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Jason's Story "One family after another gave up on him..."

SANTA CLARA COUNTY WRAPAROUND. Provider Presentation to the Mental Health Board System Planning & Fiscal Committee November 3, 2011. Juan’s Story Drugs and illness pulled Juan’s family apart. Wraparound helped put it back together. Kiana's Story

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Jason's Story "One family after another gave up on him..."

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  1. SANTA CLARA COUNTY WRAPAROUND Provider Presentation to the Mental Health Board System Planning & FiscalCommittee November 3, 2011 Juan’s Story Drugs and illness pulled Juan’s family apart. Wraparound helped put it back together. Kiana's Story "I was masking my emotional hurt with the physical hurt that cutting (myself) gave me." Jason's Story "One family after another gave up on him..."

  2. Presentation Purpose To provide an Overview of Santa Clara County Wraparound.

  3. Wraparound History • “Wraparound” as a term – Dr. Lenore Behar, 1980’s • 1975 – 1985 Wraparound Initiatives in Canada, Alaska, Illinois, Vermont, and Washington • Wraparound brought to CA in 1993 by EMQ FamiliesFirst after closing 125 residential beds • From pilot to permanent service in CA, 1996 - 2001

  4. Wraparound History 3 Providers in Santa Clara County • EMQ FamiliesFirst • Rebekah Children’s Services • Unity Care (Project Odyssey)

  5. EMQ FamiliesFirst EMQ FamiliesFirst has been providing Wraparound services since 1994 and has been serving Santa Clara County for more than 140 years. EMQ FamiliesFirst has a rich history moving from orphanage care to foster care and a full range of mental health services.

  6. Rebekah Children’s Services Rebekah Children’s Services has been providing Wraparound services via the Compadres program since 1998 and has been serving Santa Clara County for 114 years. Initially, Rebekah Children’s Services was an orphanage and slowly expanded to better serve the growing community. Today RCS offers a full continuum of services including Adoption and Foster Care, Prevention and Education, Out-Patient Mental Health Services, First Five, Non-Public School, Residential Treatment, and Wraparound.

  7. Unity Care (Project Odyssey) Since 1993, UCG has provided a full range of culturally proficient services to youth & families in the juvenile justice, mental health and child welfare systems and in 2009 launched Project Odyssey specifically targeting African American youth & families.

  8. Who is served by Wraparound • Wraparound was implemented in SCC for the children at highest risk with the most complex needs. • Criteria was developed that matches the criteria for hospitalization or out-of-home residential care. • SCC Wraparound children have either a family or foster family that is open to intensive in-home care.

  9. Parent Quote Slide re: Acuity “I was certain he was going to kill either himself or someone else.” “It was either her going away for good or risk hurting the little ones at home.” “He was chasing me around the kitchen with a butcher knife.” “The only future I could see for him was living under the bridge somewhere.” “RCS Wraparound Care made it possible for my son (then age 10) to leave his group home of nearly three years and come home forever.”

  10. Who is served by Wraparound Youth Served FY10 & 11 Gender

  11. Who is served by Wraparound Ethnicity

  12. Who is served by Wraparound Age Range Acuity by Diagnosis

  13. Who is served by Wraparound

  14. What is Wraparound Wraparound is an approach to implementing individualized, comprehensive services for youth with complicated multi-dimensional problems. Wraparound is a family centered, community-oriented, strengths-based, highly individualized planning process aimed at helping people meet their unmet needs both within and outside of formal human services systems, while they remain in their neighborhoods and homes, whenever possible.

  15. Flexibility Family Centered Behavioral Restitution Community-based Work Finances Collaborative Family Accountability Educational Health Spiritual Place to live Comprehensive Public Safety Unconditional Creativity Social Immigration Safety Culture Transportation Permanent Relationships Emotional/ Psychological Needs-Driven Natural Supports Legal Competency Language Outcomes-based Individualized Culturally Relevant Wraparound Philosophy Strengths-based Team-based

  16. Decisions & Linkages Initial Safety Check Convening a Family Team Discovering Strengths The First Wraparound Meeting Life Domains & Outcomes Defining Needs Selecting Strengths-based Strategies Crisis, Safety & Transitions Logistics & Evaluation Steps of the Wraparound Process

  17. Who May be on the Family Team? CHILD Facilitator Teacher Grandparents Neighbor Social Worker Therapist Child’s Friend Mentor Probation Officer Family Specialist DAD

  18. "Nobody has ever before asked the nuclear family to live all by itself in a box the way we do. With no relatives, no support, we've put it in an impossible situation."- Margaret Mead

  19. Wraparound Staff Roles Clinical Program Manager (CPM): Oversees the operation of PODs, made up of Facilitators, Family Partners, and Family Specialists. Works in concert with fellow CPMs and the Director to assure continuity for all internal service delivery. • Facilitator: The service team coordinator for each child and family assigned to them. Facilitates all team meetings and activities as well as all family plans including treatment plans and assessments. Responsible for communication amongst the team and all County collaborators. • Family Partner: Provides support specifically to the caregiver(s) of the child as well as support to the process of empowering the family through the team process. Often assumes a co-leader role with the Facilitator. • Family Specialist: Provides direct service to the child or children within the home. Assists the child with all aspects of need focused on through the family plan. This individual often provides a significant amount of behavior management as well as adjunctive services to the youth while in a community and or home setting. The role of Family Specialist is an integral member of the team.

  20. Ensuring Transitions to the Community • Child and Family Team natural members • Transition to community – addressed in each Individualized Child and Family Plan from beginning to end • All services/supports occur in community • Use of community formal/informal services and supports for strategies on the Individualized Child and Family Plan • Family Coaching Model • Family Events

  21. Outcome-based “Why would you keep doing something for my son if it doesn't work?” - Mother of a child in services • Outcomes at the Child and Family level • Outcomes at the employee level • Outcomes at the program level • Wraparound Fidelity Index v.4 • Ohio Scales • Child Adolescent Needs and Strengths • Youth and Caregiver Satisfaction Survey

  22. Success Stories

  23. Q & A

  24. Contact Information Mary Kaye Gerski, CEO Rebekah Children’s Services (408) 846-2106 mgerski@rcskids.org André Chapman, CEO Unity Care (Odyssey Project) (408) 510-3480 andre@unitycare.org Laura Champion, Executive Director EMQ FamiliesFirst (408) 364-4129 laurac@emqff.org National Wraparound Initiative website: http://www.nwi.pdx.edu

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