Preventing Family Crisis

1. Preventing Family Crisis Finding the Assistance that your Family Needs

2. Outline of Session • How to find services that your child and family needs • Strength-based and family and child driven approach to services • Explanation and examples of various services for children and families

3. Community Service Boards • CSBs are the local government agencies responsible for mental health, mental retardation and substance abuse services for citizens in their communities. • CSBs are mandated by the Code of Virginia (37.2-500) to provide “core” public behavioral healthcare services to children and adults meeting specific eligibility criteria.

4. CSB Core Services • Core services as defined by code consist of emergency services and care management “subject to the availability of funds”. • Virginia code also says that other core services may include inpatient, out-patient, day support, residential, prevention, early intervention and other services and supports that are necessary to assist citizens.

5. CSB Required Roles In order to ensure that the best interests of children, families and the state are served, CSBs are required by code to fulfill these roles: • Providers of core services and supports • Mangers of Care and advocates • Gatekeeper-local point of accountability and responsibility for services and resources

6. System of Care • Approved by the national Substance Abuse and Mental Health Services Administration (SAMHSA) • Virginia has chosen this philosophy of care for guiding services provided to children and their families. • Core Values include: Child-centered and family-driven Community-based (wrap-around) care Culturally Competent

7. System of Care VALUES and PRINCIPLES: • Comprehensive array of services and supports • Individualized service plans specifically tailored to children and family’s strengths and needs • Families, youth and any other person that the family invites are full participants in all aspects and the planning and delivery of services • Integrated services (providers and family- all on same page) • Care management provided • Early identification and intervention • Receipt of services without regard to race, religion, national origin, gender, etc.

8. Wraparound Approach Wraparound is a family-centered and strength-based approach that utilizes a highly individualized planning process to help families achieve important outcomes by helping them meet their needs both within and outside of formal human services systems while they remain in their homes and communities.

9. Wraparound Key Premises • Highly individualized service plans (how family wants their lives to be) • Family-driven plan (child and family choose team, goals, strategies) • Natural supports • Outcome focused • Flexible and flexibly funded • Culturally competent • Normalized (every family needs outside assistance from time to time) • Unconditional care

10. Types of Services • Intensive Care Coordination • Intensive In-Home • Crisis Intervention • Crisis Stabilization • Case Management (Care Coordination) • Waivers • Therapeutic Day Treatment • Mental Health Support Services and Mentoring • Respite • Natural Supports • Outpatient individual, family and group therapies • Psychiatric • Note: For a comprehensive listing, refer to the Office of the Inspector General’s report on Child and Family Services at www.oig.virginia.gov

11. Intensive Care Coordination • New service for children who are at-risk of entering, or are placed in, residential care. • Children should be identified to receive these services by their local Family Assessment and Planning Team (FAPT).

12. ICC Values We believe that • All children deserve safe, nurturing and permanent homes and permanent family connections. • Child safety is first and foremost. • Parents have the right and responsibility to raise their own children. • The family and youth perspective must be honored at all times and service plan must reflect the family’s values and preferences. • Coordinating community services to transition or maintain children in their homes is a public responsibility and that public agencies should serve the community in this role.