Transcript Preventing Family Crises

Preventing Family Crisis
Finding the Assistance that
your Family Needs
Outline of Session



How to find services that your child
and family needs
Strength-based and family and child
driven approach to services
Explanation and examples of various
services for children and families
Community Service Boards


CSBs are the local government agencies
responsible for mental health, mental
retardation and substance abuse services
for citizens in their communities.
CSBs are mandated by the Code of
Virginia (37.2-500) to provide “core”
public behavioral healthcare services to
children and adults meeting specific
eligibility criteria.
CSB Core Services


Core services as defined by code consist
of emergency services and care
management “subject to the availability of
funds”.
Virginia code also says that other core
services may include inpatient, outpatient, day support, residential,
prevention, early intervention and other
services and supports that are necessary
to assist citizens.
CSB Required Roles
In order to ensure that the best interests of
children, families and the state are
served, CSBs are required by code to
fulfill these roles:

Providers of core services and
supports

Mangers of Care and advocates

Gatekeeper-local point of accountability
and responsibility for services and
resources
System of Care
Approved by the national Substance Abuse
and Mental Health Services Administration
(SAMHSA)
 Virginia has chosen this philosophy of care
for guiding services provided to children
and their families.
 Core Values include:
Child-centered and family-driven
Community-based (wrap-around) care
Culturally Competent

System of Care
VALUES and PRINCIPLES:
 Comprehensive array of services and supports
 Individualized service plans specifically tailored to
children and family’s strengths and needs
 Families, youth and any other person that the
family invites are full participants in all aspects
and the planning and delivery of services
 Integrated services (providers and family- all on
same page)
 Care management provided
 Early identification and intervention
 Receipt of services without regard to race,
religion, national origin, gender, etc.
Wraparound Approach
Wraparound is a family-centered and
strength-based approach that utilizes
a highly individualized planning
process to help families achieve
important outcomes by helping them
meet their needs both within and
outside of formal human services
systems while they remain in their
homes and communities.
Wraparound Key Premises








Highly individualized service plans (how
family wants their lives to be)
Family-driven plan (child and family
choose team, goals, strategies)
Natural supports
Outcome focused
Flexible and flexibly funded
Culturally competent
Normalized (every family needs outside
assistance from time to time)
Unconditional care
Types of Services













Intensive Care Coordination
Intensive In-Home
Crisis Intervention
Crisis Stabilization
Case Management (Care Coordination)
Waivers
Therapeutic Day Treatment
Mental Health Support Services and Mentoring
Respite
Natural Supports
Outpatient individual, family and group therapies
Psychiatric
Note: For a comprehensive listing, refer to the Office of the
Inspector General’s report on Child and Family Services at
www.oig.virginia.gov
Intensive Care Coordination


New service for children who are atrisk of entering, or are placed in,
residential care.
Children should be identified to
receive these services by their local
Family Assessment and Planning
Team (FAPT).
ICC Values
We believe that

All children deserve safe, nurturing and permanent homes
and permanent family connections.

Child safety is first and foremost.

Parents have the right and responsibility to raise their own
children.

The family and youth perspective must be honored at all
times and service plan must reflect the family’s values and
preferences.

Coordinating community services to transition or maintain
children in their homes is a public responsibility and that
public agencies should serve the community in this role.