Children’s Mental Health Reform Overview: North Sound Mental Health Administration Prepared by Julie de Losada, M.S./CMHS

Drivers  NSMHA  Regional Children’s Executive Policy Team (CPET)  T.R. Settlement Agreement (2012)  2SHB1088 (2007) -Wraparound  2SHB2536 (2012) - EBPs  2SHB2264 (2012) – Child Welfare Reform

SYSTEMS OF CARE FRAMEWORK Community-Based Coordinated Network Partnerships with Families Culturally & Linguistically Competent 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.

NEW: SIX KEY ADDITIONS Allied systems will have specific instructions on how and when to refer to RSN to request intensive services. Enhanced Cross System Referral Process One 26 question retrospective One 63 in person Child and Adolescent Needs and Strengths Assessment Tool (CANS) Based on CANS score, MUST be offered Wraparound. Ages 0-21 Expanded Child and Family Teams (CFTs) aka Wraparound Employment, education, training, housing, natural supports Plan linked across systems –supported transitions Specific Services for Transition Age Youth (ages 16-21) Most likely based on CANS data Start June 2013 Child/Family Specific Performance Improvement Project Not yet in our contract, but coming… Works with family post crisis for a defined period of time. Child/Family Specific Mobile Crisis Intervention and Stabilization Services

CHILD WELFARE RFP: FAMILY SUPPORT AND RELATED SERVICES 2SHB2264 (2012) A. Creating a flexible, accountable community-based system of care that utilizes performance-based contracting, maximizes the use of evidence-based, research-based, and promising practices, and expands the capacity of community-based agencies to leverage local funding and other resources to benefit children and families served by the department; B. Improving child safety, child permanency, including reunification, and child well-being outcomes through the collaborative efforts of the department and contracted service providers and the prioritization of these goals in performance-based contracting; and C. Implementing performance-based contracting in a manner that supports and complies with the federal and Washington state Indian child welfare act.

Opportunities Increased care coordination Increased community-based services Increased trauma focused care Increased data informed decision making Better focus on unique needs of y/o Better parent/caregiver involvement Better cross system coordination Ability to develop expert-level workforce Increased resiliency!

Strategies RFQ – Late Spring 2013 Build on current workforce knowledge Robust training to counter model drift Learning collaborative Potential parent partner agency More youth in advisory roles CPET ◦ System mapping ◦ Dashboard ◦ Cross-system SOC commitment ◦ SOCI

Draft Planning Needs Community stakeholder meetings Estimating future capacity need Develop training plan CANS flow Determine relevance of CALOCUS “Child” vs. “Adult” providers Coordination w/ existing crisis system Process for monitoring outcomes ◦ MH system ◦ Allied systems ◦ Family/youth ◦ Community

Questions? NSMHA Point of Contact Julie de Losada