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SB 163

SB 163. WRAPAROUND. Where we are and where we are going?. Status of Wrap in California Successes noted Challenges noted What’s on the horizon?. SB 163 Wraparound.

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SB 163

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  1. SB 163 WRAPAROUND

  2. Where we are and where we are going? • Status of Wrap in California • Successes noted • Challenges noted • What’s on the horizon?

  3. SB 163 Wraparound • SB 163 allows counties to provide service alternatives to eligible children in, or at risk of, group home care by using the State foster care maintenance payment to provide wraparound services.

  4. Overview • Permits flexible use of State FC funds for intensive individualized services so children stay with/return to families • All counties eligible to participate

  5. Overview Target Population: Children placed/would be placed in group home at RCL 10-14 Plan: Counties submit plan consistent with Wraparound Standards Training: All staff complete approved Wraparound training SOC/FSP: Coordination with Children’s System of Care and Full Service Partnership plans

  6. FUNDING NEW FUNDS

  7. Funding • Flexibility in using specific amount of State FC funds and county match • Specific number of serviceallocation slots

  8. Service Allocation Slots • Amount of funds available to pay for individualized intensive Wraparound package for child/family • One Wrap slot may serve more than one child • All Wrap slots pooled • Reimbursement rates = RCL rate minus cost of concurrent placement

  9. FEDERALLY ELIGIBILE CHILDREN IN SB163 WRAPAROUND AND CONCURRENT PLACEMENT Wraparound Rate for Federally Eligible Child in SB 163 RCL 13 = $5,994 Less FMAP of 50% = - 2,997 Dollars to SB 163 Flexible Fund = $2,997* Federally Eligible Child in Concurrent Placement Placement Costs = $1000 IV-E 50% share = $500* Remainder to be paid from SB 163 Flexible Fund. * CFL No. 01/02-51 and Errata provides instructions for the claiming of the these costs.

  10. Wraparound Standards • Program/Practice • Education, Training & Staff Development • Human Resources • Fiscal • Evaluation & Outcomes • Administration

  11. 1. Alameda 2. Butte3. Contra Costa4. Del Norte5. El Dorado6. Fresno7. Humboldt8. Kern9. Los Angeles10. Mendocino11. Mono12. Monterey13. Napa14. Orange15. Placer 16. Plumas 17. Riverside18. Sacramento19. San Bernardino20. San Diego21. San Francisco22. San Joaquin23. San Louis Obispo24. San Mateo26. Santa Barbara27. Santa Clara26. Santa Cruz28. Shasta29. Siskiyou30. Solano31. Sutter32. Tehama33. Ventura CALIFORNIA COUNTIESWITH SB 163 WRAPAROUND SERVICES

  12. Key Components in Wrap • Child and family teams • Single plans for multiple systems • Strength-based point of service planning • Cross system integration • Incorporation of natural and informal resources • Unconditional care

  13. Family Centered Cost Effective Strengths Based Outcome Based Consumer Driven Accessible Needs Driven Accountable Individualized Team Based Culturally Relevant Collaborative Comprehensive Unconditional Care Promoting Independence Community Based Flexible Key Values in Wraparound

  14. Defining WrapAroundThree Levels of Definition Practice Program System

  15. Defining WraparoundPractice Implications • Strengths/assets from first conversation • Blending of formal & informal resources in planning & decision making • Targeted activities designed to meet needs spoken by family • Flexing existing service categories & delivery based on spoken needs • Assure consumer voice, choice & preference • Care in context of families & home communities

  16. Defining WraparoundProgram Implications • “No reject no eject” contracts or practice • Flexible service delivery which builds on family system & community resources • Maximizing informal resources • Values base in terms of results for families • Changing staff roles to assure that comprehensive focus of care is met • Partnerships with consumers in planning, developing & delivering response

  17. Defining WraparoundSystem Implications • Integration across systems to assure flexible response through every door • Building accessible resource pools • Maximizing opportunities for partnerships • Point of service contracting • System decision making in context of care • Sanctioning individual family teams as full decision makers • Building a strength focus in monitoring activities

  18. People have things to do which are important to them, including things such as employment, vocational training, education, and social and community activities. People are able to have safe and adequate housing, children are safe living with their families and there are fewer numbers of people who have no place to live. People have family and friends to help them and to be with them and provide support for them. People can get the help they need when and where they need it. There are fewer adults in the jails and young people in juvenile halls who have serious mental health problems. Most mental health services and supports are voluntary, where the person chooses the services and supports they want. There are less “involuntary services” which are services such as having to be in a hospital or a locked institution, or children having to live in a place which is not their own home or with their own family. Mental Health Services Act The outcomes that the California Department of Mental Health wants to achieve as a result of the MHSA. Source: A Readers Guide to Mental Health Services Act Community Services and Supports Three-Year Program and Expenditure Plan Requirements

  19. Key Structure Options for Supporting Wraparound • Community team • Administering agency • Lead agencies • Service coordinators • Child and family teams • Specialized providers • Informal community supports

  20. Families Child & Family Teams Agency Management Team Systems Community Team Board of Supervisors Wraparound Support Structure • Inverting the structure • All levels support families • Connections between families, program & community • Building a new agency & system culture

  21. Systems Representatives Parents Cultural leaders Business leaders Clergy Family members Youth Other Community Team Composition

  22. Children in Wraparound • In, or at risk of, high-level Group Home Placement and: • Wards of the Court (W&I 602) • Dependents of the Court (W&I 300) • Certified eligible for Mental Health services (AB3632, 27.6, etc.) • Have been adopted and are eligible for the Adoption Assistance Program (AAP).

  23. Questions & Contacts • Cheryl.Treadwell@dss.ca.gov • Patrick.Kelliher@dss.ca.gov • wraparound.questions@dss.ca.gov

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