Department of Children and Families and Department of Mental Health Residential Procurement Panel Presentation to the Board of Early Education and Care March 13, 2012 Summary Presentation

CBHI Vision The Children’s Behavioral Health Initiative places the child and family at the center of our service delivery system. Policies, financing, management and delivery of publicly- funded behavioral health services will be integrated to make it easier for families to find and access effective services, and to ensure that families feel welcome, respected and receive services that meet their needs, as defined by the family.

Supporting the CBHI Vision Through Ch. 257 Procurement Implement a structure for cross agency governance, administration and operations of residential services that supports future integration with home and community-based services, including those provided under the Children’s Behavioral Health Initiative. Jointly design, price and procure Intermediate Youth Stabilization program models that best support client and system outcomes. Implement performance based contracts that utilize fiscal incentives where feasible to leverage desired outcomes.

Programs and Services Under Residential Procurement Youth Intermediate-Term Residential Services Department Activity Code Program Projected FY10 Spending DCF FNRS Residential Schools $155,628,209 / 1,572 Beds FNGH Family Networks Group Homes FNST Family Network STARR $40,800,289 / 400 beds RESG Teen Living Programs $9,104,970 / 172 Beds DMH 3075 Individualized Support, Residential $4,318,145 / 91 Beds 3079 Child/Adolescent Residential Service $22,745,098 / 427 ** 3080 Intensive Residential Treatment $15,256,911 / 85 Beds 3081 Clinically Intensive Residential Treatment $1,936,286 / 12 Beds Total $249,789,908 / 2,759 Daily Units of Service ** a mixture of group congregate residential care and in-community intensive wraparound programs

Principles A Unified point of entry into Intermediate Youth Residential services with multiple portals Services matched to need. Access to the right level of service at the right time for the right duration Services are client-centered and family focused, are consistent with their needs, and integrate evidence based practice approaches and models Financial Incentives: reimbursement methodologies support improved outcomes Performance measures, aligned with principles and reflect the primary desired outcomes Maximum administrative efficiency through consolidation of structures and processes