Children’s Mental Health System Change Initiative COSA Conference March 10, 2006 Bill Bouska Matthew Pearl Office of Mental Health & Addiction Services.

Slides:

Advertisements

Similar presentations

State of New Jersey Department of Human Services Division of Addiction Services (DAS) Adolescent Task Force.

Advertisements

Senate Criminal Justice Committee Interim Charge 1 June 21, 2006.

A Service Delivery Strategy for Colorados System of Care Draft July 11, 2012.

Accessing Substance Abuse and Mental Health Services in Washtenaw County Barrier Busters Presentation July 24, 2013.

1 NM Behavioral Health Collaborative New Mexico Behavioral Health Plan for Children, Youth and Their Families March 2007.

Statewide Children’s Wraparound Initiative COSA Conference Presenters: Erinn Kelley-Siel Mary Lou Johnson Larry Sullivan.

Eliminating Disparities In Children’s Mental Health: Improving Access in Rural Nebraska Beth Baxter, M..S. Regional Administrator Region 3 Behavioral Health.

Center for Innovative the Begun Center for Violence Prevention Research and Education 1.

OVERVIEW OF DDS ACS HCBS MEDICAID WAIVER. Medicaid Regular state plan Medicaid pays for doctor appointments, hospital expenses, medicine, therapy and.

Building a Foundation for Community Change Proposed Restructure 2010.

Tropical Texas Behavioral Health Tropical Texas Behavioral Health provides quality behavioral healthcare with respect, dignity and cultural sensitivity,

AR System of Care. The Problems Not meeting the needs of the child, youth and family Increasing number of children being removed from their homes and.

Nevada PEP. 2 A System of Care is a child-centered, family-focused plan of care in which the needs of the child and family dictate the types of services.

CW/MH Learning Collaborative First Statewide Leadership Convening Lessons Learned from the Readiness Assessment Tools Lisa Conradi, PsyD Project Co-Investigator.

Family-Driven Care Values in the Child/Family System and Using Values in a Cultural Context.

1 Maximizing Opportunities to Increase Child and Family Well Being Through Innovative Funding Approaches A Look at Massachusetts Angelo McClain, Ph.D.,

Linking Actions for Unmet Needs in Children’s Health

Building a System of Care in Child Welfare: North Carolina

Wraparound – A Team Based Approach. What is Wraparound? Evidence-based model for youth involved in multiple systems Facilitation of child and family teams.

Wraparound Milwaukee was created in 1994 to provide coordinated community-based services and supports to families of youth with complex emotional, behavioral.

Commonwealth of Massachusetts Executive Office of Health and Human Services Improving the Commonwealth’s Services for Children and Families A Framework.

Building Effective Service Systems for Children and Families Presentation by: Sheila A. Pires Human Service Collaborative Washington, DC The President’s.

Children’s System of Care Collaborating to Serve the Children and Families of New Jersey.

Systems of Care and Wraparound: S upporting Success for Children and Families at the State and Local Level 2011 Fall Conference for Administrators of Special.

Local Right to Education Task Force November 27, 2012.

2006 System of Care Start-up Webinar Series1 System of Care: From Vision to Infrastructure Sandy Keenan, Education Resource Specialist, Technical Assistance.

Preventing Family Crisis Finding the Assistance that your Family Needs.

Overview of Systems of Care Susan Steckel, MSSW Early Connections Network Director Tennessee Department of Mental Health Tennessee Prevention Advisory.

WRAPAROUND MILWAUKEE “Never doubt that a small group of committed citizens can change the world: indeed, it’s the only thing that ever does.” Margaret.

NW Minnesota Council of Collaborative’s: “Our Children Succeed Initiative” Overview 2/7/07.

West Coast University NURS 204

Child and Adolescent Task Force Report Charlotte V. McNulty, Vice Chair Presentation to House Health, Welfare and Institutions General Assembly Building.

CONCEPT 1. Grant $3.2 million 5-year grant Awarded by the Administration for Children and Families 55 Applicants – CT 1 of 5 States Nationally ◦ Selection.

KENTUCKY YOUTH FIRST Grant Period August July

NYS HCBS Waiver. Services Process: NYS OMH solicited input from both children’s mental health services providers and families across NYS Sample of providers.

A System of Care for Children’s Mental Health: Expanding the Research Base Using the System of Care Practice Review (SOCPR) to Facilitate System Transformation.

One Community’s Partnership with Juvenile Justice Dawn Project 2004 Marion County, Indiana.

Systems of Care Philosophy: A Native Perspective on the National Initiative Andy Hunt, MSW NICWA Director of Community Development for Children’s Mental.

Children’s Mental Health Reform Overview: North Sound Mental Health Administration Prepared by Julie de Losada, M.S./CMHS

Background Wraparound Milwaukee was created in 1994 to provide a coordinated and comprehensive array of community-based services and supports to families.

1 Sandy Keenan TA Partnership for Child and Family Mental Health(SOC) National Center for Mental Health Promotion and Youth Violence Prevention(SSHS/PL)

Los Angeles County Department of Mental Health Partner to Montebello Unified School District.

Services Overview: Mental Health/Substance Use Disorders Programs and Managed Care Plans 1 Medi-Cal Managed Care Plans (MCP) County Mental Health Plan.

Jody Levison-Johnson – CSoC Director COORDINATED SYSTEM OF CARE PRESENTATION TO LAKE CHARLES CHILDREN & YOUTH PLANNING BOARD NOVEMBER 3, 2011.

Mental Health Care in the Community Chapter 5. Continuum of Care Ongoing clinical treatment and care matched with intensity of professional health services.

THE KATIE A SETTLEMENT: IMPLICATIONS FOR CalSWEC Child Welfare Committee Mental Health Committee Oakland February, 2012.

D B H D S Virginia Department of Behavioral Health and Developmental Services A Plan for Community-Based Children’s Behavioral Health Services in Virginia.

A LEGISLATIVE UPDATE ON BEHAVIORAL HEALTH AND INTELLECTUAL AND DEVELOPMENTAL DISABILITIES Mental Health Needs Council by Amanda Jones, J.D. Legislative.

Fostering Local and National Collaboration to Support Continuous Quality Improvement Angela Sheehan, ORC Macro Beth Dague, Project Director, Project Tapestry.

Service Delivery GOAL: To provide a comprehensive system of care designed in partnership with the community, service providers, and payors.

NY START Systemic, Therapeutic, Assessment, Resources, and Treatment January 2016.

System of Care-Overview Principles and Values. Coordinated System of Care Team An initiative of Governor Bobby Jindal Office of Juvenile Justice Department.

The NC Certified Community Behavioral Health Clinic Planning Grant DIVISION OF MH/DD/SAS.

Comprehensive Youth Services Assessment and Plan February 21, 2014.

Strategic Planning  Hire staff  Build a collaborative decision- making body  Discuss vision, mission, goals, objectives, actions and outcomes  Create.

Purpose Of Training: To guide Clinicians in the completion of screens and development of Alternative Community Service Plans.

A COMPREHENSIVE SYSTEM OF CARE FOR CHILDREN AND FAMILIES Ken Berrick, Founder and Chief Executive Officer Seneca Center for Children and Families

ROSIE D. V. ROMNEY Implementing the Court Order. The Court Decision 1/26/06: Court enters sweeping decision finding Massachusetts in violation of EPSDT.

1 Child and Family Teaming (CFT) Module 1 Developing an Effective Child and Family Team.

By Jo Turlington

County Leadership Family Member Orientation. 2 System of Care is, first and foremost, a set of values and principles that provides an organizing framework.

Accessing Services for Youth with Developmental Disabilities through the Children’s System of Care Clarence Whittaker Manager, Community Services Children’s.

Care Coordination for Children, Young Adults, and Their Families

Minnesota Department of Human Services | mn.gov/dhs

Panhandle Partnership for Health and Human Services

AspireMN Member Meeting

Assessing Your System of Care: The System of Care Rating Tool

Wraparound Oregon Designing a coordinated service system for children, youth and their families.

Building a Full Continuum of Integrated Crisis Services

Children’s Behavioral Health in Rhode Island March 26, 2019

Presentation transcript:

Children’s Mental Health System Change Initiative COSA Conference March 10, 2006 Bill Bouska Matthew Pearl Office of Mental Health & Addiction Services

The Current Children’s Mental Health System

System Design The current system of care uses mental health organizations (MHOs), community mental health programs (CMHPs) and direct contractors of psychiatric residential and day treatment programs to deliver services.

MHO Service Areas Jefferson Behavioral Health Greater Oregon Behavioral Health, Inc. ABHA Clackamas County Mental Health Mid-Valley Behavioral Care Network Washington County DHHS Multnomah Verity LaneCare FamilyCare

Early Intervention Services Health Screening & Treatment Public Health State of Oregon Department of Human Services Office of Mental Health and Addiction Services Children’s Mental Health System of Care LEAST RESTRICTIVEMOST RESTRICTIVE Community Based CareInpatient Based Care Therapeutic Nursery Clinic Based Services Assessment, Diagnosis, Treatment Individual Therapy Family Therapy Group Therapy Case Coordination Skills Training Consultation School Based Services Assessment, Diagnosis, Treatment In-Home Family Svs Respite Support Therapy Community Crisis Svs Screening Evaluation Stabilization Psychiatric Day Treatment Services Therapeutic Group Home After School Programs Mental Health Assessment & Evaluation Centers Proctor Care Treatment Foster Care Mental Health Services in Residential Programs Local Acute Psychiatric Hospital Residential Psychiatric Treatment Inpatient Treatment Child and Adolescent Treatment Service Program State Hospital (CATP) Secure Children’s Inpatient Program (SCIP) Sub-Acute Day Hospital

Children’s Psychiatric Residential Treatment Services

Psychiatric Day Treatment Services

Prevalence of MH Disorders Oregon Population under 18 years of age is 884, ,802, 20% have a diagnosable disorder. 106,081, 12%, have a Serious Emotional Disturbance. OMHAS SERVED APPROXIMATELY 33,220 IN 04-05

Number of Children Served Approximately 33,220 in Community Outpatient/Crisis 29,154 Psychiatric Residential Treatment 1034 Oregon State Hospital and Secure Children’s Inpatient Program 97 Psychiatric Day Treatment 570Acute Care 325

System Design Problems Prior to October 1, 2005, children’s funding was separate and uncoordinated. Acute care and outpatient services were administered through Mental Health Organizations and Community Mental Health Programs. Psychiatric Day Treatment Services and Psychiatric Residential Treatment Services were administered through direct state contracts outside the local system structure.

Children’s System Change Initiative The Children’s System Change Initiative is designed to create a standardized method of determining a child and a family’s level of service need, assure care coordination, increase service flexibility and interagency collaboration, and increase accountability at a local and state level.

System of Care (CASSP) Principles Child-centered (individualized, strengths-based) Child-centered (individualized, strengths-based) Family-driven (full partner at every level) Family-driven (full partner at every level) Community-based (reliance on informal & natural supports) Community-based (reliance on informal & natural supports) Multi-system (collaboration, coordination) Culturally competent (understand, respect diversity) Least restrictive, intrusive (most natural, least disruptive)

Recent Changes Implementation of the Children’s System Change Initiative:   Elevated family members as key participants   Adopted a uniform community-based method of referral, assessment, and appropriate level of mental health need and services.   Established new outcome and performance measurements.

Level of Need Determination Multiple points of referral Multiple points of referral Administration of Child & Adolescent Service Intensity Instrument (CASII) Administration of Child & Adolescent Service Intensity Instrument (CASII) Consideration of other risk factors Consideration of other risk factors

Coordinate Screening & Assessment MHO, CMHP OR Designee Conducts Referral Coordinated Service Planning Multiple Points of referral: Coordinated Service Planning: Family Mental Health & Addiction Services Child Welfare OYA/Juvenile Justice Schools/Special Education Other Community Providers & supports Intensive Community- Based Treatment & Support Services to include: Care Coordination Child * Family Teams Services Coordination Plans w/ access to an Integrated Service Array- level of service intensity meets level of need. Diagnosis is the focus of service planning. Level of Service Intensity Need Determination of Non- Emergent Referrals Level of Need Determination Process Level of Need Determination Process

Continuous Care Coordination Care Coordinator and team plan, implement, and review Service Coordination Plan. Coordinator develops a supportive relationship with family & facilitates communication between team members.

Child & Family Team The Child & Family Team is comprised of the family, care coordinator, involved child- serving agencies & informal and natural supports.The Child & Family Team is comprised of the family, care coordinator, involved child- serving agencies & informal and natural supports.

Service Coordination Plan The Service Coordination Plan identifies strengths, needs, and goals across life domains. It organizes and supports related planning.

CSCI – Systems Elements

Community Care Coordination Committee Membership of this committee will represent the local system of care and will provide practice- level consultation and problem solving for involved parties. Membership of this committee will represent the local system of care and will provide practice- level consultation and problem solving for involved parties.

Local/Regional Advisory Council Formed by the MHO, this council will be comprised of at least 51% family members and will provide oversight for the system, providing recommendations for improvement to the MHOs and LMHAs

State Advisory Committee This committee is composed of 51% family members and provides statewide oversight of the children’s mental health system, mental health policies and programs. This committee is composed of 51% family members and provides statewide oversight of the children’s mental health system, mental health policies and programs. It is linked to the OMHAS Planning and Management Advisory Council. It is linked to the OMHAS Planning and Management Advisory Council.

Children’s System Change Initiative Overarching goals are to keep kids: Overarching goals are to keep kids: At home At home In school In school Out of trouble Out of trouble

Questions