Multi-agency Service Planning: IIIP April 9, 2005 Joyce Strand, Ph.D University of Minnesota Duluth Trudie Hughes, Ph.D. University of Minnesota Duluth Marva Gellhaus, Ph.D. South Dakota School for the Blind and Visually Impaired.

Minnesota System of Interagency Coordination (MnSIC) The Interagency Services For Children with Disabilities Act (M.S.125A.023) was passed in The Interagency Services For Children with Disabilities Act (M.S.125A.023) was passed in Purpose: to develop and implement a coordinated, multidisciplinary service system for children ages 3-21 with disabilities (subd. 2) Purpose: to develop and implement a coordinated, multidisciplinary service system for children ages 3-21 with disabilities (subd. 2) Phased in over a 4 year process (subd.3) by age groups. Phased in over a 4 year process (subd.3) by age groups.

Barriers that preceded MnSIC Paperwork Paperwork Multiple applications Multiple applications Multiple case managers Multiple case managers Communication Communication Service limits Service limits Turf Turf Lack of understanding between providers Lack of understanding between providers Blame Blame No coordination of services No coordination of services NOT family centered NOT family centered

Coordination of 14 Services and Agencies Maternal & Children Health Program Maternal & Children Health Program Individuals with Disabilities Act Individuals with Disabilities Act Medical Assistance Medical Assistance Developmental Disabilities Assistance and Bill of Rights Developmental Disabilities Assistance and Bill of Rights Head Start Act Head Start Act Rehabilitation Services Rehabilitation Services Juvenile Court Act Juvenile Court Act Children’s Mental Health Collaborative Children’s Mental Health Collaborative Family Service Collaborative Family Service Collaborative Family Community Support Plan Minnesota Care Program Community Health Service Grants Community Social Service Act Community Interagency Transition Committees Services provided under a health plan in conformity with an IIIP Minnesota Statute 125A

System Components Multi-agency/disciplinary screening, assessment and evaluation. Multi-agency/disciplinary screening, assessment and evaluation. Service coordination Service coordination Single Plan Development Single Plan Development Information, Resources & Technical Assistance Information, Resources & Technical Assistance Service access, identification of available resources and plans to address gaps Service access, identification of available resources and plans to address gaps Dispute resolution processes Dispute resolution processes Provision and payment of services Provision and payment of services System assurances and accountability System assurances and accountability

Single Plan Development Assure development and review of single plan Assure development and review of single plan Writing the plan Writing the plan Facilitation the coming together of team members Facilitation the coming together of team members Coordinate the identification and provision of service and funding Coordinate the identification and provision of service and funding Monitor progress and facilitate follow up and reviews Monitor progress and facilitate follow up and reviews

Individual Interagency Intervention Plan (IIIP) Purpose Purpose Coordination of existing services and supports in school, home, and community Coordination of existing services and supports in school, home, and community Document and process Document and process Contains the mandated plan requirements of many programs and services Contains the mandated plan requirements of many programs and services Product of interaction, collaboration and partnerships between the child, family, the community, and every agency involved in providing services to a child and family Product of interaction, collaboration and partnerships between the child, family, the community, and every agency involved in providing services to a child and family Standardized state web based form Standardized state web based form Eligibility Eligibility

So what is the IIIP? (Individual Interagency Intervention Plan) Strength based Strength based Only needed components are completed Only needed components are completed Confidential Confidential Well coordinated with interagency agreements Well coordinated with interagency agreements Wrap around Wrap around Person & family centered process – family takes the lead Written in family friendly language Family choice

IIIP contains statutory documentation for…. CADI – Community Alternatives for Disabled Individuals CADI – Community Alternatives for Disabled Individuals CAC – Community Alternative Care CAC – Community Alternative Care TBI – Traumatic Brain Injury TBI – Traumatic Brain Injury IFSP – Individual Family Service Plan IFSP – Individual Family Service Plan ISP – Individual Service Plan ISP – Individual Service Plan IEP – Individual Education Plan IEP – Individual Education Plan IFCSP – Individual Family Community Support Plan IFCSP – Individual Family Community Support Plan ICSP – Individual Community Support Plan ICSP – Individual Community Support Plan Multi-agency Plan of Care (Children’s Mental Health Collaboratives) Multi-agency Plan of Care (Children’s Mental Health Collaboratives)

includes the following provider plans IHP – Individual Habilitation Plan IHP – Individual Habilitation Plan ITP – Individual Treatment Plan ITP – Individual Treatment Plan Out of Home Placement Plan – non-child protection Out of Home Placement Plan – non-child protection Nursing Care plans Nursing Care plans Home Care plans Home Care plans IPE – Individual Plan for Employment IPE – Individual Plan for Employment Corrections Corrections Other provider plans or program specific plans Other provider plans or program specific plans

IIIP Planning Process : Transition Planning Family member, student, &/or other team member requests IIIP Family member, student, &/or other team member requests IIIP Eligible (rec. service from 2 or more agencies) Eligible (rec. service from 2 or more agencies) Lead agency is determined (may be education but not always) Lead agency is determined (may be education but not always) Determination of all service agencies (referral) Determination of all service agencies (referral) Service coordinator Service coordinator Strengths and needs assessments Strengths and needs assessments Facilitate team planning process Facilitate team planning process Manage implementation of support plan Manage implementation of support plan Development of an individualized plan that is family centered and team based Development of an individualized plan that is family centered and team based Implementation by participating IIIP members Implementation by participating IIIP members Team review Team review

Form MnSIC IIIP Guidebook – IIIP forms – pdf pdf

Core Elements of IIIP Demographic information Demographic information Family/student considerations Family/student considerations Description of child/student Description of child/student Shared outcomes- Shared outcomes- Goals/outcomes Goals/outcomes Objectives/indicators Objectives/indicators Services Services

Common elements Demographic information Demographic information Family/student considerations Family/student considerations Description of child/student Description of child/student

Shared Goals John John Shared outcome: increase John’s self regulation of anger behavior in home, school and community. Shared outcome: increase John’s self regulation of anger behavior in home, school and community.

Shared outcome School School Goal #1: John will increase his use of appropriate manner of disagreeing from verbal and physical aggression to disagreeing in a calm and concise manner. Goal #1: John will increase his use of appropriate manner of disagreeing from verbal and physical aggression to disagreeing in a calm and concise manner. Objective 1a– When asked, John will verbally identify the steps to disagreeing appropriately 9 of 10 times. Objective 1a– When asked, John will verbally identify the steps to disagreeing appropriately 9 of 10 times. Objective 1b – In a role play, John will make eye contact, use a pleasant voice, say “I understand how you feel,” say “I feel differently because…” and listen to the other person 8 of 10 times. Objective 1b – In a role play, John will make eye contact, use a pleasant voice, say “I understand how you feel,” say “I feel differently because…” and listen to the other person 8 of 10 times. School Service – Social Skills building/group Minutes/session – 20 minutes Service location – Langer Elementary School Frequency – 2 x per week Agency – District 709 Start date – 9/1/05 Duration – 05/06 school year Service Provider –Langer Elementary School Name – Jackie Jewel Telephone – 555-xxxx Address – Payment Source – District 709 Authorized signature

Shared outcome Mental Health or Corrections Mental Health or Corrections Goal 2 - Increase appropriate behavior at home and in the community. Goal 2 - Increase appropriate behavior at home and in the community. Objective 2 – will assist family in developing and implementing a home behavior management plan. Objective 2 – will assist family in developing and implementing a home behavior management plan. Mental Health or Corrections Service – In-Home family therapy Minutes/session – 60 minutes Service location – John’s home Frequency – 1X Agency – Social Services Start date – 9/1/05 Duration – 6 months Service Provider –Social Services Name – Jeremy Pi Telephone – 555-xxxx Address – Payment Source – Social Services Authorized signature

Shared outcome Public Health Public Health Goal 3 – increase appropriate behavior at home and in the community. Goal 3 – increase appropriate behavior at home and in the community. Objective 3a – will evaluate home for safety issues Objective 3a – will evaluate home for safety issues Objective 3b – provide support to family in implementing behavior plan Objective 3b – provide support to family in implementing behavior plan Objective 3c – assist family in locating physician for medication management Objective 3c – assist family in locating physician for medication management Objective 3d – Monitor medication, including side effects. Objective 3d – Monitor medication, including side effects. Public health Service – Home visiting Minutes/session – 60 minutes Service location – John’s home Frequency – 1X Agency – Public Health Nurse Start date – 9/1/05 Duration – 6 months Service Provider – County Public Health Agency Name – Ginny Lou Telephone – 555-xxxx Address – Payment Source – County Public Health Agency Authorized signature

Individual Transition Elements (Mn) Individual Education Plan has to address the following elements for transition aged students. Individual Education Plan has to address the following elements for transition aged students. Employment/Careers Employment/Careers Post Secondary Education Post Secondary Education Home Living Home Living Recreation and Leisure Recreation and Leisure Community Participation Community Participation

South Dakota Program Planning Course of Study Planning Form Course of Study Planning Form Accommodations checklist Accommodations checklist

Case Study “Jake” Read case study Read case study Using the sample forms in the handout – which services do you think Jake will need? Using the sample forms in the handout – which services do you think Jake will need? Develop a sample outcome that includes objectives from at least three agencies/services. Develop a sample outcome that includes objectives from at least three agencies/services.

Interagency Coordination Results Summary (Northern Lights Special Education Coop, 2004) Awareness Awareness Benefits Benefits Offering Offering Involvement Involvement Concerns Concerns Needs based format Needs based format Agency Agency Mandated agencies Mandated agencies Information source Information source Improvement recommendations Improvement recommendations Summary Summary

Specific Issues - Training Training School work day hours School work day hours Limited understanding Limited understanding Technology issues Technology issues Meetings too large and involved Meetings too large and involved Takes too much time Takes too much time Lack of administrative support Lack of administrative support Case management Case management Priorities of difference participants/agencies Priorities of difference participants/agencies

Specific Issues + Fewer meetings to attend Fewer meetings to attend Plans are better when information is shared Plans are better when information is shared Paperwork reduced Paperwork reduced Student services are improved Student services are improved Helpful to families to only have one plan Helpful to families to only have one plan