Service Coordination: A Recipe for Success. Shared philosophy among providers Collaborative policy and funding infrastructure Unique services and supports. History of Service Coordination: 1980’s – Celeste Administration. Clusters – county level cross system clinical/treatment teams.
Shared philosophy among providers
Collaborative policy and funding infrastructure
Unique services and supports
Clusters – county level cross system clinical/treatment teams.
Participants were clinical level cross system personnel.
Parents and children often not involved in plan development.
Focus on problems/concerns.
Creation of state cluster fund & application process.
Family and Children First Councils created and responsible for service coordination mechanism.
Cross system approach
Mandates included needs assessment of child, development of individual family plan, and dispute resolution process.
State Inter-systems fund application simplified.
SC required to access funds.
Methods to divert children from juvenile court and address at-risk unruly and adjudicated unruly youth.
Family access to referral and dispute resolution processes
Strengths based assessment of family
Required Family Team meetings with specific timelines when there are emergency or planned out-of-home placements.
Shifted from child focus to family focus.
Strong emphasis on family engagement and empowerment.
Required access to Family Advocates or support person(s).
Alignment of SC with many high fidelity WrapAround principles.
State inter-systems fund was discontinued and redistributed as an allocation to each mental health and recovery services board (404 dollars).
Access to Better Care 404 dollars allocated based on population.
$5,681 non-behavioral health funds allocated equally to each county FCFC.
Mid 2000’s - Strickland Administration
2010’s - Kasich Administration
What’s in the law?
Each county shall develop a county service coordination mechanism. The county service coordination mechanism shall serve as the guiding document for coordination of services in the county.
The overarching requirements for coordinating services for multi-need children in a county:
Assessment of Strengths and Needs
Least Restrictive Environment
Comprehensive Family Service Coordination Plan Process
Juvenile Court Diversion
Monitoring and Tracking Outcomes
Requirements for developing and implementing:
Notification of and Invitation to CFSP Meetings
Pre-Out of Home Placement Team Meeting
Participate in Meetings and Decisions
Invite Informal Supports / Family Advocate
Approve Team Leader Assignment
IN THE PLAN
Goals and Services
Designation of Service Responsibilities
Timelines for Goals
Crisis and Safety Plan
1. Referral from family member, agency, or provider.
2. Determine level of need.
3. Explain SC & family rights & sign necessary documents
4. Complete Strengths & Needs Assessment & Culture
5. Determine Family Team/Offer Family Advocate
6. Develop Family Plan including Crisis and Safety Plan
7. Implement Plan
8. Regular follow up team meetings held to monitor
9. Final team meeting to address transition issues &
Family Support Teams
Wrap Around /Hi-Fi Wraparound
ICAT (Inter-systems Community Assessment Team)
ICAT (Inter-agency Clinical Assessment Team)
FAmilyStabilty Team (FAST)
Child and Family Team
Intersystem Diversion Team (IDT)
Kids in Different Systems (KIDS)
Diversion Assessment Team (DAT)
Coordinated Care Program
The table below shows the number of needs children had when they were referred to FCFC for service coordination
and were eventually served with FCSS funding in SFY 12 compared to the needs in SFY 10 &11:
The below table shows the type of services and supports families received through the FCSS Initiative in SFY 10, 11 & 12:
One of the primary purposes for the FCSS Initiative is to prevent out-of-home placements by wrapping the needed non-clinical services and supports around a family.
95.7% of children served with FCSS funds remained in their own homes in SFY 12.