1. Wraparound Oregon
Designing a coordinated service system for children, youth and their families

2. Purpose
To build an integrated system of community-based services to help children and youth who need the most intensive and costly care from multiple systems.

3. Objectives Build integrated services and resources.
Provide intensive, community services.
Keep children in their own homes, in their own schools, and out of trouble.

4. Objectives Locate and engage families.
Achieve permanency for children.
Keep cost of care neutral or demonstrate savings.

5. Elements Coordinate with child serving systems.
Have families “drive” decision making.
Provide care coordination, wraparound services and informal supports.

6. Wraparound Process Refer to Wraparound Oregon. Engage families.
Discover family strengths.
Assess strengths and needs.
Build the team.
Ensure family-driven decision making.
Produce plan.
Follow up and monitor.
Discharge.

7. Organization Albertina Kerr Centers. Coordinating Council
Community Forum.
Executive Committee.
Oversight Committees (evaluation, training, operations, management information system).
Wraparound Milwaukee is a unique health maintenance organization that promotes collaboration among child welfare, juvenile justice, mental health and education in the treatment of children with serious emotional, mental health and behavioral challenges.
The Foster Family Care Network, a joint effort of Albertina Kerr Centers, The Boys & Girls Aid Society and Morrison Child and Family Services, hosted Bruce Kamradt, Director of Wraparound Milwaukee, during an event in July Judge Waller, and others, heard his presentation and decided to model a system of care in Multnomah County after the work of Wraparound Milwaukee.
Judge Waller convenes a strategy group in March The group is made up of child welfare, juvenile justice, mental health, providers, family members, JRP, and education.
State and local children’s mental health redesign efforts.
Identification of the top 200 kids in Multnomah County.

8. Projects
“Early Childhood Project” serves children birth to eight in or at risk of entering the child welfare system.
“School-age Project” serves delinquent and dependent children and youth six to 17.
All children are multi—system involved and have complex mental health needs.

9. Support Robert Wood Johnson Foundation. Northwest Health Foundation.
The Meyer Memorial Trust.
The Oregon Community Foundation.
Office of Juvenile Justice Delinquency Prevention (OJJDP).
Substance Abuse and Mental Health Services Administration (SAMHSA).

10. Office of Juvenile Justice Delinquency Prevention
“School-age Project”
Four funded pilot sites for three-year grants – Portland, Albany, NY, New Orleans and Miami, Florida.

11. Office of Juvenile Justice Delinquency Prevention
“School-age Project”
Improve coordination of services to youth coming before the court.
Make complex juvenile court cases a priority for local providers.

12. Population Low income, Medicaid eligible. School-age children 6-17.
“School-age Project”
Low income, Medicaid eligible.
School-age children 6-17.
Residing in Multnomah County.
Mental health diagnosis (greater than a year) CASII 4, 5, or 6 score.
Currently or at risk of psychiatric/residential care or detention.

13. Population 25 youth between 6 and 15 11 African American 11 Caucasian
“School-age Project”
25 youth between 6 and 15
11 African American
11 Caucasian
Two Native American
One Hispanic
15 male
10 female
13 dependent
8 delinquent
3 dependent/delinquent

14. Beginning January 2006 Startup of the “School-age Project.”
25 children and youth initial participants.
Care coordination.
Child and family teams.
Single plans of care.
Shared resources.
Wraparound services.
Crisis response.
Family involvement.

15. Team Project Director. Wraparound Team Leader.
Facilitators (care coordinators).
Education Advocate.
Parent Partners.
Around since 1995.
Designed to reduce institutional care.
County-based care management org.

16. Facilitators – donated by systems
Child Welfare (DHS) 1 FTE;
Oregon Youth Authority (OYA) .5 FTE;
Multnomah Co. Mental Health .5 FTE;
Multnomah County Department of Community Justice, .5 FTE.
Education Advocate, MESD, .5 FTE

17. Facilitator Role Engage family. Conduct initial family interview.
Assemble the child and family team.
Facilitate child and family team meetings.
Monitor plan progress.

18. Parent Partner Role Teach skills. Access community resources.
Relationship work in the home and in the community.
Crisis rehearsal drills.
Assessment.
Assure parent’s voice is understood.

19. Education Advocate Role
Obtain information regarding each child’s education background and needs.
Participate with Facilitators in initial planning efforts for each child.
Contact “receiving” school district to enhance initial enrollment and transition into school.

20. Court appearances
One judge, one family – same judge for all Wraparound families.
Reviews every 30 days.
Facilitators and Team Leader attend along with family, youth and others.
Documentation – plan, crisis plan, strengths-needs assessment
Nature of Disagreement form.

21. Challenges Placement, placement, placement. Transportation. Education.
Integrated funding.
Community-based service capacity.
Finding families.

22. Anticipated outcomes
Increased efficiency and effectiveness of service delivery.
Sustained interagency coordination.
Improved child and youth functioning and family quality of life.

23. Anticipated outcomes
Improved connections to family, extended family and community.
Reduced need for intensive level of services and restrictive placements.
Increased permanency.
Cost of care remains neutral or demonstrates a savings.

24. Next steps Build long-term governance and infrastructure.
Learn from pilot project.
Address challenges.
Train at all levels.
Continue to develop information management system.
Evaluate the progress.

25. Wraparound Oregon Contact Alice Galloway, Program Director, at
(503) or