1. A New Model to Support Youth Aging Out of Foster Care: Incorporating Youth Voice, EBPs, Trauma Informed Care and Assessment Tools Jodi Harding, Clinical Director Cathy Zang, Clinical Services Coordinator Jack Theuerling, YARH Program Coordinator

2. Agenda Introduction to Youth at Risk of Homelessness o Ending Youth Homelessness o 2 Year Planning Process o System Level Findings o Youth Voice o Outcome-Model Intervention Treatment Pathway o Assessment Tools o Interventions Trauma Informed Care o Treatment Model vs Organizational Model o SITCAP o National Council o Challenges and Successes

6. The Most Important Take-Away in the Planning Process is ……….. YOUTH ENGAGEMENT AND PARTICIPATION EVERY STEP OF THE WAY IS A VITAL PART OF MAKING THIS CHANGE!!!!!

7. empowers current and former foster care youth to share their experiences and ideas for ways to prevent youth homelessness in Hamilton County. “If you want to have a voice, you want to talk to someone important.” – Lakasia Williams (Founding member of Lighthouse Youth Advisory Council)

8. How can we change the outcomes for our clients??

9. Components of the Model Intervention Menu of Services that we anticipate will most positively impact clients Fill gaps identified in the Planning Phase Better Screening and early identification of needs Use of Evidenced Based Practices Focus on Skill Building and Connection to supports and resources during care which can be utilized at transition. INTEGRATION of services internally and system wide.

10. PATHWAY Supportive Interventions  Life Skills  Trauma Informed Care (TIC)  Case Management  High Fidelity Wraparound (HFW)  Individual Aid  Crisis Intervention  Out of Home Care  School Based Services  Early Childhood Services  Juvenile Justice Services Supportive Interventions  Life Skills  Trauma Informed Care (TIC)  Case Management  High Fidelity Wraparound (HFW)  Individual Aid  Crisis Intervention  Out of Home Care  School Based Services  Early Childhood Services  Juvenile Justice Services Clinical Interventions Life Skills Trauma Care-SITCAP Therapy (MH and AOD) Med/Som CPST Assertive Community Treatment (ACT) Permanent Supportive Housing (PSH) Intensive Home-Based Treatment (IHBT) Crisis Intervention Clinical Interventions Life Skills Trauma Care-SITCAP Therapy (MH and AOD) Med/Som CPST Assertive Community Treatment (ACT) Permanent Supportive Housing (PSH) Intensive Home-Based Treatment (IHBT) Crisis Intervention Recommendations to External Customers Based on ongoing assessments and Level of Care Tool (LOC) 10

11. Assessments Screening  Screener (from SOQIC crisis assessment)  Is there a MH/BH need or not Level Of Care Assessments  DAF (Mental Health)  CALOCUS/LOCUS (Dosage, placement)  CANS Trauma  ASAM (AOD)  Daniel Memorial (Life Skills)  DLA-20 (SPMI)  JSOAP (Sex Offenders)  DECA (Early Childhood)

13. Trauma Informed Care at Lighthouse Treatment vs Organizational Models

14. A Two-Pronged Approach 1.) Treatment Intervention Structured Sensory Interventions for Children. Adolescents and Parents (SITCAP) All licensed Clinicians and Case Managers will be trained and certified in SITCAP Trainings are offered in house by trained LYS staff Currently funded by VOCA grant 66 licensed staff will be certified by Dec 2016 1.) Treatment Intervention Structured Sensory Interventions for Children. Adolescents and Parents (SITCAP) All licensed Clinicians and Case Managers will be trained and certified in SITCAP Trainings are offered in house by trained LYS staff Currently funded by VOCA grant 66 licensed staff will be certified by Dec 2016

15. Two-Pronged Approach 2.) Organizational Framework Trauma not only impacts our clients but also our staff. The way that we handle organizational change can contribute to staff stress and burnout. January 2016- National Council for Behavioral Health  Consultants lead a review of organizational processes and procedures in order to reduce staff stress and burnout and to help us build a safe and trusting environment for all employees. 2.) Organizational Framework Trauma not only impacts our clients but also our staff. The way that we handle organizational change can contribute to staff stress and burnout. January 2016- National Council for Behavioral Health  Consultants lead a review of organizational processes and procedures in order to reduce staff stress and burnout and to help us build a safe and trusting environment for all employees.

16. SITCAP Structured Sensory Interventions for Children, Adolescents and Parents (SITCAP) Sensory based therapy Level of Care determined by Child and Adolescent Needs and Strengths Trauma (CANS) tool Includes individual therapy and group sessions Addresses staff self-care and encourages staff support groups for vicarious trauma Learn more at https://www.starr.org/training/tlc

17. Why an Agency model too? To offer our clients a range of trauma-informed services through knowledgeable, skilled, and culturally respectful staff To address trauma-related adaptations and difficulties. We want our policy and procedures to be informed by the experience and perspectives of consumers and would like to involve them as employees/volunteers/advocates. We want to ensure that our social and physical environment promotes healing and avoids re- traumatizing clients. We want to create an environment that supports staff who may experience work stress and vicarious trauma. We want to use data to monitor and sustain our improvements.

18. National Council Influenced by the Sanctuary Model yet more cost effective Provides in-person training, assessment and consultation for one year Offers Support and Ongoing Learning through the Tristate Trauma Network Learning Community Provides Certificate of Completion Compatible with SITCAP Flexibility to focus on specific domains Learn more at: http://www.thenationalcouncil.org

19. Challenges Big initiative Staff buy-in Cost Sustainability Large agency with diverse clients and services

20. Successes Approved by the Executive Management Team Streamlined process for SITCAP certification In house SITCAP training VOCA funding National Council Kick-Off January 2016 Completion of Organization Self-Assessment April 2016 Three Domains Chosen as Our Starting Point April 2016

21. Questions?