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SB 163. WRAPAROUND. Where we are and where we are going?. Status of Wrap in California Successes noted Challenges noted What’s on the horizon?. SB 163 Wraparound.

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SB 163

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Sb 163

SB 163

WRAPAROUND


Where we are and where we are going

Where we are and where we are going?

  • Status of Wrap in California

  • Successes noted

  • Challenges noted

  • What’s on the horizon?


Sb 163 wraparound

SB 163 Wraparound

  • SB 163 allows counties to provide service alternatives to eligible children in, or at risk of, group home care by using the State foster care maintenance payment to provide wraparound services.


Overview

Overview

  • Permits flexible use of State FC funds for intensive individualized services so children stay with/return to families

  • All counties eligible to participate


Overview1

Overview

Target Population: Children placed/would be placed in group home at RCL 10-14

Plan: Counties submit plan consistent with Wraparound Standards

Training: All staff complete approved Wraparound training

SOC/FSP: Coordination with Children’s System of Care and Full Service Partnership plans


Funding

FUNDING

NEW

FUNDS


Funding1

Funding

  • Flexibility in using specific amount of State FC funds and county match

  • Specific number of serviceallocation slots


Service allocation slots

Service Allocation Slots

  • Amount of funds available to pay for individualized intensive Wraparound package for child/family

  • One Wrap slot may serve more than one child

  • All Wrap slots pooled

  • Reimbursement rates = RCL rate minus cost of concurrent placement


Sb 163

FEDERALLY ELIGIBILE CHILDREN IN SB163 WRAPAROUND AND CONCURRENT PLACEMENT

Wraparound Rate for

Federally Eligible Child in SB 163

RCL 13 = $5,994

Less FMAP of 50% = - 2,997

Dollars to SB 163 Flexible Fund = $2,997*

Federally Eligible Child in Concurrent Placement

Placement Costs = $1000

IV-E 50% share = $500*

Remainder to be paid from

SB 163 Flexible

Fund.

* CFL No. 01/02-51 and Errata provides instructions

for the claiming of the these costs.


Wraparound standards

Wraparound Standards

  • Program/Practice

  • Education, Training & Staff Development

  • Human Resources

  • Fiscal

  • Evaluation & Outcomes

  • Administration


California counties with sb 163 wraparound services

1. Alameda 2. Butte3. Contra Costa4. Del Norte5. El Dorado6. Fresno7. Humboldt8. Kern9. Los Angeles10. Mendocino11. Mono12. Monterey13. Napa14. Orange15. Placer

16. Plumas

17. Riverside18. Sacramento19. San Bernardino20. San Diego21. San Francisco22. San Joaquin23. San Louis Obispo24. San Mateo26. Santa Barbara27. Santa Clara26. Santa Cruz28. Shasta29. Siskiyou30. Solano31. Sutter32. Tehama33. Ventura

CALIFORNIA COUNTIESWITH SB 163 WRAPAROUND SERVICES


Key components in wrap

Key Components in Wrap

  • Child and family teams

  • Single plans for multiple systems

  • Strength-based point of service planning

  • Cross system integration

  • Incorporation of natural and informal resources

  • Unconditional care


Key values in wraparound

Family Centered

Cost Effective

Strengths Based

Outcome Based

Consumer Driven

Accessible

Needs Driven

Accountable

Individualized

Team Based

Culturally Relevant

Collaborative

Comprehensive

Unconditional Care

Promoting Independence

Community Based

Flexible

Key Values in Wraparound


Defining wraparound three levels of definition

Defining WrapAroundThree Levels of Definition

Practice

Program

System


Defining wraparound practice implications

Defining WraparoundPractice Implications

  • Strengths/assets from first conversation

  • Blending of formal & informal resources in planning & decision making

  • Targeted activities designed to meet needs spoken by family

  • Flexing existing service categories & delivery based on spoken needs

  • Assure consumer voice, choice & preference

  • Care in context of families & home communities


Defining wraparound program implications

Defining WraparoundProgram Implications

  • “No reject no eject” contracts or practice

  • Flexible service delivery which builds on family system & community resources

  • Maximizing informal resources

  • Values base in terms of results for families

  • Changing staff roles to assure that comprehensive focus of care is met

  • Partnerships with consumers in planning, developing & delivering response


Defining wraparound system implications

Defining WraparoundSystem Implications

  • Integration across systems to assure flexible response through every door

  • Building accessible resource pools

  • Maximizing opportunities for partnerships

  • Point of service contracting

  • System decision making in context of care

  • Sanctioning individual family teams as full decision makers

  • Building a strength focus in monitoring activities


Mental health services act

People have things to do which are important to them, including things such as employment, vocational training, education, and social and community activities.

People are able to have safe and adequate housing, children are safe living with their families and there are fewer numbers of people who have no place to live.

People have family and friends to help them and to be with them and provide support for them.

People can get the help they need when and where they need it.

There are fewer adults in the jails and young people in juvenile halls who have serious mental health problems.

Most mental health services and supports are voluntary, where the person chooses the services and supports they want. There are less “involuntary services” which are services such as having to be in a hospital or a locked institution, or children having to live in a place which is not their own home or with their own family.

Mental Health Services Act

The outcomes that the California Department of Mental Health wants to achieve as a result of the MHSA.

Source: A Readers Guide to Mental Health Services Act

Community Services and Supports

Three-Year Program and Expenditure Plan Requirements


Key structure options for supporting wraparound

Key Structure Options for Supporting Wraparound

  • Community team

  • Administering agency

  • Lead agencies

  • Service coordinators

  • Child and family teams

  • Specialized providers

  • Informal community supports


Wraparound support structure

Families

Child & Family Teams

Agency Management Team

Systems

Community Team

Board of Supervisors

Wraparound Support Structure

  • Inverting the structure

  • All levels support families

  • Connections between families, program & community

  • Building a new agency & system culture


Community team composition

Systems Representatives

Parents

Cultural leaders

Business leaders

Clergy

Family members

Youth

Other

Community Team Composition


Children in wraparound

Children in Wraparound

  • In, or at risk of, high-level Group Home Placement and:

    • Wards of the Court (W&I 602)

    • Dependents of the Court (W&I 300)

    • Certified eligible for Mental Health services (AB3632, 27.6, etc.)

    • Have been adopted and are eligible for the Adoption Assistance Program (AAP).


Questions contacts

Questions & Contacts

  • [email protected]

  • [email protected]

  • [email protected]


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