Washington State Systems of Care Project Logic Model

1. Washington State Systems of Care Project Logic Model VISION AND POPULATION OF FOCUS: The Washington State System of Care Project will expand systems of care statewide with family-driven, youth-guided core values fully integrated in all parts of the SOC Governance Structure that reviews and approves infrastructure for state-level funding, policy, program and practice changes. The SOC expansion will focus primarily on youth ages 13-18 with serious emotional disturbances (SED), out-of-home placement, and/or juvenile justice/child welfare histories ISSUES: Need to develop Systems of Care as the foundation for service delivery for children with SED served across multiple systems Need to rebalance “deep end” resources Need to take wraparound, based on NWI, to scale with statewide expansion of SOC GOALS: 1. Infuse SOC values in all systems for children, youth and families 2. Ensure services are seamless for children and youth and their families 3. Build access and availability of home and community- based services 4. Develop and strengthen a workforce that operationalizes SOC values 5. Build strong data management systems to inform decision- making and track outcomes STRATEGY/ACTIONS: Implement governance structure Build a framework of policy, funding and practice standards that remove barriers to services and supports Align funding to strengthen interagency collaboration to develop sustainable financing for array of home and community based services and supports Develop a workforce to enhance family driven, youth guided, person centered recovery resiliency services and supports Utilize governance structure to provide oversight and input from development to analysis of evaluation data management OUTCOMES: Governance structure that includes family and youth leaders with decision-making authority at every level of the system; policy, program design, evaluation and service delivery A system that provides a comprehensive and equitably accessible array of services to children, youth, and families Services that are integrated, flexible, and capable of meeting individual needs , including the needs of youth with the most complex needs CORE VALUES: Family driven and youth Guided… Community based… Culturally and linguistically competent … DRAFT

2. Washington State Systems of Care Project Systems of Care (SOC) Executive Team Secretary and Assistant Secretaries Tribal Leadership Family and Youth Leadership OSPI,DOH,HCA Leadership Work Groups Statewide FYSPRT Membership: SOC Family & Youth Leads Governmental Partners: Tribal Representative System Partners : CA,DOH,JRA,CD, OSPI,DDD,HCA,DBHR 1 to 3 Representatives from each of the 4 Regional FYSPRT’s Finance ** Authority Detailed in Charter Cross System Initiative Team Workforce Development Community Collaboration Team This temporaryteam will merge into the Regional FYSPRT or the Statewide FYSPRT team as selected. Facilitation Team Family & Youth Leads, Research Lead, SOC Staff Data, Evaluation & Quality Assurance • Policy & Practice Southwest Washington Family Youth & System Partners Round Table Lead Organization: PAVE Southeast Washington Family Youth & System Partners Round Table Lead Organization: NAMI Yakima Northwest Washington Family Youth & System Partners Round Table Lead Organization: Sound Mental Health Family Network Resource Group Northeast Washington Family Youth & System Partners Round Table Lead Organization: Passages Spokane DRAFT Regional FYSPRT Membership includes representation from community partners such as: Family and Youth Organizations, Tribes, Schools, Ethnic Groups, Faith Community, MH &CD Providers, RSN,CA, JRA, Law Enforcement, Probation

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6. Washington State System of Care Project Our goals are achieved and put into action through our value of Family Driven and Youth Guided Care Family and youth leaders serve in leadership positions in all levels of the governance and delivery systems Families and youth are informed members of the governance and service delivery teams and vote in all areas Family Driven & Youth Guided Family & Youth Engagement Families and youth are invited and attend meetings Family & Youth Involvement DRAFT

7. Challenges/Questions for Moving Forward with PlanAdvance paradigm shift of family and youth leaders sharing decision making authority at all policy, program design, evaluation and service delivery levels of systems of careMaintain engagement of family, youth, and system partners to achieve equitable partnerships in all aspects of mental health services and supports Establish a Behavioral Health Administrative WAC which will allow Behavioral Health Agencies and other community child serving agencies to provide a specific set of services such as; Wraparound, consumer, youth and family peer support under a limited scope agency designation by Washington Administrative Code (WAC) Establish agreed upon inter and intra agency policies, protocols and practices that support seamless mental health services and supports for children, youth and families DRAFT

8. ISSUES: Need to develop Systems of Care as the foundation for service delivery for children with serious emotional disturbances (SED) served across multiple systems Need to rebalance “deep end” resources Need to take wraparound, based on National Wraparound Initiative (NWI), to scale with statewide expansion of SOC DRAFT

9. GOALS: 1. Infuse SOC values in all systems for children, youth and families 2. Ensure services are seamless for children and youth and their families 3. Build Access and availability of home and community-based services 4. Develop and strengthen a workforce that operationalizes SOC values 5. Build strong data management systems to inform decision-making and track outcomes DRAFT

10. CORE VALUES: Family driven and youth Guided, with strengths and needs of the child and family determining the types of mix of services and supports provided Community based, with the locus of services as well as system management resting within a supportive, adaptive infrastructure of structures, processes, and relationships at the community level Culturally and linguistically competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of populations they serve to facilitate access to and utilization of appropriate services and supports DRAFT

11. STRATEGY/ACTIONS: • Implement governance structure • Build a framework of policy, funding and practice standards that remove barriers to services and supports • Align funding to strengthen interagency collaboration to develop sustainable financing for array of home and community based services and supports • Develop a workforce to enhance Family Driven, Youth Guided, person centered recovery resiliency services and supports • Utilize a Governance Structure that provides oversight and input from development to analysis of evaluation data management DRAFT

12. OUTCOMES: A governance structure that includes family and youth leaders with decision-making authority at every level of the system; policy, program design, evaluation and service delivery A system that provides a comprehensive and equitably accessible array of services to children, youth, and families Services that are integrated, flexible, and capable of meeting individual needs, including the needs of youth with the most complex needs DRAFT

13. VISION AND POPULATION OF FOCUS: The Washington State System of Care Project will expand systems of care statewide with family-driven, youth-guided core values fully integrated in all parts of the SOC Governance Structure that reviews and approves infrastructure for state-level funding, policy and practice changes. The SOC expansion will focus primarily on youth ages 13-18 with serious emotional disturbances (SED), out-of-home placement, and/or juvenile justice/child welfare histories DRAFT

14. Systems of Care (SOC) Executive Team WASHINGTON STATE Department of Social and Health Services (DSHS) Secretary and Assistant Secretaries Tribal Leadership Family and Youth Leadership Office of the Superintendent of Public Instruction (OSPI) Leadership Department of Health (DOH) Leadership Health Care Authority (HCA) Leadership DRAFT

15. Statewide Family Youth & System Partners Round Table (FYSPRT) MEMBERSHIP System of Care (SOC) Family & Youth Leads Governmental Partners: Office of the Superintendent of Public Instruction (OSPI) Lead Department of Health (DOH) Lead Health Care Authority (HCA) Lead Tribal Representative System Partners: Division of Behavioral Health and Recovery (DBHR) Chemical Dependency (CD) Division of Developmental Disabilities (DDD) Children’s Administration (CA) Juvenile Rehabilitation Administration (JRA) 1 to 3 Representatives from each of the four Regional FYSPRT’s DRAFT