Ne b ra ska Syste m of Ca re Youth Guided, Fam ily Driven - - PowerPoint PPT Presentation

Helping People Live Bet ter Lives.

Ne b ra ska Syste m of Ca re

Youth Guided, Fam ily Driven

Transform rm at ion T Thro rough Part rt ners rships

08 08/08 08/201 017

Helping People Live Bet ter Lives.

Wh a t Is A Syste m of Ca re ?

Defin init it io ion:

“A System of Care is a spectrum of effective, com m unity-based services and supports for children and youth w ith or at risk for m ental health or other challenges and their fam ilies, that is organized into a coordinated netw ork. Bet et h St roul an and R Rober ert F Fried edm an an

Si Sim ply Sa Said:

A System of Care is NOT a program , but rather a different w ay of doing business. It is a fram ew ew ork that is “operationalized.”

Helping People Live Bet ter Lives.

Int er erag agen ency c collab aborat at ion brings together child and fam ily-serving agencies from the public, private, and faith-based sectors. Exam ples include child w elfare, m ental health, juvenile justice, education, and health in partnership to provide needed services. For exam ple, m ental health and the local schools w ork together so that a child w ith behavioral issues is not im m ediately suspended from school. Individual alized ed, s st ren engt h-bas ased ed p prac act ices es identify and build on the strengths of the fam ily and child. Fam ilies are included in creating an individual plan to provide needed services. This ensures services are easy to access, effective, and m atch the culture and language

• f the fam ily and child.

Cult ural al c com pet et en ence in the System of Care is built on the notion that in order to w ork effectively w ith a child and fam ily, there m ust be an understanding of the fam ily’s culture, race, values, and ethnic background. Com m u m m unit y-bas ased ed s ser ervices es are an integral part of the System of Care so that children and fam ilies receive effective services in their ow n hom es and neighborhoods. Full p par art icipat at ion of fam am ilies at at al all l level els o

• f t

t he e sy syst em m eans that services provided are fam ily-driven and youth guided. A com m itm ent to this practice ensures that there is fam ily and youth partnership at the com m unity and state level for the purposes of program planning and direction. Shared resp sponsi sibilit y for su successf ssful resu sult s m eans that all stakeholders (agencies, com m unity supports and fam ilies) have a responsibility to individual/fam ily

• utcom es by ensuring effective program s in each

com m unity and im plem enting System of Care effectively statew ide.

Syste m of Ca re

Helping People Live Bet ter Lives.

• Low ering the average age (in years) of first

system contact (currently 9.38 years for Nebraska.)

• Reducing the percentage of youth placed out of

hom e (currently 1 7.7 percent for Nebraska.)

• Decreasing the average annual cost per youth

(currently $4,392.90 in Nebraska.)

• Im prove school attendance rate (currently 95.2

percent in Nebraska, according to the Departm ent of Education.)

Ne SOC Priority Ou tcom e s

Th e b aselin e d ata for th e System of Care, in clu sive of d ata from th e Division s of Med icaid , Beh avioral Health , an d Ch ild ren an d Fam ily Services/Neb raska Fam ilies Collab orative an d th e Office of Prob ation , rep resen ts 37,996 un iq ue youth involved w ith any

• f th ese agen cies for any p eriod of tim e d u rin g FY15.

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Dire ctin g All Ne SOC Work

A Phased ed Work Plan Guides es t he e Sy Syst em

• 64 action steps over a three-year period

addressing:  SOC Infrastructure  Service Design and Delivery  Evaluation and CQI  Workforce Developm ent

• Perform ance m easures identified for

each phase.

Dem ons nst rat ing ng C Chang nge:

• 1

9 outcom e m easures assessing im provem ents for children, youth and fam ilies.

• Overar

arching Goal als:

 Nebraska children and youth are healthy, safe and thriving  Nebraska's System of Care provides parents and caregivers the resources they need for their fam ilies.  Nebraska's System of Care is the gold standard in delivery of m ental health services for children and youth.

Helping People Live Bet ter Lives.

Ne SOC Op e ra tion a l Stru ctu re

NeSO SOC Lead eader ership Boar ard

NeSOC C Im plem em en ent at at ion Com m it t e t t ee Fam il ily A Advis isory Co Council NeS eSOC I Im plem em en ent at at ion Work T Team eam s

Team A Team B

Im plem em en ent at at ion Work T Team eam s A.

• A. Cont in

inuous Q Qualit it y Im provem em en ent B.

• B. Cr

Cross-Sy Syst em Devel elopm en ent /Ser ervices es & S Suppo pport s C.

• C. Finan

ancial al I Inves est m en ent D.

• D. Social

al M Med edia a an and Com

• m m unicat ion
• n/SOC

Aw ar aren enes ess E.

• E. Traini

ning ng a and nd T.A.

Team C Team D Team E

LO LOCAL L LEA EADER ERSHIP A AND S SER ERVICE D E DEL ELIVER ERY T TEA EAMS

You

• ut h A

Advisor

• ry

Co Council

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Ne SOC Le a d e rsh ip Boa rd

DHHS HHS C CEO Adm inist rat at ive e Office e of t he e Court s Adm in inis ist rat iv ive O Offic ice of Probat io ion Beh ehavioral al Heal ealt h Educat at ion C Cen ent er er of N Neb ebras aska ( a (BHECN) Children’s s Com m issi ssion Fam il ily O Orga ganiz izat io ions Neb ebras aska D a Dep epar art m en ent of E Educat at ion Neb ebras aska C a Children en an and F Fam am ilies es Foundat at ion Reg egional al B Beh ehavioral al H Heal ealt h Aut horit ies es Tribal al S Societ et y of Car are Yout h P Par art ner ers (2) 2) Fam am ily P Par art ner ers (2) 2) NeSOC C Lead eader ership Boar ard m eet eet s q quar art er erly

Helping People Live Bet ter Lives.

Ne SOC Im p le m e n ta tion Com m itte e

DHHS D Div ivis isio ions DHHS Office e of Heal ealt h Dispar arit ies es Adm in inis ist rat iv ive O Offic ice of Probat io ion Reg egional al B Beh ehavioral al H Heal ealt h Aut horit ies es MCO COs –Her erit ag age e Heal ealt h (3) Fam il ily O Orga ganiz izat io ions Court Im provem em en ent P Projec ect Neb ebras aska C a Children en an and F Fam am ilies es Foundat at ion UNL Pu Public Po Policy Cent er Neb ebras aska T a Tribes es Neb ebras aska D a Dep epar art m en ent of E Educat at ion Yout h P Par art ner ers (2) 2) Fam am ily P Par art ner ers (2) 2) NeSOC C Im plem em en ent at at ion Com m it t ee ee m eet eet s b bi-m on

• nt hly

Helping People Live Bet ter Lives.

Ad visory Cou n cils a n d Sta n d in g Work Te a m s

CQ CQI Train inin ing Ser ervices ces & & Suppo pport s So Social Mar arket et ing Finan ance ce

Tea eam s D Drive e t he W e Work o

• f t he S

e SOC

• Cross-system representation.
• Operationalizes NeSOC w ork plan.
• Identifies barriers and strategies for
• vercom ing.

Meet eet s M Mont hly You

• ut h A

Advisor

• ry Fam ily A

y Advisory y

Yo Yout h-Guided an and Fam am ily-Dr Driven

• Youth and fam ily m em bership.
• Equal partners in decision m aking.
• Review s activities and strategies.
• Provides input to NeSOC Leadership.

Helping People Live Bet ter Lives.

SAMHSA Gra n t Su p p orts th e Effort

Beg egan an Sep ept em em ber er 30, 20 2016:

• Provides $3M annually for four years.

Mat at ch r req equirem em en ent s:

• Ratio of 1

:3 in aw ard years 1

• 3,
• Ratio of 1

:1 in aw ard year 4.

Projec ect o

• bjec

ect ive: e:

• Im prove outcom es for children and youth w ith

serious em otional disturbances (SED) and their fam ilies.

NeSO SOC projec ect focus. Children en an and y yout h w w ho ar are: e:

• at risk of out-of-hom e placem ent,
• involved in m ultiple child-serving system s, and/or
• transition age.

Aw Aw ard Hi Highlights

Helping People Live Bet ter Lives.

Gra n t Fits In to th e Bigge r SOC Pictu re

Nebrask ska Syst em o

• f Care

NeS eSOC G Gran ant

St at ew ide

• Long-term initiative:

Changing the w ay w e do business.

• Population: Birth to 21

years.

• Outcom es focused on

all Nebraska youth.

• Broader services

developm ent.

• Key Task: Policy and
• perations

developm ent.

Helping People Live Bet ter Lives.

Se le cte d Se rvice Focu s Are a s

Focusing o

• n ar

areas eas t hat at need eed d devel elopm en ent or real ealignm en ent .

• Crisis response
• Service Capacity Expansion
• Professional consultation
• Im plem ent Parents and Children together (PACT) –Region 6
• Intensive Out Patient –Region 1
• Care m anagem ent and coordination

The SOC Expansion and Sustainability Cooperative Agreem ents program is one of SAMHSA’s hybrid grant program s. SAMHSA intends that its hybrid grants result in the developm ent of infrastructure and the delivery of services as soon as possible after aw ard. Ser ervice d e del eliver ery should beg egin no lat at er er t t han an s six m ont hs aft er er t t he p e projec ect aw ard b beg egins.

Helping People Live Bet ter Lives.

Mob ile You th Crisis Re sp on se

Defin init it io ion: a licensed clinician (specified in Staffing section below ) to go on-site, or through secure video conferencing, to a crisis situation involving youth or young adults thru age 1 9 for the purpose of de- escalation and conflict resolution, assessing the youth’s behaviors, screening for substance use and m ental health disorders based on clinical observations, assessing traum a sym ptom s and risk for danger to self or others, providing interventions to stabilize the crisis, safety planning, m eans restriction, m aking referrals, as necessary and assist in accessing natural supports and com m unity resources for the fam ily.

Helping People Live Bet ter Lives.

Mob ile You th Crisis Re sp on se

Wher ere: e: Statew ide When en: May 1 , 201 7 How

• w : Nebraska

Fam ily Helpline

1-888 888-866 66-8660 660

Helping People Live Bet ter Lives.

 64 Youth served  52 (81 %) Supported in their ow n hom e/able to rem ain safely in their

• w n hom e

 9 Youth adm itted to an inpatient psychiatric unit  2 Fam ilies w ere connected w ith fam ily or friends for short term stays  1 Youth placed in shelter care May 201 7 –June 201 7 Data

Mob ile You th Crisis Re sp on se

Helping People Live Bet ter Lives.

Ne b ra ska On Tra ck a n d Ma kin g Progre ss

Sin ce Au gu st:

• Established partnership w ith Nebraska

Children and Fam ilies Foundation. Bi- w eekly planning m eetings ongoing.

• Convened Leadership Board and

Im plem entation Com m ittee. Regular m eeting schedule operational. Recruited for Youth/Fam ily Advisory Councils.

• Standing w ork team s convened and

m eeting m onthly.

• Initiated SAMHSA grant sub-aw ards w ith

regional behavioral health authorities and UNL Public Policy Center (Grant Evaluator).

• Finalized financial investm ent blueprint

project.

• Executed contracts w ith a Lead Fam ily

Contact and a Training Lead.

• Executed MOUs w ith partnering agencies

and DHHS divisions for the purpose of data

• sharing. Baseline num bers for Priority

Outcom e Measures identified.

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• Aw ard the Culturally and

Linguistic Appropriate Services Lead contract w ith contract execution by Septem ber 201 7.

• Create a clinical profile to

determ ine service needs and gaps.

Next Ste p s

Helping People Live Bet ter Lives.

dhhs dhhs.ne ne.gov

• v

@NEDHHS @NEDHHS NebraskaDHHS

Associate Vice President, Systems of Care and Native American Connections, NCFF

Nat athan an B Busch

n b u sch @n eb raskach ild ren .org

(40 2) 40 5-0 511

Bernie H Has ascal all

System of Care Administrator, DBH

b ern ie.h ascall@Neb raska.gov

40 2-471-7790

Neb ebras aska a Syst em em o

• f Car

are f e for Children en, Yout h an and Their F Fam am ilies es h ttp ://w w w .d h h s.n e.gov/soc dhhs. s.so soc@nebrask ska.gov