Wraparound Oregon

1. Wraparound Oregon Fall Conference October 1, 2009 Eugene, Oregon

2. Statewide Children’s Wraparound Initiative

3. 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.

4. 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.

5. Legislation – HB 2144 • Identifies principles and values • Names state partners. • Calls for pooled funds within existing dollars. • Establishes Statewide Advisory Committee. • Calls for establishment of three local system of care sites.

6. Education Work Group

7. Education Work Group

8. Education Issues - Solutions Language • Have educators represented (EC through K-12) at every planning process; try to use inclusive, non-jargon language as much as possible. Target Population • Clarify use of the term “at risk” in any funding formula. • Consider the inclusion of special education youth to the age of 21, as is required by education law. Age range

9. Education Issues - Solutions IEPs and Plans of Care • Some regions, such as Multnomah County and Mid-Columbia, have solved this problem locally. They have taken care that the IEP is an education tool used to inform the Plan of Care. The educator is responsible for writing the IEP with the family but his can be done in the same time frame as the Care Coordinator completes the POC with an outcome of better communication and fewer meetings across systems.

10. Education Issues - Solutions Funding • The State Basic Funding Formula should be left as is with decisions about local contributions to a wrap-around entity negotiated locally. The state-funded systems such as the Oregon Health Plan, Mental Health and Addiction Services and Child Welfare can be pooled at the state level and directed to local entities that are ready with locally negotiated contributions from education, juvenile justice and philanthropy.

11. Education Issues - Solutions Communications • This is very key. This Work Group barely scratched the surface of the need to inform educators and advocates across the state. Multiple methods should be used with individuals on the implementation team • being held accountable to provide information on a regular basis across the state through electronic communication to school districts, early childhood groups. A focus on the benefits of wraparound for educators is highly recommended.

12. Education Issues - Solutions Too Many Meetings • After discussion, it became more clear that actually fewer meetings are required when combined with requirements such as IEPs, etc. The Care Coordinator can assist the educator with communications required. This is actually one of the benefits of a robust wraparound system.

13. Education Issues - Solutions Confidentiality • This is an issue that has been solved locally by several jurisdictions. Because it can be somewhat idiosyncratic to local school district policies, it is suggested that the state assist by creating a single policy for DHS programs, if possible, and that local school districts and families can agree on appropriate information sharing in order to be involved in a • wraparound program.

14. Why is System of Care Important in Schools – SAMHSA Report 2009 • About 65% of youth aged 14–18 in systems of care received some mental health services at school. • On average, youth received 5.7 different types of services and supports in the first 6 months.

15. Education Outcomes - SAMHSA Report 2009 • Easier access to services for students and their families. • Elimination of misconceptions about students and their families. • Improved capability to prevent or respond quickly to crisis situations. • Shared costs of staff positions between mental health agencies and schools.

16. Education Outcomes - SAMHSA Report 2009 • Increased eligibility for third-party reimbursement for in-school health and mental health staff. • More effective team planning and problem solving and school-wide staff training. • More active supervision and behavior management of students in non-classroom settings.

17. Youth Progress - SAMHSA Report 2009 • Youth Grades Improve: The percentage of youth receiving passing grades (a grade of “C” or better) increased from 55% upon entry into services to 66% after 12 months of services. • Youth Spend More Time in School: Within one year after entering system of care services, the percentage of youth attending school regularly (at least 80% of the time during the previous 6 months) increased from 75% to 81%.

18. Cost Savings - SAMHSA Report 2009 • Cost Savings: The average annual cost of a student repeating a grade in public education is $9,154. • Only 8% of youth in systems of care for 12 months had repeated a grade, compared to nearly twice as many American students in the general public (15%). • This difference translates to a cost savings of $4,544,412 for 7,092 youth aged 14–18 years who entered systems of care while enrolled in school.

19. An Oregon System of Care

20. Questions? For more information about statewide project, sign up for the listserv at: http://listsmart.osl.state.or.us/mailman/listinfo/statewraparound Also, visit the website at www.wraparoundoregon.org/statewide for up to date information.

21. Statewide Wraparound Contacts: Larry Sullivan – sullivan_la@41j.lane.edu Shelley Joyce – shelljoyce@comcast.net Eric Richards – eric.richards@ode.state.or.us. Bill Bouska – bill.bouska@stte.or.us