SOC 101 System of Care Overview System of Care Across Tennessee is - - PowerPoint PPT Presentation

SOC 101

System of Care Across Tennessee is helping to build ld so solid d track cks to support the development of all children across our state. Just as spikes, ties, and rails are used to anchor the tracks, the solid tracks for development—Syst stem m of Care e Across

• ss Tenne

nesse ssee—are made up of state agencies, community partners, healthcare systems, school systems, and

• ther human services. All of these se

servic vices s wor

• rkin

king g together ether keeps childr dren en in their ir homes, famil ilies es conne nected ted to their ir communit nities ies, and helps all of Tennessee move forward in life and reach our destinations.

System of Care Overview

System of Care Mission and Vision

• Mission. To put in place policies, organizational structures, and

funding mechanisms that support the implementation and expansion of a children’s mental health system in Tennessee (TN) grounded on SOC values and principles.

• Vision. TN families have access to community-based services for

children and youth with mental, emotional, and behavioral health needs that is coordinated across systems, individualized to a family’s unique needs, strengths, and culture, and where the families are the primary decision makers in the care of their children.

Current System Structure

Child with Needs

Child Welfare

Community Agencies

Juvenile Court Schools

Family/ Self

Screening with Uniform Protocols Tennessee Department of Mental Health and Substance Abuse Services

Authorization of Services Tracking Registration Assessment of Need Care Coordination Family Support

SAMHSA

System of Care

Complex multi- system children Full plan of care

Traditional

Uncomplicated care Service Authorized Service Delivered

System of Care Structure

About SOCAT

SOC has been a part of TN for 20 years, starting in 1999 We received our current grant, SOCAT, in 2016 and it will last until 2020 Values—family-driven, youth-guided, community-based, and culturally and linguistically responsive.

Family Driven Youth Guided Community Based Culturally and Linguistically Competent

About SOCAT

We have 12 sites across the state, with the capacity to serve 86

• ut of Tennessee’s 95 counties

Each site has a SOCAT team which consists of a Care Coordinator and Family Support Specialist Additionally, we have 3 Divisional Coordinators

System of Care Sites in Tennessee

About SOCAT

The goal of SOCAT is to ensure Tennessee families have access to community-based services coordinated across systems Services are individualized to meet each family’s specific needs Families are the primary decision makers in the care of their children.

About SOCAT

SOCAT is not a program or service System of Care is a philosophy, as well as a strengths and values- based approach to working with families

• Recognizes the importance of family, school and

community, and

• Seeks to promote the full potential of every child and

youth by addressing their physical, emotional, intellectual, cultural, and social needs.

How is it Funded?

Criteria for Eligibility

Children, youth, and young adults from birth to 21 years of age Those experiencing emotional or behavioral concerns that affect their daily life (in school, in children’s services, with their family, with law enforcement, etc.) This needs to be about at-risk of out of home placement. (in school, in children’s services, with their family, with law enforcement, etc.) Those who are willing and interested in participating in SOCAT

Intensive Intervention Level Full Wrap Process Targeted Intervention Level Individualized Service Level Universal Health Promotion Level Generalized Services

More complex needs Less complex needs These materials and curriculum are products of The Institute. Unauthorized copy, distribution, or use in part or whole is strictly forbidden without permission of The Institute.

80% 15%

2% 3%

Values – Family Driven

Families are the experts and primary decision makers Family is choosing services, picking supports, and deciding effectiveness of treatment Children, youth, and young adults from birth to 21 years of age Putting families in the driver's seat

Values – Youth Guided

Youth are the experts in what is best for them Young people have the right to be empowered Youth will not be fully involved in their care if they aren’t able to make decisions and provide input Don’t make decisions or have conversations about the youth unless they are present

Values – Culturally and Linguistically Responsive

Another way of saying “Cultural Competence” Being able to relate effectively to people from various groups and backgrounds Understanding everything that influences an individual’s or family’s identity Knowing your implicit biases, and admitting when you don’t know

• r understand something

Values – Community Based

Individuals are most comfortable receiving services in their home and community Community based services helps alleviate some transportation barriers Helps individuals remain connected to their community while receiving services Associated with a continuum of care, greater satisfaction, and following of treatment plans

What is a Family Support Specialist?

A parent or caregiver who has the lived experience of being a parent or caregiver for a child with mental health issues and/or challenging behaviors, and has navigated child-serving systems Helps families navigate various systems and connects them with local resources Participates as a team member in Child and Family Team Meetings (CFTM) Provides empowerment and advocacy skills to parent/caregiver(s).

What is a Care Coordinator ?

Responsible for ensuring all phases and activities of the Wraparound Process are done with high quality and fidelity In collaboration with family, FSS, and team provide engagement through education about the process Utilize the family team process to develop and coordinate the plan of care Links family to supports, and community resources In conjunction with the Divisional Coordinator, Supervisor, and FSS participate in community outreach and engagement efforts

What is a Divisional Coordinator ?

Divisional Coordinators provide training and technical assistance,

• utreach and engagement opportunities, and assist in resource

identification and linkage SOCAT Divisional Coordinators operate as the face of SOCAT within local communities and jurisdictions ensuring seamless communication, services, and supports

Council on Children’s Mental Health

Created in 2008 as a result of new legislation Develops a statewide plan to make sure mental health care agencies in TN are furthering system of care values Allows professionals, families, and youth to come together to share resources, best practices, and lessons learned

SOCAT Referral Process

“Any door” Referral Initia ial l Contact with Paren ent/Ca t/Careg egiv iver: er: Within 24 hours (telephone, text, in-person)

Initial al Face ce-to to-Face ace Mee eeting: Within 7 days, allow parent/caregiver to choose location, complete NOMS, complete Crisis Plan, family story

Second Face-to-Face Meetings:

Complete additional evaluation paperwork, CANS, Plan of Care, complete family story

Buil ild Team am, Coll llat ateral al Contact acts: s: Work with the family to build the family team, contact those identified by the family, Initia ial l Wrapar around Meetin ing: Within 30 days, allow parent/caregiver to choose location and participants Additio ional al Wrapar around Meetin ings: s: Complete every 30-45 days 6 month follo low-up up: CANS, Fidelity tools, NOMS, Caregiver Strain, and Federal Tools every 6 months and at discharge

2017 FY Data

SOCAT enrolled 109 children, youth, and young adults 100% of clients stated they were treated with respect, were satisfied with services they received, and that SOCAT staff stuck by them no matter what After 6 months no clients felt worthless, hopeless, or depressed 91% Success rate of keeping children in their homes