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Youth and Family Training Institute

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Calls for a broad array of services and support in a child's home, school and community ... continually evaluated to support fidelity to the model, areas are ... – PowerPoint PPT presentation

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Title: Youth and Family Training Institute


1
Youth and Family Training Institute
Overview
2
Presidents New Freedom Commission found
  • Unmet need (as much as 75 do not receive special
    mental health service)
  • and fragmentation
  • and the lack of a comprehensive, systematic
    approach to childrens mental health

3
Subcommittee on Children and Families
  • Expanded the focus of the Commission which was on
    children with serious emotional disorders
  • To include intervention for children at risk for
    mental disorders
  • As well as prevention of mental health problems
    and promotion of positive mental health for all
    children

4
Vision
  • Based on a System of Care approach
  • Calls for a broad array of services and support
    in a childs home, school and community
  • In partnership with the family and consistent
    with the culture, values, and preferences of the
    child, youth and family.

5
Recovery and Resilience
  • People who are involved in supportive social
    relationships experience benefits in terms of
    health morale and coping
  • Strengthening interpersonal and community ties is
    a resilience and development promoting strategy

6
OMHSAS Call to Action
  • We spend 1 billion on childrens behavioral
    health services
  • We have little more than anecdotal evidence that
    our efforts result in desired outcomes
  • We have a wealth of talented, committed people
    with a passion for change.

7
  • Transformation Objective
  • Transform the childrens behavioral health
    system in Pennsylvania to a system that is family
    driven and youth guided

8
Establishment of Child-Family Teams
  • Establish an Institute to provide training,
    support and monitoring of Youth and Family Teams
  • Develop mechanism for Medicaid payment of Youth
    and Family Team process
  • Begin process of implementing Youth and Family
    Teams throughout the Commonwealth

9
The Process
  • Request for Applications
  • Three proposals
  • Review Team composed of youth, family, and other
    stakeholders
  • Team met with the three applicants
  • Selection of the University of Pittsburgh

10
Is it really the University of Pittsburgh?
A partnership of the University of Pittsburgh,
family organizations, youth organizations,
providers, community organizations and managed
care organizations.
  • University of Pittsburgh
  • Office of Education and Regional Programming
    (OERP), Department of Psychiatry, Office of
    Child Development, Department of Social Work
  • Pennsylvania Families, Inc. (PFI)
  • National Alliance for the Mentally Ill (NAMI-PA)
  • Western Pennsylvania Partnership for Family
    Support
  • Allegheny Family Network (AFN), chapter of the
    Federation of Families
  • Youth Outreach Union (YOU)

11
Is it really the University of Pittsburgh
(cont.)?
Pennsylvania Community Providers Association
(PCPA) CASSP Coordinators County
Administrators Western Psychiatric Institute and
Clinic of UPMC Adelphoi Village (Westmoreland
County), provider of MST Allegheny County System
of Care Initiative Beaver County System of Care
Initiative Community Care Behavioral Health
Organization (MCO for 35 counties) ..More to
Come!
12
Key Definitions
  • Family/family member A person or persons who
    are directly responsible for raising a child or
    children with mental health challenges. Usually
    a mother, father, legal guardian or
    grandparent.
  • Youth/child/young adult An individual between
    the ages of 0-25 with mental health issues.

13
So what is the problem?
  • Do you actually know what you are going to do
    or are you making this up as you go?

  • Father of an adolescent in an inpatient family
    session
  • Im glad youre happy that my rating scales
    have improved, but my life sucks.

  • A 23 year old said to her psychologist
  • Train me so I can do without you.

  • Mother of a 10 year old with severe ADHD to
    their case manager

14
Current System
15
What is the Solution?
  • High Fidelity Wraparound
  • Not current version of PA wraparound!
  • A process for supporting youth and families with
    co-occurring disorders
  • Defined by National Wraparound Initiative
  • 10 principles
  • Four phases (90 skill set training, coaching,
    facilitation and evaluation)
  • Needs, self efficacy, natural supports and an
    integrated plan

16
What is the Solution (cont)?
  • Principles of Wraparound
  • Family Voice and Choice
  • Team Based
  • Natural Supports
  • Collaboration and Integration
  • Community Based
  • Culturally Competent
  • Individualized
  • Strengths Based
  • Persistence
  • Outcomes Based and Cost
    Responsible

17
JAIMIE
18
JAIMIE (cont.)
19
JAIMIE (cont.)
20
JAIMIE (cont.)
21
JAIMIE (cont.)
22
JAIMIE (cont.)
23
JAIMIE (cont.)
24
The Youth and Family Training Institute will
  • Teach facilitators how to help youth and families
    decide for themselves what pieces belong in their
    puzzle, how to organize and coordinate the
    pieces, and how to bring all of the childs and
    familys unique puzzle pieces together so that it
    belongs to them.
  • Equip youth and families with the skills needed
    to design, assess and monitor their own puzzle.
  • Assure that facilitators have the ongoing
    knowledge and insight to address all puzzle
    pieces while assuring fidelity to the model.

25
The Youth and Family Training Institute
will(cont.)
  • Create an evaluation and monitoring function to
    continually assess the quality of each childs
    puzzle and the impact it is having on improving
    the lives of the youth and family.
  • Share relevant information about fidelity,
    outcomes, services and costs with the counties
    and with OMHSAS to effect change.

26
Implementation
1. Start-Up Activities (November 2007-April 2008)
  • Hire Vroon VanDenBerg train the trainer model.
  • Recruit, train and prepare Advisory Board.
  • Hire, train and prepare Institute staff (50
    youth/families) including director, trainers
    and evaluators.
  • Provide High Fidelity Wraparound orientation
    and training for Pitt/WPIC, OMHSAS staff,
    CASSP Coordinators, County Administrators, Youth
    and Family Leaders.
  • Develop county readiness assessment/RFP process
    and select first eight demonstration
    counties.
  • Implement High Fidelity Wraparound in
    demonstration counties.

27
Implementation (cont.)
2. On-Going Activities (May 2008-2012)
  • Actively partner with Youth and Family
    Organizations and individuals to develop
    partnerships and training opportunities.
  • Train, coach and credential wraparound
    facilitators.
  • Develop and implement a system that assures
    that services are continually evaluated to
    support fidelity to the model, areas are
    identified for improvement and outcomes are
    assessed.
  • Roll-out High Fidelity Wraparound model to all
    67 counties.
  • Engage and support System Partners in the
    transformation process.
  • Work hand in hand with OMHSAS to create policy
    and funding recommendations.

28
Future
  • Access to best practice research from
    University of Pittsburgh Department of
    Psychiatry, other Pennsylvania university
    researchers and nationally recognized
    experts.
  • Create the first true wraparound model that
    incorporates relevant aspects of the medical
    model.
  • Redefine hiring criteria for key positions.
  • Time Sensitive and other NIMH grants (for
    evaluation and best practice).
  • Technology based training (video conferencing
    etc.).
  • Other grant/funding opportunities.

Other Opportunities
29
  • On this earth not alone we stand
  • Outstretched arm and upturned hand
  • Never knowing when the shakes steady
  • And till now, we have seldom seen.
  • I will go if you go with me
  • Understand I will wait for thee
  • Ill try to catch up if you move quickly
  • If the rain does blow.
  • Indian Moon by State Radio
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