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This presentation provides an overview of a coordinated system of care for children and youth with mental health or other challenges. It discusses the philosophy, service delivery, financing, accountability, and continuous quality improvement of the system. It also highlights the values of the Louisiana Coordinated System of Care and its impact on Medicaid-eligible children and those with extensive behavioral health needs. The presentation concludes with information about the ongoing implementation and future plans.
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Coordinated System of CarePresentation to LAKE Charles children & youth planning boardNovember 3, 2011 Jody Levison-Johnson – CSoC Director
What is a System of Care? A spectrum of effective, community-based services and supports for children and youth with or at risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community and throughout life. Stroul, Blau & Friedman (2010)
An alternate definition An adaptive network of structures, processes, and relationships grounded in system-of-care values and principles that provides children and youth with serious emotional disturbance and their families with access to and availability of necessary services and supports across administrative and funding jurisdictions. Hodges, Ferreira, Israel, & Mazza (2006)
Systems of Care are about… • Philosophy • Service delivery • Financing • Accountability • Continuous Quality Improvement
Who We Are… • Collaboration of: • Department of Children & Family Services • Department of Education • Department of Health & Hospitals (OBH & Medicaid) • Office of Juvenile Justice • Families • Young people • Advocates
What We Believe… Louisiana’s CSoC Values: • Family Driven • Youth Guided • Home and Community-based • Strength-based and Individualized • Culturally & Linguistically Competent • Integrated across Systems • Connected to natural helping networks • Data Driven and Outcomes Oriented
Medicaid-eligible children and medically necessary behavioral health needs who need coordinated care How it Fits… Louisiana Behavioral Health Partnership Adults with severe mental illness and/or addictive Disorders who are Medicaid eligible. SMO Children with extensive behavioral health needs either in or at-risk of out-of-home placement CSoC Non-Medicaid children and adults who have severe mental illness and/or addictive disorders.
Why it’s Important… • According to the National Evaluation of Systems of Care, youth involved in SOCs: • Spend more time in school • Have improved grades • Have fewer arrests • Show reductions in disciplinary problems • Have improved emotional health • Have fewer suicide attempts • Are less costly • Have reduced use of inpatient and residential care Source: National Evaluation for Systems of Care and Helping Youth Thrive in the Community. Short Report for 2008 Children’s Mental Health Awareness Day.
What We Are Doing… • Establishing Community Teams, Wraparound Agencies (WAA) and Family Support Organizations (FSO) in five Act 1225 Regions: • Region 2 (Capitol Area) • Region 7 (Alexandria) • Region 8 (Shreveport) • Region 9 (Monroe) • Jefferson Parish • Creating an approach to infuse the values across all partnering departments in all regions • Communications • Training
What’s Next… • Initial Implementation Institute held with five regions on October 5-6, 2011 • Partnership with Magellan to support WAA and FSO development • Approval from Centers for Medicaid and Medicare Services pending (anticipated in plenty of time) • Creating eligibility determination and enrollment processes • Conducting informational sessions and training across the state
Contact Information Jody Levison-Johnson Jody.Levison@la.gov (225) 342-5921
