1. Statewide Children’s Wraparound Initiative COSA Conference Presenters: Erinn Kelley-Siel Mary Lou Johnson Larry Sullivan

2. Background n Fragmented and duplicative systems. n Children served in most restrictive environments. n Cost and outcome data not linked. n Public policy making not well informed. n Service delivery inefficient. n Outcomes not what we would like to see.

3. Governor’s Executive Order n Created a Steering Committee. n Called for a plan to: 1.Provide supports as early as possible. 2.Base plans on individual needs. 3.Maximize resources. 4.Hold systems accountable for outcomes.

4. Mission To build capacity to effectively serve children, youth and their families through a governance structure that oversees coordinated policy development, comprehensive planning, and collaborative budgeting for children’s services.

5. System of Care A comprehensive spectrum of mental health and other necessary services which are organized into a coordinated network to meet the multiple and changing needs of children, youth and their families.

6. Wraparound Wraparound is an approach to implementing individualized, comprehensive services within a system of care for children and youth with emotional and behavioral problems.

7. Target Population n Children and youth birth to 18. n Emotional, behavioral, substance abuse related needs. n Involved in at least two systems. n At risk and those who already have a diagnosed problem.

8. Organization n 16-member Steering Committee. n Four subcommittees – finance, local implementation, cultural competency, data & evaluation. n Project team. n National experts.

9. Framework n System of Care Values and Principles. n Cultural Competency Standards. n Family and youth voice.

10. Shared Recommendations n Serve all children. n Generate family-driven and youth- guided individual plans. n Include culturally competent, non- traditional services. n Blend funds. n Monitor outcomes.

11. Finance Recommendations n Purchasing collaborative. n Market assessment. n Strategic finance plan establishing infrastructure that supports system design. n Blended funding pool (education, child welfare, juvenile justice, mental health).

12. Local Implementation Recommendations n Electronic record for service information. n Adopt Values and Principles statewide. n Connect service across a child’s developmental stages. n Build local governance structure to implement system of care.

13. Local Implementation Recommendations n Manage care through care coordination – one facilitator for each child and family team. n Establish a basic benefit package. n Put resources into a Family and Youth Organization. n Create accountability mechanisms.

14. Cultural Competency Recommendations n Adopt culturally appropriate services statement. n Adopt culturally competent standards. n Develop process to review traditional practices. n Identify ways to improve culturally appropriate care.

15. Data & Evaluation Recommendations n Create standard data sharing agreements. n Create one or more entities at state level to review and select outcomes. n Evaluate and adjust state workforce strategies. n Develop and maintain two-tiered data system.

16. Key indicators n Educational/vocational progress. n Stable, homelike environment. n Safety. n Out of trouble. n Social/interpersonal support. n Mental/behavioral health. n Individual needs met.

17. Role of Education n Key partner in the collaborative. n Schools at the “center” of the child- serving system. n Shared accountability with other child- serving systems. n Investment of local dollars to leverage additional funding. n Schools are where children and youth need to be in order to succeed.

18. Critical issues n Development or enhancement of management information system. n Identification of state and local leaders. n Creation of blended funding structure. n Adoption of culturally competent standards. n Establish community readiness criteria.

19. Path to Implementation n Establish/fund implementation team. –Complete market assessment –ID management information system –Calculate size of system contributions for blended fund –Develop protocol for moving funds into the pool –Analyze administrative rules and statutes

20. Oregon will have n Single point of contact n Family and youth voice and choice n Least restrictive placements n Coordinated services n Blended resources n Infrastructure in place n Agencies and organizations that are accountable for outcomes

21. Questions? http://www.oregon.gov/dhs/mentalhealth/wraparound/main.shtml