Transcript No Slide Title

Family CARE
McHenry County, Illinois
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What is the level of need for behavioral and
emotional support within our schools and
communities:
• Approximately 20% of our youth exhibit complex
problems; 10% have a serious emotional
disorder
• Only 2% of school age children are identified
with serious emotional disorders.
• Fewer that 1 in 4 students with significant
emotional and behavioral needs are receiving
minimally adequate treatment, both in school
and the community(Surgeon General’s Report,
2000)
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Selected Findings for Children
• Of children with serious emotional/behavioral
disorders: ~50% drop-out of high school (compared to
30% of students with other disabilities) (Dept of Education)
• Youth entering Juvenile Justice: ~66-75% have serious
emotional problems (Coalition on Juvenile Justice; Teplin)
• ~500,000 children in foster care: estimates up to 85%
have emotional/behavioral and/or substance abuse
problem; 44% < 5 yrs old (The AFCARS Report: Preliminary FY 2001
Estimates as of March 2003. Washington, D.C., DHHS, 2003. ( latest federal statistics on
foster care supplied by the states for the Adoption and Foster Care Analysis and Reporting
System; Zero to Three)
• 1/3 children in mental health system have a cooccurring disorder (~age
11; ~age 17-18 SA)
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Presenting Problems of Youth
Admitted to MH Services: 1997
50%
46%
44%
41%
24%
20%
16%
16%
13%
11%
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Update, www.ihhcpar.rutgers.edu, 2002
Key Learnings:
• Mental health consumers/
youth/families are not in the mental
health system – de facto systems
• Stigma: key barrier to changing
practice
• Gap between what we know works
and what we practice.
• Places that have changed their
systems: better outcomes and cost
savings
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Estimates of # of children who need support
in McHenry County communities such as:
– Hilltop Elementary School 502/20%=100
intense need for service 50 students
– McHenry Middle School
870/20%=180
intense need for service 90 students
SCHOOLS CAN NOT DO IT ALONE…….
NEED COLLABORATION OF ALL
COMMUNITY PARTNERS AND FAMILIES
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Systems of Care
Within 2 years of receiving services in our system
of care communities, we found the following
outcomes for our children and youth:
• Arrests were down by 50 %
• Detention/ incarcerations were down 33%
• School performance improved with increases in
attendance and passing grades an
• Increased student and family satisfaction
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System of Care Communities of the Comprehensive Community
Mental Health Services for Children and Their Families Program
Passamaquoddy Tribe, ME
Maine (3 counties)
New Hampshire (3 regions)
Vermont 1 (statewide)
Sault Ste. Marie Tribe, MI Vermont 2 (statewide)
King County, WA
Maine (4 counties)
Worcester County, MA
Blackfeet Tribe, MT
Worcester, MA
Clark County, WA
Bismarck,
Rhode
Island 1 (statewide)
Fargo, & Minot,
Montana & Crow Nation
Rhode Island 2 (statewide)
Multnomah County, OR
ND
Albany
Mid-Columbia Region
Minnesota
Monroe
Rhode Island 3 (statewide)
County, NY
(4 counties), OR
(4 counties) Wisconsin
County, NY
Sacred Child Project, ND
Connecticut (statewide)
(6 counties)
Clackamas County, OR
Southeastern Connecticut
Ingham
Erie County,
Westchester County, NY
Lane County, OR
County, MI
New York, NY
Willmar, MN
NY
Idaho
Oglalla Sioux
Detroit, MI
Mott Haven, NY
Kalamazoo County, MI
Northern Arapaho
Tribe, SD
Burlington
County, NJ
Cuyahoga
Yankton Sioux Tribe, SD Milwaukee, WI
Tribe, WY
South Philadelphia, PA
County, OH
United Indian Health Service, CA
Allegheny County 1, PA
Chicago, IL
McHenry County, IL
Lake County, IN
Allegheny County 2, PA
Lyons, Riverside, & Proviso, IL
Nebraska
Wyoming (statewide)
Beaver County, PA
Southern Consortium
(22 counties)
Glenn County, CA
Delaware (statewide)
Butte County, CA
& Stark County, OH
Marion County, IN
Montgomery County, MD
Placer County, CA
Lancaster County, NE
Alexandria, VA Baltimore, MD
Napa & Sonoma Counties, CA
Denver area, CO
Washington, DC
Charleston, WV
St. Louis, MO
Rural Frontier, UT
Northern Kentucky
Sacramento County, CA
Southeastern
Contra Costa County, CA
Edgecombe, Nash, & Pitt Counties, NC
Eastern Kentucky
Kansas St. Charles County, MO
San Francisco, CA
Colorado (4 counties)
Urban Trails, Oakland, CA
North Carolina (11 counties)
Sedgwick
Clark County, NV
North Carolina (11 counties)
County, KS
Nashville, TN
Monterey, CA
Southwest Missouri
Mecklenburg County, NC
California 5 (Riverside, San Mateo, Santa
Navajo Nation
South Carolina (3 counties & Catawba Nation)
Maury County, TN
Oklahoma (5 counties) Mississippi River
Cruz, Solano, & Ventura Counties)
Greenwood, SC
Delta area, AR
Santa Barbara County, CA
California Rural Indian
Birmingham, AL
Charleston, SC
Los Angeles County, CA
Gwinnett & Rockdale
Health Board, Inc., CA
Choctaw Nation, OK
Counties, GA
San Diego County, CA
Las Cruces, NM
Pima County, AZ
Ft. Worth, TX
Hinds County, MS
El Paso County, TX
Travis County, TX
Harris County, TX
Hillsborough County, FL
Southeastern Louisiana
Sarasota County, FL
Funded Communities
Date
Number
Fairbanks Native
Association, AK
Wai'anae &
Leeward, HI
Guam
Honolulu, HI
Yukon Kuskokwim
Delta Region, AK
Puerto Rico
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West Palm Beach, FL
Broward County, FL
1993–1994
1997–1998
1999–2000
2002–2004
2005
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Systems of Care
A system of care is a coordinated network of communitybased services and supports that are organized to meet the
challenges of children and youth with serious mental
health needs and their families. Families and youth work
in partnership with public and private organizations so
services and supports are effective, build on the strengths
of individuals, and address each person’s cultural and
linguistic needs. A system of care helps children, youth
and families function better at home, in school, in the
community and throughout life.
Gary Blau, Child, Adolescent and Family Branch, CMHS, SAMHSA
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Creating a Vision for Your
System of Care: Principles
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Families Driven
Youth Guided
Cultural competence
Interagency collaboration
Home, community, and school-based
Individualized strength-based care
Continuous Quality Improvement (CQI)
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Definition of Family Driven
Care
Family-driven means families have a primary decision
making role in the care of their own children as well as
the policies and procedures governing care for all
children in their community, state, tribe, territory and
nation. This includes:
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choosing supports, services, and providers;
setting goals;
designing and implementing programs;
monitoring outcomes;
managing the funding for services, treatments and
supports and;
– determining the effectiveness of all efforts to promote the
mental health and well being of children and youth.
Osher, Federation of Families for Children’s Mental Health and
Child, Adolescent and Family Branch, CMHS, SAMHSA
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Management Team
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Project Director
Key Family Contact
Youth Coordinator
Clinical Director
Evaluator
Cultural competence coordinator
Training Coordinator-Program Developer
Social Marketing Coordinator
Other:
– Interagency Team Administrators
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– Family Organizations
Infrastructure Development
• Governance Structures
– Interagency collaboration
– Policy and oversight
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Administrative/Management Team
Individualized care team
Local community interagency teams
County/State/Tribal interagency team
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Program development committee
Training committee
Out-of-community gate keeping committee
Management Information System committee
Financing committee
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Infrastructure Partners
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• Families
• Community
• Youth
Child Welfare
Juvenile Justice
Education
Mental Health
Substance Abuse
Primary Care
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Individualized Care Plan
Individualized care plan refers to the
procedures and activities that are
appropriately scheduled and used to
deliver services, treatments, and supports
to the child and family.
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Defining Wraparound
Wraparound is a philosophy of care that
includes a definable planning process
involving the child and family that results in
a unique set of community services and
natural supports, individualized for that
child and family to achieve a positive set of
outcomes. However, wraparound does not
equal a “complete” system of care. It is
only one component.
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Changing Relationships
• Everyone needs help to:
– View the process differently;
– Act and interact in new ways;
– Feel comfortable with the process; and
– Own and believe in a new way of working
together.
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If you are a administrator, your role
in the process:
• Know your role in Family CARE
• Know your teachers and service providers strengths,
expectations and needs
• Ask questions….how do we know we are being effective
(data)?
– Are we getting better outcomes for the children,
families, for our schools or agencies?
– Are we using evidence based practices ?
– Are we partnering well with each other?
• Participate in district level collaborative council or group
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If you are a teacher or service
provider, your role in the process:
• Know your role in Family CARE
• go to meetings prepared with your lists of strengths of
your system, expectations and needs not only for the
children, but yours as well
• Ask questions….how do we know we are being effective
(data)?
– Are we getting better outcomes for the child, family,
for me?
– Are we using evidence based practices ?
– Are we partnering well with each other?
• celebrate your successes, no matter how small
• use data to support your feedback, not just opinions
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Questions and Answers
?
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