1. 1 A Multi Level Approach to Implementation of the National CLAS Standards: Theme 1 Governance, Leadership & Workforce P. Qasimah Boston, Dr.Ph Florida Children’s Mental Health System of Care Expansion Implementation State Project Director

2. Help Eliminate Health Care Disparities Improve Quality Advance Health Equity INTENTION 2

3. THE NATIONAL CLAS STANDARDS 3

4. governanceleadershipworkforce THEME 1 4

5. FLORIDA IMPLEMENTING CLAS - THEME 1 Current PracticesFacilitating Factors Barriers Resources and/or assistance needed to continue implementation Implementing CLAS 5

6. 6 FLORIDA BACKGROUND Florida Children’s Mental Health System of Care Statewide Expansion Project

7. 7 Florida DCF SAMH 5 Regions 5 Regional Coordinators 5 Coordinating Councils 5 CLC Representatives Family Youth Coordinators State Advisory Team State CLC Committee State Family Youth Consortium CMHSOC Evaluators Wraparound Training Family Youth Organization

8. Advance and sustain governance and leadership that promotes CLAS and health equity 2 Purpose provision of appropriate resources model appreciation and respect for diversity, support a model of transparency and communication 8 CLAS STANDARD

9. Recruit, promote, and support a diverse governance, leadership, and workforce 3 Purpose create a welcoming environment promote trust infuse multicultural perspectives ensure diverse viewpoints increase knowledge and experience 9 CLAS STANDARD

10. Educate and train governance, leadership, and workforce in CLAS 4 Purpose prepare and support workforce Increase capacity assess the progress of staff foster an individual’s right to respect 10 CLAS STANDARD

11. 11 Leadership Structures DCF Vision, Mission and Goals CLC Strategic Plan Development Process Linking Block Grant CLC Requirements to SOC CLC The Grants Unit Structural foundation, LAUNCH and Healthy Transitions The Governor’s Executive Order 15-175 Champions State CLC Planning Team Regional CLC Reps: Development regional CLC Leaders Regional CLC Committees: Galvanizing State CLC Leaders State CLC Committee: Galvanizing State CLC Leaders State CLC Coordinator: Expanding National CLAS Standards The National SOC TA Hub is in Florida Policies & Practices Contract Language CLC State Strategic Plan State Office CLC Assessment & Service Provider CLC Assessment Behavioral Health Impact Statement Requirement Current Practices that Align with the National CLAS Standards Governance, Leadership and Workforce

12. Population of Focus: Children aged birth to 21 diagnosed with behavioral health challenges. System Strengths: Demonstrated history of strong inter/intra agency collaborations. Experience in implementing 8 SOC communities & 5 SOC Expansion Sites in Florida. Venues for joint planning. Resource alignment between state and local agencies. Areas for Improvement: Identification and utilization of effective state resources. Identification and implementation of evidenced based programs and promising practices. Improved access to and utilization of services and supports by populations experiencing behavioral health disparities. Increased CLC trained workforce. CONTEXT Where are we? CORE STRATEGIES What are we doing? OUTPUTS What products will be generated? A statewide CLC strategic plan. A sustained multiagency multidisciplinary, diverse statewide CLC Committee. A plan to expand culturally and linguistically relevant evidence based practices and a workforce with the knowledge and skills to implement. Elimination of behavioral health disparities for all Florida’s children and youth OVERALL IMPACT Evaluation – Continuous Quality Improvement INTEGRATED CORE STRATEGIES Review & Implement policy & regulatory changes to reflect commitment to CLC Integrate CLC and SOC values & principles into services & supports based on CLAS Define and implement CLC sustainability strategies Generate statewide awareness of CLC goals & strategies Florida CMHSOC Expansion Grant State Cultural & Linguistic Competency Committee State Strategic Plan Logic Model Vision: Equity in behavioral health for all children, youth and families in Florida Mission: The State CLC Committee promotes the achievement of positive behavioral health outcomes for children, youth & families in Florida through holistic implementation and promotion of SOC values. We seek the elimination of behavioral health disparities among all children in Florida, using the most effective and efficient continuum of services available. Values: Family Driven; Youth Guided; Culturally & Linguistically Competent; Community Based; Data Driven; Evidence Based; Outcome Oriented and Trauma Informed.

13. 13 Florida Children’s Mental Health System of Care STATE CULTURAL AND LINGUISTIC COMPETENCY STRATEGIC PLAN VISION Equity in behavioral health for all children, youth and families of Florida VALUES Family Driven; Youth Guided; Culturally & Linguistically Competent; Community Based; Data Driven; Evidence Based; Outcome Oriented and Trauma Informed. MISSION The State Cultural & Linguistic Competency (CLC) Committee promotes the achievement of positive behavioral health outcomes for children, youth and families in Florida through holistic implementation and promotion of system of care values. We seek the elimination of behavioral health disparities among all children in Florida using the most effective and efficient continuum of services available. GOALS 1. A state cultural and linguistic competency Strategic Plan 2. A state cultural and linguistic competency Tool Kit(e.g. a listserv, glossary of terms, state promising approaches, multicultural learning tools and help- seeking strategies/approaches) 3. A framework for supportive state level cultural & linguistic Policy/Procedures 4. Provision of support to others to advance and sustain cultural & linguistic competency work in Florida (e.g. a statewide Cultural & Linguistic Competence Center of Excellence, training & technical assistance, assessment)

14. 14 Collaboration with local universities to provide CLC intern opportunities to students of public health, social work, healthcare administration The Office of Civil Rights Webinars Trainings CLC Materials. etc. Provision of training/technical assistance to state service providers, leaders, etc Florida Certification Board Connecting with local health issues Current Practices that Align with the National CLAS Standards Governance, Leadership and Workforce

15. FACTORS SUPPORTING AND PROMOTING IMPLMENTATION Leadership SOC Expansion Implementation Project State CLC Coordinator SAMHSA Disparities Impact Statement Requirements National Links to leaders in CLC & CLAS Contractual requirements State CLC Training & TA Hub Florida CLC Experts, regional representatives CLC Assessments Florida Auxiliary Plan Governor’s Executive Order 15-175 Coordination 15

16. BARRIERS Competing Workload Time Transition of leadership Staff Turnover Priority Setting Lack of a team of people at the state level working on CLAS implementation 16

17. Increased number of staff Increased funding for CLC materials Increased strategizing and support from upper level leadership 17 ASSISTANCE NEEDED