Putting the Pieces Together: Franklin County System of Care

1. Putting the Pieces Together Franklin County System of Care

2. Purpose of this orientation: • Provide you with an overview of System Partners and their mandates • Expose you to the definition of strength based – family-driven case management model from a multi agency perspective • Discuss the System of Care philosophy • Work together to make a difference in the lives of children and youth!

3. Agency Introductions. Please stand up as your agency is called.

4. What are Systems of Care?

5. Systems of Care (SOC) Community partners and families working together to provide an array of services to meet the needs of a child at risk.

6. It's all about ... Increasing family involvement and voice Increasing access to effective services e.g. by removing barriers Improving provider relationships and employee satisfaction Focusing not just on the individual/family needs, but also on the needs of the community

7. It's all about ... Enabling children with complex needs to remain… In their home In their school In their community

8. A System of Care Is NOT… • A program • A funding stream • A referral service • A placement service • No one agency’s team

9. A System of Care Is… …Guided by Core Values • Family-driven and youth-guided • Culturally and linguistically competent • Community-based • Trauma Informed • Most importantly Strength based and . . .

10. INDIVIDUALIZED

11. Bringing the pieces together is only the beginning As a sanctioned System of Care site, all partners have agreed to: Identify children with the most severe needs in their community Share resources in order to serve these children more effectively and efficiently Provide the Department of Mental Health with data required on all identified children. Work to address local system barriers and seek assistance of the State System of Care Team when these barriers are unable to be overcome at the local level.

12. SOC Partners • Family members * • Family Organizations • Children’s Advocate Organizations • Dept. of Mental Health (BH, DD) * • Department of Health & Senior Services * • Children’s Division * • Department of Education * • Juvenile Justice * • Division of Youth Services * • All Child, Social Service, and Public Health Agencies are welcome and needed! * Mandated partners (SB 1003)

13. System of Care Framework: Mental Health Services Juvenile Justice Services Recreational Services Family Voice Social Services Child & Family Substance Abuse Services Educational Services Health & Prevention Services Public Health Prevention Programs

14. Paradigm Shift Family-Centered Family identifies needs Services aimed at enhancing capabilities Families seen as capable Tailor services to family uniqueness Professional-Centered Experts determine needs Services aimed at correcting deficiencies Families seen as deficient Fit family to professional services VS

15. Case Study Introduction

16. Strength Based An exercise in the strength based approach: What internal strengths does the child have? What internal strengths does that family have? What natural supports does the family already have?

17. How Do Child Welfare Agencies Benefit From Systems of Care?

18. Homes are stable. The percentage of children and youth who lived in multiple settings decreased by 11 percent over 12 months. Source: CMHS National Evaluation: Aggregate Data Profile Report,2005 Families are stronger and feel supported. Caregiver strain is reduced in many families. More than a quarter of families had higher functioning after 30 months; more than half remained stable.Source: CMHS National Evaluation: Aggregate Data Profile Report,2005 Families have more resources within their communities. Caregiver job, vocational, and educational skills improve. Incomes increase. Families have more time and support. Sources: CMHS National Evaluation: Updates from the National Evaluation, Services Evaluation Committee Meeting, 2004CMHS National Evaluation: Aggregate Data Profile Report, 2004 It makes your job easier!

19. How Do Students and Schools Benefit from Systems of Care?

20. Improved academic performance and attendance • Additional resources for educators • Fewer disciplinary problems • Expanded student services • Improved communication and coordination

21. How does the Community Benefit from Systems of Care?

22. Families remain intact • Community care in least restrictive environment • Reduction in costs for mental health care • Reduction in the costs for foster care Youth become productive members of the community!

23. How do I refer to the Franklin County System of Care Management Team?

24. Appropriate Referral A youth/family that is already currently involved with three or more system partners. Family is willing to engage in the System of Care process. In 99% of the cases this is a voluntary process for the families. Current services are not resulting in forward progress for the child and family or have stagnated. Reminder: the idea is to be proactive rather than reactive

25. Referral process Speak with the lead agency about your desire to refer to the System of Care (the lead agency is usually the one with the most frequent or longest time working with the family or has the best working relationship with the family) The lead agency should fill out the System of Care Referral Form located on www.franklincountykids.org The staff at Crider Health Center will schedule the staffing in collaboration with partnering agencies

26. Community Partners

27. Get to know your community partners

28. Juvenile Justice Family Court Services Responsibility with delinquent youth • Screen referrals for legal sufficiency to act • Hold youth accountable for illegal acts • Provide service to reduce likelihood to re-offend Responsibility with child victims of abuse/neglect • Screen referrals for legal sufficiency to act, need for formal court action and alternative care • Protect the rights of both parent and child • Secure safe, permanent home for child

29. Division of Youth Services DYS MISSION: Enable youth to fulfill their needs in a responsible manner within the context of and with respect for the needs of the family and the community Mandated services include assessment, care and treatment, and education of all youth committed to its care. The youth have individualized treatment plans and continuously participate in treatment and educational services

30. Children’s Division • MISSION: To partner with families, communities and government to protect children from abuse and neglect and assure safety, permanency and well being for Missouri’s children • Investigates and/or assesses reports of child abuse and neglect. • Family Centered Services unit which provides services to intact families. • Intensive In-Home Services program may be utilized in an attempt to safely keep the family in tact. • A focal point for any child in foster care is permanency through reunification, adoption, guardianship, or placement with a fit and willing relative.

31. Department of Mental Health 2 Divisions: Division of Developmental Disabilities (Regional Offices) Division of Behavioral Health (Includes Psychiatric Services and Substance Abuse)

32. DMH: Division of DD Eligibility: Qualifying diagnosis and 2 areas of substantial functional limitations (based on MoCABI or Vineland) Call local Regional Office for Intake/ Eligibility process Service Coordination: Introduction of Service Coordinator Develop and update the Individual Support Plan Connecting to resources in the Community Advocacy in School District meetings Referral to DMH funded services Referral to the Behavior Resource Team as needed

33. DMH: Division of Behavioral Health Preferred Family Healthcare DMH Responsibility: CSTAR Comprehensive Substance Abuse Treatment and Rehabilitation Program Eligibility for Drug & Alcohol Treatment: Youth with substance abuse or addiction problems Inpatient Treatment Recovery Support Aftercare Support Group Therapy Medication Management Life Skills Training Residential Support Outpatient Treatment Community Services: Team of Concern and A.R.T.C. TOC Awareness Trainings- Faculty and Staff in the schools Student Awareness Activities- Events held within schools Community Awareness Activities- Events held in the community Early Intervention- Education- Individual counseling and case management ARTC- Achieving Recovery Through Creativity- Creative activities to serve as alternatives to high risk behaviors. Group and Individual Services

34. DMH: Division of Behavioral Health Crider Health Center Eligibility for Psychiatric Services: Youth must be under 18 years of age and have a Serious Emotional Disorder Community Psychiatric Rehabilitation Services: • Partnership With Families • School Based Mental Health Specialist • Psychiatry • Non-DMH Services: • School Based Therapy • Prevention • Pinocchio • Medical • Dental

35. Public Schools Provides Homebound instruction for physical or mental health issues when a licensed professional or doctor provides written recommendations or IEP team determines a need. Provides comprehensive evaluations to determine eligibility for Special Services Schools provide Least Restrictive Environment if student is eligible for Special Services Work collaboratively with families, students, and community agencies to address needs of students

36. Children’s Advocacy Center • A non-profit agency that offers specialized services to aid in the investigation of child abuse and crimes witnessed by children. • CAC’s offer a coordinated multidisciplinary response to the child abuse cases. • Safe and child friendly atmosphere • Referrals • Hotline or report to a law enforcement agency • CD, LE, JO, or PA send us a referral after their investigation begins-we are the one of the first steps in their investigation • Children ages 3-17* • Sexual abuse • Physical abuse • Neglect • Witness to violence *Some exceptions made for some services regarding developmentally delayed adults. • Services Provided • Case Tracking • Advocacy • Forensic Interviews • Medical Services • Mental Health • Prevention • Community Outreach • Trainings

37. ALIVE – Children’s Services

38. Franklin County CASA Franklin County CASA (Court Appointed Special Advocates) • CASA mission is to help children in foster care find permanency in a timely manner. • Referrals come from any member of the Family Support Team. • Serve children 0-21 years who are under the  jurisdiction of the court. • Trained community members are the CASA volunteers supervised by CASA staff. • CASA volunteers investigate, monitor, facilitate, advocate for the best interest of the children. • CASA volunteers gather information from:  school, mental health professionals, family, daycares, etc. (Anywhere the child goes, CASA goes.) • Court reports are given to the judge including facts gathered and the child’s wishes. • CASA program collaborates with Family Support Team frequently to address systematic barriers to permanency.

39. Catholic Family Services • Mental health services for all ages • Serve individuals and families of any faith • Accept insurance and provide a sliding fee scale • Services include: • Counseling • Child psychiatry • School Partnership program within the Catholic Schools We work collaboratively with other agencies to provide the best comprehensive plan of care for each child we serve.

40. Lutheran Family and Children’s Services • LFCS has been providing parent education and counseling services to Franklin County for more than 5 years. • LFCS contracted case management CD for the past year. • Services Available in Franklin County include: • Professional Counseling • Parent Education utilizing the Nurturing Families curriculum • Pregnancy Counseling • Foster Parent licensing, training, and ongoing support • Girls Circle Curriculum in Union School District

41. Grace’s Place • Crisis/Respite Care • Parental/sibling illness or death • Disruption in shelter due to utilities or rent being unpaid • Current domestic violence in the home • Imminent undue abuse and/or neglect • High levels of parental stress due to caring for a child suffering from developmental delays, mood disorders, and/or physical disabilities • Familial stress due to a single parent home • Bags of Love for every child receiving crisis/respite care • Therapeutic and Supervised Visitation • Visitation between children in foster care and their caretakers • Ongoing Needs • Community resources and case management • Basic needs items (toiletries, diapers, blankets, school supplies, and food) 2014 Over 2,500 hours of care provided 2015 On track to provide over 4,000 hours of care 70% of families contacting Grace’s Place are NOT linked with any other community resource

42. F.A.C.T. • F.A.C.T. (Family Advocacy and Community Training) is a family organization founded in 1987 by two mothers who had children with disabilities that were struggling to get their children’s needs met. Today we have several programs including the Partnership With Families Program. In this program F.A.C.T. provides a Parent Support Partner or PSP who supports families that includes a child with mental health issues. • The PSP: • Is a parent of a child with a disability who in turn supports other parents that have a child with a disability. • Works to empower parents and families by providing resources, navigating systems, and offering general support. • Uses a peer support model to assist families in reaching their personal goals, building resiliency, and gaining hope for their futures. • www.factmo.org • 636-949-2425 • 800 Friedens Rd. Ste. 200 • St. Charles, MO 63303 • In Franklin County F.A.C.T. is funded by the Franklin County Children’s Resource Board.

43. Foundations for Franklin County • The mission of Foundations for Franklin County, Inc. is to support and focus on the collaborative efforts of substance abuse prevention, law enforcement, and rehabilitation programs to help create a safe and drug-free community for Franklin County. • Services include: • Administration of Activities/Emergency/Wrap-Around Funds. Funds for at-risk children to participate in a variety of extracurricular community and school-based activities. Wraparound funds are also available to provide additional support to children to aid in increasing their health and well-being. • Mobile Counseling Services for Franklin County youth and families. Services are provided in outlying areas where transportation is a challenge and access to services is limited. • Support services to the ARRISE program (Achieving Recovery and Reunification through Intensive Support and Encouragement), the Franklin County Juvenile Office, and the Franklin County Treatment Court program.

44. Developmental Services of Franklin County MISSION- DSFC is committed to enhancing employment opportunities, educational and developmental programs, family support programs and community living options while promoting public awareness and community collaboration to service individuals with developmental disabilities DSFC offers direct services and indirect services by supporting community based agencies SERVICES INCLUDE: • Service Coordination- Links and monitors services, connects with families, individualized/goal based plans, advocates for services, resources, funding, and other items identified. • Early Intervention- Developmental evaluation, family program plan, home visits, developmental therapy groups, family support and resources. • Support Services- Residential and individual supported living, temporary care, personal assistance, recreation, and transportation. • Behavioral Support Program- Functional Behavior Assessments, Behavior support and intervention plans, family support and training, school support and training, autism training interventions using Applied Behavior Analysis, training on Positive Behavior Support, and community education. • Life Ops- Curriculum based program which addresses social, self-management, self-monitoring, daily living, safety, and leisure skills. To be considered eligible for services, determination is made by the Rolla Regional Office. An individual must have a developmental disability with onset prior to age 22 with two areas of substantial functional limitations.

45. Putting the Pieces Together An exercise in SOC

46. Evaluations ?