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Statewide Childrens Wraparound Initiative

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Four subcommittees finance, local implementation, cultural competency, data & evaluation. ... Cultural Competency Recommendations. Adopt culturally ... – PowerPoint PPT presentation

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Title: Statewide Childrens Wraparound Initiative


1
Statewide Childrens Wraparound Initiative
  • COSA Conference Presenters
  • Erinn Kelley-Siel
  • Mary Lou Johnson
  • Larry Sullivan

2
Background
  • Fragmented and duplicative systems.
  • Children served in most restrictive environments.
  • Cost and outcome data not linked.
  • Public policy making not well informed.
  • Service delivery inefficient.
  • Outcomes not what we would like to see.

3
Governors Executive Order
  • Created a Steering Committee.
  • Called for a plan to
  • Provide supports as early as possible.
  • Base plans on individual needs.
  • Maximize resources.
  • Hold systems accountable for outcomes.

4
Mission
  • To build capacity to effectively serve children,
    youth and their families through a governance
    structure that oversees coordinated policy
    development, comprehensive planning, and
    collaborative budgeting for childrens services.

5
System of Care
  • 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, youth and their
    families.

6
Wraparound
  • Wraparound is an approach to implementing
    individualized, comprehensive services within a
    system of care for children and youth with
    emotional and behavioral problems.

7
Target Population
  • Children and youth birth to 18.
  • Emotional, behavioral, substance abuse related
    needs.
  • Involved in at least two systems.
  • At risk and those who already have a diagnosed
    problem.

8
Organization
  • 16-member Steering Committee.
  • Four subcommittees finance, local
    implementation, cultural competency, data
    evaluation.
  • Project team.
  • National experts.

9
Framework
  • System of Care Values and Principles.
  • Cultural Competency Standards.
  • Family and youth voice.

10
Shared Recommendations
  • Serve all children.
  • Generate family-driven and youth-guided
    individual plans.
  • Include culturally competent, non-traditional
    services.
  • Blend funds.
  • Monitor outcomes.

11
Finance Recommendations
  • Purchasing collaborative.
  • Market assessment.
  • Strategic finance plan establishing
    infrastructure that supports system design.
  • Blended funding pool (education, child welfare,
    juvenile justice, mental health).

12
Local Implementation Recommendations
  • Electronic record for service information.
  • Adopt Values and Principles statewide.
  • Connect service across a childs developmental
    stages.
  • Build local governance structure to implement
    system of care.

13
Local Implementation Recommendations
  • Manage care through care coordination one
    facilitator for each child and family team.
  • Establish a basic benefit package.
  • Put resources into a Family and Youth
    Organization.
  • Create accountability mechanisms.

14
Cultural Competency Recommendations
  • Adopt culturally appropriate services statement.
  • Adopt culturally competent standards.
  • Develop process to review traditional practices.
  • Identify ways to improve culturally appropriate
    care.

15
Data Evaluation Recommendations
  • Create standard data sharing agreements.
  • Create one or more entities at state level to
    review and select outcomes.
  • Evaluate and adjust state workforce strategies.
  • Develop and maintain two-tiered data system.

16
Key indicators
  • Educational/vocational progress.
  • Stable, homelike environment.
  • Safety.
  • Out of trouble.
  • Social/interpersonal support.
  • Mental/behavioral health.
  • Individual needs met.

17
Role of Education
  • Key partner in the collaborative.
  • Schools at the center of the child-serving
    system.
  • Shared accountability with other child-serving
    systems.
  • Investment of local dollars to leverage
    additional funding.
  • Schools are where children and youth need to be
    in order to succeed.

18
Critical issues
  • Development or enhancement of management
    information system.
  • Identification of state and local leaders.
  • Creation of blended funding structure.
  • Adoption of culturally competent standards.
  • Establish community readiness criteria.

19
Path to Implementation
  • Establish/fund implementation team.
  • Complete market assessment
  • ID management information system
  • Calculate size of system contributions for
    blended fund
  • Develop protocol for moving funds into the pool
  • Analyze administrative rules and statutes

20
Oregon will have
  • Single point of contact
  • Family and youth voice and choice
  • Least restrictive placements
  • Coordinated services
  • Blended resources
  • Infrastructure in place
  • Agencies and organizations that are accountable
    for outcomes

21
Questions?
http//www.oregon.gov/dhs/mentalhealth/wraparound/
main.shtml
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