Introduction to Childrens System of Care Rebekah Behan, BS Tim - - PowerPoint PPT Presentation

Introduction to Children’s System of Care

Rebekah Behan, BS

Project Coordinator, Child Health and Development Institute of Connecticut, Inc.

Tim Marshall, LCSW

Director of the Office of Community Mental Health, Connecticut Department

• f Children and Families

Introduction to Children’s System of Care

Rebekah Behan, BS

Project Coordinator, Child Health and Development Institute of Connecticut, Inc.

Tim Marshall, LCSW

Director of the Office of Community Mental Health, Connecticut Department

• f Children and Families

Child Health and Development Institute of CT, Inc.

Our Vision All children have a strong start in life with

• ngoing supports to ensure their optimal

health and well-being. Our Mission To ensure healthy outcomes for all children in Connecticut by advancing effective policies, stronger systems, and innovative practices. Our Strategy We identify, demonstrate, support and promote effective health and mental health care innovations and improvements, working closely with providers, policymakers, academic institutions and state agencies.

https://www.chdi.org/

Connecticut Department

• f Children and Families

DCF in Connecticut is a multi- mandate agency

• Child Protective Services
• Children and Youth Mental Health

Services

• Children and Youth Substance Use

Services

• Children and Youth Prevention

Services

https://portal.ct.gov/dcf

Objectives

• Develop a clear

understanding of the values and principles of children’s System of Care (SOC)

• Identify key components

to integration and collaboration in an SOC model

• Understand the steps to

implement a system of care approach

What is Children’s SOC?

The SOC is a “spectrum of effective, community-based services and supports for children and youth with or at risk for mental health or other challenges and their families, that is

• rganized into a coordinated network,

builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.”

Stroul, B., Blau, G., & Friedman, R. (2010). Updating the system of care concept and philosophy. Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health.

SOC Core Values

• Community-based
• Family driven and

youth guided

• Culturally and

linguistically competent

From Stroul, B. (2002). Issue Brief: Systems of care: A framework for systems reform in children’s mental health. Washington, DC: Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children’s Mental Health.

SOC Guiding Principles

• Broad array of services and

support

• Be individualized
• Offer least restrictive, clinically

appropriate setting

• Involve families and youth
• Collaboration
• Care management
• Developmentally appropriate

services

• Incorporate or link
• Accountability

Why is an SOC important?

• Realizes and empowers parents as a primary resource
• Supports parents/guardians caring for their children
• Serves children and adolescents at risk for out-of-home placement in

the most appropriate and least restrictive environment

• Fosters successful partnerships
• Embraces the notion of creating comprehensive, coordinated, cultural

competent, interagency collaboration that affects the community and children’s mental health agenda

• Becomes a resource for families returning from out-of-home placement
• Collaboration brings about improved and more appropriate services for

children and their families

Culturally and Linguistically Appropriate Services (CLAS)

Services that are respectful of and responsive to individual cultural health beliefs and practices, preferred languages, health literacy levels, and communication needs and employed by all members of an

• rganization (regardless of size)

at every point of contact.

https://thinkculturalhealth.hhs.gov/clas/what-is-clas

• CT Context

Work in CT

• Bottom Up
• CLAS
• Care Coordination
• Mobile Crisis

Role of the Intermediary Organization

• Bridge the gap between

science and practice

• Identify and adapt best practice

models; serve as intermediary between treatment developer and practice implemented by provider agencies

• Integral role in developing and

supporting multiple programs or practices

Role of the Intermediary Organization in Promoting and Disseminating Mental Health Best Practices for Children and Youth: The Connecticut Center for Effective Practice, Robert P. Franks, 2010

Wraparound

• Defined by SAMHSA as “a philosophy of

care that includes a definable planning process involving the child and family that results in a unique set of community services and natural supports individualized for that child and family to achieve a positive set of outcomes”

https://nwi.pdx.edu/

10 Principles of Wraparound

1. Unconditional Care/Persistence 2. Individualized 3. Strengths-based 4. Collaboration 5. Family Voice and Choice

• 6. Natural Supports
• 7. Team-based
• 8. Community-based
• 9. Culturally competent
• 10. Outcome-based

Wraparound

Formal Resources + Informal Resources = Wraparound Elements

Formal Resources

• Assessment, Diagnosis,

and Related Services

• Crisis Services
• Non-Residential

Treatments (outpatient)

• Residential Treatments

Informal resources

• Family Members
• Neighbors/Community

Members

• Spiritual Leaders
• Coaches
• School Staff

Care Coordination

• Works with family to assess situation

and develop a “Child Specific Team”

• Oversees development of an

individualized service plan

• Advocates for service and supports
• Coordinates and monitors plan

implementation, and child and family

• utcomes

Mobile Crisis

• Accessed free of charge and offers immediate

help with any behavioral/emotional crisis involving a youth

• Crisis specialist triages crisis call
• Trained Mental Health Clinician offers ongoing

care to youth and families

• Works to establish linkages to ongoing

behavioral health care

• Advocates for service and supports
• Coordinates and monitors plan implementation,

and child and family outcomes

Formal Resource Examples

Peer Support

• Links with formal and informal supports
• Serves as a mentor, advocate or

mediator

• Teaches skills to improve coping abilities
• Assists in developing goals

How do you implement an SOC approach?

• Care management is critical to

effectiveness of services

• Support one Plan of Care
• Support the goals of continuity and

coordination

• Encompass families and youth as partners
• Utilize a strength-based focus

Pires, S. (2010). Building systems of care: A primer(Second Edition). Washington, DC: National Technical Assistance Center for Children’s Mental Health, Georgetown University Center for Child and Human Development.

Resources

Child Health and Development Institute of Connecticut, Inc. https://www.chdi.org/ The TA Network https://theinstitute.umaryland.e du/our-work/national/network/ National Wraparound Initiative (NWI) https://nwi.pdx.edu/ Substance Abuse and Mental Health Services Administration (SAMHSA) https://www.samhsa.gov/ Mental Health Technology Transfer Center Network (MHTTC) https://mhttcnetwork.org/ Plan 4 Children https://www.plan4children.org/

Contact Information

Rebekah Behan

Child Health and Development Institute behan@uchc.edu 860-679-8726

Tim Marshall

CT Department of Children and Families tim.marshall@ct.gov 860-550-6531

Martha Staeheli

MHTTC - CMH Initiative martha.staeheli@yale.edu

Valerie Gold

MHTTC - CMH Initiative vgold@c4innovates.com