Transcript System of Care in WA…

Children’s Mental Health Reform
Overview: North Sound Mental Health Administration
Prepared by Julie de Losada, M.S./CMHS
10.30.12
Drivers
 NSMHA
 Regional
(CPET)
Children’s Executive Policy Team
 T.R. Settlement Agreement
(2012)
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2SHB1088 (2007) -Wraparound
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2SHB2536 (2012) - EBPs
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2SHB2264 (2012) – Child Welfare Reform
SYSTEMS OF CARE FRAMEWORK
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Community-Based
Coordinated Network
Partnerships with Families
Culturally & Linguistically Competent
A spectrum of effective, community-based services and
supports for children and youth with or at risk for mental
health or other challenges and their families, that is
organized into a coordinated network, builds meaningful
partnerships with families and youth, and addresses their
cultural and linguistic needs, in order to help them to
function better at home, in school, in the community, and
throughout life.
NEW: SIX KEY ADDITIONS
Enhanced Cross System
Referral Process
• Allied systems will have specific instructions on how and
when to refer to RSN to request intensive services.
Child and Adolescent Needs • One 26 question retrospective
and Strengths Assessment Tool
• One 63 in person
(CANS)
• Based on CANS score, MUST be offered Wraparound.
Expanded Child and Family
Teams (CFTs) aka Wraparound • Ages 0-21
Specific Services for Transition
Age Youth (ages 16-21)
• Employment, education, training, housing, natural supports
• Plan linked across systems –supported transitions
Child/Family Specific
Performance Improvement
Project
• Most likely based on CANS data
• Start June 2013
Child/Family Specific Mobile
Crisis Intervention and
Stabilization Services
• Not yet in our contract, but coming…
• Works with family post crisis for a defined period of time.
CHILD WELFARE RFP: FAMILY SUPPORT
AND RELATED SERVICES 2SHB2264 (2012)
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B.
C.
Creating a flexible, accountable community-based system
of care that utilizes performance-based contracting,
maximizes the use of evidence-based, research-based, and
promising practices, and expands the capacity of
community-based agencies to leverage local funding and
other resources to benefit children and families served by
the department;
Improving child safety, child permanency, including
reunification, and child well-being outcomes through the
collaborative efforts of the department and contracted
service providers and the prioritization of these goals in
performance-based contracting; and
Implementing performance-based contracting in a manner
that supports and complies with the federal and
Washington state Indian child welfare act.
Opportunities
Increased care coordination
 Increased community-based services
 Increased trauma focused care
 Increased data informed decision making
 Better focus on unique needs of 16-21y/o
 Better parent/caregiver involvement
 Better cross system coordination
 Ability to develop expert-level workforce
 Increased resiliency!
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Strategies
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RFQ – Late Spring 2013
Build on current workforce knowledge
Robust training to counter model drift
Learning collaborative
Potential parent partner agency
More youth in advisory roles
CPET
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System mapping
Dashboard
Cross-system SOC commitment
SOCI
Draft Planning Needs
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Community stakeholder meetings
Estimating future capacity need
Develop training plan
CANS flow
Determine relevance of CALOCUS
“Child” vs. “Adult” providers
Coordination w/ existing crisis system
Process for monitoring outcomes
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MH system
Allied systems
Family/youth
Community
Questions?
NSMHA Point of Contact
Julie de Losada
360-416-7013
[email protected]