Building a Foundation for Community Change Proposed Restructure 2010

DSOC Mission Statement With our community partners Durham System of Care will develop a more integrated, streamlined service delivery system based on best practices, outcomes and accountability while providing leadership for system level change and continuous quality improvement.

Child & Family Teams 1 Family~1 Team~1 Plan Community (Recreation Clubs, Faith Community, Housing Coalition) Public Health Dept. of Social Services Dept of Juvenile Justice& Delinquency Prevention Courts Durham Public Schools The Durham Center & MH, DD, SAS Provider Community Families support Community Collaborative The community ‘driving force’ for DSOC Collaborative Workgroups Family Coalition; Faith Partners Outcomes Training Collaborative Workgroups Linking with Adult Service Care Review Best Practices Leadership Roundtable support System of Care Council Durham Directors

ASOC Coalition Care Review Homeless Steering Committee Disability Benefits Workgroup Cross System Studies Crisis Service System Homeless Service System Criminal Justice Service System

DSOC Target Population Durham County residents of all ages who are experiencing any of the following situations: Homeless or at-risk of becoming homeless At-risk of out of home placement Disengaged from needed services and supports Multiple and complex life needs High users of public services

Restructure Goals and Purpose Promote committed participation Promote greater tangible outcomes Increase responsiveness to community priorities Increase participation by communities and families Decrease duplication of efforts Promote an integrated approach

Creating a More Streamlined Structure… Community Impact Teams DSOC Implementation Team Durham Directors

Innovation Engagement Collaboration Accountability Implementation Team Community Priorities Outcomes Strategic Planning Public Relations Training Community Impact Teams Evidence Based Practices System Improvement Coordination of Services Quality Assurance System of Care Staff Durham Directors Leadership Enacting Policy System Transformation Building a Foundation for Community Change

Community Impact Teams Allows for a more comprehensive, results-driven and strategic focus that integrates SOC best practice elements into priority community issues. Each team will be responsible for analyzing their community issue and developing a plan that includes: Current best practice or evidence-based practices Training needs and workforce development Engaging stakeholders (particularly families and recipients of services) Target areas for system improvement Community Resource inventory Quality assurance and accountability

Community Impact Teams Encompasses child and adult issues allowing for more integrated and flexible thinking along the life span including both prevention and intervention strategies Support and enhance efforts of other existing initiatives such as EDCI, RBA, DARYC, Connected by 25, Adolescent Health Initiative, Partnership for a Healthy Durham, etc. By collapsing existing workgroups, Leadership Roundtable, SOC Council, and Adult SOC Coalition, all levels of agencies are represented within the same team allowing for more timely communication, collaboration, and problem solving

Community Impact Teams The larger Community Collaborative would convene monthly with a primary focus on networking and information sharing. Chairs of the Community Impact Teams would meet with representatives/leadership from various collaborative groups in Durham for updates on progress and community needs.

Community Impact Teams Wellness and Recovery Addresses physical health, mental health and substance abuse issues Mental Health system changes Integrated models of health care Adolescent Health Initiative Supervisors Support Prevention/Awareness Activities High cost/high users of health and MH/SA systems

Community Impact Teams Vulnerable Student Support Addresses education issues that impact multiple systems Day Treatment CFST Literacy/Tutoring Vocational Training

Community Impact Teams Homeless Support Addresses access to services and supports for individuals and families who are experiencing homelessness or are at-risk for homelessness Increasing income through employment or disability benefits Discharge planning from state institutions Support goals of Ten Year Plan to End Homelessness

Community Impact Teams Mental Health Criminal Justice Advisory Addresses the unique service and support needs of the persons with mental illness and/or addictions who are criminal justice involved High cost/high users (Top 10%) Youth Detention Home Exploration of specialized court dockets Follow up studies focusing on juvenile and adult criminal justice issues Substance Use and Abuse

Community Impact Teams Transition Age Youth Addresses the unique service and support needs of youth aging out of multiple systems Housing Service retention Independent Living resources

DSOC Implementation Team Includes more diverse partners allowing for mixed representation between child and adult community partners. Responsibilities include: Developing a DSOC strategic plan Establishing community priorities General oversight of DSOC activities Training, Outcomes, and Community Awareness subcommittees Defining DSOC standards

Implementation Team Representation Co-chairs of the Community Collaborative would serve as co-chairs of the Implementation Team DSOC Director and Evaluator/System Planner RBA Coordinator DARYC representative Partnership for a Healthy Durham Coordinator Mental Health Partner Substance Abuse Partner

Implementation Team Representation Homeless Partner Medical Partner (Duke & Lincoln) City of Durham representative Family member and/or recipient of services East Durham Children’s Initiative representative Criminal Justice Partner (law enforcement & CJRC) Representative from each of the public partner agencies (Health, DSS, DPS, LME, Cooperative Extension

Next Steps Identify chair/leadership for each Community Impact Team Participation-building event at August Community Collaborative meeting (8/26/2010) Chairs/Leadership of each group attends Facilitator training (September 2010) Full implementation in October 2010