Care Coordination & Child and Family Team

1. Care Coordination &Child and Family Team Putting the pieces together for families

2. Goals of this training: • To understand how Care Coordination relates to wraparound and providers. • To learn who might provide care coordination to you and your family. • To learn who the members are of a CFT. • To begin to learn the terminology and the method used for CFT. • To decide upon your next steps. provided by Better Days Ahead

3. What is Wraparound? • Wraparound is a philosophy used by care coordination (a type of program) for delivering services and supports by “wrapping them around” an individual child and family. The Child and Family Team (CFT) method is used by care coordination to provide wraparound. provided by Better Days Ahead

4. What is Care Coordination • An exciting new method of doing business which involves care coordinators and addresses the underlying needs that lead to big behavior. provided by Better Days Ahead

5. What is a Care Coordinator? • A care coordinator is an individual hired by a care coordination agency to facilitate a child and family team process that addresses needs by wrapping services and supports around an individual child and family. provided by Better Days Ahead

6. Care Coordination in Monroe County provided by Better Days Ahead

7. How Does Care Coordination fit with my referral to Waiver, ICM, SCM or YFP? • Waiver, ICM, SCM and YFP are all programs designed to meet specific guidelines as designated by the Federal , State or County Office of Mental Health and which use the wraparound philosophy as part of a care coordination program for delivering those services. provided by Better Days Ahead

8. Who provides Care Coordination in Monroe County? provided by Better Days Ahead

9. What is a Child and Family Team? • A child and family team is a group of people chosen by the youth and family with the aid of the care coordinator to assist with the planning process. • The family drives the process of choosing the members of this team. provided by Better Days Ahead

10. What is the role of the CFT? • Identify the strengths of the family • Determine needs, including immediate ones • Discuss the culture of the family and how it will fit into the planning process • Meet as needed to plan for success of the family provided by Better Days Ahead

11. Who are the members of the CFT? • The youth and family • The care coordinator • Current service providers with approval from the youth and family • Natural supports • Others as determined by the team to address the need provided by Better Days Ahead

12. What is a Natural Support? • A natural support is a person that can continue to support the child and family team even after formal supports go away. These are usually non paid persons. provided by Better Days Ahead

13. Who are Natural Supports? • Natural supports include, but are not limited to the following: • Extended family members • Friends or neighbors • Religious leaders or others in the religious community • Sports coaches or other players • School personnel • Mentors provided by Better Days Ahead

14. The CFT Process • CFT process is strength-based, individualized, and needs driven. • CFT is a four phase process. • CFT process is based on the premise that all behavior is communication of an unmet need; therefore the bigger the behavior the bigger the unmet need. provided by Better Days Ahead

15. CFT is a different process provided by Better Days Ahead

16. CFT is based on Wraparound • CFT therefore follows the 10 principles of wraparound: provided by Better Days Ahead

17. The four phases of CFT • Phase One: Engagement and Team Preparation • You are introduced to your care coordinator and given the opportunity to get to know one another. • Your care coordinator will begin with strengths, needs and a cultural discovery process. CFT meetings with the entire team don’t happen until phase two. provided by Better Days Ahead

18. The four phases of CFT • Phase Two: Plan development • Your care coordinator schedules an initial meeting that is convenient for you, your family, your natural supports and any necessary providers. • The team will develop a hypothesis (a best guess about what the unmet need is for your child and family) and begin the planning process. • The process used is called brainstorming which means to think quickly and creatively and not disregard any ideas for any reason. provided by Better Days Ahead

19. The four phases of CFT • Phase Three: Plan implementation and fine tuning • Team meetings are held to ask the question: How is the plan working? • Adjust, fit, and fine tune the plan to meet the goals. provided by Better Days Ahead

20. The four phases of CFT • Phase Four: Plan completion and preparation for a change in care • Check for “good enough” so you will know when you are done with the formal team process. • Celebrate success! • Say good bye. This is as important to finishing the process as getting to know each other was to the beginning of the process for our families. Often youth lose workers with no opportunity for closure. Take time to say goodbye. provided by Better Days Ahead

21. Today’s next step options • Do nothing further and just wait for care coordination to start. • Be connected with a family mentor from Better Days Ahead who can meet with you individually and teach you even more about the process and help prepare you for the start of care coordination. provided by Better Days Ahead

22. And then what? • If you choose to just wait then nothing will happen until you are contacted by your care coordination agency. Some have an intake coordinator; some have paperwork that must be completed before the team process can begin. provided by Better Days Ahead

23. What if I choose a family mentor? • We need permission today to contact you within the next week. That person can: • Teach you more about the care coordination process. • Work with you to identify natural supports. • Assist you with getting needs met until care coordination begins. • Continue as a support once care coordination begins if you so desire. provided by Better Days Ahead

24. Final comments or questions? provided by Better Days Ahead