Service Delivery & Development Work Group Best Practice Task Teams

1. Service Delivery & Development Work GroupBest Practice Task Teams Susan R. Fry, MA, LPC Executive Director Stepping Stones, Inc. October 8, 2008

2. Keep Focus on Children & Families

3. Commission to Study Residential Placement of Children HB 2334 13 Recommendations Recommendation #1, 2, 3, 4, & 6 http://www.wvdhhr.org/oos_comm/ How Did We Get Here Today?

5. Develop and maintain accurate profile defined needs (clinical) of the targeted children in out-of-home care, both out-of-state and in-state. Task Team Leaders Raymona Preston, Lora Dunn & Lisa Kaplan Out of State Review-Youth 16+ Regional Clinical Review Process Recommendation # 1

6. Complete an accurate assessment of current in-state licensed behavioral health agencies and individuals on capacity and program expansion/ reconfiguration capabilities. Task Team Leaders Rhonda McCormick, Lisa Kaplan, Lora Dunn, Laurah Currey Initial Survey APS Survey Next Steps Recommendation # 2

7. Expand in-state residential and community-based capacity for children in out-of-home care through systematic and collaborative strategic planning. Service Array Task Team Leaders Melanie Swisher, Barbara Recknagle Tool/Process Exploration-Recommendation Implementation Recommendations Ongoing TA & Support Service Array Liaisons Lora Dunn, Lisa Kaplan, Amy Booth, Rebecah Carson, Kelli Holbrook, Rebecca Farmer, Bob Wiedebusch Recommendation # 3

8. Develop a more simplified Certificate of Need (CON) process that is need-driven and includes all appropriate agencies in evaluation/approval activity. Task Team Leaders Melanie Swisher, Barbara Recknagle & Lisa Kaplan Recommendation # 4

9. Ensure uniform system of care is in place statewide through best practices/ quality and accountability for all treatment of WV's out-of-home children. A standardized DHHR Referral Process & Provider Response process with tracking component built into the Families and Children Tracking System (FACTS). Task Team Leader-Laurah Currey Develop & implement best practice guidelines for treatment of WV’s out-of-home children. Guidelines will be standardized, monitored & updated as needed, widely distributed and enforced. Task Team Leaders-Susan Fry, Lisa Kaplan, Karen Yost Recommendation # 6

10. Develop & implement best practice guidelines for treatment of WV’s out-of-home children. Guidelines will be standardized, monitored & updated as needed, widely distributed and enforced. Develop specialty specific task teams to explore creative, best practice recommendations to serve those service gaps identified in the initial out of state review, APS survey, Judges Survey, Regional Clinical Reviews, and Service Array Assessments. Research proven practice models and identify services and programs in WV that have demonstrated sustainable treatment effects over time per each target population indicated and provide written finding with recommendations in report Develop a resource guide that can be utilized to guide decision making by those responsible for obtaining treatment for children with clinical needs. Our Charge

11. Youth Transitioning to Adulthood-Susan Fry Task Team Members Co-Occurring SA/MI- Karen Yost Task Team Members Co-Existing MR/MI- Lisa Kaplan Task Team Members Target Populations

12. Do Not Get Caught Up In “How Things Are Now” Base Your Recommendations Using Research & Outcomes What’s Working? WV Practice Wisdom!! Think Creatively-Get Out of the Box Cross System Public/Private/Family Partnership Mine For Conflict Remember NEEDS ARE NOT SERVICES Regulations & Policy are not Deterrents-Move On DO NOT DISCUSS CURRENT FUNDING OR MONEY Creative Flexible Methods of Communication Wiki, Go-To-Meeting-Conference Call-Email…. HAVE FUN!!!! The Rules

13. Narrative Report Background/Introduction Target Population Definition Desired Outcome Summary of Current Practice Recommended Best Practice Guidelines Recommended Evidence Based Practice (EBP) Implementation Strategies/Recommendations Training Implications/Recommendations Appendices Matrix Condensed Useable Format Quick Read Product

14. Today Target Population Definition Brainstorm System Centerpiece Strengths Brainstorm System Opportunities For Targeted Improvement Brainstorm Literature/Resources Standardized Process for Collecting & Reporting Information. Assignments Best Practice-EBP Literature Review Forms-Report Formats Brainstorming Summary Task Team Communication Future Meetings All Task Teams Nov 17 (10-2:30) – Same Location December date? Task Team Steps

15. Task Team Recommendations Service Delivery & Development (SDD) Work Group Approval West Virginia System of Care State Implementation Team Approval Endorsed by Commission to Study Residential Placement of Children Commission Recommendations to Applicable Bureaus Implementation & Training Plan RFA’s as Applicable Begin Next Target Populations Selected Utilizing Service Array & RCRT Data SDD Workgroup Initiates Task Teams Planning Processes

42. Questions FOR MORE INFO... Contact Susan Fry Phone: 304-429-2297 Fax: 304-429-8365 Stepupsrf@aol.com