Transcript Comprehensive Community Mental Health Services Program for

Our Children Succeed Initiative
(OCS)
Northwest Minnesota Council of Collaboratives
Annual Meeting -- October 31st, 2007

Brenda Anderson, Project Director
 Maureen Hams, Parent, Governance Board
Member
 Colleen MacRae, Social Marketing/TA/

Communications Director
 Tim Denny, Evaluation Specialist
 System of Care Parents, Partners and Staff
OUR CHILDREN SUCCEED INITIATIVE
A Children’s Mental Health System of Care
serving Kittson, Mahnomen, Marshall, Norman, Polk and Red Lake
Counties
603 Bruce Street  P.O. Box 603  Crookston, MN 56716  (218) 281-0265 
Fax: (218) 281-6261  www.ourchildrensucceedinitiative.org
Our Children Succeed Initiative is a partnership of children, youth, parents
and caregivers who promote competent and coordinated services designed to
enhance access to, and the effectiveness of, services for children and youth
with social, emotional and behavioral concerns and their families in
Northwestern Minnesota.
We believe that services need to reflect the culturally and linguistically
diverse needs of families served including respect for heritage, customs,
beliefs, and values of racial, ethnic, religious and social groups in a familydriven, youth-guided process to identify and carry out needed services.
Northwest – Oct. 2006
Kittson, Polk, Marshall, Red
Lake, Norman, Mahnomen
and the White Earth Indian
Reservation
STARS for Children’s
Mental Health – Oct. 2005
• Benton, Sherburne,
Stearns and Wright
PACT4 – Oct. 1999
• Yellow Medicine, Renville,
Kandiyohi, Meeker, and the
Upper Sioux Community
Our Children Succeed Initiative
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Application submitted via the Northwest
Minnesota Council of Collaboratives
 Polk County Social Services is the fiscal host
 Funded through: Substance Abuse and Mental
Health Services Administration (SAMHSA) -Comprehensive Community Mental Health
Services Program for Children and their Families
and administered by Children’s Mental Health
Services Division of SAMHSA
 Funded from October 2006 – September 2012,
$7.5 Million Dollars
Grants or Cooperative Agreements
awarded to provide:
 A broad
array of comprehensive
community based services for children
with serious emotional, behavioral or
mental health disorders
 To enable communities to develop local
systems of care consisting of mental
health, child welfare, education, juvenile
justice and other child serving agencies
System of Care Value Base
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System of Care is a philosophy of how care should be delivered
One family: one plan
Community-based responsiveness
Increased parent choice
Increased family independence
Care for children in context of families
Care for families in context of community
Never give up
Build on strengths to meet needs
An ideal System of Care model includes a comprehensive spectrum
of mental health and other necessary services which are organized
into a coordinated network to meet the multiple and changing needs
of children and their families
Agencies compliment each another, staff work as part of a child’s
care team
Target Population:
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Children and Adolescents who have a diagnosable mental health
disorder; and specifically:
1.
Children with mental health issues in out-of-home placements
Youth who meet the above criteria involved in 1) the juvenile
justice system 2) the child welfare system
Youth with co-occurring mental health and substance use/abuse
issues
Infants and young children with mental health issues
Young adults (18-21) with mental health issues
It is estimated that 1,783 children over the age of 9 and young
adults struggle with a serious emotional disturbance in our region
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Overarching Goal of Our Initiative:
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To bring our current System of Care to full
scale by:
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Including parents and youth as partners and codecision makers
Reaching un-served, under-served at-risk children,
youth and young adults and culturally distinct
populations
Applying Evidenced Based Models of Intervention
Evaluating the effectiveness of the system of care and
it’s component services
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Governance Committee
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Reports to the Council of Collaboratives and is
responsible for project oversight, program
design & development, monitoring and
evaluation, appointment of other committee and
team members, development of a grievance
policy and procedures, periodic review of
sustainability plan and meets monthly
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51% of members parents, 49% CEO’s and
Superintendents
Planning Team
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Appointed by the Governance Board and works to ensure all activities of
the project reflect preferred practices related to:
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strategy and implementation development
social marketing (overseeing the development and implementation of a
social marketing plan of action to increase awareness of children's
mental health issues and to provide communication support linking all
partners under a shared vision of the Our Children Succeed Initiative)
cultural and linguistic competency (ensuring all activities of the project
reflect preferred practices related to cultural and linguistic competence)
interagency training/workforce development (continuously review all
aspects of service delivery, assessing workforce issues and training
needs to realize Initiative goals)
youth and parent involvement
training and technical assistance
evaluation
The membership includes the Initiative staff, direct care providers,
parents, representatives from culturally diverse groups, advocacy
organizations and representatives from the Council of Collaboratives.
Objectives:
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Objective #1: Reduce out-of-home and out-ofregion placement of children with severe
emotional disturbance by at least 50% by Year 6,
from 237 children to 118 children.
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Objective #2: Reduce hospitalization,
involvement in the juvenile justice system,
homelessness and chemical abuse, while
increasing employment, successful transition to
higher education programs, and independent
housing for youth and young adults ages 18 –
21 who experience severe emotional
disturbance or co-occurring disorders.
Objectives:
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Objective #3: Reduce by 40% by Year 6, the
rates of school truancy, school drop outs,
chemical abuse and homelessness, with a focus
on youth in the juvenile justice system, youth
experiencing co-occurring disorders, and youth
and young adults from diverse cultures with
severe emotional disturbance.
 Objective #4: Reduce the number of young
children at risk for developing a severe
emotional disturbance.
Benefits to Children and Families
“enrolling” in our System of Care
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Family has access to a family mentor, with an
initial phone call occurring within 48 hours
 Child and Family will have a formal family and
child team meeting scheduled within the first 72
hours of referral, first meeting can be facilitated
either by the wrap coordinator/facilitator, county
case manager or other individual involved with
the family trained in the wrap process and
approved by the family
Benefits to Children and Families
“enrolling” in our System of Care
 Families
choosing to participate in a
universal intake process will see less
duplication and reduced burden of
paperwork
 If children and their families are referred
for enrollment in the System of Care and
do not meet eligibility criteria, a referral to
existing community supports and services
will be offered
Specific OCS Initiative
Activities Include:
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Diagnostic and evaluation services
School-based mental health assessments,
consultation, training and crisis intervention
Child and Family Care Team meetings via fidelity
wrap around process
Early childhood mental health prevention and
intervention activities
Expansion of Evidenced Based Interventions,
including Functional Family Therapy, Family Group
Decision Making
Specific OCS Initiative
Activities Include:
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Family mentors and youth leaders to help
children and their families with questions,
concerns and unmet needs
 Implementation of Transition to Independence
Process (TIP)
 Intensive Care Management Services assisting
children and families
Specific OCS Initiative
Activities Include:
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System Enhancement Activities (training
opportunities on excelling in our System of Care;
training/consultation on cultural diversity; training
on Evidenced Based Practices)
 Social marketing: providing factual information to
schools and child-serving agencies and the
public about mental health issues – destigmatizing mental health
Other benefits:
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Liaison from the MN Dept of Human Services assigned
to our project
 Linking with the state to utilize MN Practice Wise an
evidenced based practices data base
 Small amount of “Flexible funding” to help children and
families meet treatment goals
 For our Native American population, including Native
Healing Traditions related to our System of Care goals
 Tele-Mental Health Services
 Education/Training/Outreach/Information Dissemination
to Physicians, Law Enforcement, Judges, Respite
Providers on general and specific children’s mental
health issues
Year 1 Accomplishments:
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Formation of our Governance Board, comprised
51% parents and 49% Agency Executive
Directors and a Superintendent
 Formation of an Administrative Committee
 Formation of a Planning Committee, responsible
to the Governance Board to address Systems
Issues regarding Cultural and Linguistic
Competence, Evaluation, Training and
Workforce Development and Social Marketing
Year 1 Accomplishments
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Completed the following work plans: Family Involvement, Clinical
Services, Early Childhood
Following work plans in process:
 Cultural Competence
 Enrollment
 Dual Diagnosis
 School-Based Services
 Youth in Transition
 Youth Involvement
 Juvenile Justice
 Evaluation
All plans include our SOC goals, objectives and strategies to guide
service delivery.
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Year 1 Accomplishments
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OCS staff hired (see handout)
Planning and coordination with each of the
County Social Services Agencies who provide
children’s mental health case management and
referral services
 Monthly planning meetings with White Earth
Tribal Human and Mental Health Services
 Participation in technical assistance federal site
visits in June 2007 & October 2007
 Active participation of State Liaison - Kathy
Jefferson
Year 2 Objectives
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Start serving children and families in Our Children
Succeed by December 2007
 Continue Governance Board, Administrative and
Planning Committee Meetings
 Continue to involve parents throughout the system as
partners and co-decision makers
 Enhance our youth involvement throughout the system
 Continue to enhance relationships between child-serving
agencies and school districts
 Implement Early Childhood strategies including training,
consulting and home-visits with children and families
Year 2 Objectives
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Fully utilize family mentors
Further develop roles and responsibilities for
youth leaders and work on a hiring plan
Complete mental health screenings and
diagnostic assessments on children who appear
to be struggling with a mental health issue
Expand intensive care coordination and in-home
family therapy services
Implement Youth in Transition (18-21) services
via the Transition to Independence Process
Year 2 Objectives
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Provide crisis intervention and consultation
Provide school-based mental health
assessments, training and consultation
Implement social marketing strategies to destigmatize children’s mental health issues
Continue to work closely with our State Liaison,
linking our project to the MN Department of
Human Services
Utilize ITV and Tele-mental health, when
appropriate
Year 2 Objectives
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Conduct Professional, Parent and Youth
Leadership training
Offer workforce development training
Implement specific children’s mental health
trainings, based on requests and staff availability
Complete a systems-wide cultural and linguistic
competence assessment
Engage in Evaluation to include data collection
and feedback to partners, consumers and
stakeholders
Major Strengths of our Current
System of Care
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Our communities already offer quick access to services,
many home and community based services and
excellent collaboration, cooperation and communication
amongst agencies and schools
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Passionate and committed parents, youth, service
providers and school personnel focused on the goals of
this Initiative…
Greatest Potential for Growth
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Our greatest potential for growth is:
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Establishing a well-coordinated Family-Driven System of
Care
Enhancing our communication and information
dissemination process so that parents, youth and partners
are well informed regarding System of Care activities
Assuring that youth are involved in our System of Care
through all aspects of services and outcomes
Utilizing Child and Family Care teams to develop a plan of
care for the children served
Launching a community-based social marketing campaign
Assuring the best possible outcomes for children and
families in Northwestern Minnesota
Contact Information
Brenda Anderson, MSW, LICSW, Project Director,
Our Children Succeed Initiative, Northwestern Mental Health
Center
[email protected] 218.281.3940
Terri Heggie, Lead Family Contact, Polk County Social Services
[email protected] 218.281.3127
Colleen MacRae, Social Marketing/Communications/Technical
Assistance Director, c/o Northwestern Mental Health Center
[email protected] 218.281.3940
www.councilofcollaboratives.org
www.nwmnconnections.org
www.ourchildrensucceedinitiative.org
218.281.0265