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Where Are We Going

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Title: Where Are We Going


1
Advising OMHSAS Our Childrens System of Care
Who, What, Where, How
Wendy Luckenbill Mental Health Association in
PA wluckenbill_at_mhapa.org Sherry Peters, PA
Office of Mental Health and Substance Abuse
Services, Childrens Bureau shepeters_at_state.pa.us
PA 2005 Children's Interagency Training
Conference
2
  • New Directions in PAs
  • Childrens System of Care Planning
  • Mobilizing for Quality Reform

3
The Stars Are Lined Up We Need to Plot Our
Course.
  • 20 yrs of research supports effectiveness of
    CASSP principles the critical need for
    stakeholder voice.
  • New Freedom Commission finds BH in disarray,
    supports prevention, community services, and
    collaboration.
  • Political climate supportive of implementing
    research and focusing on outcomes.

4
Changing Course
PA CASSP ADVISORY COMMITTEE
5
How Do We Communicate?
6
How Do We Work Together?
7
Approaching the Old Barricades
8
How is PA Planning for Children?
  • Governors Cabinet for Children and Families
  • Commission for Children and Families
  • DPW DOH PDE Labor and Industry JCJC PCCD
  • MHPC
  • CBHTF
  • ATF
  • Budget, Insurance, Office of Health Care Reform,
  • Governor's Office of Policy and Governors Chief
    of Staff

9
State Planning for Childrens Behavioral Health
LOCAL REGIONAL


MHPC Other State Agency
Planning
Efforts
Mental Health Planning Council Provides Ongoing
Oversight Federal Mandates for Mental Health
Planning Councils / US Act 102-321 1. To
review plans... submit... recommendations...for
modification to the plans. 2. To serve as an
advocate for ... children with a severe emotional
disturbance... 3. To monitor,
review, and evaluate, not less than once a year,
the allocation adequacy of MH services within
the state.
PA CHILDRENS ADVISORY
10
OMHSAS VisionEvery individual served by the
Mental Health and Substance Abuse Service system
will have the opportunity for growth, recovery
and inclusion in their community, have access to
culturally competent services and supports of
their choice, and enjoy a quality of life that
includes family and friends.
  • OMHSAS Guiding Principles- The Mental Health and
    Substance Abuse Service System will provide
    quality services and supports that
  • Facilitate recovery for adults and resiliency for
    children.
  • Are responsive to individuals unique strengths
    and needs throughout their lives.
  • Focus on prevention and early intervention.
  • Recognize, respect and accommodate differences as
    they relate to culture/ethnicity/race, religion,
    gender identity and sexual orientation.
  • Ensure individual human rights and eliminate
    discrimination and stigma.
  • Are provided in a comprehensive array by unifying
    programs and funding that build on natural and
    community supports unique to each individual and
    family.
  • Are developed, monitored and evaluated in
    partnership with consumers, families and
    advocates.
  • Represent collaboration with other agencies and
    service systems.

11
The New Landscapewww.dpw.state.pa.us/General/Abou
tDPW/SecretaryPublicWelfare/003670792.htm
Partners
12
Commission on Children Families. Governors
Exec. Order www.oa.state.pa.us/oac/cwp/view.asp?
A351Q177796
  • The Governor will appoint a Commission on
    Children and Families (hereinafter referred to as
    "Commission") to assist and advise the Cabinet
    to
  • (1) Identify policy, program, and systemic
    barriers that prevent state and local governments
    from effectively and efficiently serving the
    needs of children and families.
  • (2) Formulate remedies and solutions to
    identified problems.
  • The Commission will consist of members appointed
    by the Governor.
  • The Commission currently has 35 members which
    represent stakeholders from every region of the
    state. There are 6 regional chairs, and a chair
    person. Regional chairs conducted regional
    forums in 2004 to solicit local input for the
    current budget cycle.

13
System of Care
  • Participating Counties
  • Dauphin
  • Chester
  • Allegheny
  • Montgomery
  • Bucks
  • Chester
  • Lehigh
  • Elk
  • Northumberland
  • Lycoming
  • Lackawanna
  • Purpose of Grant To create and enhance local
    capacity to improve outcomes for children and
    adolescents with emotional and behavioral needs
    and multi-system involvement (CY/JJ) or at risk
    for out of community placement.
  • OHMSAS, OCYF Family Consultant State Team
  • Administration for Children and Families 3 year
    grant
  • Focus- Children in CY and JJ with SED
  • One county- Dauphin funded first
  • 10 other counties Technical Assistance and
    possible Funding in 2005 (Mini grants)
  • Promoting CASSP Principles System of Care
    models including Family Decision Making
  • Local Family/Provider/Stakeholder Planning Teams

14
MacArthur MH/JJ Model Systems Project ?
MacArthur County Projects Mental
Health Allegheny Chester Erie Aftercare
Allegheny Cambria Lycoming York Philadelphia
Disproportionate Minority Confinement
(DMC) Berks Allegheny Philadelphia
  • 3 year grant- Goal- to develop local models of
    systems change in policy practice
  • Juvenile Law Center- coordinator/lead entity
  • www.jlc.org/home/juvenilejustice/mac.php
  • Pa Collaboration for Youth- coordinating
    stakeholder voice at state and local levels
  • www.mhapa.org/pcy/index.stm
  • A state core groups will participate in a
    strategic planning process to
  • 1. Identify reform goals and specific objectives
  • 2. Prioritize reform areas
  • 3. Outline strategies for selected outcomes.
  • 4. Report to the Foundation.
  • National juvenile justice experts provide
    training and technical assistance to state and
    local partners

15
Childrens BH Task Force ? www.dpw.state.pa.us/G
eneral/AboutDPW/SecretaryPublicWelfare/CBHT/
  • Charges
  • Develop recommendations to improve the delivery,
    management, and financing of children's
    behavioral health.
  • Create a comprehensive report on improving the
    current service delivery system.
  • Membership- open and inclusive, seeking family
    representation of at least 50 percent
  • Currently 700 members
  • Committees
  • Each has a family and a provider facilitator
  • Adolescent
  • Childhood
  • Early Childhood
  • Family/Community
  • Funding
  • Research
  • Rural
  • Training
  • Transition

16
Integrated Childrens Services Planning
www.dpw.state.pa.us/General/AboutDPW/SecretaryPu
blicWelfare/IntegratedServicesPlan05-06/DPW/DOH
Counties now engaged in a comprehensive approach
to serving children, birth to twenty-one years of
age, their families through programs that focus
on long-term prevention, early intervention,
services that support family stability, child
safety, healthy child development.
  • Year One
  • establish a local vision for children family
    services and supports
  • identify planning partners, including families
    adolescents in the system
  • highlight current strengths of the local system
    identify local, state, or federal regulatory or
    fiscal barriers that limit the ability to
    operationalize the vision
  • move to a process of targeting and tracking
    desired outcomes appropriate performance
    measures for counties that are also consistent
    with federal and state outcomes measures.
  • In the first year of integrated childrens
    service planning, counties
  • submitted plans that address the components
    presented in this document based on their current
    level of coordinated service delivery.

17
Integrated Childrens Services Planning Year 2
  • Bulletin distributed on April 29, 2005
  • Guidelines being developed by DPW/stakeholder
    workgroup
  • Counties will submit 2006-2007 plans by August
    15, 2005
  • Half day trainings will be held in the month of
    June to provide technical assistance for counties

18
Cross System and OMHSAS Workgroups
  • SAP- Trained School District teams identify
    students with BH needs and refer with family
    partnership.
  • Stigma ?- Funded campaign expands existing adult
    project- Open Minds Open Doors.
  • Pilots ?- Transition-Federal Block Grant funds
  • Partial Hospital/ED ?- Improve education in
    Partials
  • Resilience/Recovery ?- Expand and Promote
  • Suicide Prevention- Promote PAs Suicide
    Prevention Plan
  • Quality Improvement- Outcome Measurement for
    OHMSAS
  • Seclusion and Restraint- Develop specific
    standards for children based on success of PAs
    Adult State Hospital Model.

19
Opportunities for Input- Where Are You?
20
County CASSP Coordinators
  • Local and Regional Stakeholder Groups
  • Your county CASSP coordinator connects you to
    local planning activities including
  • County MH/MR board
  • County CASSP Advisory Board
  • County Integrated Planning
  • SAP in local schools (including County
    Coordination Teams and District Councils)
  • Transition Coordinating Councils (Communities of
    Practice)
  • Local Interagency Coordinating Councils (Early
    Intervention)
  • In HealthChoices Counties- Childrens
    HealthChoices Advisory Groups
  • Any special planning activities- i.e. MacArthur
    JJ, System of Care
  • Current List of coordinators by county at
  • http//pacassp.psych.psu.edu/
  • Go togt Publicationsgt CASSP Coordinators

21
Partnering Checklist
  • Everyone on equal footing- same information, same
    language
  • ? Does everyone speak in everyday language- or
    explain terms
  • ? Are there interpreters/translators
  • ?Are there opportunities for all members to get
    background info
  • ?Are there clear minutes
  • ?Are there multiple ways to connect, inform,
    participate
  • ? Are there frequent reality checks- Any
    concerns, questions?
  • Everyone equally welcomed- geographic,
    socio-economic, cultural, ethnic diversity
    affirmed
  • ? Are there ongoing cultural competency
    activities
  • Everyone equally able to access- place,
    information, meetings, networking, training
  • ?Are meetings well attended and if not is there a
    variety of outreach to determine how to get
    authentic and robust participation by the broad
    diversity of stakeholders
  • TA- Esp. for Building Family Partnerships-http//f
    fcmh.org/pub_facts.htm

22
OMHSAS Guiding Principles
  • The Mental Health and Substance Abuse Service
    system will provide quality services that
  • Facilitate recovery for adults and resiliency for
    children
  • Are responsive to individuals unique strengths
    and needs throughout their lives
  • Focus on prevention and early intervention
  • Recognize, respect, and accommodate differences
    as they relate to culture/ethnicity/race,
    religion, gender identify and sexual orientation
  • Ensure individual human rights and eliminate
    discrimination and stigma
  • Are provided in a comprehensive array by unifying
    programs and funding building on natural and
    community supports unique to each individual and
    family
  • Are developed, monitored and evaluated in
    partnership with consumers, families and
    advocates.
  • Represent true collaboration with other agencies
    service systems

23
OMHSAS Unified Systems Strategy 2004-05
  • To assure that individuals receiving treatment in
    our state hospitals have the opportunity to live
    and thrive in open integrated community settings,
    by continuing to examine OMHSAS ability to close
    or consolidate state hospitals while building
    community partnerships and integrating funding to
    support a model that promotes recovery.
  • To redesign the childrens behavioral health
    system to better meet the needs of children and
    their families.
  • To expand behavioral health managed care
    statewide.
  • To commit to a quality management system which is
    built on sound data systems.

24
OMHSAS/Stakeholder Planning Drives Quality
Management of Outcomes
  • OBJECTIVE 2
  • To redesign the childrens behavioral health
    system to better meet the needs of children and
    their families
  • Target (expected change/time period)
  • Goals Supported
  • Treatment, services and supports are provided
    where, how and when needed
  • Funding will support the OMHSAS vision
  • Supporting Projects/Initiatives-aforementioned
    plus,
  • Education services to youth in Partial Hospital
    programs
  • Options for residential and out of home
    placements
  • Seclusion and Restraint
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