Governance Body & community partners Several funded System of Care Communities in NY State. Practice Bilingual staff and advocates in numerous programs Family Support Services have a strong foundation in County Groups are in existence as potential SOC partners Community Community acknowledges need for system transformation Current family and youth support group planning Education demonstrates a commitment to System of Care practice Family and Youth Participation Services and supports provided meet the needs of the youth and family in a culturally appropriate manner Practice Increased provider cooperation Integrated SOC infrastructure across department and agencies (financing strategies, MIS, change in state policies) Inclusion of informal supports in planning Fidelity to wraparound principles Crisis services are comprehensive and appropriately accessed Directed by individual families Governance Leadership and Committees for Strategic Planning Cultural and Linguistic Competence Improving outcomes in the lives of youth and families Individualized Care/Practice Individual Child/Family Decreased out of home placement Improved CANS Access to services that meet their needs Increased involvement in family support and youth support service Improved satisfaction scores Challenges System Funding streams and program planning are not coordinated No current integration of data among services and programs System of Care roles and responsibilities need to be defined Need for engagement of non-traditional supports in SOC Practice Need for comprehensive array of crisis support services Limited outreach to ethnic/minority populations Lack of multi-language resources Lack of incentives to families & youth to participate in planning and implementation of system transformation Community Access issues (location, transportation, child care) lead to unmet needs especially in rural, high-poverty areas of County Sustainability of practice and outcomes is established throughout the system of care Building a Strong Infrastructure Community Decreased stigma of mental illness Responsive to the unique needs of each individual community member Services will be offered in accessible locations and at convenient times Decrease In High School Drop-out rate Expanded number of education partners SOC workforce is educated on best practice Professional Peer network exists in SOC. Strong cross-system infrastructure and governance support the system of care Information gathered helps improve system functioning

Seeking Collaborative Partners Education Mental Health Public Health Child Welfare Family Court

Education Partners in SOC Schools provide a logical setting for early identification of children at risk for serious emotional and behavioral health needs and for effective provision of services Positive learning experiences help prevent emotional and behavioral problems Creates strong partners who have a major role in children and family’s lives and with the community Creates a stronger awareness in the community as a whole

School Engagement - Evaluation outreach Specific Examples within Chautauqua County Schools

Possible Strategies for Addressing Barriers Philosophical Acknowledge legitimate system concerns Ensure that the goals & concerns of all stakeholders are heard Use “boundary spanners” to facilitate linkages Demonstrate the efficiencies and resource savings that may result from collaboration 8

Possible Strategies for Addressing Barriers Structural Develop written policies and procedures Initiate joint service planning Adopt common screening tools Adopt common release of information forms and processes Share best practices in programming and outcomes 9

Possible Strategies for Addressing Barriers Communication Recognize and reduce jargon whenever possible Provide cross-training to stakeholders Develop written materials that define common acronyms, terminology, service approaches Establish information sharing agreements 10

Stakeholder Resistance Possible Strategies for Addressing Barriers Stakeholder Resistance Ongoing involvement of stakeholders at all levels Provide training to stakeholders on any new expectations and their roles and responsibilities Regularly share results with stakeholders Co-training across agencies Celebrate often---even minor successes 11

Questions & Answers Presenter contact information: Mansoor A. F. Kazi, PhD Research Associate Professor & Director Program Evaluation Center (within Buffalo Center for Social Research) School of Social Work, University at Buffalo (The State University of New York) 630 Baldy Hall Buffalo, NY 14260-1050 Phone: (716) 645 3381 extension 232 Fax: (716) 645 3883 mkazi@buffalo.edu Rachel M. Ludwig, LCSW Project Director Chautauqua Tapestry Chautauqua County Department of Mental Hygiene Town of Chautauqua Municipal Building Two Academy Street, Room 202 Mayville, NY 14757 (716) 753 4513 MesmerR@co.chautauqua.ny.us