Statewide Children’s Wraparound Initiative

1. Statewide Children’s Wraparound Initiative COSA Conference Presenters: Erinn Kelley-Siel Mary Lou Johnson Larry Sullivan

2. 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.

3. 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.

4. 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.

5. 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.

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

7. 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.

8. Organization • 16-member Steering Committee. • Four subcommittees – finance, local implementation, cultural competency, data & evaluation. • Project team. • National experts.

9. Framework • System of Care Values and Principles. • Cultural Competency Standards. • Family and youth voice.

10. Shared Recommendations • Serve all children. • Generate family-driven and youth-guided individual plans. • Include culturally competent, non-traditional services. • Blend funds. • Monitor outcomes.

11. 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).

12. 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.

13. 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.

14. 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.

15. 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.

16. Key indicators • Educational/vocational progress. • Stable, homelike environment. • Safety. • Out of trouble. • Social/interpersonal support. • Mental/behavioral health. • Individual needs met.

17. 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.

18. 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.

19. 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

20. 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

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