AspireMN Member Meeting Bill Wyss MPA| System of Care Project Director Mental Health Division, Community Supports Administration Minnesota Department of Human Services | mn.gov/dhs

Minnesota Department of Human Services | mn.gov/dhs System of Care Presentation Objectives: A Bit of History Minnesota’s Past System of Care Awards What is System of Care Minnesota’s Project Minnesota Department of Human Services | mn.gov/dhs

Minnesota Department of Human Services | mn.gov/dhs Priority Strategies Pilot new and enhanced community-based mental health services Develop state agency data integration/sharing and policy reform with Department of Human Services, Education, Corrections and Health Reduce health care disparities Minnesota Department of Human Services | mn.gov/dhs

Minnesota Department of Human Services | mn.gov/dhs System of Care History 1980 - families movement began to gather strength with the growth of the National Alliance for Mental Illness 1983 - congress funded all states for planning and developing system of care for children with serious emotional disturbance initiated by the Child and Adolescent Services Program Mid 1990’s - youth development principles and approaches began to strengthen, federal support for YouthMove Minnesota Department of Human Services | mn.gov/dhs

Minnesota Department of Human Services | mn.gov/dhs System of Care History 1993 – Substance Abuse Mental Health Services Administration (SAMHSA) started funding System of Care projects but focused on planning 2011- SAMHSA committed to System of Care Expansion and Sustainability grants which is the submission of a plan to develop children’s mental health system of care Minnesota Department of Human Services | mn.gov/dhs

Minnesota Past System of Care Awards Planning Grants Polk County: Our Children Succeed Initiative, six counties in Northwest Minnesota (2007-2012) Central Minnesota Mental Health Center: STARS for Children’s Mental, four-county initiative in central Minnesota (2005-2010) Putting All Communities Together 4 Families (PACT 4) Wraparound Initiative, four county initiative in west central Minnesota (1999-2005) Minnesota Department of Human Services | mn.gov/dhs

Why Did Minnesota Apply? Lack of continuity of services for children who move between multiple systems, including child welfare, juvenile justice, mental health and education Where children enter the system often defines the services available and associated funding Lack of early and systemic identification of children’s mental health issues and intensive treatment services to treat and support children and families And further problematic by inadequate interagency collaboration at the state level Minnesota Department of Human Services | mn.gov/dhs

Why Did Minnesota Apply? Bring together key system stakeholders to develop a better structure in promoting interagency collaboration and service delivery at a state level Develop a policy framework and finance reform to reduce barriers A state-wide system of early identification of mental health issues at any point of entry to the system . Minnesota Department of Human Services | mn.gov/dhs

Why Did Minnesota Apply? Access to intensive treatment services at any point of entry to the system Improve service capacity and access through addressing service gaps Use of evidence-based and promising practices and redefined and supported workforce 11/7/2018 Minnesota Department of Human Services | mn.gov/dhs

Who Applied and the Process Minnesota Department of Human Services Children with Serious Emotional Disturbance (SAMHSA) Local jurisdictions are counties and tribes 36 counties and Fond du Lac 4 contracted vendors: National Alliance for Mental Illness, Minnesota Association for Children’s Mental Heath, U of M and Wilder Research Minnesota Department of Human Services | mn.gov/dhs

System of Care Framework An architectural framework in building a coordinated network of community-based services and supports that are organized to meet the mental health needs of children with serious mental health disorders System of care concept and philosophy offers an organizing framework and value base for system building Minnesota Department of Human Services | mn.gov/dhs

System of Care Framework It involves: Processes of partnerships in a system building effort with define roles and responsibilities – the who Structure refers to the functions that are organized in a certain define arrangement – the how Minnesota Department of Human Services | mn.gov/dhs

System of Care Core Values and Principles Family driven with families engaged as active participants Guided by youth as active participants Community-based services with care coordination Culturally and linguistically competent Collaborative across child-serving agencies Clinically appropriate and individualized Data driven and outcome oriented Minnesota Department of Human Services | mn.gov/dhs

System of Care Characteristics From To Fragmented service Coordinated service Limited services Comprehensive service array Families as problems Families as partners Youth as problems Youth as partners Cultural blindness Cultural/linguistic competence Categorial funding Blended resources Child/family fit services individualized/wraparound Minnesota Department of Human Services | mn.gov/dhs

Minnesota System of Care Goals Minnesota strives to identify children early in the emergence of SED to provide services and supports that promotes full integration New and enhanced services will encourage improvement to health and wellness so children can function to their potential within their families, homes and community Strengthen access to a array of community-based services Minnesota Department of Human Services | mn.gov/dhs

Minnesota System of Care Goals Build state leadership to coordinate across the State Department of Human Services (mental health, child welfare), Corrections, Education and Health Governance and coordination for data integration and sharing, policy reform and financial sustainability Minnesota Department of Human Services | mn.gov/dhs

Policy and Planning Charge Statement Policy and Planning Group Lead Minnesota’s pilots for children’s mental health services into changes in regulatory and budget structures (Wraparound) Commitment at leadership levels across state Departments of Corrections, Education, Health and Human Services for policy development and to build funding streams for needed services Minnesota Department of Human Services | mn.gov/dhs

Policy and Planning Responsibilities Data infrastructure and exchange Shared finance models and strategies New/enhanced policy reform Legislative work 11/7/2018 Minnesota Department of Human Services | mn.gov/dhs

Local Structures Charge Statement Local Structures Group Build on the strengths and success of existing partnerships to advance the shared vision to promote, enhance and adapt to an environment for children with serious emotional disturbance and their families Embrace family-driven and youth-guided care values to have meaningful opportunities for families and youth in the design and implementation of mental health services Minnesota Department of Human Services | mn.gov/dhs

Local Structures Responsibilities Receive and review service pilot requests and make recommendations Shepherd the service pilot process Monitor process of service pilots across SAMHSA’s Theory of Change Model Make policy recommendations to Policy and Planning Group and Project Director Minnesota Department of Human Services | mn.gov/dhs

Implementation Group Charge Statement Guide implementation of the System of Care Expansion grant and make recommendations to the Policy and Planning Group and Project Director Improve behavioral health outcomes for Minnesota children with serious emotional disturbance and their families Minnesota Department of Human Services | mn.gov/dhs

Building System of Care Team Cultural and Linguistic Lead Social Marketing Communication Specialist System Change Infrastructure Liaison System Change Data Bridging Liaison Data Analyst 11/7/2018 Minnesota Department of Human Services | mn.gov/dhs

Building System of Care Team Contracted Partners National Alliance on Mental Illness Minnesota Minnesota Association of Children’s Mental Health Wilder Research University of Minnesota 11/7/2018 Minnesota Department of Human Services | mn.gov/dhs

Minnesota System of Care Vision “Build healthy communities through partnership, innovation, and hope for all Minnesota children and families” Minnesota Department of Human Services | mn.gov/dhs

Minnesota Department of Human Services | mn.gov/dhs Bill Wyss bill.wyss@state.mn.us 651-431-2364 Minnesota Department of Human Services | mn.gov/dhs