Local Interagency Planning Teams

1. Local Interagency Planning Teams Planning for Success Please sit at a table with other members of your Local Interagency Planning Team.

2. Welcome • On a sheet of scratch paper, complete the following statement: One benefit our community should receive from a successful Local Interagency Planning Team is…

3. Icebreaker • Look around the room at the characteristics posted on the wall. • Choose one that best describes you and go stand by it. • With others who selected that characteristic, discuss why you selected it and what types of things you do on your team that reflect that characteristic.

4. Introductions • Discuss benefits each person hopes for, and write a statement that best reflects your collective hopes. • If we could achieve one benefit for our community, we would like… • Choose a spokesperson. • Spokesperson: Tell who is represented in your LIPT and tell your hoped-for benefit.

5. Agenda • Introduction and Overview • System of Care • Benefits of SOC Philosophy • Team Application: Looking for Evidence • Examining Our Core Beliefs • Developing a Logic Model

6. Agenda, cont. • Nuts and Bolts: How to Achieve Your Goals • LIPT Membership • Case Planning Process • Meeting Management • Team Application: Case Planning • Summary and Conclusions

7. Goals • Each team member will be able to describe why LIPTs are important, what they should accomplish, and what structures need to be put in place to maximize their potential. • Each team will be able to set in place processes and structures that will facilitate the Local Interagency Planning Team’s ability to identify and secure services in the community to assist youth with severe emotional disturbance (SED) and/or addictive disease (AD) and their families.

8. Housekeeping • Phone calls • Restrooms • Breaks • Lunch • Punctuality

9. Norms • Listen with an open mind • Work toward solutions • Share ideas • Respect confidentiality • Represent the LIPT and community as a whole, not personal interests • Think of what is best for youth and families

10. Local Interagency Planning Teams System of Care

11. SOC Core Values (3 C’s) The system of care should be: • Child centered and family focused, with the needs of the child and family dictating the types and mix of services provided. • Community based, with the focus of services as well as management and decision making responsibility resting at the community level. • Culturally competent, with agencies, programs, and services that are responsive to the cultural, racial, and ethnic differences of the populations they serve.

12. Is SOC an effective approach? Here are results of a national study of 121 programs: YES. Bad indicators went down • Inpatient hospital days and rates • Placement in juvenile detention, other secure facilities • Arrests • Suicide-related behaviors Good indicators went up • School attendance and achievement • Child & Adolescent Functional Assessment Scale • Sustained mental health improvements • Family stability – employment, living arrangements

13. 100.5 89 76.67 65 SOC Outcomes: CAFAS The Child & Adolescent Functional Assessment Scale assesses the degree of impairment in functioning due to emotional, behavioral, or psychiatric problems. CAFAS Mean Score for 22 KidsNet Youth LOWERING the LEVEL of IMPAIRMENT INTAKE DISCHARGE 6 MONTH FOLLOWUP 1 YEAR FOLLOWUP

14. SOC Outcomes: School INTAKE 66.7% INTAKE 6 MOs 45.1% 6 MOs 40.0% 35.4% INTAKE 6 MOs INTAKE 6 MOs 2.6% 2.2% 0.0% 6.3% SUSPENSION SUSPENSION EXPULSION EXPULSION NATIONAL Aggregate KIDSNET Rockdale

15. SOC Outcomes: Living at Home 75.0% 68.8% 65.8% 56.3% Intake 6 Months Intake 6 Months     KIDSNET Rockdale NATIONAL Aggregate

16. And in a Study From Maine… These Indicators Went Down These Indicators Went Up Mental health improvements sustained School attendance School achievement • Days in inpatient care  • Cost of inpatient care • Arrests • Per-child cost of arrests • Placements in juvenile detention and other secure facilities • Suicide-related behaviors

17. The Maria Fenton Story • Please think about how the ten principles might apply to their story. • What would a system of care look like for Maria and the Fentons?

18. Looking for Evidence • Did the LIPT use each of the SOC principles? • For each principle, look for evidence that it was followed/not followed. • Choose a spokesperson to present a short summary of the community story. • Choose a spokesperson to present your findings on the SOC principles.

19. Team Discussion: SOC Principles • What patterns do you see in your ratings? What do they mean? • What can you do to resolve “I don’t know” items? (For example, is there data you should collect?) • Do you believe in these principles? What can you do to build a consensus on shared beliefs? • In which areas do we have the greatest gaps between beliefs and actions? • What can you do to make sure your actions reflect your beliefs?

20. Logic Models • Snapshots of an organization or team • Typically include: • Mission and vision • Short-term outcomes • Long-term outcomes • Conditions and assumptions • Activities and services • Inputs (resources) • Help teams to define—and stay grounded in—what is important to them • May take many forms

21. Local Interagency Planning Teams Nuts and Bolts

22. Teams, Teams, Teams

23. Membership • DFCS representative • DJJ representative • MHDDAD representative • DOL Rehab. Services representative • Public Health representative • Local mental health service providers • GNET/Local public schools representative • Optional: Independent courts, Family Connection, Other community supports (mentoring, recreation, housing) • Ad hoc required: Parents or parent advocates, when their child is discussed

24. Parent Members • Whenever possible, the parent (or advocate) should be present during the entire time their child is discussed. • Keep parent involved at all times. • If a parent is unable to make a meeting, reschedule at a time and place that is convenient for them. • Avoid “no shows” by discussing issues such as transportation and child care ahead of time. • If necessary, the parent/advocate can participate by phone. • Include the parent in at least some of the follow-up meetings, especially during transition times.

25. Organizing Structures • Chair: One to two years • Shared leadership • Memorandum of agreement • Results-based facilitator

26. Case Management • Criteria for youth to be served by the committee • How often to review cases • How to review cases • Involving families

27.  Record Keeping • Central binder for all active cases • Community Care Plan • Safety Plan • Crisis Plan • Unified Release of Information • Agendas and minutes related to that youth • Retention: • Case records: Three years after a case closes. • Meeting agendas and minutes: Two years • HIPAA compliant

28.  Meeting Management • Length of meetings • Number of cases to discuss • Agenda • Minutes • Process for case planning (Meeting Preparation p. 20 – Meeting Agenda p. 21 – 22)

29. Case Planning Tools • Community Care Plan • Safety Plan • Crisis Plan • Unified Release of Information • Confidentiality Agreement • Agenda guidelines for case planning (Meeting Preparation p. 20 & Meeting Agenda p. 21 – 22)

30. Derek’s Journey

31. Maria’s Journey • Determine roles for the LIPT meeting: Chair, presenting case manager, parent, recorder, agency and provider representatives • Complete all preparation steps (p. 20) • Conduct the meeting (p.21 - 22) • Create crisis plan, safety plan, and community care plan • Write minutes for Maria’s portion of the meeting

32. Thank you! • Note: Add your name and contact information and any closing comments here.