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Statewide Children’s Wraparound Initiative. COSA Conference Presenters: Erinn Kelley-Siel Mary Lou Johnson Larry Sullivan. Background. Fragmented and duplicative systems. Children served in most restrictive environments. Cost and outcome data not linked.

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statewide children s wraparound initiative

Statewide Children’s Wraparound Initiative

COSA Conference Presenters:

Erinn Kelley-Siel

Mary Lou Johnson

Larry Sullivan

background
Background
  • Fragmented and duplicative systems.
  • Children served in most restrictive environments.
  • Cost and outcome data not linked.
  • Public policy making not well informed.
  • Service delivery inefficient.
  • Outcomes not what we would like to see.
governor s executive order
Governor’s Executive Order
  • Created a Steering Committee.
  • Called for a plan to:
    • Provide supports as early as possible.
    • Base plans on individual needs.
    • Maximize resources.
    • Hold systems accountable for outcomes.
mission
Mission

To build capacity to effectively serve children, youth and their families through a governance structure that oversees coordinated policy development, comprehensive planning, and collaborative budgeting for children’s services.

system of care
System of Care

A comprehensive spectrum of mental health and other necessary services which are organized into a coordinated network to meet the multiple and changing needs of children, youth and their families.

wraparound
Wraparound

Wraparound is an approach to implementing individualized, comprehensive services within a system of care for children and youth with emotional and behavioral problems.

target population
Target Population
  • Children and youth birth to 18.
  • Emotional, behavioral, substance abuse related needs.
  • Involved in at least two systems.
  • At risk and those who already have a diagnosed problem.
organization
Organization
  • 16-member Steering Committee.
  • Four subcommittees – finance, local implementation, cultural competency, data & evaluation.
  • Project team.
  • National experts.
framework
Framework
  • System of Care Values and Principles.
  • Cultural Competency Standards.
  • Family and youth voice.
shared recommendations
Shared Recommendations
  • Serve all children.
  • Generate family-driven and youth-guided individual plans.
  • Include culturally competent, non-traditional services.
  • Blend funds.
  • Monitor outcomes.
finance recommendations
Finance Recommendations
  • Purchasing collaborative.
  • Market assessment.
  • Strategic finance plan establishing infrastructure that supports system design.
  • Blended funding pool (education, child welfare, juvenile justice, mental health).
local implementation recommendations
Local Implementation Recommendations
  • Electronic record for service information.
  • Adopt Values and Principles statewide.
  • Connect service across a child’s developmental stages.
  • Build local governance structure to implement system of care.
local implementation recommendations1
Local Implementation Recommendations
  • Manage care through care coordination – one facilitator for each child and family team.
  • Establish a basic benefit package.
  • Put resources into a Family and Youth Organization.
  • Create accountability mechanisms.
cultural competency recommendations
Cultural Competency Recommendations
  • Adopt culturally appropriate services statement.
  • Adopt culturally competent standards.
  • Develop process to review traditional practices.
  • Identify ways to improve culturally appropriate care.
data evaluation recommendations
Data & Evaluation Recommendations
  • Create standard data sharing agreements.
  • Create one or more entities at state level to review and select outcomes.
  • Evaluate and adjust state workforce strategies.
  • Develop and maintain two-tiered data system.
key indicators
Key indicators
  • Educational/vocational progress.
  • Stable, homelike environment.
  • Safety.
  • Out of trouble.
  • Social/interpersonal support.
  • Mental/behavioral health.
  • Individual needs met.
role of education
Role of Education
  • Key partner in the collaborative.
  • Schools at the “center” of the child-serving system.
  • Shared accountability with other child-serving systems.
  • Investment of local dollars to leverage additional funding.
  • Schools are where children and youth need to be in order to succeed.
critical issues
Critical issues
  • Development or enhancement of management information system.
  • Identification of state and local leaders.
  • Creation of blended funding structure.
  • Adoption of culturally competent standards.
  • Establish community readiness criteria.
path to implementation
Path to Implementation
  • Establish/fund implementation team.
    • Complete market assessment
    • ID management information system
    • Calculate size of system contributions for blended fund
    • Develop protocol for moving funds into the pool
    • Analyze administrative rules and statutes
oregon will have
Oregon will have
  • Single point of contact
  • Family and youth voice and choice
  • Least restrictive placements
  • Coordinated services
  • Blended resources
  • Infrastructure in place
  • Agencies and organizations that are accountable for outcomes
questions
Questions?

http://www.oregon.gov/dhs/mentalhealth/wraparound/main.shtml