1. Collaborative Management HB 1451

2. Collaborative Management Program (CMP)
In 2004, the Colorado General Assembly passed House Bill to establish collaborative management programs. The General Assembly determined that the “development of a uniform system of management is necessary for agencies at the state and county levels to effectively and efficiently collaborate to share resources or to manage and integrate the treatment and services provided to children and families who benefit from multi-agency services.” {CRS (2)}

3. Collaborative Management Program Legislative Declaration 24-1.9-101
The legislative intent of HB 1451 was to address the increasing number of families served by more than one agency or system ( juvenile justice, child welfare, health/mental health, education), which has placed significant demands on agencies’ resources. The resulting CMP is designed to improve both the quality and cost-effectiveness of interventions for Colorado children, youth and families. The legislation calls for the development of local collaborative management process that bring together agencies and services for at-risk and/or high system-use children youth and families.

4. Overlap of Five Systems
CW (N=1,881)
MH (n=1,728) 92% of CW has MH
DYC (n=873) 46% of CW has DYC
SA (n=377) 20% of CW has SA
DD (n=136) 7.2% of CW has DID
December 11, 2015

5. System Order Progression of 1,881 High Expenditure Youth
CW=833
(44.3%)
MH=902
(47.9%)
1st System
N=1,881
DYC=146 (7.8%)
MH=632
(75.9%)
CW=669
(74.2%)
2nd
MH=58 (39.7%)
DYC=76
(9.1 %)
CW=88 (60.3%)
DYC=233 (25.8%)
N=1,756 (84%)
: Child Welfare’s Top 20% of Expenditures
Make the diameters proportionate to % of total N (1881)
MH, CW, DYC for order left to right- so pull in grouped images first then change sizes
Let the Ns stay, remove disappear animcation
3rd
DYC=
171 (27.1%)
MH=54 (71%)
CW=233 (100%)
CW=58 (100%)
MH=74 (84.0%)
DYC=247 (36.9%)
N=837 (48%)
*The % presented represent the percent of youth coming from the preceding system. The graphic areas represent the percent of youth out of the original sample of 1,881

6. Goals of Collaborative Management (CMP)
Develop a more uniform system of collaboration that includes the input, expertise, and active participation of family advocacy organizations
Reduce duplication and eliminate fragmentation of services
Increase the quality, appropriateness, and effectiveness of services
Encourage cost sharing

7. Mandatory Partners 24-1.9-102 Department of Human/Social Services
Judicial District, including probation services
Health Department (can be public health or county)
School District(s)
Community Mental Health
Behavioral Health Organization
Division of Youth Corrections
Managed service organization for the provision of treatment services for alcohol & drugs
Domestic abuse program if representation from such a program is available

8. Target Population
At risk children and youth ages birth through twenty-one years of age and their families who would benefit from a multi-system approach or integrated services plan

9. Opportunities for Improvement
Colorado Logic Model
MISSION: a uniform system of collaborative management for agencies to effectively and efficiently collaborate to share resources, to manage and integrate the treatment and services provided to children and families who would benefit from multi-agency services.
Context
Goals
Strategies
Outcomes
Population
Duplication / Fragmentation
Establishment of MOU that outlines a process for collaboration
Interagency Oversight Group (IOG) active participation
Appropriateness
Implementation of Individualized Service and Support Teams (ISST)
Development of Integrated service plans
Implementation of evidence based or evidence informed practices
Creation of prevention programing that serves at risk children & youth
Effectiveness
Development of a process for continuous quality improvement
Reporting of accurate and consistent data
Implementation of a robust and rigorous evaluation on the effects of CMP
Cost
Flexible funds that promote cost sharing among systems
Family
Provide family involvement resources and training opportunities to build and expand family representation
Family peer support
Youth peer support
Children & families at risk of or multisystem involved and had an ISST
SOC children & youth with SED
Children and families at risk of multisystem involvement and are served by a CMP Prevention programs
Reduce duplication and fragmentation of services
Increase quality , appropriateness and effectiveness of services
Encourage cost sharing among systems
Encourage active participation of family members, family advocates and family-run organization representatives
Reduce
flow of children into multiple systems
child welfare involvement
involvement in the juvenile justice system
Improve
educational attainment
children and youth physical health
children and youth mental and behavioral health
Increase
family and youth representation on the CMP
Opportunities for Improvement
System
Collection of data across systems to achieve goals
Consistent practice principles across CMP sites
Alignment of process & performance measures across CMP practices
Consistent collaboration expectations across systems
Joint accountability across agencies
Community
Enhancing state & local partnerships to address service gaps
Alignment of fiscal and programmatic resources to reach outcomes
CMP # population SFY 15 = ISST (7,027) Prevention (2,599)

10. Funding &
Funding for CMP can be from 3 different sources:
Incentive Funds
Divorce Fees Distributed to County CW through CFMS
Based on Process Measures and Performance Measures achieved
General Funds – 1.5 million General Funds
Child Welfare Block Funds
Selection of Savings or Surplus

11. What is an IOG: Interagency Oversight Group
6/25/2018
What is an IOG: Interagency Oversight Group
Local stakeholders participate in the CMP through membership on an IOG and by implementing local service models aligned with CMP goals. CMPs are then eligible to receive earned incentive funding in support of their work.
The state requires all IOGs to meet a core set of common elements:
Inclusion of all 10 mandatory partners
Establishment of a collaborative process that addresses risk sharing, resource pooling, performance expectation, outcome monitoring and staff training
Local stakeholder participate in the CMP through membership on an IOG and by implementing local service models aligned with CMP goals. CMPs are then eligible to receive earned incentive funding in support of their work. State requires set of common elements: 9 mandatory partners, collaborative process that address

12. IOG Strategies/Activities
IOG oversees ISST process 1) Knows how many children and youth are served by each ISST each month 2) Knows barriers families face when going through the ISST process 3) Works as a collaborative body to address barriers at a system level 4) Determines which population are appropriate for which level of ISST process – ie: high fidelity wrap vs. CYPM IOG oversees prevention programs 1) Data driven decision making process to determine what prevention programs are needed in the community 2) Evaluation process to determine if the program is meeting the needs of the community (family engagement survey – improvement in test scores) IOG is active in making funding decisions 1) Development of a percentage based budget prior to spending any funds to determine what money will be spent based on need and data 2) Reviews and approves budget items IOG reviews and determines successes based on family surveys – sets goal on completion rate of surveys IOG develops a data collection process at the local level to ensure that they are receiving data for clients served by the CMP

13. What is an ISST? Individualized Service and Support Team
The memorandum of understanding shall include authorization for the interagency oversight group to establish individualized service and support teams to develop a service and support plan and to provide services to children and families who would benefit from integrated multi-agency services.
The goal of an ISST meeting is to develop an integrated plan to address the complex issues & safety needs of the children and family. It is recommended that information in the plan include, but is not limited to, the following:
Tasks for which each individual/organization is responsible,
Financial responsibilities,
Timeline for completion, and
Schedule for follow-up meetings

14. ISST’s Across the State Individualized Service and Support Team
FEM - Family Engagement Meetings
MDT – Multi-disciplinary Team
CYPM – Cross-Over Youth Practice Model
RTI – Response to Intervention
Wrap Around - HFW
PRT – Permanency Roundtables

15. Prevention Programs Evidence Based Practices encouraged
Fill gaps in community as determined by a data driven process
Multi-system approach or;
Multiple systems were involved in development or enhancement of the program or;
Multiple agencies are involved in the delivery of services
Program was developed to reduce bifurcated services
Shows how joint approach benefits children, youth and families

16. Prevention Programs Across the State
School based health clinics
Incredible Years Program
Therapeutic Mentoring
School based case management
Truancy Support Programs
Employment Program
After school / Day Treatment programing
Runaway outreach and notification
Parent Partner Programs
Human Trafficking

17. SYSTEM COLLABORATION

18. Local Agencies and Service providers benefit
Who benefits from Collaborative Management? What is the value for families and communities?
Benefits To Families
Better outcomes by receiving more effective agency support
Greater availability of relevant services
Opportunity to receive coordinated support from local community members
Streamlined communication between the family and multiple service providers
Shared responsibility/accountability for service plan
Local Agencies and Service providers benefit
Duplication & fragmentation of services by agencies are reduced or eliminated
Appropriate services are better identified
Local non-profits and community members can be involved in supporting at-risk youth
Family engagement in treatment plan often improves
Cost sharing between service providers made possible
Overall costs reduced with more effective delivery of support

19. CMP and Public Health
Partners to help in the implementation of the local public health assessments and plans
Align local public health assessments and plans with other CMP partner agencies.
For example: Women’s Mental Health – Pregnancy Relation Depression strategies often requires engagement from the mental health centers which are also a mandated partner to the CMP. Bullying and Suicide Prevention often requires successful engagement from the local school districts which are mandated partners to the CMP.
Mental Health and Substance Abuse are area that have to be addressed by all 10 mandated partners to the CMP.
Multi-agency collaboration to achieve common goals can result in the creation of sustainable programs.
These programs can be funded through the CMP incentive funds.

20. CMP and CTC Communities
Sedgwick
Logan
Larimer
Moffat
Weld
Jackson
Phillips
Routt
Morgan
Grand
Boulder
Yuma
Rio Blanco
Broomfield
Gilpin
Adams
Washington
Clear
Denver
Creek
Arapahoe
Eagle
Garfield
Summit
Jefferson
Elbert
Douglas
Kit Carson
Pitkin
Lake
Park
Mesa
Teller
Delta
El Paso
Lincoln
Cheyenne
Gunnison
Chaffee
Fremont
Kiowa
Montrose
Crowley
Ouray
Pueblo
San Miguel
Hinsdale
Saguache
Custer
Prowers
Otero
Bent
Dolores
San
Juan
Huerfano
Mineral
Alamosa
Rio Grande
Montezuma
La Plata
Las Animas
Baca
Costilla
Ute Mountain Ute Tribe
Southern Ute Tribe
Archuleta
Conejos
CTC Site with CMP Program
CTC Site in non-CMP County
CMP Sites *

21. Crosswalk Description
CMP
SOC
ACF Ed. Stability
DANSR
TGYS
CTC
SB94
SYSTEM COMPONENTS
Oversight groups X
Multi-disciplinary staffing’s/Service integration (SI)/Multi-agency plans
X (SI)
Family involvement
Identification/selection of evidence-based & promising practices
Trauma-informed system
MEASUREMENTS / INSTRUMENTS
Screening/Assessment (including Trauma)
Documenting service delivery process (agencies/individuals involved; services received; use of evidence-based/informed practices; cost of services)
Family Feedback/Satisfaction
TARGETED OUTCOMES
Child Welfare (permanency; placement stability)
Juvenile Justice (recidivism; successful completion of probation) x
Education (attendance; academic performance; disciplinary issues; school stability; graduation)
Health/Mental Health (overall functioning; substance use; use of inpatient mental health; access to care)
RESOURCES / TOOLS
Common consents/release of information/data interoperability
Data sharing agreements
Statutory Mandates
Guidance re: legal issues (e.g., HIPAA, FERPA)
TECHNOLOGY / DATA SYSTEMS
Trails
Judicial ICON / JPOD
Other Statewide database
SHARED SERVICE DELIVERY MODELS
(High Fidelity) Wraparound
Team Decision-Making / FEM / FFM
Multi-systemic Therapy other EBPP
Crossover Youth Practice Model
Differential Response / PA3

22. Judicial District
CMP Counties/Regions
SB94 sit on the IOG(s)
CMP sit on their JSPC
annual plans together
System of Care
 1st Judicial District
Jefferson County No
Yes
2nd Judicial District
Denver County
3rd Judicial District
Huerfano County
Las Animas County
4th Judicial District
El Paso County
Teller County
 5th Judicial District
Eagle County
Lake County
6th Judicial District
Archuleta County
La Plata County
 7th Judicial District
Gunnison County
Montrose County
Yes 
Ouray County
No 
 No
San Miguel County
 8th Judicial District
Larimer County
9th Judicial District
Garfield County
Pitkin County
10th Judicial District
Pueblo County
 11th Judicial District
Fremont County
Park County
12th Judicial District
Alamosa , Rio Grande
Saguache County
13th Judicial District
Kit Carson County
Logan County
Morgan County
14th Judicial District
Grand County
Moffat County
Routt County
15th Judicial District
Baca ,Cheyenne, Kiowa Prowers
16th Judicial District
Bent, Crowley, Otero
17th Judicial District
Adams County
 18th Judicial District
Douglas County
Elbert, Lincoln
19th Judicial District
Weld County
20th Judicial District
Boulder County
21st Judicial District
Mesa County
 Yes
22nd Judicial District
Dolores, Montezuma

23. Colorado’s Continuum Primary Prevention Prevention Services
Intervention
Treatment
CTC
TGYS
CMP
SOC
SB94

24. RESOURCES
Tiffany Sewell Collaborative Management Administrator

25. QUESTIONS